Fresno County's $300M H.R. 1 Budget Hole — Public Health, BH, Social Services Hit Hardest

H.R. 1 has created an estimated $300M FY27 budget hole for Fresno County, with public health, behavioral health, and social services departments named as taking the biggest hits. Up to 30,000 Fresno County residents could lose Medi-Cal coverage from new work requirements alone. CalFresh loses $7.5M for Fresno residents. Active April 2026 county budget deliberations underway. Direct downstream impact: United Health Centers, Clinica Sierra Vista, Camarena Health, and Family Healthcare Network face Medi-Cal patient surge as county BH/social services contract.