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    <title>FQHC Intel — Borrego Health</title>
    <link>https://www.fqhctalent.com</link>
    <description>Intelligence items mentioning Borrego Health (Inland Empire). Updated whenever we publish new intel about this FQHC.</description>
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    <lastBuildDate>Mon, 27 Jul 2026 19:59:52 GMT</lastBuildDate>
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      <title>San Bernardino County Releases $10.9B FY2026-27 Recommended Budget — Board Adoption June 9</title>
      <link>https://www.fqhctalent.com/intel/sbc-county-10-9b-recommended-budget-may-21-2026</link>
      <description>On May 21, 2026 San Bernardino County released its $10.9B FY2026-27 recommended budget. CEO Luther Snoke noted spending decreased $26.1M vs. mid-year (one-time funding obligations from 2025-26 rolling off). Board hearing and adoption are scheduled for June 9, 2026 in San Bernardino plus interactive video sites at Joshua Tree (Bob Burke Government Center) and Hesperia (Jerry Lewis High Desert Government Center). Strategic implication for SAC Health and RUHS-adjacent FQHCs (RUHS = 84% Medi-Cal payer mix): county service-contract pipelines and ECM/CalAIM partnership funding will be locked in on June 9. 13 days from this update. Pairs with the SD County $9.1B release (May 18) — both Inland Empire / South Coast county-level safety-net commitments coming online in the same window.

Primary source: San Bernardino County — https://main.sbcounty.gov/2026/05/21/san-bernardino-county-releases-2026-27-recommended-budget/</description>
      <pubDate>Thu, 21 May 2026 00:00:00 GMT</pubDate>
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      <category>funding</category>
      <source url="https://main.sbcounty.gov/2026/05/21/san-bernardino-county-releases-2026-27-recommended-budget/">San Bernardino County</source>
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    <item>
      <title>San Bernardino County Opens FY26-27 Budget Cycle May 5 — RUHS-Adjacent FQHCs Should Track Contract Pipelines</title>
      <link>https://www.fqhctalent.com/intel/sbc-county-fy2026-27-budget-workshop-may-5-2026</link>
      <description>San Bernardino County opened its FY2026-27 budget cycle on May 5, 2026 with workshops at three locations (San Bernardino, Joshua Tree, Hesperia). While the official announcement does not call out Medi-Cal or FQHCs by name, the timing matters because RUHS payor mix is 84% Medi-Cal — the highest county-government health system FQHC exposure in the Inland Empire — and IEHP (1.5M members, 95% Medi-Cal) projects up to 300K member loss from H.R. 1 + UIS rollback. SBC budget direction shapes county BH/CHW/safety-net contract pipelines and FQHC partnership funding lines. Strategic implication for IE-area FQHCs (SAC Health, Borrego Health, RUHS-affiliated FQHCs, Riverside-San Bernardino County Indian Health, Clinicas de Salud del Pueblo): operations directors should track the SBC Recommended Budget Book release, identify county-government FQHC partnership funding lines specifically, and align advocacy timing with the May 14 May Revision and the LA County / SD County parallel budget cycles.

Primary source: San Bernardino County — https://main.sbcounty.gov/2026/04/16/san-bernardino-county-to-host-may-5-budget-workshop-and-fiscal-overview/</description>
      <pubDate>Tue, 05 May 2026 00:00:00 GMT</pubDate>
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      <category>funding</category>
      <source url="https://main.sbcounty.gov/2026/04/16/san-bernardino-county-to-host-may-5-budget-workshop-and-fiscal-overview/">San Bernardino County</source>
    </item>
    <item>
      <title>Medicaid-ICE Data Sharing Creates &apos;Cloud of Fear&apos; Across San Bernardino Immigrant Communities — Direct Threat to FQHC Patient Retention</title>
      <link>https://www.fqhctalent.com/intel/san-bernardino-medicaid-ice-data-sharing-chilling-effect-april-2026</link>
      <description>A San Bernardino CHW describes a &apos;cloud of fear&apos; sweeping immigrant communities following ICE raids across Southern California and Trump administration plans to share Medi-Cal/Medicaid enrollment data with ICE. The impact is most acute in the Inland Empire where 40%+ of FQHC patients are Latino/immigrant. FQHCs are reporting declining appointment adherence and children being pulled from well-child visits. The chilling effect compounds the H.R. 1 Medi-Cal eligibility cliff (75K noncitizens in SD County alone losing coverage October 2026).

Primary source: KFF Health News — https://kffhealthnews.org/morning-breakout/california-weekly-roundup-wednesday-april-15-2026/</description>
      <pubDate>Wed, 15 Apr 2026 00:00:00 GMT</pubDate>
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      <category>undocumented-access</category>
      <source url="https://kffhealthnews.org/morning-breakout/california-weekly-roundup-wednesday-april-15-2026/">KFF Health News</source>
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    <item>
      <title>Inland Empire: ~1.5M IEHP Members at Risk as Medi-Cal Cuts Loom</title>
      <link>https://www.fqhctalent.com/intel/ie-medi-cal-1-6m-at-risk</link>
      <description>The Inland Empire Health Plan serves ~1.5M members across Riverside (42% enrolled) and San Bernardino (45% enrolled) counties. Projected $10-20B annual state Medi-Cal cuts could force clinics to cut dental, vision, and podiatry services first. Centro Medico (15,000 patients, nearly all Medi-Cal) warns of months-long waits. IEHP contracts with 9,000 providers, hundreds of clinics, and every hospital in both counties.

Primary source: CHCF — https://www.chcf.org/resource/riverside-county-potential-medi-cal-cuts-distress-constituents-health-leaders/</description>
      <pubDate>Wed, 18 Feb 2026 00:00:00 GMT</pubDate>
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      <category>funding</category>
      <source url="https://www.chcf.org/resource/riverside-county-potential-medi-cal-cuts-distress-constituents-health-leaders/">CHCF</source>
    </item>
    <item>
      <title>Inland Empire Nutrition Programs Closing April 30 — SNAP-Ed Eliminated by H.R. 1</title>
      <link>https://www.fqhctalent.com/intel/ie-snap-ed-nutrition-programs-closing-april-2026</link>
      <description>San Bernardino and Riverside county public health nutrition programs will close April 30, 2026 after H.R. 1 eliminated the $536M SNAP-Ed program. LA County&apos;s program closes June 30. These programs operated for decades through schools, clinics, farmers markets, and community events. The closures disproportionately affect communities already facing food and health challenges.

Primary source: Press-Enterprise — https://www.pressenterprise.com/2026/02/06/nutrition-education-programs-ending-across-inland-empire/</description>
      <pubDate>Fri, 06 Feb 2026 00:00:00 GMT</pubDate>
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      <category>funding</category>
      <source url="https://www.pressenterprise.com/2026/02/06/nutrition-education-programs-ending-across-inland-empire/">Press-Enterprise</source>
    </item>
    <item>
      <title>VA Loma Linda: 64K Appointments Canceled Due to Staff Shortages</title>
      <link>https://www.fqhctalent.com/intel/ie-va-loma-linda-staffing-crisis</link>
      <description>A VA OIG audit found VA Loma Linda Healthcare System lacked adequate oversight at 5 Inland Empire outpatient clinics, contributing to 64,000 appointment cancellations from Oct 2021-Sep 2023. Two-thirds of cancellations were directly due to staffing shortages. Veterans displaced from VA care increasingly turn to community health centers, increasing FQHC demand.

Primary source: San Bernardino Sun — https://www.sbsun.com/2026/01/11/two-thirds-of-appointments-at-loma-linda-va-outpatient-clinics-canceled-due-to-staff-shortages-audit-findsaudit-finds-69-of-canceled-appointments-at-loma-linda-va-outpatient-clinics-due-to-staffing-s/</description>
      <pubDate>Sun, 11 Jan 2026 00:00:00 GMT</pubDate>
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      <category>workforce</category>
      <source url="https://www.sbsun.com/2026/01/11/two-thirds-of-appointments-at-loma-linda-va-outpatient-clinics-canceled-due-to-staff-shortages-audit-findsaudit-finds-69-of-canceled-appointments-at-loma-linda-va-outpatient-clinics-due-to-staffing-s/">San Bernardino Sun</source>
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