upper waypoint

Lurie Eyes $34 Million to Cushion H.R. 1 Blows to Medi-Cal and CalFresh

If his budget is approved, San Francisco will hire 154 new staff to process paperwork, help San Franciscans navigate job applications and conduct employment training.
Mayor Daniel Lurie speaks at a press conference on Feb. 13, 2026, in San Francisco, addressing San Francisco Unified School District’s newly reached agreement with the teachers’ union. If his budget is approved, San Francisco will hire 154 new staff to process paperwork, help San Franciscans navigate job applications and conduct employment training (Sydney Johnson/KQED)

As CalFresh recipients in San Francisco brace themselves for changes to their federal work and reporting requirements, effective June 1, Mayor Daniel Lurie plans to spend $34 million to help.

President Donald Trump’s H.R. 1, or his “One Big Beautiful Bill,” added new work requirements with stricter enforcement, which will impact roughly 21,000 CalFresh and over 40,000 Medi-Cal recipients in San Francisco.

The updated requirements for CalFresh recipients begin in June, with Medi-Cal’s changes slated for January. Recipients who are aged 18 to 64 — and who do not live with a child under the age of 14 — will have to prove that they are completing at least 20 hours of work a week to continue receiving food and healthcare.

The upcoming restrictions will only apply to new CalFresh and Medi-Cal applicants. Current recipients in California will only be subject to these rules once they recertify their benefits.

But Lurie, who is currently working to balance the budget, proposed a way to cushion the blows posed by a more stringent federal guideline — setting aside $34 million for retaining staff that would help San Franciscans navigate the new measures necessary to continue receiving federal aid.

“While federal cuts make it harder for San Franciscans to access healthcare and put food on the table, this budget will protect our city’s social safety net and help residents stay on the benefits they rely on,” Lurie said in a statement on Thursday. Trent Rhorer, executive director of the San Francisco Human Services Agency, described the federal bill as death by bureaucracy.

“They ascribed all of these new requirements as a way to reduce the number of people who successfully receive healthcare through Obamacare,” Rhorer said.

He called it “a sinister approach to undoing one of the most successful domestic policy changes in the last four decades.”

If passed, hiring for what Lurie estimated as over 150 staffers would not begin until July — once his budget passes through the Board of Supervisors. About half of those employees would work directly with clients to help them find jobs, navigate the paperwork processes and do monthly check-ins to confirm they’re working. The remainder will work as “employment training specialists” to help clients choose the right classes to level up their job skills.

Rhorer said that as his team works to protect the Medi-Cal and CalFresh recipients at risk of losing coverage, this additional staffing will be necessary in helping “mitigate the harm to clients that the authors of H.R. 1 actually intend to occur.”

lower waypoint
next waypoint
Player sponsored by