Gov. Gavin Newsom said that he’s proud his state expanded health care to all low-income residents regardless of immigration status but that tough budget times call for some adjustments. The Democrat’s new budget proposes scaling back benefits to adults living in the country illegally, as well as charging them a $100 monthly premium.
Gov. Gavin Newsom said that he’s proud his state expanded health care to all low-income residents regardless of immigration status but that tough budget times call for some adjustments. The Democrat’s new budget proposes scaling back benefits to adults living in the country illegally, as well as charging them a $100 monthly premium.
Gov. Gavin Newsom said that he’s proud his state expanded health care to all low-income residents regardless of immigration status but that tough budget times call for some adjustments. The Democrat’s new budget proposes scaling back benefits to adults living in the country illegally, as well as charging them a $100 monthly premium.
Gov. Gavin Newsom was elected to office in 2019 on a promise of universal health care. He dramatically expanded coverage, but after six years in office, the Democrat is forced to contemplate deep cuts — including to the nation’s largest health care expansion to immigrants living in the U.S. without legal permission.
As California’s budget deadline looms, state Sen. Akilah Weber Pierson, a physician-turned-lawmaker, says state leaders may soon have to make some tough decisions on health care spending. With the state’s Medi-Cal program billions of dollars short, California’s health care safety net is at risk — even without federal cuts to Medicaid.
Republicans, on the hunt for spending cuts, are eyeing a special kind of Medicaid tax that nearly every state uses to boost funding for hospitals, nursing homes, and other providers.
Monica Soni, Covered California’s chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the state’s Affordable Care Act marketplace.
The state has in recent years embraced several initiatives recommended in an influential health care workforce report, including alternative payment arrangements for primary care doctors to earn more. Despite increasing residency programs, student debt forgiveness, and tuition-free medical school, California is unlikely to meet patient demand, observers say.
Federal law requires states to offer health insurance to many people with low incomes or disabilities. But some states, including California, are far more generous than what’s required. Budget pressures may force lawmakers to cut benefits that have led to a historic low in the uninsured rate.
In California, Black women are at least three times as likely as white women to die from pregnancy-related causes. Santa Clara County initiatives aimed at reducing racial disparities work but depend on federal dollars — money that might not flow amid budget cuts and a push to end diversity, equity, and inclusion programs.
