Funding & Budget in Sacramento

Sacramento County Projects 73,000 Residents to Lose Medi-Cal Coverage in Next Fiscal Year

Sacramento County lawmakers met April 15 on projected federal cuts; state finance projections show 73,000 Sacramento County residents expected to fall off Medi-Cal in the coming year. CA total impact: $32.3B/year ($30B Medi-Cal + $2.3B CalFresh) from H.R. 1. Concrete county-level patient volume number — Sacramento FQHCs (WellSpace Health, Elica, Sacramento Native American HC, One Community Health, HALO, Sacramento Community Clinic) operationally need to plan for ~73K newly uninsured patients. Coupled with Sacramento County's $26M HHS cuts already announced.

Sacramento + Yolo + El Dorado Counties All Face Structural Deficits for FY26-27 — Compounds $26M HHS Rescission

Sacramento County projects a $101M FY26-27 deficit; Yolo County faces a $27M shortfall with supervisors weighing up to $15M in cuts; El Dorado County is similarly distressed. These county-level structural gaps stack on top of the already-tracked $26M HHS federal rescission, meaning FQHC safety-net partners face escalating patient-volume surges as county services contract. Compounds the WellSpace expansion signal — capacity comes online at exactly the moment county-level safety net capacity retreats. FQHCs in the Sacramento region should model a 2026-2027 surge in acute unreimbursed visits as county programs wind down.

WellSpace Health Breaks Ground on Sacramento's First Integrated Healthcare Campus — $23.6M BHCIP-Funded Facility

WellSpace Health (Sacramento FQHC) and Sacramento County broke ground April 7 on a 13-acre Community Wellness Campus in South Sacramento's Little Saigon neighborhood. Phase 1: a $23.57M, 32-bed Mental Health Rehabilitation Center funded by BHCIP Round 3 + $1.98M county match. Integrating behavioral health, dental, and primary care for Medi-Cal and uninsured residents — expected to open 2027. A rare expansion story: BHCIP capital dollars still flowing to FQHC infrastructure even as operating revenues face compression.

Sacramento County Faces $26M Health Funding Cut as HHS Restructuring Hits Safety Net

Sacramento County is at risk of losing $26 million in federal health and human services funding as the Trump administration's HHS restructuring and DOGE-aligned cuts rescind COVID-era public health grants. California and 22 other states have filed suit to block the cuts. A separate $233,000 HHS grant termination has already stalled a community health leadership program in South Sacramento's Lawrence Park neighborhood before it launched. Sacramento County Health Center is an FQHC serving the county's lowest-income residents.

Sacramento County Faces $26M Funding Cut from HHS Restructuring

Sacramento County risks losing $26 million in federal health funding after HHS rescinds COVID-era CDC grants as part of agency restructuring. California and 22 other states have filed suit challenging the cuts. Sacramento's FQHCs — which grew from 10 to 29 facilities in 8 years — may face patient volume surges as county services contract.