Mono County officials warned HR 1 changes could push thousands back onto county health program

Feb 17, 2026

County staff and the County Medical Services Program told the Board of Supervisors that federal HR 1 work and eligibility rules could shift hundreds to thousands of Californians off Medi‑Cal and onto county programs, increasing local workload and potential costs unless state funds follow.

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Carrie Brownstein, executive director of the County Medical Services Program, told the Mono County Board of Supervisors on Feb. 17 that federal and state policy changes packaged in what county staff described as “HR 1” could return substantial numbers of people to CMSP and increase county financial exposure.

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