San Diego County Releases $9.1B FY2026-27 Recommended Budget With Explicit H.R. 1 Safety-Net Protection — Public Hearing June 1
On May 18, 2026 San Diego County released its $9.1B FY2026-27 recommended budget (6% increase over 2025-26) with explicit language that it 'supports health and safety-net services impacted by federal policy changes of H.R. 1.' Key allocations: $3.5B for HHSA (largest spending area), $12.7M for a new Behavioral Health Wellness Campus paired with a $99.5M state grant award, and $9.6M for crisis residential treatment. Revised hearing dates: virtual community meeting May 27 (TODAY), in-person open house May 28, public budget hearing June 1, comments through June 11. Strategic implication for the seven SD County FQHCs: this is the largest county safety-net commitment in California paired with explicit H.R. 1 language. The June 1 public hearing is the highest-leverage advocacy window — FQHC CEOs should submit written comment or testimony, especially around the $12.7M BH Wellness Campus aligning with FQHC BH integration capacity.
Key takeaways
- $9.1B budget with explicit H.R. 1 safety-net protection language — largest county-level commitment in CA
- $3.5B for HHSA + $12.7M for BH Wellness Campus + $9.6M for crisis residential treatment
- June 1 public hearing — FQHC advocacy window (written comment + testimony)
Primary source
San Diego County News Center / KPBSAffected FQHCs
FQHC Talent. (2026, May 18). San Diego County Releases $9.1B FY2026-27 Recommended Budget With Explicit H.R. 1 Safety-Net Protection — Public Hearing June 1. Primary source: San Diego County News Center / KPBS. Retrieved May 30, 2026, from https://www.fqhctalent.com/intel/sd-county-9-1b-recommended-budget-may-18-2026
More in Funding & Budget
Dec 31
CalAIM Section 1115 Waiver Expires December 2026 — $1.2B/Year at Stake
May 29
SLO County Closes Paso Robles Health Clinic While Balancing a $38.5M Deficit — Patients Redirect to an FQHC
May 28
CHCF Publishes 2026 California Community Clinics Almanac — the Year's Canonical Safety-Net Benchmark
May 28
Alameda County's $6.7B FY2026-27 Budget Closes a $91.4M Gap Without Layoffs — a Rare Bay Area Positive