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The Record
California: the record
Every California record from every file, newest first; federal records that apply in every state are in the full archive.
Sen. Maria Elena Durazo introduced SB 1422 in March 2026 to restore full Medi-Cal for income-eligible adults regardless of immigration status, reversing the January 2026 enrollment freeze, CalMatters reported.
San Francisco's Department of Public Health is cutting $17 million from its FY2026-27 budget, citing falling federal payments and rising labor costs, the San Francisco Chronicle reported in March 2026.
California's proposed 2026-27 budget, reviewed by the Legislative Analyst's Office in March 2026, includes $222.4 billion for Medi-Cal and absorbs more than $1.1 billion in federal losses from H.R. 1. The LAO warns of a multibillion-dollar gap by 2028.
Assemblymember Mia Bonta introduced AB 2161 in March 2026 to bar California from applying federal work requirements to people whose Medi-Cal is fully state-funded, including undocumented immigrants, CalMatters reported.
DHCS's July 2, 2026 Third Addendum says SB 164 postponed moving state-only health center and rural clinic services off PPS from July 1, 2026 to July 1, 2027.
Santa Clara County proposed $183 million in cuts to its Health and Hospital System for FY2026-27, driven by a $325 million structural deficit, the Mercury News reported in March 2026.
Current DHCS guidance says that starting July 1, 2027, certain nonpregnant adults ages 19 to 59 in defined immigration-status categories must pay $30 a month to keep full-scope Medi-Cal.
Sacramento County could lose $26 million in federal health and human services funding as HHS rescinds COVID-era public health grants, ABC10 reported in March 2026. California and 22 other states sued to block the cuts.
Santa Clara County became the first California county to pass a sales tax to offset Medicaid cuts, the National Association of Counties reported in March 2026. Measure A, a 0.625% tax approved by 57% of voters, is estimated at $330 million a year.
The Legislative Analyst's Office reported in March 2026 that counties estimate they need 2,000+ more Medi-Cal eligibility workers and 400+ CalFresh workers to carry out H.R. 1, and the Governor's proposed budget funds none.
More than 100 NUHW therapists, social workers and psychologists at Kaiser Permanente Santa Rosa announced a one-day strike for March 18, 2026, the Press Democrat reported.
After announcing 296 layoffs in January, the AHS Board of Trustees voted to defer 183 of them and create a working group to address the $91.7M budget deficit.
Alameda County supervisors voted unanimously on March 4, 2026 to defer 183 layoffs and stop mental health unit closures at Highland and Fairmont hospitals after SEIU 1021 organizing, the East Bay Times reported.
Orange County's Health Care Agency lost five federal grants totaling $13 million, closing dental services May 6 and its children and family planning clinic June 30 at its 17th Street site in Santa Ana, ABC7 reported in March 2026.
Santa Barbara County faces a $66 million deficit over five years, with a $17.4 million public health gap, the Santa Barbara Independent reported in March 2026.
California's CalAIM 1115 waiver expires December 31, 2026, and DHCS submitted its renewal to CMS on May 11, 2026. Since 2022, 326,000+ members have enrolled in ECM and 368,000+ in Community Supports.
After San Diego County supervisors voted 4-1 to overhaul the county community health system on March 3, county officials are exploring a $360M/year sales tax ballot measure modeled on Santa Clara's Measure A. If placed on the ballot and passed…
San Diego County supervisors voted 4-1 in March 2026 to overhaul the County Medical Services program, which served fewer than 40 people last year while 327,000 Medi-Cal members face H.R. 1 risk, Times of San Diego reported.
Health Net announced $31.25 million in March 2026 for 10 housing projects in Los Angeles, Sacramento, San Joaquin and Stanislaus counties, creating 900+ affordable units. It has put $93 million into housing and homelessness since 2020.
Mayor Lurie directed San Francisco's health department in March 2026 to cut $40 million over two years, $20 million from up to 100 staff and $20 million from community contracts, Mission Local reported. The city faces an $877 million deficit.
Sutter Health and Allina Health announced a merger in early 2026 to form a $26 billion, 39-hospital nonprofit system, with regulatory approval expected by the end of 2026. No health center acquisitions are announced.
Measure ER, a half-cent sales tax in Los Angeles County, passed on June 2, 2026 and took effect October 1. It raises about $1 billion a year through 2031.
Corrected Oct 13, 2026: The record said the county expected to start paying out Measure ER money in January 2027. A lawsuit filed in August holds all Measure ER revenue in escrow, and the county counts none of it in its 2026-27 budget.
About 38,000 Monterey County residents will lose Medi-Cal over four years under H.R. 1, Monterey County Now reported in March 2026. Natividad Medical Center's $14 million a year in DSH funding is uncertain.
HCAI's Community Health Worker, Promotor and Representative Advisory Workgroup meets through June 2026, but 2024 budget cuts removed most HCAI funding for the program. Certification guidance has been paused since November 2023 pending SB 184 rules.
The California Primary Care Association partnered with the Pacific Community Development Corporation to expand healthcare access in under-resourced rural and urban communities.
DHCS filed its H.R. 1 plan with the Senate Budget Committee in February 2026, proposing asset tests and enrollment freeze in January 2026, six-month renewals in December 2026, work requirements in January 2027 and copays in October 2028.
Glenn County's only hospital cleared a CMS licensing step needed to reopen, CalMatters reported in February 2026, though it still needs millions in funding. The county lost the hospital in 2023, so residents travel 30+ miles for emergency care.
The California Pan-Ethnic Health Network coalition is pushing inclusive hiring policies, as of February 2026, that would strengthen community representation at health centers and other safety-net providers.
Comprehensive Community Health Centers, a San Fernando Valley health center, opened its first out-of-state site in Las Vegas on March 2, 2026. It grew from 45,000 visits in 2004 to 177,000+ in 2023. It lists $125 new-patient visits and walk-in access.
The National Immigration Law Center recommends an enforcement response plan, as of February 2026: collect no unneeded immigration information, train staff, name who responds to agents, identify private care areas, and ask counsel about warrants and subpoenas.
California Democratic legislators introduced measures to restore Medi-Cal benefits for undocumented adults, frozen in January 2026. They cite the public health and economic costs of coverage gaps.
The National Immigration Law Center says, as of February 2026, that providers have no federal duty to ask or report immigration status, and HIPAA generally limits disclosure, though exceptions and state rules can apply.
NACHC's funding page, as of February 2026, gives sector funding context. Before a board plan, confirm current fund authority and each local payer, grant and sliding-fee rule, then run downside scenarios with named assumptions.
L.A. Care Health Plan, the nation's largest publicly operated health plan, filed a WARN notice for 225 layoffs effective March 13, 2026, citing federal funding cuts, Becker's Payer Issues reported.
Santa Clara County is eliminating 365 full-time-equivalent positions across its health system as part of $183 million in cuts to address a $470 million county budget deficit. The cuts reach clinical, administrative and support staff.