洛杉矶县监事会通过动议保护170万居民福利：为Medi-Cal与CalFresh应对联邦新工作要求，2027年1月生效前部署
加利福尼亚州洛杉矶县监事会近日通过一项动议，要求县府采取措施，保护多达170万名县内居民的 Medi-Cal（加州低收入医保）与 CalFresh（食品补助）资格，应对联邦新设的工作要求。动议由监事会代理主席、第一选区监事 Hilda L. Solis 提出，第二选区监事 Lindsey P. Horvath 共同署名。
背景是联邦预算协调法案 H.R. 1：该法于7月4日签署成法，对公共援助项目作出大范围修改，把 Medi-Cal 扩展参保者与 CalFresh 领取者中须满足工作要求的人群扩大，适用年龄范围放宽，并把退伍军人、曾受寄养的青年与无家可归者等新类别纳入，同时增加了领取者与地方机构的行政负担。按县府估算，工作要求2027年1月1日对 Medi-Cal 生效时，全县多达150万名 Medi-Cal 受益人可能面临失去医保的风险；CalFresh 方面，须满足工作要求的人数将从现水平增至约20.2万人，超过目前的两倍，相关要求自2026年2月1日起适用。
动议要求县府相关部门提前部署应对，包括识别受影响人群、加强通知与协助，确保符合条件的居民不因文书与程序问题失去福利。县府表示，Medi-Cal 与 CalFresh 是洛杉矶县最大的安全网项目，参保与领取人数以百万计，任何资格规则的大幅变化都需要地方层面提前准备。
Solis 此前表示，联邦政策变化不应让县内家庭在一夜之间失去看病与吃饭的保障；县府将用现有的人力与外展网络，帮助居民理解新要求、按时完成所需的申报与证明。
LA County Board Acts to Protect Medi-Cal and CalFresh Access for 1.7 Million Residents Under New Federal Work Rules
The Los Angeles County Board of Supervisors, in Los Angeles County, California, has approved a motion directing the county to safeguard access to Medi-Cal and CalFresh for as many as 1.7 million county residents at risk under new federal work requirements. The motion was introduced by Chair Pro Tem and First District Supervisor Hilda L. Solis and co-authored by Supervisor Lindsey P. Horvath.
The motion responds to H.R. 1, the federal budget reconciliation law signed on July 4, which enacts sweeping changes to public assistance programs. It expands work requirements for people receiving Medi-Cal through the Affordable Care Act expansion and for CalFresh enrollees, widens the age range of so-called able-bodied adults subject to the rules, adds new categories including veterans, former foster youth and people experiencing homelessness, and places additional administrative burdens on recipients and local agencies. The county estimates that as many as 1.5 million Medi-Cal beneficiaries could be at risk of losing coverage when the requirements take effect on January 1, 2027, while roughly 202,000 CalFresh recipients, more than double the current number, will be required to meet work requirements beginning February 1, 2026.
The motion directs county departments to prepare in advance, including identifying affected residents and strengthening outreach and assistance so eligible people do not lose benefits over paperwork and process. The county said Medi-Cal and CalFresh are its largest safety-net programs, with enrollment in the millions, and that rule changes of this scale require local preparation well ahead of the effective dates.
Solis has said federal policy changes should not cause county families to lose health care and food assistance overnight, and that the county will use its existing staff and outreach networks to help residents understand the new requirements and complete the needed reporting and documentation on time.
来源：GSM·美国（原文链接）
图片来源：洛杉矶一家医院外景（资料图）。Jake N. 摄，CC BY 2.5，经 Wikimedia Commons。 / Outside a Los Angeles hospital (file photo). Photo by Jake N., CC BY 2.5, via Wikimedia Commons.
