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Officials warn HR1 could strip health and food benefits and raise Alameda County costs
Summary
Legislative Analyst’s Office analysts and Alameda County staff told supervisors that federal HR1 will likely shrink Medi‑Cal and CalFresh rolls, increase county administrative costs and uncompensated care, and force the county to seek state support to avoid service gaps.
At a special budget work group meeting, Alameda County officials and analysts from the Legislative Analyst’s Office (LAO) outlined how the federal law HR1 and a tightening state budget could reduce Medi‑Cal and CalFresh enrollment and raise local costs.
The LAO analysts told the board that HR1 introduces new work and community‑engagement requirements, more frequent eligibility redeterminations and tightened rules for some legally present noncitizens that are likely to reduce caseloads. The analysts said projections of Medi‑Cal disenrollments vary widely and “we've put the disenrollment as much as 2,000,000 people,” but they emphasized the large uncertainty depending on implementation and state policy choices.
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