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Funding & Budget

Sacramento County expects 73,000 residents to lose Medi-Cal in the next year

SacramentoMore from California

Issue

California county safety-net budgetsWatching

Next: · Staff report back to the Board on the Community Services Agency deficit and position cuts

Also in: Medicaid financing and eligibility operations

Sacramento County DHS Director Timothy Lutz said 73,000 residents will lose Medi-Cal in the next year, as the Davis Vanguard reported May 8, 2026. Of those, 6,500 will become the county's indigent care responsibility, costing tens of millions of dollars.

Through CSAC and CWDA, the 58 counties are asking the state for $1.9B in 2026-27 and $4.5B in 2027-28.

Key points

  • 73K Sacramento residents losing Medi-Cal, 6,500 becoming indigent
  • CSAC asks state: $1.9B FY2026-27, $4.5B FY2027-28
  • Timing tied to May 14 May Revise release
  • Sacramento FQHCs face dual squeeze: lose contracts + gain uninsured

Sources for this story

Davis Vanguard + CSAC + CWDA

Part of

Affected FQHCs

WellSpace HealthElica Health CentersOne Community HealthOle Health

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Cite this analysis

FQHC Talent. (2026, May 8). Sacramento County expects 73,000 residents to lose Medi-Cal in the next year. Source: Davis Vanguard + CSAC + CWDA. Retrieved November 13, 2026, from https://www.fqhctalent.com/intel/sac-county-medi-cal-loss-73k-cost-shift