Skip to main content

LATEST UPDATES: Tracking COVID-19 | Vaccines | Racial Injustice

California Expands Health Care To More Low-Income Immigrants

Gov. Gavin Newsom, left, speaks with Dr. Mark Ghaly, Secretary of the Califor...

Photo by Jeff Chiu / AP

Above: Gov. Gavin Newsom, left, speaks with Dr. Mark Ghaly, Secretary of the California Health and Human Services, at a news conference in Oakland, Calif., Monday, July 26, 2021.

Californians who are at least 50 and living in the country without permission are newly eligible for state health care coverage under legislation signed by Gov. Gavin Newsom Tuesday, part of a record state budget that includes major investments in mental health, homelessness and housing.

The legislation to expand Medi-Cal coverage to low-income adults regardless of immigration status builds upon proposals pushed by Democrats to extend the state's version of federal Medicaid to children in 2016 and to young adults under 26 in 2020.

“It’s a point of pride, it’s a point of principle, and it’s what marks our values here in the state of California,” Newsom said at Clinica Sierra Vista Elm Community Health Center in Fresno. “We believe in living together, and advancing and prospering together across every conceivable difference.”

The new coverage kicks in next year and will eventually cost taxpayers about $1.3 billion per year. It is expected to apply to about 235,000 people, said the governor, a Democrat. The income threshold to qualify for Medi-Cal is 138% of the federal poverty level or lower— or just over $​​36,100 for a family of four.

About 3.2 million people in the state of nearly 40 million are projected to not have health insurance next year, according to the Labor Center at the University of California, Berkeley. Nearly half are people who are living in the country illegally, which makes them ineligible for full Medicaid benefits and other health insurance assistance programs.

California is among several states expanding health coverage to immigrants without legal status. Advocates of expanded coverage say that health care is a basic need and that the coronavirus pandemic underscored just how essential immigrants are in agriculture, food processing and other critical industries.

Detractors say taxpayer money should not be spent on unauthorized immigrants.

But many immigrants without legal status pay federal and state taxes, as well as sales tax. Millions of immigrants missed out on pandemic-related stimulus checks because they file federal taxes using what's called a taxpayer identification number and not through a Social Security number.

Beatriz Hernandez, a fellow with the California Immigrant Policy Center, said at the signing event that she is undocumented and knows what it feels like to be denied health care. She is grateful for the new policy.

“We all need this access to health care now and when we recover from the pandemic. It doesn’t matter the color of our skin, or where we were born. We all deserve this, and we all contribute to the social fabric of this state,” she said.


San Diego News Now podcast branding

San Diego news; when you want it, where you want it. Get local stories on politics, education, health, environment, the border and more. New episodes are ready weekday mornings. Hosted by Anica Colbert and produced by KPBS, San Diego and the Imperial County's NPR and PBS station.

  • Need help keeping up with the news that matters most? Get the day's top news — ranging from local to international — straight to your inbox each weekday morning.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Curious San Diego banner

Want more KPBS news?
Find us on Twitter and Facebook, or sign up for our newsletters.

To view PDF documents, Download Acrobat Reader.