Fresno County Projects $69M-$295M Deficit from H.R. 1 — 'Ground Zero' for Medicaid Cuts
Fresno County projects a $69M-$295M budget deficit from H.R. 1 cuts. Public Health Director Joe Prado estimates 11,000-30,000 residents will be forced to seek county indigent care at a cost of $41M-$241M — a line item that has never existed in the county budget.
CalFresh loses $7.5M. Department heads ordered to cut 5%. County CAO Paul Nerland called Fresno County 'ground zero for the impacts of H.R. 1.' The county convened an emergency safety-net summit with Clinica Sierra Vista, United Health Centers, Golden Valley Health Centers, and the Central California health-center consortium.
The county is joining CSAC in requesting $1.9B in state relief. The West Fresno Family Resource Center's Health Disparities Program ended due to a canceled $300K federal grant — 7 CHWs laid off.
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Fresnoland / GV WireSource packet
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FQHC Talent. (2026, March 31). Fresno County Projects $69M-$295M Deficit from H.R. 1 — 'Ground Zero' for Medicaid Cuts. Primary source: Fresnoland / GV Wire. Retrieved July 28, 2026, from https://www.fqhctalent.com/intel/fresno-county-69-295m-deficit-ground-zero-hr1
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