Federal H.R. 1 Impacts on Medi-Cal and CalFresh

At a glance

Based on speech-to-text of the meeting video; names and details may be misheard.

What: a request that Health and Human Services present a Long Beach specific assessment of the local impacts of H.R. 1 (the federal One Big Beautiful Bill Act) on Medi-Cal and CalFresh.
Where it stands: approved September 22, 2026; the presentation is requested in 60 days, ahead of January 2027 changes.

Speakers from the Cambodian community, a community health center, health advocacy groups and an immigrant rights group supported the item, citing refugee and immigrant residents, food insecurity and clinic capacity.
Council discussion noted changes starting in 2027: six month Medi-Cal eligibility redeterminations, work requirements, narrowed eligibility for some non-citizens and a move of some members from managed care to fee for service.
Councilmembers asked staff also to look at emergency food demand, community health workers, privacy messaging for mixed status households, uncompensated care at hospitals and clinics, coordination with Los Angeles County, and the effect on emergency response billing. Staff said they would report what they can in 60 days and what takes longer afterward.