Monterey County Relaunches 'Esperanza Care' July 1, County-Funded Coverage for 500 Undocumented Adults Losing Medi-Cal

Monterey County's Board of Supervisors voted in late May 2026 to relaunch 'Esperanza Care' effective July 1 — a county-funded program covering up to 500 undocumented adults at ≤100% FPL who lose Medi-Cal under the H.R. 1 / UIS-freeze coverage rollbacks.

Primary care runs through the county health department; specialty, lab, and radiology through Natividad Medical Center (the county public hospital). Budget is ~$500K–$1M/yr.

The program originally ran 2017–2023 and was shelved when Medi-Cal expansion made it redundant; its revival is the first named county-level mitigation program since the ~2M-immigrant Medi-Cal rollback began. It is explicitly capped at 500 — a fraction of local need — so Community Health Centers of the Central Coast (Salinas/Paso Robles) and Clínica de Salud del Valle de Salinas remain the overflow safety net.

A template other CA counties may copy.