Up to 50,000 San Francisco residents could lose Medi-Cal
Issue
An analysis reported by the SF Standard on November 25, 2025 projects 25,000 to 50,000 San Franciscans could lose Medi-Cal by the end of 2027 under H.R. 1. The city faces a $400 million budget hole through 2038, $315 million of it next year.
The city is considering reviving Healthy San Francisco as a backstop.
Key points
- 25,000 to 50,000 San Franciscans could lose Medi-Cal by the end of 2027.
- San Francisco faces a $400 million budget hole through 2038, with $315 million next year.
- SFCCC CEO Johanna Liu said service cuts at one provider affect the entire system.
- The city is considering reviving Healthy San Francisco as a coverage backstop.
Sources for this story
SF StandardPart of
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FQHC Talent. (2025, November 25). Up to 50,000 San Francisco residents could lose Medi-Cal. Source: SF Standard. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/sf-50k-medi-cal-loss