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California officials warn HR 1 will cut coverage and federal funding, threaten local safety net
Summary
State officials and health stakeholders told the Office of Health Care Affordability board that the federal reconciliation law known as HR 1 will likely remove millions from coverage in California and reduce federal Medicaid and marketplace funding by billions, with ripple effects on hospitals, counties and safety-net services.
California health officials told the Office of Health Care Affordability board that the federal reconciliation bill known as HR 1 will sharply reduce federal funding and coverage across the state and could force difficult tradeoffs for hospitals, county systems and consumers. The board heard a step-by-step summary of HR 1’s implementation schedule and early estimates of local impact. Officials said Medicaid (Medi‑Cal) changes, new work requirements and more frequent eligibility checks could put about 3.4 million Medi‑Cal enrollees at risk. Covered California staff estimated roughly 660,000 people could lose marketplace coverage, and many of nearly 2 million exchange enrollees face higher costs once enhanced subsidies…
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