DHCS Launches Official Federal Impact Tracker — County-Level Medi-Cal Enrollment-Loss Projections Through FY2029-30

The CA Department of Health Care Services (DHCS) published a public Federal Impact Tracker showing Medi-Cal enrollment-loss projections, revenue impacts, and coverage-loss scenarios by county through FY2029-30 under H.R. 1's Medicaid provisions. The tracker quantifies ~289,000 individuals losing Medi-Cal in FY2026-27 and up to 1.1 million by FY2029-30. For FQHC leaders, the county-level breakdown is the most useful data asset of the crisis: it lets CFOs model patient-volume loss by service area for board decks, annual budgets, and grant narrative justifications. High-exposure counties (Fresno, Kern, San Bernardino, Riverside, Tulare) where FQHCs serve the largest share of Medi-Cal patients face the steepest drops. The tracker is the state's official, DHCS-verified quantification of the H.R. 1 threat — more authoritative than third-party projections for advocacy use.