Medi-Cal, California’s Medicaid program, is a lifeline for more than one-third of Californians, providing essential health care coverage to children, pregnant individuals, seniors, and people with disabilities.
The recently enacted harmful Republican mega bill, H.R. 1, enacts the largest health care cuts in US history, with about $1 trillion cut from Medicaid. For California, the harm will be severe. Up to 3.4 million people could lose Medi-Cal coverage and the state could lose $30 billion in federal funding each year.
The law undermines Medi-Cal in two main ways. It imposes financing restrictions that strip billions in federal support, and it creates eligibility and access barriers that make it harder for people to stay covered. The table below highlights the key provisions of H.R. 1 and how they could reshape coverage in the years ahead.
Federal Policy
The federal government plays a major role in shaping California’s budget, economy, and the well-being of its people.
