Federal changes are expected to reduce California's Medi-Cal funding by $28.4 billion over ten years, leading to approximately 3.4 million residents potentially losing coverage. The Urban Institute predicts that these changes could result in 1.4 million Californians losing their Medi-Cal insurance in the first year, primarily due to administrative challenges. Enrollees must reapply every six months instead of annually, and starting October 2028, those earning over $15,060 may face co-pays of up to $35 per visit. Premiums for all enrollees are anticipated to rise by 66%, averaging an increase of $101 per month.
Over the next 10 years, the federal changes are estimated to cost the state $28.4 billion and result in 3.4 million Californians losing coverage, according to an estimate from Gov. Gavin Newsom and state health officials.
The Urban Institute estimates that this rule alone could force up to 1.4 million Californians off their Medi-Cal insurance in the first year of implementation - not necessarily because they don't work, but because filing paperwork is likely to pose a challenge for many enrollees.
This same group of adults will have to reapply for coverage every six months, instead of once a year.
On average, for all enrollees, premiums are expected to increase by 66%, or $101, per month starting next year.
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