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Please read the “Vital considerations” section at the end before publishing.
California Faces Healthcare Crisis as GOP-Led house Passes Sweeping Cuts to Medi-cal and Access to Care
SACRAMENTO, CA – A deeply concerning vote in the U.S. House of Representatives on Wednesday night threatens the healthcare security of millions of Californians. 215 members of Congress, including all nine Republican representatives from California, approved a budget reconciliation bill that will drastically reduce federal funding for healthcare programs, most notably Medi-Cal, California’s Medicaid program. Advocates warn the cuts will have devastating consequences, impacting access to essential medical services, increasing costs for all Californians, and disproportionately harming vulnerable populations.
The Scale of the Impact:
Estimates indicate that nearly 3.5 million Californians stand to lose healthcare coverage under the new legislation. This loss of coverage translates to a real-world impact: individuals unable to see a doctor, delayed or forgone hospital care, and difficulty affording life-sustaining medications. Experts project that these cuts could lead to over 5,000 preventable deaths annually within the state.
The bill slashes over $20 billion in Medi-Cal funding, creating a cascading effect throughout California’s healthcare system. Hospitals, already facing financial pressures, will be forced to reduce services, lay off staff, and possibly close their doors. This will exacerbate existing challenges in healthcare access, particularly in rural and underserved communities.Furthermore, the cuts are expected to drive up healthcare costs for all Californians, including those with private insurance, and substantially increase wait times in emergency rooms.
Beyond Coverage: Attacks on Reproductive and Gender-Affirming Care
The legislation goes beyond simply reducing access to conventional healthcare. It includes provisions that directly target reproductive healthcare and medically necessary gender-affirming care,sparking outrage from advocacy groups. Late-night amendments, added during the legislative process, further intensified the bill’s harmful effects, accelerating timelines for coverage loss and expanding the scope of restrictions.
“California’s GOP congressmembers turned their back on their constituents last night,” stated Amanda McAllister-Wallner, Executive Director of Health Access california, the statewide healthcare advocacy coalition. “After repeatedly assuring Californians they would protect Medicaid and oppose cuts to care, their vote demonstrates a clear betrayal of public trust.”
The bill specifically penalizes California for its commitment to providing healthcare coverage to a broader segment of its population,nonetheless of immigration status – a policy championed by the state to ensure equitable access to care.
Dannie ceseña,Director of the California LGBTQ Health and Human Services network,a program of health Access,condemned the attacks on gender-affirming care. “To deny gender-affirming care is to deny basic humanity and disregard the overwhelming medical consensus that recognizes its necessity for the health and well-being of transgender and non-binary individuals. This is a dangerous and discriminatory policy.”
Key Provisions of the House-passed Bill:
The legislation contains several key provisions that will significantly alter the landscape of healthcare access in California:
Accelerated Work Requirements: Implementation of work requirements for Medicaid eligibility is moved up from 2029 to 2026, potentially disqualifying individuals who struggle to meet these requirements.
Increased Eligibility checks: the frequency of eligibility checks is increased to every six months, starting in 2026, creating administrative burdens and increasing the risk of coverage loss due to procedural errors.
elimination of Gender-Affirming Care Funding: The bill ends federal financing for gender-affirming care for all Medicaid expansion populations, not just those under 18, severely restricting access to vital medical services for transgender and non-binary adults.
Restrictions on Abortion Coverage: The legislation punishes individuals who choose to use their own funds to purchase health plans that cover abortion services, effectively limiting reproductive choice.
* Reduced Premium Subsidies: A new provision reduces federal subsidies for premiums through Covered California,the state’s health insurance marketplace,increasing costs for middle-income families.
Grassroots Resistance and Future Action:
Health advocates and community organizations have been actively mobilizing


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