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State officials weigh automatic enrollment, data and privacy hurdles to expand safety-net access

3164540 · April 30, 2025
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Summary

At a California State Assembly Budget Subcommittee 2 on Human Services hearing, officials from CDSS, DHCS and CalHHS described progress and limits on cross‑enrolling Californians in Medi‑Cal, CalFresh and cash programs, citing promising outreach pilots, data alignment problems, federal privacy rules and needed IT investments.

At a hearing of the California State Assembly Budget Subcommittee 2 on Human Services, agency officials outlined efforts to increase automatic or facilitated enrollment across Medi‑Cal, CalFresh and other safety‑net programs while warning that legal, data quality and technology barriers limit rapid scaling.

Ryan Gillette, chief data officer and deputy director of the Research, Automation and Data Division at the California Department of Social Services, said the department's “vision … is to make application and renewal processes more accessible, straightforward, and integrated across the safety net in a manner that centers client voice and choice.” He described recent analysis showing the state’s major programs reduce poverty and identified gaps where eligible people are not cross‑enrolled.

The departments presented pilot results and technical constraints. CDSS reported that about 900,000 individuals participate in Medi‑Cal, CalFresh and CalWORKs together; CalWORKs recipients are categorically enrolled in Medi‑Cal; roughly 76% of CalFresh recipients are enrolled in Medi‑Cal; and more than 700,000 Supplemental Security Income (SSI) recipients receive CalFresh. CDSS said an ‘‘in‑reach’’ analysis estimated…

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