San Diego County Releases 2026-28 Recommended Budget — Public Hearing Window Open Before June 24 Adoption
San Diego County released its FY2026-28 Recommended Budget on May 1, 2026 — opening the public hearing window before June 24 adoption (current $8.63B budget expires June 30). The new budget cycle lands amid $300M/yr H.R.
1 county exposure, $1.4B in California federal cuts (incl. $1.1B Medi-Cal), and 327K–400K SD residents at risk of losing Medi-Cal. SD County's CMS (County Medical Services) program — the safety-net funder routing care through community health centers — was placed on the supervisor review list in February 2026 as part of the broader safety-net overhaul vote.
Strategic implication for SD-area FQHCs (Family Health Centers of San Diego, San Ysidro Health, Neighborhood Healthcare, Vista Community Clinic, TrueCare, Operation Samahan, Imperial Beach Community Clinic): submit testimony during the public-hearing window, model multiple FY26-27 cash flow scenarios based on CMS contract continuity, and coordinate with the parallel LA County health-tax ballot measure timeline.
Pairs with SBC May 5 budget workshop launching the broader county-budget cycle pressure cluster ahead of the May 14 May Revision.
Key takeaways
- FY2026-28 Recommended Budget posted May 1 — adoption deadline June 24
- $300M/yr H.R. 1 exposure + 327K–400K SD Medi-Cal members at risk
- CMS program safety-net overhaul on supervisor review list since February
- FQHC CEOs: submit testimony, model multiple CMS-contract scenarios
Primary source
San Diego CountyAffected FQHCs
FQHC Talent. (2026, May 1). San Diego County Releases 2026-28 Recommended Budget — Public Hearing Window Open Before June 24 Adoption. Primary source: San Diego County. Retrieved June 28, 2026, from https://www.fqhctalent.com/intel/sd-county-2026-28-recommended-budget-may-1-2026
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