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County officials warn HR 1 could cost Medi‑Cal and CalFresh recipients; Board considers letters to CSAC

Lake County Board of Supervisors · March 26, 2026

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Summary

County staff briefed supervisors on bills in Sacramento and projected local impacts of HR 1, including possible loss of Medi‑Cal for 2,000–2,500 residents and reduction of CalFresh for about 1,000–1,200 people; board discussed sending letters of support to a county coalition seeking state budget relief.

County administrative staff and social‑services leaders told the Board of Supervisors that pending state and federal legislation — principally the package discussed as HR 1 in Sacramento — could shift significant costs to counties and reduce benefits enrollment for residents.

Jeff Neal, a Sacramento legislative advocate working with Lake County staff, reviewed the legislative calendar and said appropriations committee analyses and the governor’s May budget revision (May 14) will provide clearer cost estimates. Neal described priorities staff screened from thousands of bills and highlighted HR 1 and several bills that could significantly increase county spending for Medi‑Cal and CalFresh implementation.

Social Services Director Rachel Dolman Parson gave a local impact check. She told the board that roughly half of Lake County residents receive Medi‑Cal and 25% receive CalFresh. Based on current estimates, she said 2,000–2,500 people in the county could be at risk of losing Medi‑Cal eligibility and 1,000–1,200 CalFresh recipients could be removed if state changes are implemented as proposed — roughly 1½–2% of Lake County’s total population. Dolman Parson said the potential loss of CalFresh purchasing power could remove about $3 million annually from the local economy if people came off the program.

Dolman Parson described operational pressures: new work requirements and more frequent recertifications (six‑month redeterminations) would substantially increase casework and administrative burden at a time when county funding for additional staff is not guaranteed. She outlined mitigation steps under way, including advocacy with CSAC (California State Association of Counties) and CWDA and implementation of local enrollment strategies and training; she recommended a further update after the governor’s May revision.

Supervisor Sabatier and others urged staff to return with more detailed fiscal estimates after appropriations‑committee scoring and suggested the board consider letters of support for a CSAC‑led budget request seeking state funding to offset county impacts. Staff said they could bring a draft letter to the April 7 meeting.