California's Medi-Cal Changes Threaten Homeless Care
Oakland News Today | 2 Min News | The Daily News Now! · The Daily News Now!
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Show Notes
Californias Street Medicine Teams Sound the Alarm: Upcoming Medi-Cal Changes Could Strip Health Insurance from Most Unsheltered Homeless People
Starting in 2027, able-bodied adults under 65 without kids must work 80 hours a month or qualify for exemptions to keep Medi-Cal coverage. However, over 90% of homeless patients on the streets wont meet these rules due to barriers like lacking phones, IDs, or stable addresses. The new eligibility checks every six months will disproportionately affect the states roughly 180,000 homeless individuals, many dealing with addictions, mental health issues, or chronic illnesses. Health outcomes could worsen, leading to more emergency room visits and blocked access to meds or specialists. Only a small fraction of homeless patients have regular primary care to certify exemptions, risking coverage loss. State Medi-Cal leaders are building an automated system to verify work and exemptions, but gaps remain. Without insurance, street medicine programs funded by Medi-Cal could fold, cutting off vital care, housing help, and stability for those in crises.
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