https://www.fqhctalent.com Intelligence items mentioning La Maestra Community Health Centers (San Diego). Updated whenever we publish new intel about this FQHC. en-us Mon, 27 Jul 2026 19:59:52 GMT https://www.fqhctalent.com/intel/dental-elimination-undocumented ⚠️ UPDATE (June 30, 2026): the 2026-27 California budget signed June 29 DELAYS this cut 12 months to July 1, 2027. When it takes effect: dental benefits for undocumented Medi-Cal enrollees are eliminated, saving $308M in 2026-27 and $336M annually thereafter. FQHCs with dental programs serving undocumented patients will lose dental encounter revenue for these patients entirely. Primary source: CA DHCS — https://www.kvpr.org/health/2026-03-23/medi-cal-reduces-dental-care-for-undocumented-may-force-more-dentists-to-turn-away-low-income-patients Wed, 01 Jul 2026 00:00:00 GMT https://www.fqhctalent.com/intel/dental-elimination-undocumented undocumented-access CA DHCS https://www.fqhctalent.com/intel/sd-county-9-1b-recommended-budget-may-18-2026 On May 18, 2026 San Diego County released its $9.1B FY2026-27 recommended budget (6% increase over 2025-26) with explicit language that it 'supports health and safety-net services impacted by federal policy changes of H.R. 1.' Key allocations: $3.5B for HHSA (largest spending area), $12.7M for a new Behavioral Health Wellness Campus paired with a $99.5M state grant award, and $9.6M for crisis residential treatment. Revised hearing dates: virtual community meeting May 27 (TODAY), in-person open house May 28, public budget hearing June 1, comments through June 11. Strategic implication for the seven SD County FQHCs: this is the largest county safety-net commitment in California paired with explicit H.R. 1 language. The June 1 public hearing is the highest-leverage advocacy window — FQHC CEOs should submit written comment or testimony, especially around the $12.7M BH Wellness Campus aligning with FQHC BH integration capacity. Primary source: San Diego County News Center / KPBS — https://www.countynewscenter.com/county-releases-9-1-billion-recommended-budget-focused-on-stability-essential-services-and-community-needs/ Mon, 18 May 2026 00:00:00 GMT https://www.fqhctalent.com/intel/sd-county-9-1b-recommended-budget-may-18-2026 funding San Diego County News Center / KPBS https://www.fqhctalent.com/intel/sd-3-hospitals-named-closure-risk-april-2026 OB Rag identifies the three named San Diego County hospitals on Public Citizen's 446-hospital watchlist: Scripps Mercy Hospital (San Diego), Sharp Chula Vista Medical Center, and Tri-City Medical Center (Oceanside). These facilities derive 20%+ of revenue from Medicaid and have run negative margins 2022–2024, making them first in line for service cuts or closure under H.R. 1's $911B/10-year Medicaid reductions. Projected California coverage loss: 1.4M in year one, 3.4M over 10 years. Primary source: OB Rag — https://obrag.org/2026/04/83-california-hospitals-including-3-in-san-diego-county-could-face-closure-after-federal-medicaid-cuts-new-report-shows/ Tue, 21 Apr 2026 00:00:00 GMT https://www.fqhctalent.com/intel/sd-3-hospitals-named-closure-risk-april-2026 policy OB Rag https://www.fqhctalent.com/intel/san-diego-calfresh-medi-cal-eligibility-wave-april-2026 Effective April 1, 2026, lawfully present noncitizens in San Diego County lost CalFresh eligibility, with an 80-hour monthly work requirement for most CalFresh adults starting June 1 and Medi-Cal work requirements taking effect January 2027. The changes affect approximately 400,000 CalFresh enrollees and 800,000+ Medi-Cal members in San Diego, overwhelming FQHCs with eligibility navigation needs as patients seek to maintain coverage. Primary source: Times of San Diego — https://timesofsandiego.com/health/2026/03/16/first-calfresh-medi-cal-eligibility-changes-take-effect-april-1/ Wed, 01 Apr 2026 00:00:00 GMT https://www.fqhctalent.com/intel/san-diego-calfresh-medi-cal-eligibility-wave-april-2026 legislation Times of San Diego https://www.fqhctalent.com/intel/ca-pps-elimination-uis-july-2026 UPDATE (June 30, 2026): the 2026-27 California budget signed June 29 DELAYS this cut 12 months to July 1, 2027 ($1.034B General Fund appropriated for 2026-27). The analysis below describes the cut if it takes effect. Originally slated for July 1, 2026, California's proposal eliminates use of the Prospective Payment System for FQHC services to state-only-funded individuals with unsatisfactory immigration status (UIS). FQHCs would instead be paid at the regular Medi-Cal fee-for-service rate or negotiated managed care plan rates — roughly 50–70% less per encounter than the PPS rate ($200–400/visit). The CA LAO scored this as $1 billion in annual General Fund savings, meaning $1 billion in annual FQHC revenue loss when implemented. FQHCs with large undocumented patient panels — concentrated in LA, San Diego, and Central Valley — face the most severe July 1, 2027 exposure unless the next budget extends the reprieve. Primary source: California Health Care Foundation — https://www.chcf.org/resource/how-massive-federal-cuts-will-create-unprecedented-challenges-medi-cal-patients-providers/ Sun, 08 Mar 2026 00:00:00 GMT https://www.fqhctalent.com/intel/ca-pps-elimination-uis-july-2026 legislation California Health Care Foundation https://www.fqhctalent.com/intel/medi-cal-30-premium-undocumented-2027 Beginning July 1, 2027, Medi-Cal members ages 19–59 who are undocumented or have unsatisfactory immigration status (UIS) and remain in full-coverage Medi-Cal will be required to pay a $30 monthly premium to maintain coverage. The UIS dental elimination and the FQHC UIS-PPS cut — both originally slated for July 1, 2026 — were deferred 12 months to July 1, 2027 in the 2026-27 California budget signed June 29, 2026. Combined with the January 2026 enrollment freeze, this represents a compounding disinvestment in California's 1.6 million undocumented Medi-Cal enrollees — raising coverage loss and FQHC revenue risk. Primary source: CA Department of Health Care Services — https://www.dhcs.ca.gov/Medi-Cal/Pages/immigration-status-categories.aspx Sat, 07 Mar 2026 00:00:00 GMT https://www.fqhctalent.com/intel/medi-cal-30-premium-undocumented-2027 undocumented-access CA Department of Health Care Services https://www.fqhctalent.com/intel/sd-county-300m-funding-loss San Diego County is absorbing $300M in federal funding losses — $1.1B from Medi-Cal cuts + $300M from CalFresh cuts statewide. Board Chair Lawson-Remer warned cuts 'show up when you call 911.' County workshops scheduled to plan response as hospital reimbursements decline and emergency departments face rising uninsured patient volume. Primary source: Fox 5 San Diego — https://fox5sandiego.com/news/local-news/san-diego-county/san-diego-county-funding-cuts/amp/ Thu, 22 Jan 2026 00:00:00 GMT https://www.fqhctalent.com/intel/sd-county-300m-funding-loss funding Fox 5 San Diego https://www.fqhctalent.com/intel/medi-cal-enrollment-freeze California halts new Medi-Cal enrollment for undocumented adults ages 19 and older as a budget measure, saving $77.9M in 2025-26 but rising to $3.3B by 2028-29. An estimated 1.7M undocumented Californians currently have Medi-Cal. FQHCs must now serve new undocumented patients on the sliding fee scale with no encounter revenue. Primary source: CalMatters — https://calmatters.org/health/2025/05/newsom-freeze-medi-cal-undocumented-immigrants/ Thu, 01 Jan 2026 00:00:00 GMT https://www.fqhctalent.com/intel/medi-cal-enrollment-freeze undocumented-access CalMatters