LA County FY26-27 Recommended Budget: $48.8B (-7% YoY) — Public Hearings Begin May 6
LA County released its FY26-27 proposed budget on April 14: $48.8B (7% decrease YoY), removes 81 vacant positions but avoids layoffs. Budget is in a 'holding pattern' bracing for $660M+ Medicaid cuts next FY. DHS expects to lose $750M/year by 2028, with deficit projected to balloon to $1.85B. Public hearings begin May 6, 2026. Distinct from previously-tracked $48B budget gap framing — this is the actual recommended budget vote with concrete May 6 hearing date and DHS hiring freeze already in place. Direct downstream impact for AltaMed, St. John's, El Proyecto, NEVHC, T.H.E. Health, Watts Healthcare, Eisner — all dependent on LA DHS referral pipelines.
Primary source
LA County / LAistFQHC Talent. (2026, April 14). LA County FY26-27 Recommended Budget: $48.8B (-7% YoY) — Public Hearings Begin May 6. Primary source: LA County / LAist. Retrieved April 28, 2026, from https://www.fqhctalent.com/intel/la-county-fy26-27-budget-48-8b-may-6-hearing-april-2026
More in Funding & Budget
Dec 31
CalAIM Section 1115 Waiver Expires December 2026 — $1.2B/Year at Stake
May 1
San Diego County 2026-28 Recommended Budget Releases May 1 — First Full Budget Post-H.R. 1 Medi-Cal Cuts
Apr 25
Sierra View Medical Center (Tulare County) at Significant Risk Under H.R. 1 Medicaid Cuts
Apr 20
SF DPH Announces Wave 2: 121 Additional Position Cuts — Total SF Health Department Reductions Push Past 250 Jobs in Two Months