Contra Costa Adopts a $7.25B FY2026-27 Budget — Its Health Plan + 9 Community Clinics Brace for ~93K Coverage Losses by 2029

Contra Costa County adopted a roughly $7.248 billion FY2026-27 budget in mid-May. The county runs an integrated safety net — Contra Costa Health Plan (~270,000 members), a public hospital, and nine community clinics — and county analyses project up to 93,000 residents could lose coverage by 2029 under H.R. 1's Medicaid eligibility changes. For East Bay FQHCs (La Clínica de la Raza, LifeLong Medical Care, Brighter Beginnings), the adoption stabilizes the near-term referral backstop, but the 93K coverage-erosion trajectory is the multi-year demand surge and payer-mix headwind to plan against — a quieter Bay Area counterpart to the San Francisco and Santa Clara contractions already tracked.