Up to 50,000 SF Residents Could Lose Medi-Cal — $400M Budget Hole
Analysis projects 25,000-50,000 San Franciscans could be removed from Medi-Cal by end of 2027 under H.R. 1 provisions. The city faces a $400M budget hole through 2038 ($315M next year alone). SFCCC CEO Johanna Liu warned that 'service cuts at one provider affect the entire system.' Healthy San Francisco program revival under consideration.
Key takeaways
- 25,000-50,000 San Franciscans could lose Medi-Cal by end of 2027 under H.R. 1 provisions
- SF faces a $400M budget hole through 2038 — $315M next year alone
- SFCCC CEO Johanna Liu: 'service cuts at one provider affect the entire system'
- Healthy San Francisco program revival under consideration as a coverage backstop
Primary source
SF StandardAffected FQHCs
FQHC Talent. (2025, November 25). Up to 50,000 SF Residents Could Lose Medi-Cal — $400M Budget Hole. Primary source: SF Standard. Retrieved April 28, 2026, from https://www.fqhctalent.com/intel/sf-50k-medi-cal-loss
More in Undocumented Access
Oct 1
PPS Rate Elimination for Undocumented Patient Services (Effective Oct 2026)
Jul 1
Dental Coverage Eliminated for Undocumented Medi-Cal Enrollees (Effective Jul 2026)
Apr 24
100,000 Immigrants Disenrolled From Medi-Cal June–December 2025 — Chilling Effect Quantified
Apr 15
Medicaid-ICE Data Sharing Creates 'Cloud of Fear' Across San Bernardino Immigrant Communities — Direct Threat to FQHC Patient Retention