Maria, a 55-year-old caregiver in California’s Orange County, has been struggling with dental issues for months. Due to her lack of health or dental insurance, she cannot afford the $2,400 needed to fix her chipped and plaque-covered front teeth. As an immigrant without legal status, Maria prioritizes providing for her children and covering basic expenses over her own healthcare needs.
California has been working to include immigrants without legal status in its Medicaid program, Medi-Cal. However, a recent state budget decision to freeze new enrollment for adults over 19 without legal status has left many like Maria in a difficult position. The fear of discovery and deportation by federal authorities has made some hesitant to apply for Medi-Cal benefits.
The sharing of Medicaid enrollee data, including immigration status, with deportation authorities has further heightened concerns among immigrant communities. This has led to a chilling effect on enrollment numbers, as individuals weigh the risks and benefits of seeking healthcare coverage through Medi-Cal.
In response to the budget deficit, California lawmakers have implemented changes that impact immigrants with unsatisfactory immigration status. This includes an enrollment freeze for those over 19 without legal status and the implementation of $30 monthly premiums for enrolled residents in this category. Additionally, dental benefits will be eliminated starting in July 2026.
Healthcare providers warn that without Medi-Cal coverage, many immigrants will resort to seeking expensive emergency care for preventable conditions. The rollback of benefits for immigrants without legal status has sparked debate among lawmakers about the state’s fiscal responsibilities and the potential impact on citizens.
For Maria, the shifting healthcare policies have left her feeling overwhelmed and uncertain. Despite learning about her potential eligibility for Medi-Cal earlier this year, the fear of deportation and data sharing with immigration authorities has made her hesitant to enroll. The ongoing changes in healthcare policies have only added to Maria’s feelings of disappointment and fear.
As California navigates these complex issues, individuals like Maria are left grappling with difficult decisions about their healthcare needs and the risks associated with seeking coverage. The impact of these changes on immigrant communities and the healthcare system as a whole remains to be seen.
