Fact Sheet: Medicaid in California

Medicaid in California

Medicaid is a lifeline to millions of Californians

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Infographic: Protecting Access to Care for All Californians

Ballot Initiative Campaign Update

Wednesday, June 17, 2026
7:30 – 8:30 a.m., PT

Two statewide ballot initiatives (Californians Against the Health Care Endangerment Act and Health Care Workers’ Right to Vote) that will significantly impact hospitals’ ability to deliver care are headed to the November ballot. It is critical for health care leaders to stay informed and engaged in CHA’s efforts related to these two measures.

Join us for the next in a series of Ballot Initiative Campaign Updates to learn the latest about CHA’s strategy to secure favorable outcomes on these measures and what your organization can do to help the campaigns to be successful.

This content is restricted to members.

In High-Stakes Primaries, 100% of CHPAC-Endorsed Candidates Advance

What’s happening: Tuesday marked California’s primary election, setting the stage for critical runoffs in November — perhaps the most important of which will be the showdown between Xavier Becerra (D) and Steve Hilton (R) to be California’s next governor.  

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California is Killing Its Golden Goose

The Wall Street Journal’s recent piece examining job growth nationally and in California (“Forget Tech and Hollywood. California Is Powered by Healthcare Jobs.” – May 11, 2026) noted that, “without [the health and human services sector], the state hosting the nation’s high-tech and entertainment hubs would have lost jobs … This gap between health-related and other parts of the economy proved greater in California than in any other U.S. state.” 

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CHA Alert: Tell OHCA Board ‘No’ On Exorbitant Penalties That Endanger Health Care

What’s happening: On Wednesday, CHA issued an alert asking members to press the Office of Health Care Affordability (OHCA) to set a reasonable enforcement structure that gives hospitals a chance to improve before imposing penalties so severe that hospitals would have no choice but to cut services, reduce staff, or close outright. 

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DHCS’ Revised Prop. 35 Spending Plan Fails to Align with Voter Intent

What’s happening: At the May 28 “Protect Access to Health Care Act” Stakeholder Advisory Committee meeting, the Department of Health Care Services (DHCS) put forth a revised spending plan that fails to align funding with the intent of the voter-approved Proposition 35. 

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CHA Submits Comments to Cal/OSHA on Second Draft of Plume Regulations 

What’s happening: CHA has submitted comments to the Division of Occupational Safety and Health (Cal/OSHA) in response to the April 24 second draft of regulatory language regarding Assembly Bill 1007 (2023-2024: Occupational safety and health standards: plume).   

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CHA Urges OHCA Board to Reject Draconian Penalties

What’s happening: The Office of Health Care Affordability’s (OHCA) board met on Wednesday and continued deliberations over the monetary penalties for violating the spending targets. The office also introduced draft regulations to implement Assembly Bill (AB) 1415 (Statutes of 2025), which expands OHCA’s authority to review certain types of health care market transactions.

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Commercial Insurers Double Down on Hospital Attacks

It’s been a little more than four months since commercial insurance company executives were summoned to Capitol Hill for a congressional hearing in which they were probed on care denials, profit-taking, consumer affordability, and more. 

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