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CSAC CEO warns HR1 could squeeze county budgets, outlines $1.9 billion funding request
Summary
Graham Knott, CEO of the California State Association of Counties, told the Tulare County Board that federal and state changes under HR1 could lead to coverage losses and increased county costs; CSAC is asking for roughly $1.9 billion in the next budget year to help counties meet new mandates and staffing needs.
Graham Knott, chief executive officer of the California State Association of Counties, told the Tulare County Board of Supervisors on March 24 that recent federal and state policy changes grouped under “HR1” would impose new administrative burdens on counties and could cause “close to a million and a half” people to lose health coverage unless the state funds mandated responsibilities.
Knott said counties must receive both clarity and funding from higher levels of government to implement new eligibility and work-reporting requirements for Medi‑Cal and CalFresh recipients. “Counties can’t do what the state doesn’t fund,” he said, urging a…
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