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

Governor Newsom's May Revision (expected release May 14, 2026) reportedly includes $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. This compounds the already-tracked UIS PPS elimination (July 1, 2026), the $30/month undocumented adult premium (July 1, 2027), the dental benefits removal for UIS adults (July 1, 2026), and the H.R. 1 6-month redetermination requirement. Health4All coalition (CPEHN, CA Academy of Family Physicians, CRLAF, immigrant rights orgs) is mobilizing in response. Strategic implication for CA FQHCs: the May Revise expands the at-risk uninsured population beyond H.R. 1 base scenarios — combined with CHCF's up-to-2M projected Medi-Cal coverage loss and 'New Uninsured' state-policy options ($3.1B–$6.7B/yr modeled), the FY26-27 financial planning baseline keeps deteriorating. Action items: (1) integrate DV/trafficking survivor patient-volume into uncompensated care projections, (2) coordinate testimony for budget conference committee (window through June 15), (3) brief boards on multi-cliff revenue exposure.