San Bernardino County Opens FY26-27 Budget Cycle May 5 — RUHS-Adjacent FQHCs Should Track Contract Pipelines

San Bernardino County opened its FY2026-27 budget cycle on May 5, 2026 with workshops at three locations (San Bernardino, Joshua Tree, Hesperia). While the official announcement does not call out Medi-Cal or FQHCs by name, the timing matters because RUHS payor mix is 84% Medi-Cal — the highest county-government health system FQHC exposure in the Inland Empire — and IEHP (1.5M members, 95% Medi-Cal) projects up to 300K member loss from H.R. 1 + UIS rollback. SBC budget direction shapes county BH/CHW/safety-net contract pipelines and FQHC partnership funding lines. Strategic implication for IE-area FQHCs (SAC Health, Borrego Health, RUHS-affiliated FQHCs, Riverside-San Bernardino County Indian Health, Clinicas de Salud del Pueblo): operations directors should track the SBC Recommended Budget Book release, identify county-government FQHC partnership funding lines specifically, and align advocacy timing with the May 14 May Revision and the LA County / SD County parallel budget cycles.