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Tehama County officials warn HR 1 could shift millions in costs to county services
Summary
County health and social services leaders told the Board of Supervisors that HR 1is already reducing federal match and will raise county administrative and benefit-cost sharing, increasing workload for eligibility staff and likely reducing CalFresh and Medi-Cal coverage for thousands of residents.
Jamie Botke, executive director of Tehama County's Health Services Agency, and Becky Emery, director of Social Services, told the Board of Supervisors on April 21 that HR 1is producing immediate and projected costs for the county.
Botke and Emery said the law's provider-tax changes and other provisions have already reduced federal matching funds and will shift new administrative and benefit costs to counties. "Starting in October, we're looking at about a 7.5% cost-share increase with no offsetting funding," Emery said, estimating roughly $400,000 in county administrative exposure to Social Services under current assumptions.
That change is compounded by implementation steps the presenters said will…
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