President Trump’s One Big Beautiful Bill Act of 2025 could jeopardize healthcare for millions in California, with estimates suggesting that three to eight million residents might lose coverage. San Francisco is particularly affected, with 238,000 residents enrolled in Medi-Cal, and many set to lose benefits. The law enforces new work requirements and increased assessments for Medicaid eligibility. These changes could also carry financial penalties for California relating to undocumented immigrants receiving care. The potential loss of $22.3 billion in federal funds poses a significant threat to healthcare access in the state.
The One Big Beautiful Bill Act of 2025, President Trump’s major legislative achievement, is projected to endanger the healthcare of between three to eight million Californians by slashing billions in Medicaid funding.
San Francisco could face a loss of up to $22.3 billion in federal funds, impacting many residents enrolled in Medi-Cal, California's Medicaid program.
Medi-Cal recipients aged between 19 and 64 will need to work a minimum of 80 hours per month to qualify for assistance under Trump's new legislation.
The One Big Beautiful Bill introduces heightened requirements, including semi-annual enrollment assessments, which could further complicate access to healthcare for many Californians.
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