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Funding & Budget

San Francisco budget plan adds 154 staff for Medi-Cal and CalFresh paperwork

San Francisco CountyMore from California

Issue

Medicaid financing and eligibility operationsTaking effect

Next: · HHSC sets November 20 hearing on proposed Texas Medicaid rate updates

Also in: California county safety-net budgets

The SF Standard reported May 21 that San Francisco's proposed budget spends $34 million to hire 154 Human Services Agency staff for Medi-Cal and CalFresh paperwork. They will also help about 19,300 CalFresh recipients meet the June 1 federal work requirements.

San Francisco health centers can refer patients facing renewals to the new staff.

Key points

  • $34M + 154 HSA staff dedicated to Medi-Cal/CalFresh paperwork and work-req verification
  • The same city is making 127 layoffs at its public health department while adding eligibility staff.
  • San Francisco health centers can refer patients facing Medi-Cal renewals to the new Human Services Agency staff.
  • Template for other CA county HSAs ahead of Dec 31, 2026 work-req implementation

Sources for this story

SF Standard / KQED

Part of

Affected FQHCs

San Francisco Community Health CenterMission Neighborhood Health CenterHealthRIGHT 360

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Cite this analysis

FQHC Talent. (2026, May 21). San Francisco budget plan adds 154 staff for Medi-Cal and CalFresh paperwork. Source: SF Standard / KQED. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/sf-lurie-34m-154-hsa-staff-medi-cal-buffer-may-2026