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.