Who risks losing coverage under California’s Medicaid work rules?
1.4 million adults in California could lose their Medicaid coverage by late 2026 under a federal proposal advancing in Congress. The plan would require states to impose work-reporting rules on certain recipients, a move that advocates warn may hinder employment among vulnerable populations and increase public health costs. The House-approved budget bill mandates that non-exempt Medicaid recipients work, volunteer, or attend school for at least 80 hours per month to retain coverage. Urban Institute modeling projects that between 1.2 million and 1.4 million Californians could lose Medi‑Cal coverage as a result. Proponents see it as a measure to reduce federal spending and
June 12, 2025