East County News Service
March 16, 2026 (San Diego County) -- Federal and state policy changes set to roll out over the next year will potentially alter the landscape of public assistance for more than 1 million San Diego County residents.
Starting April 1, new eligibility requirements and work mandates will begin to take effect for recipients of CalFresh and Medi-Cal, marking one of the most significant shifts in social safety net administration in recent years.
The changes are largely driven by the federal One Big Beautiful Bill (H.R. 1), signed into law last July, which introduced stricter oversight and work requirements for nationwide benefit programs. While local officials emphasize that the majority of recipients will still qualify for coverage, the scale of the impact is vast: the County currently supports nearly 400,000 residents through CalFresh and more than 800,000 through Medi-Cal.
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