Fresno County Faces $69-295M Budget Deficit From H.R. 1 — 11K-30K Residents at Risk of Losing Medi-Cal

Fresno County faces a $69-295M budget hole from H.R. 1, with Public Health Director Joe Prado warning 11,000-30,000 residents will lose Medi-Cal coverage and turn to county/FQHCs for care. CalFresh loses ~$7.5M federal contribution. Public health, behavioral health, and social services departments hit hardest with hiring freezes looming. Fresno County formally seeking STATE RELIEF — political pressure on Sacramento for fiscal aid. Direct FQHC implication: United Health Centers, Clinica Sierra Vista, Family Healthcare Network will absorb displaced Medi-Cal patients with reduced reimbursement. Fresno joins Sacramento (73K loss), LA ($660M Medicaid cuts), Santa Clara (Measure A passed) — concrete county-level cascades now confirmed across CA.