San Diego County 2026-28 Recommended Budget Releases May 1 — First Full Budget Post-H.R. 1 Medi-Cal Cuts
SD County's 2026-28 Recommended Budget drops May 1, 2026 — the first budget cycle that will fully reflect H.R. 1 Medi-Cal cuts ($999M annual impact to the county). The FY25-26 budget currently stands at $8.63B. Public input closed March 22. FQHCs in San Diego (Family Health Centers, San Ysidro Health, Neighborhood Healthcare) should prepare to respond to county cuts that compound the existing Medi-Cal eligibility cliff (75,000 noncitizens in SD County lose coverage October 2026). Budget advocacy window opens once recommended budget is released.
Key takeaways
- May 1 budget release — advocacy window opens; track county health/safety-net funding lines closely
- $999M annual county impact from H.R. 1 + 75K noncitizens losing Medi-Cal in October compound the budget pressure
Primary source
San Diego CountyFQHC Talent. (2026, May 1). San Diego County 2026-28 Recommended Budget Releases May 1 — First Full Budget Post-H.R. 1 Medi-Cal Cuts. Primary source: San Diego County. Retrieved April 28, 2026, from https://www.fqhctalent.com/intel/sd-county-2026-28-budget-may-1-release
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