86,000+ Undocumented Californians Dropped or Denied Medi-Cal in Jan-Feb 2026 — First Hard Numbers Since UIS Freeze

KVPR / Public Health Watch published the first sector-wide enrollment numbers since California's UIS (Undocumented Income-Sensitive) freeze took effect: 86,000+ immigrants without legal status either lost or were denied Medi-Cal in January-February 2026, exiting at 6x the rate of other enrollees. Modeling projects ~1.3M Californians will lose full-scope Medi-Cal coverage over the next 4 years if the freeze stays in place. This pairs with the Kheir Clinic patient-coverage story (60-100 enrollment-help requests per day) already tracked — Kheir was the single-clinic anecdote; this is the statewide denominator. Strategic implication: FQHCs are absorbing the coverage hit. Largest exposure: AltaMed, FHCSD, La Clinica de la Raza, Clinica Sierra Vista, United Health Centers, Family Healthcare Network, Clinicas del Camino Real. This is the data FQHC CFOs need for board presentations explaining 2026 sliding-fee-scale demand surges and self-pay collections decline.

Newsom May Revise Proposes Additional $1.1B Medi-Cal Cuts to Immigrant Coverage

Historical proposal record: Governor Newsom's May Revision (expected release May 14, 2026) reportedly included $1.1B in additional Medi-Cal cuts targeting full-scope coverage for ~200,000 immigrant survivors of domestic violence and human trafficking, plus extension of work requirements to state-only programs. At the time, this compounded the already-tracked UIS PPS elimination, undocumented adult premium, UIS adult dental removal, and H.R. 1 6-month redetermination requirement. Signed-budget outcome: the June 29 budget moved the major UIS/PPS and UIS adult dental cuts into a July 1, 2027 planning horizon; use this item as historical context for how the May Revise pressure built, not current-law July 2026 guidance.

Santa Barbara County Issues 84 Layoff Notices (47 from Public Health) + Public Health Pharmacy Closures — Largest Central Coast Safety-Net Cut of 2026

Santa Barbara County issued layoff notices May 10-13 for 84 positions effective June 30, 2026: 47 from Public Health, 31 from Social Services, 5 Sheriff's, 1 Fire. The proposed cuts also close county-run pharmacies for uninsured patients in Santa Barbara and Santa Maria, leaving Lompoc as the only remaining option. Pharmacy closures will redirect uninsured prescription volume to SBNC, CHC of the Central Coast, and Marian Community Clinics with no offsetting funding. Strategic implication for Central Coast FQHC executives: (1) model uninsured Rx absorption costs by June 30 — sliding-fee margin compression imminent; (2) coordinate with SBNC, CHC Central Coast, Marian on patient navigation handoffs from closing pharmacies; (3) escalate to county supervisors before June 24 budget hearing — pharmacy closure is reversible; (4) engage CCALAC for emergency state offset advocacy parallel to CSAC $6.4B demand; (5) brief boards on Public Health staffing collapse signal — workforce ripple effects to FQHC public health partnerships likely. This is the largest Central Coast safety-net layoff event tracked since SBNC $5M Wyatt donation (positive offset) earlier this year.