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. The UIS dental elimination and the FQHC UIS-PPS cut — both originally slated for July 1, 2026 — were deferred 12 months to July 1, 2027 in the 2026-27 California budget signed June 29, 2026.
Combined with the January 2026 enrollment freeze, 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
- UIS dental elimination + FQHC UIS-PPS cut deferred to July 1, 2027 in the signed 2026-27 budget
- 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 ServicesSource packet
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Affected 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 July 28, 2026, from https://www.fqhctalent.com/intel/medi-cal-30-premium-undocumented-2027
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