Danielle Bradley

Protecting the CA county safety net from H.R. 1 will require a multi-year state investment. Counties brought that message to the #CAAssembly this week, highlighting a #CABudget request of $1.9 billion in 2026–27 and $4.5 billion in 2027–28.

Twelve counties have no labor & delivery units. Because of H.R. 1, that number could grow — unless the governor and Legislature act. Counties are asking for $500M in the June #cabudget deal and $850M next year to stabilize public hospitals.

Thank you for amplifying the impacts of H.R. 1 on California counties and the communities we serve, @RepThompson

Now testifying: Timothy Lutz, @SacCountyCA DHS will spotlight the impacts of H.R. 1 on #CACounties indigent care programs – projected to cost counties up to $5.5B annually.

H.R. 1 reforms are projected to cost #CACounties $9.5B annually to fund county indigent care programs, eligibility workers, & public hospitals. During public testimony in Asm Sub 1, Mimi Hall, @PlumasCountyCA BOS, will outline what's at stake for #CACounties. #CALeg

Carroll, now a bright spot on our Moon, because four people, who traveled farther from Earth than any human in the 4.5-billion-year history of Earth has ever been, loved someone so much, they carried her the whole way there.

H.R. 1 will strain public hospital systems across California—especially in rural communities. Hospital and ER wait times will go up for everyone. Counties are asking the state for $500M this year and $850M next to stabilize public hospitals.

H.R. 1 is shifting billions in costs to counties. Without a multi-year state investment, the safety net will not hold. @SacCountyCA Supervisor and @countiesurban Chair Rich Desmond highlights the unified county ask.

Longer ER waits. Reduced services. Financial instability. Rural communities are already feeling the effects of H.R. 1. #MariposaCounty Supervisor and @RuralCounties Chair Miles Menetrey reflects on the countywide ask: a multi-year state investment to protect the safety net.

H.R. 1 puts the safety net at risk of collapsing. Counties are bringing forward a multi-year state budget ask to prevent that from happening. CSAC President and @SCCgov @SupEllenberg underscores the urgency.

H.R. 1 has unleashed the state’s biggest budget challenge in decades. COUNTIES REQUEST: $1.9 billion in the upcoming state budget And $4.5 billion in next year’s budget That's the minimum to protect the safety net. counties.org/news-and-media…

The safety net is at risk. #HR1 will require a sustained state-county partnership. @CountyofTulare CAO Jason Britt at today’s #CASenate budget hearing.

NEW @LAO_CA report underscores the reality: Indigent care is the care of last resort. #HR1 will push more Californians onto it. Counties cannot shoulder this alone.

🚨County leaders are sounding the alarm on #HR1. A $9.5B hit to the county safety net would put critical services at risk — making state partnership essential. CSAC President @SupEllenberg and First VP @SupervisorAlejo joined @EytanWallace to discuss what's at stake.

SACRAMENTO ADVOCACY DAY AT THE CAPITOL! 🏛️ Today, I was proud to join my Executive Officer colleagues of the California State Association of Counties (CSAC) in Sacramento to advocate for critical funding to offset the severe impacts of HR 1 on public hospitals, indigent care, and essential safety-net programs like Medi-Cal and CalFresh eligibility. Without state assistance, millions of Californians could lose access to healthcare and nutrition assistance, while our public hospitals and county health systems face serious financial strain. Counties are on the front lines of delivering these services, and we must ensure our communities continue to receive the care and support they deserve. We were proud to stand alongside leaders and experts from our sister organizations across California, including: • California Public Hospitals Association • California Association of County Executives • California Welfare Directors Association • County Health Executives Association of California • California Medical Services Program Together, we are working to protect healthcare access and vital services for the most vulnerable Californians. 🤝

County leaders are at the Capitol today to discuss the impact of #HR1.

This bill shifts massive federal safety net costs. Counties face up to $9.5B per year in new costs.

Counties cannot absorb this alone. #CACounties #StateBudget

.@SenJohnLaird opens today's #casen #cabudget hearing on #HR1's impact on Californians by calling attention to the estimated $9.5 billion cost to counties. “H.R. 1 represents the most sweeping disruption to SNAP and Medicaid in the history of these federal entitlement programs."

NEW - H.R. 1 will cost California counties up to $9.5 billion per year. Read the fact sheet and learn more about the ways H.R. 1 strains county budgets: counties.org/news-and-media…

I'm going to need a full series of these, ASAP!

@brad_elkins Have never met anyone who works harder for the people and issue he cares about!

McGuire is the real deal. No drama, no bullshit, no gimmicks: just focused on delivering for his constituents. Honored to be on his team.