High ImpactApr 12, 2026Bay Area Silicon Valley Immigrants Delay Care, Drop Coverage Amid Medi-Cal Cuts — Santa Clara County Projects $470M Deficit
San Jose Spotlight patient-impact reporting documents Silicon Valley immigrants experiencing canceled procedures, medication quantity restrictions (migraine meds reduced from 30-day to 20-pill monthly supplies), and GLP-1 weight-loss drug coverage limits. Some immigrants are dropping Medi-Cal coverage entirely due to fear of federal data-sharing with ICE. Santa Clara County projects a $470M deficit in FY 2026-27, compounding H.R. 1's $1T/10-year Medicaid cuts. The ICE chilling effect is converting into measurable coverage attrition in one of California's largest FQHC markets.