Medi-Cal: eligibility: immigration status.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
In Floor Process
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed Assembly
- To Governor
- Became Law
Overview
This bill changes how Medi-Cal eligibility is determined for people in California who don’t have stable immigration status. Currently, those over 19 without proper status are limited to pregnancy-related services and emergencies. The bill would instead allow these individuals to qualify for the full range of Medi-Cal benefits, but with some exceptions, such as requiring them to pay a monthly premium starting in 2027 and phasing in eligibility by age group. The bill also requires the Department of Finance to assess the cost of implementing these changes and determine if it would negatively impact the state’s budget.
Key provisions
- Requires the Department of Finance to assess the cost of providing full Medi-Cal benefits to undocumented adults.
- Ends the current restriction on Medi-Cal services for individuals 19 and older without stable immigration status, except for pregnancy-related care and emergencies.
- Requires individuals without stable immigration status to pay a monthly premium of $30, starting July 1, 2027.
- Phases in eligibility for full Medi-Cal benefits by age group, beginning with individuals over 49.
- Establishes a process for determining whether implementing full Medi-Cal eligibility would create a deficit in the state’s General Fund.
- Requires the Department of Finance to report annually on the cost of implementing the changes.
- Allows for expedited contracting processes to implement the changes.
- Specifies that dental services, except for emergency care, would not be available to those without stable immigration status.
Bill text
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