California's 4-Bill H.R. 1 Mitigation Package Advances — Cost-Sharing Cap, Retroactive Coverage, Renewal Automation, Disenrollment Dashboard

A four-bill California package designed to blunt H.R. 1's Medi-Cal damage advanced through Appropriations (May 14) and onto floor votes the week of May 22-26 — co-sponsored by Western Center on Law & Poverty, Justice in Aging, the National Health Law Program, and Health Access California.

AB 2208 (Stefani) passed the Assembly 58-19 on May 26: it caps H.R. 1-triggered Medi-Cal cost-sharing at 1 cent per service and restores the full 3-month retroactive coverage window with state funds (H.R.

1 cut it to 1 month for expansion adults). Retroactive coverage is a direct FQHC revenue protection — it lets centers bill for care delivered before eligibility is finalized.

AB 2201 (Boerner) automates Medi-Cal renewal verification to reduce churn from H.R. 1's new 6-month redetermination cycle. SB 1202 (Weber-Pierson) requires DHCS to publish a public dashboard tracking H.R.

1-attributable disenrollments — official data FQHCs can use to quantify coverage loss in their service area. Strategic implication for CA FQHCs: AB 2208's retroactive-coverage restoration is the most balance-sheet-relevant; track all four through the second house and the June budget.