CalOptima Loses 8% of Membership Since H.R. 1 — OC FQHCs Face Revenue Decline
CalOptima, Orange County's Medi-Cal managed care plan, has lost approximately 67,000 members (8% decline, from 886K to 819K) since H.R. 1 was signed into law. The enrollment drop directly reduces revenue flowing to OC-based FQHCs like Share Our Selves, AltaMed's OC sites, and CHOC Community Clinic. OC Health Care Agency is simultaneously closing several public health clinics, pushing more uninsured patients to FQHCs without corresponding reimbursement.
Key takeaways
- CalOptima membership: 886K → 819K (-67K, -8%) since H.R. 1 — direct FQHC revenue impact in OC
- OC HCA closing public clinics simultaneously — more uninsured patients flowing to FQHCs
Primary source
JR Report / Word & BrownAffected FQHCs
FQHC Talent. (2026, March 22). CalOptima Loses 8% of Membership Since H.R. 1 — OC FQHCs Face Revenue Decline. Primary source: JR Report / Word & Brown. Retrieved April 28, 2026, from https://www.fqhctalent.com/intel/caloptima-8pct-membership-drop-hr1-march-2026
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