Contra Costa County is closely monitoring the impacts of the 2025 federal and state policy changes, including federal reconciliation bill (H.R. 1), which includes major cuts to Medicaid (Medi-Cal) and SNAP (CalFresh) and imposes more strict eligibility criteria for each program.
These changes pass along unfunded costs to the County, increase administrative workload, and will result in reduced access to healthcare services and food assistance for thousands of residents.
The County administers the Contra Costa Health Plan (CCHP) serving about 270,000 people, along with the public hospital and nine community clinics. New eligibility rules could affect roughly half of all Medi-Cal enrollees and may result in a loss of coverage for as many as 93,000 Contra Costa residents by 2029…