California to Charge Undocumented Medi-Cal Members $30/Month Starting July 2027
Beginning July 1, 2027, Medi-Cal members ages 19–59 who are undocumented or have unsatisfactory immigration status (UIS) and remain in full-coverage Medi-Cal will be required to pay a $30 monthly premium to maintain coverage. Dental benefits for UIS members were already eliminated effective July 1, 2026. Combined with the January 2026 enrollment freeze and eliminated FQHC PPS reimbursement for UIS services, this represents a compounding disinvestment in California's 1.6 million undocumented Medi-Cal enrollees — raising coverage loss and FQHC revenue risk.
Key takeaways
- $30/month premium for undocumented Medi-Cal members ages 19-59 starting July 1, 2027
- Dental benefits for UIS members already eliminated effective July 1, 2026
- Combined with Jan 2026 enrollment freeze + PPS elimination = compounding disinvestment in 1.6M undocumented enrollees
- Premiums will accelerate coverage loss and increase FQHC uncompensated care burden
Primary source
CA Department of Health Care ServicesAffected FQHCs
FQHC Talent. (2026, March 7). California to Charge Undocumented Medi-Cal Members $30/Month Starting July 2027. Primary source: CA Department of Health Care Services. Retrieved April 28, 2026, from https://www.fqhctalent.com/intel/medi-cal-30-premium-undocumented-2027
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