Joint County Family Statement on the Governor’s May Revision

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By
CSAC Staff
Date Published
May 14, 2026

Sacramento, CA — The following statement in response to the Governor’s May Revision can be attributed to the California State Association of Counties (CSAC), Rural County Representatives of California (RCRC), Urban Counties of California (UCC), County Health Executives Association of California (CHEAC), County Medical Services Program (CMSP), California Association of Public Hospitals and Health Systems (CAPH), County Welfare Directors Association (CWDA) and County Behavioral Health Directors Association of California (CBHDA):

“We appreciate the Governor for beginning to invest in keeping people connected to food and health care through our county eligibility workers. But today’s proposal simply does not go far enough to protect all eligible Californians from losing their lifelines.

It also doesn’t in any way address the severe fiscal pressures on core county services: indigent care, public hospitals, and behavioral health. As a result, it will force counties to slash funding for public safety, homelessness, services at public hospitals, public health and elections.

The Governor and Legislature must tackle the full scope of this crisis and act now to protect California’s communities.”

Background/Context:

  • H.R. 1 shifts significant federal safety net responsibilities and costs to states and counties, increasing pressure on county-administered programs across California.
  • California counties estimate H.R. 1 will result in up to $9.5 billion each year in new costs.
  • County leaders are requesting $1.9 billion in 2026–27 and $4.5 billion in 2027–28 from the state to help address these impacts.
  • Counties are requesting this multi-year state partnership to protect local communities’ access to indigent care, public hospitals, workforce eligibility and behavioral health.

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