About Medi-Cal

More than 15 million Californians rely on Medi-Cal, the state’s health care coverage safety net, for health insurance. Two-thirds of those on Medi-Cal are people of color and often live in communities with a lack of adequate health care providers. Without significant investments to support providers that deliver health care to California’s most vulnerable, millions living in rural and underserved areas are in jeopardy.
Medi-Cal is California’s version of the federal program known as Medicaid. To learn more about CHA’s work to protect Medicaid, visit our federal resource page.
Congress Must Protect Patient Care
California hospitals are committed to caring for their patients and communities. As policymakers in Washington, D.C., consider changes to the Medicaid program (known as Medi-Cal in California) it’s critical that the impact on patient care be at the forefront of every conversation.
Federal, State Budget Proposals Threaten Health Care in California
What’s happening: Yesterday, Gov. Gavin Newsom released the May budget revision, which included proposals to pull away $1.6 billion in funding dedicated to health care organizations through last year’s Proposition 35. This came just days after the House Energy and Commerce Committee released a proposal to cut more than $715 billion from Medicaid (Medi-Cal in California).
Governor’s May Revision Proposes Backfilling Budget with Prop 35 Funds
What’s happening: On May 14, Gov. Gavin Newsom released his May Revision budget proposal for 2025-26, which diverts much of the funds from Proposition (Prop) 35 away from their intended purpose — provider payment increases — to address a $12 billion projected budget deficit.
Proposed Changes to Medicaid Health Care-Related Tax Rules Threaten MCO Tax, Hospital Fee Program
What’s happening: The Centers for Medicare & Medicaid Services (CMS) has issued proposed changes to the Medicaid health care-related tax rules that present significant risks for California’s managed care organization (MCO) tax and Hospital Quality Assurance Fee Program — both of which hospitals rely on to deliver patient care. Comments on the proposed rule are due to CMS by July 14.
Budget Proposal Would Cut Tens of Billions from Medicaid
What’s happening: On May 14, the House Energy and Commerce Committee finalized bill language that proposes major cuts and policy changes to the Medicaid program (Medi-Cal in California) that would severely impact California’s health care system.
Urge Members of Congress to Vote No on Medicaid Cuts
Newsom Administration Proposal to Use Proposition 35 Funds to Balance State Budget Thwarts Will of California Voters
SACRAMENTO (May 14, 2025) — “Just two days after a congressional committee released a federal budget proposal that would hollow out Californians’ health care services through drastic Medicaid cuts, the state’s May budget revision proposal piles on. The state would fill its spending gap by taking $1.6 billion from resources that voters directed to Medi-Cal providers and protecting access to care,” said Carmela Coyle, President & CEO of the California Hospital Association.
Medicaid Cuts Will Hurt All Californians
SACRAMENTO (May 12, 2025) — “The legislation proposed by the House Energy and Commerce Committee to enact massive Medicaid cuts is a devastating blow that will be felt by all who need hospital care,” said Carmela Coyle, President & CEO of the California Hospital Association. “Cuts of this magnitude cannot be absorbed. Hospitals will have no other choice but to reduce patient care services or, in the worst cases, close entirely. That means care is lost for everyone — children, seniors, privately insured people — no matter what type of health insurance coverage you have.”
DHCS Updates Community Services and Supports Guide
What’s happening: The Department of Health Care Services’ (DHCS’) revised Community Supports Policy Guide reflects extensive feedback from managed care plans, providers, and other stakeholders.
Hospital Fee Program 8 Invoices Past Due
What’s happening: Payments for the Hospital Quality Assurance Fee program 8 fee-for-service were due to the Department of Health Care Services (DHCS) on May 7.