To: Board of Supervisors
From: Marla Stuart, Employment and Human Services Director
Report Title: Addition of 46 new FTEs, Employment and Human Services Department
?Recommendation of the County Administrator ? Recommendation of Board Committee
/
RECOMMENDATIONS:
CONSIDER accepting $4,467,249 in new, one-time revenue for CalFresh and Medi-Cal eligibility work, authorizing the Employment & Human Services Department to add 46 new FTE using new one-time, Measure X, and Net County Cost revenue in FY26/27 and transitioning to MX revenue in FY27/28 through the budget processes, as necessary, and providing guidance, as recommended by the Employment and Human Services Director.
FISCAL IMPACT:
Approval of this action will result in expenditures totaling $4,467,249 for FY26/27 (100% State and Federal).
BACKGROUND:
The Employment and Human Services Department (EHSD) has updated the Board of Supervisors regarding the anticipated operational impacts of H.R.1 and the State budget on Medi-Cal and CalFresh program administration: a joint presentation with Contra Costa Health on December 16, 2025 (D.1); the County Welfare Directors Association presentation on February 3, 2026 (D.3); the Family and Human Services Committee on March 9, 2026 (D.8); a Board presentation on April 14, 2026 (D.6); and the County budget hearing on April 27, 2026 (D.1).
During the April 27 budget hearing, Dr. Marla Stuart, EHSD Director, advised the Board that the Department would return with a spending proposal if the final FY26/27 State budget included revenue increases. With the Governor’s approval of the State budget on June 29, 2026, the administration reduced the base allocations below projected by $14,460,540, due to a projected decrease in caseload. Additionally, the legislature added one-time H.R.1 funding totaling $18,927,789 in additional CalFresh and Medi-Cal allocation to support implementation of new H.R.1 and State requirements, resulting in a net increase over the Board approved FY26/...
Click here for full text