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Mono County officials warned HR 1 changes could push thousands back onto county health program
Summary
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.
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.
“The big thing that’s going to affect CMSP is the work requirements,” Brownstein said, explaining that staff estimates range from about 43,000 to more than 131,000 people statewide who could be affected. She said that, depending on exemptions and rollout timing, CMSP’s medical cost exposure could be hundreds of millions annually if the state and federal rules are implemented without new funding.
Kathy Petersen, Mono County health and human services director, said Mono’s local estimates are smaller…
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