A proposed California bill could pave the way for undocumented Californians ages 19 and older to once again receive Medi-Cal coverage, beginning Jan. 1, 2027.
State Sen. María Elena Durazo and Assemblymember Joaquin Arambula, both Democrats, introduced the Medi‑Cal Access Restoration Act to end the freeze and reinstate full‑scope Medi‑Cal benefits for undocumented adults.
As of Thursday afternoon, the bill states that it would “make an individual who is 19 years of age or older, who does not have satisfactory immigration status, eligible for the full scope of Medi-Cal benefits subject to certain limitations, such as the payment of premiums and certain dental benefits.”
According to the Fresno Bee, California faced a deficit of more than $10 billion last year before rolling back health insurance access for undocumented adults, a benefit the state had been expanding for several years, to help balance the 2025‑26 budget.
The state is again projecting a nearly $3 billion deficit as lawmakers prepare next year’s spending plan.
Lawmakers say the freeze does not eliminate health needs and instead shifts costs to counties, hospitals and emergency rooms.
“Undocumented Californians pick our crops, build our homes, and care for our families – and they pay billions in taxes to do it,” said Senator Durazo. “Denying them basic health coverage isn’t saving money, it’s borrowing trouble. We pay more when people end up in the emergency room. SB 1422 is the fiscally responsible thing to do, and it’s the right thing to do.”
According to officials, undocumented Californians contribute $8.5 billion annually in state and local taxes and make up roughly one-tenth of the state’s workforce.