Stanislaus County Warns H.R. 1 Could Cost Its Indigent-Care Program $37M–$66M Over Three Years

A Stanislaus County Health Services Agency report presented to the Board of Supervisors warns that H.R. 1 could cost the county-mandated Indigent Health Care Program $37 million to $66 million over three fiscal years, with about $2.3 million in Medi-Cal revenue loss in FY2027 and up to $12 million a year in treatment-cost impact.

Roughly 217,000 county residents are on Medi-Cal; more than 70,000 are exposed to the changes, ~40,000 to work requirements, and ~5,000 lose CalFresh. As the county's legally-mandated indigent-care obligation gets squeezed, Central Valley FQHCs — Golden Valley Health Centers, Livingston Community Health, Community Medical Centers — absorb displaced patients while modeling July 1, 2027 UIS/PPS exposure in a region with persistent provider shortages.