San Diego supervisors' safety-net reforms come due 60 days after budget passes
Issue
San Diego County released a $9.1 billion recommended budget on May 18, 2026, a 6% increase that backs safety-net services hit by H.R. 1. Reforms from the supervisors' 4-1 March vote are due within 60 days of budget adoption, and the hearing is June 1.
Health centers can use that window to shape county contracts for the 2027 Medicaid changes.
Key points
- $9.1B recommended FY2026-27 budget (6% increase) explicitly backstops H.R. 1-impacted safety-net services
- The safety-net reforms go back to the board within 60 days of budget adoption, and the budget hearing is June 1.
- Behavioral-health expansion creates ECM/Community Supports partnership openings for FQHCs
- It is a rare county budget that leans into the safety net, so health centers can engage now on 2027 Medicaid contracts.
Sources for this story
San Diego County News CenterPart of
- California county safety-net budgets
Southern California and Central Coast
Affected FQHCs
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More in Funding & Budget
FQHC Talent. (2026, May 18). San Diego supervisors' safety-net reforms come due 60 days after budget passes. Source: San Diego County News Center. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/san-diego-county-9-1b-budget-safety-net-reform-clock-may-2026