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They’re not going to help strengthen the economy of states,” Ku said. “They’re going to make it harder for states to balance their budgets.”\u003c/p>\n\u003cp>The U.S. House of Representatives’ current budget resolution \u003ca href=\"https://www.nytimes.com/2025/03/10/briefing/republicans-medicaid.html\">offers a blueprint\u003c/a> for the so-called reconciliation bill that Republicans hope to pass in the coming months. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“So they need to lay off staff. They need to buy fewer stuff from other places,” he said. “Ultimately speaking, this leads to broader reductions in the economy.”\u003c/p>\n\u003cp>The cutbacks will also lower the amount of taxes that state and local governments can collect, with state and local tax revenues falling by about $1.4 billion in California alone, Ku added.\u003c/p>\n\u003cp>“This would be in addition to the budget problems the state is already facing,” he said.\u003c/p>\n\u003cp>Medicaid provides health insurance to more than 72 million Americans with limited incomes and funds long-term care for some seniors. In California, \u003ca href=\"https://www.dhcs.ca.gov/dataandstats/dashboards/Pages/Medi-Cal-Enrollment-and-Renewals-Dashboard-January2025.aspx\">nearly 15 million people\u003c/a> — more than a third of residents — are enrolled in Medi-Cal, the state’s version of the program. About two-thirds of funding for state Medicaid programs is federal.\u003c/p>\n\u003cp>Meanwhile, nearly 42 million Americans — including \u003ca href=\"https://www.cbpp.org/sites/default/files/atoms/files/snap_factsheet_california.pdf\">more than 5 million in California\u003c/a> — are enrolled in SNAP, which offers food benefits to lower-income families and is funded entirely by the federal government.\u003c/p>\n\u003cp>Taken together, the Republican proposal to cut upward of $880 billion in funding for Medicaid and $230 billion for SNAP over the next 10 years would collectively reduce state GDPs by $113 billion in 2026, resulting in the loss of more than 1 million jobs, Ku estimates.\u003c/p>\n\u003cp>“I would say the point that we’re trying to make is [Republicans] should be aware that the deep cuts they’re talking about are going to increase unemployment. They’re not going to help strengthen the economy of states,” Ku said. “They’re going to make it harder for states to balance their budgets.”\u003c/p>\n\u003cp>The U.S. House of Representatives’ current budget resolution \u003ca href=\"https://www.nytimes.com/2025/03/10/briefing/republicans-medicaid.html\">offers a blueprint\u003c/a> for the so-called reconciliation bill that Republicans hope to pass in the coming months. The legislation would extend the 2017 tax cuts that lawmakers passed during President Donald Trump’s first term, offsetting the cost by slashing funding to safety net programs, which Republicans have long attacked as being rife with fraud and waste.\u003c/p>\n\u003cp>And while the House resolution doesn’t explicitly call for cutting Medicaid or food assistance, it directs two House committees with jurisdiction over the programs to identify the $1 trillion in cuts, something that would be virtually impossible without slashing Medicaid and SNAP.\u003c/p>\n\u003cp>“There’s a fairness problem here,” Ku said. “These will be cuts that will harm people, will harm state economies, will increase unemployment.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/lesleymcclurg\">\u003cem>Lesley McClurg\u003c/em>\u003c/a>\u003cem> contributed to this story\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>BAKERSFIELD — Erlinda Carrillo is already exhausted by the first two months of \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">President Donald Trump’s\u003c/a> second term.\u003c/p>\n\u003cp>Her daughter lost her job at a scientific research institute after the Trump administration canceled its government contract. She’s worried layoffs at the Department of Veterans Affairs will \u003ca href=\"https://www.kqed.org/news/12031166/federal-judge-in-sf-orders-trump-administration-to-reverse-mass-firings-at-6-agencies\">affect care for her brother\u003c/a>, a Vietnam War veteran. And she’s concerned about her Social Security benefits \u003ca href=\"https://www.npr.org/2025/03/22/nx-s1-5320263/social-security-administration-changes-identity-office\">amid cost-cutting\u003c/a> at the Social Security Administration.\u003c/p>\n\u003cp>“I’m tired of all of the backlash that we’re actually getting due to Donald Trump,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Carillo and her husband, Mitch, went looking for inspiration in the gym of a Bakersfield community center, \u003ca href=\"https://www.kqed.org/news/12032453/rep-ro-khanna-on-how-democrats-should-fight-back\">where Rep. Ro Khanna\u003c/a> held a town hall meeting on Sunday — hundreds of miles from his Silicon Valley district.\u003c/p>\n\u003cp>It was part of a day-long barnstorming tour of meetings in three districts represented by California Republicans for Khanna, a Democrat. Khanna mocked Republicans for not holding in-person town halls and denounced the GOP budget framework that could set the table for cuts to Medicaid.\u003c/p>\n\u003cfigure id=\"attachment_12032694\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12032694 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Audrey Chavez (center) listens at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He also got a taste of the rising frustration among Democratic voters who have criticized party leaders for lacking vitality and vision in their response to Trump.\u003c/p>\n\u003cp>Dispirited Democrats made up much of the crowd in Bakersfield. They \u003ca href=\"https://www.npr.org/2025/03/13/nx-s1-5327600/house-democrats-outrage-spending\">reserved particular criticism\u003c/a> for Senate Minority Leader Chuck Schumer, who led nine Democrats in voting for a Republican-authored budget resolution to avoid a government shutdown earlier this month.\u003c/p>\n\u003cp>“When is the Democratic Party going to set aside its peacetime leaders and bring up some wartime leaders?” Darren Bly asked Khanna. “Because that’s what we need.”[aside postID=news_12032453 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1394023104-1020x680.jpg']Khanna reiterated his stance that the party’s “old guard needs to step aside,” and said, “If the party is letting us down, it’s time to rebuild the party.”\u003c/p>\n\u003cp>“If you are not fighting and marching and organizing, then you don’t understand the moment,” he continued. “We need Democratic leaders who are going to be with the people in the fight.”\u003c/p>\n\u003cp>A \u003ca href=\"https://www.documentcloud.org/documents/25597409-nbc-march-2025-poll/?q=stick&mode=document#document/p16\">recent NBC poll\u003c/a> found that 20% of Democratic voters have negative views of the party. Unlike in 2017, when most Democratic voters hoped their party would pursue compromise and consensus in Congress, the survey found 65% of Democratic voters want House Democrats to stick to their positions, even if it leads to gridlock in Washington.\u003c/p>\n\u003cp>“That’s what we want to see,” said Mitch Carillo, pointing to Khanna as he paced the makeshift stage answering questions. “They were mentioning the old guard in the Democratic Party, and they’ve done some really great things, but it’s time to step aside and let’s let this younger generation come in and see what they can do.”\u003c/p>\n\u003cp>“Because the Republicans aren’t playing fair, they’re not playing by the rule book, I mean, whatever it takes to win, they’ll do,” Carillo added. “The Democrats don’t have an answer for that. I think people like Ro Khanna do have an answer.”\u003c/p>\n\u003cfigure id=\"attachment_12032696\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12032696\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">(From center right) Connie Wright, Sally MacGuire and Ali Ramirez applaud and cheer at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the short-term, Khanna is hoping strategic organizing efforts can strong-arm the Republican votes needed to block potential cuts to Medicaid, which covers health care for Americans with low incomes, disabilities or who live in nursing homes. His choice of the 22nd District was no accident: Two-thirds of residents receive health coverage through Medicaid, according to the California Budget & Policy Center.\u003c/p>\n\u003cp>“We need three Republicans — three Republicans — to prevent the cuts to Medicaid,” Khanna told the crowd on Sunday.\u003c/p>\n\u003cp>The district’s representative, David Valadao, said in a speech on the House floor last month that he has heard from many constituents “who tell me the only way they can afford health care is through programs like Medicaid.”\u003c/p>\n\u003cp>“I will not support a final reconciliation bill that risks leaving them behind,” he said.\u003c/p>\n\u003cfigure id=\"attachment_12032695\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12032695 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dawna Sodders-Simpson holds a sign at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As part of a budget roadmap that will allow the party to renew their 2017 tax cut law, Republicans set a target of $880 billion in cuts to programs under the House Committee on Energy and Commerce. An \u003ca href=\"https://www.cbo.gov/system/files/2025-03/61235-Boyle-Pallone.pdf\">analysis released\u003c/a> by the nonpartisan Congressional Budget Office found that it would be impossible for Republicans to achieve that benchmark without cutting Medicaid, which accounts for $8.2 trillion of the $8.8 trillion in spending under that committee’s jurisdiction.\u003c/p>\n\u003cp>Russell Paul, a doctor in Bakersfield, said it would be heartbreaking if cuts led to patients being unable to afford care.\u003c/p>\n\u003cp>Paul, who was invited to the town hall by a coworker, heaped his own share of criticism on the Democratic Party.\u003c/p>\n\u003cp>“When we get young people like [Alexandria Ocasio-Cortez] or very progressive people like Bernie Sanders speaking truth to power, we try to marginalize them so we seem more mainstream,” he said. “This is sort of my start in becoming more active and trying to push back against what’s going on in our country.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>BAKERSFIELD — Erlinda Carrillo is already exhausted by the first two months of \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">President Donald Trump’s\u003c/a> second term.\u003c/p>\n\u003cp>Her daughter lost her job at a scientific research institute after the Trump administration canceled its government contract. She’s worried layoffs at the Department of Veterans Affairs will \u003ca href=\"https://www.kqed.org/news/12031166/federal-judge-in-sf-orders-trump-administration-to-reverse-mass-firings-at-6-agencies\">affect care for her brother\u003c/a>, a Vietnam War veteran. And she’s concerned about her Social Security benefits \u003ca href=\"https://www.npr.org/2025/03/22/nx-s1-5320263/social-security-administration-changes-identity-office\">amid cost-cutting\u003c/a> at the Social Security Administration.\u003c/p>\n\u003cp>“I’m tired of all of the backlash that we’re actually getting due to Donald Trump,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Carillo and her husband, Mitch, went looking for inspiration in the gym of a Bakersfield community center, \u003ca href=\"https://www.kqed.org/news/12032453/rep-ro-khanna-on-how-democrats-should-fight-back\">where Rep. Ro Khanna\u003c/a> held a town hall meeting on Sunday — hundreds of miles from his Silicon Valley district.\u003c/p>\n\u003cp>It was part of a day-long barnstorming tour of meetings in three districts represented by California Republicans for Khanna, a Democrat. Khanna mocked Republicans for not holding in-person town halls and denounced the GOP budget framework that could set the table for cuts to Medicaid.\u003c/p>\n\u003cfigure id=\"attachment_12032694\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12032694 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Audrey Chavez (center) listens at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He also got a taste of the rising frustration among Democratic voters who have criticized party leaders for lacking vitality and vision in their response to Trump.\u003c/p>\n\u003cp>Dispirited Democrats made up much of the crowd in Bakersfield. They \u003ca href=\"https://www.npr.org/2025/03/13/nx-s1-5327600/house-democrats-outrage-spending\">reserved particular criticism\u003c/a> for Senate Minority Leader Chuck Schumer, who led nine Democrats in voting for a Republican-authored budget resolution to avoid a government shutdown earlier this month.\u003c/p>\n\u003cp>“When is the Democratic Party going to set aside its peacetime leaders and bring up some wartime leaders?” Darren Bly asked Khanna. “Because that’s what we need.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Khanna reiterated his stance that the party’s “old guard needs to step aside,” and said, “If the party is letting us down, it’s time to rebuild the party.”\u003c/p>\n\u003cp>“If you are not fighting and marching and organizing, then you don’t understand the moment,” he continued. “We need Democratic leaders who are going to be with the people in the fight.”\u003c/p>\n\u003cp>A \u003ca href=\"https://www.documentcloud.org/documents/25597409-nbc-march-2025-poll/?q=stick&mode=document#document/p16\">recent NBC poll\u003c/a> found that 20% of Democratic voters have negative views of the party. Unlike in 2017, when most Democratic voters hoped their party would pursue compromise and consensus in Congress, the survey found 65% of Democratic voters want House Democrats to stick to their positions, even if it leads to gridlock in Washington.\u003c/p>\n\u003cp>“That’s what we want to see,” said Mitch Carillo, pointing to Khanna as he paced the makeshift stage answering questions. “They were mentioning the old guard in the Democratic Party, and they’ve done some really great things, but it’s time to step aside and let’s let this younger generation come in and see what they can do.”\u003c/p>\n\u003cp>“Because the Republicans aren’t playing fair, they’re not playing by the rule book, I mean, whatever it takes to win, they’ll do,” Carillo added. “The Democrats don’t have an answer for that. I think people like Ro Khanna do have an answer.”\u003c/p>\n\u003cfigure id=\"attachment_12032696\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12032696\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">(From center right) Connie Wright, Sally MacGuire and Ali Ramirez applaud and cheer at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the short-term, Khanna is hoping strategic organizing efforts can strong-arm the Republican votes needed to block potential cuts to Medicaid, which covers health care for Americans with low incomes, disabilities or who live in nursing homes. His choice of the 22nd District was no accident: Two-thirds of residents receive health coverage through Medicaid, according to the California Budget & Policy Center.\u003c/p>\n\u003cp>“We need three Republicans — three Republicans — to prevent the cuts to Medicaid,” Khanna told the crowd on Sunday.\u003c/p>\n\u003cp>The district’s representative, David Valadao, said in a speech on the House floor last month that he has heard from many constituents “who tell me the only way they can afford health care is through programs like Medicaid.”\u003c/p>\n\u003cp>“I will not support a final reconciliation bill that risks leaving them behind,” he said.\u003c/p>\n\u003cfigure id=\"attachment_12032695\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12032695 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dawna Sodders-Simpson holds a sign at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As part of a budget roadmap that will allow the party to renew their 2017 tax cut law, Republicans set a target of $880 billion in cuts to programs under the House Committee on Energy and Commerce. An \u003ca href=\"https://www.cbo.gov/system/files/2025-03/61235-Boyle-Pallone.pdf\">analysis released\u003c/a> by the nonpartisan Congressional Budget Office found that it would be impossible for Republicans to achieve that benchmark without cutting Medicaid, which accounts for $8.2 trillion of the $8.8 trillion in spending under that committee’s jurisdiction.\u003c/p>\n\u003cp>Russell Paul, a doctor in Bakersfield, said it would be heartbreaking if cuts led to patients being unable to afford care.\u003c/p>\n\u003cp>Paul, who was invited to the town hall by a coworker, heaped his own share of criticism on the Democratic Party.\u003c/p>\n\u003cp>“When we get young people like [Alexandria Ocasio-Cortez] or very progressive people like Bernie Sanders speaking truth to power, we try to marginalize them so we seem more mainstream,” he said. “This is sort of my start in becoming more active and trying to push back against what’s going on in our country.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "California’s Medi-Cal Shortfall Hits $6.2 billion With ‘Unprecedented’ Cost Increases",
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"content": "\u003cp>The hole in California’s \u003ca href=\"https://calmatters.org/tag/medi-cal/\">Medi-Cal\u003c/a> budget seems to be bigger than what state officials reported just last week.\u003c/p>\n\u003cp>California health care officials told the Legislature on Monday that the state will need another $2.8 billion to be able to pay Medi-Cal providers through the end of the fiscal year.\u003c/p>\n\u003cp>That’s on top of a $3.4 billion loan that the administration told lawmakers last week it needed to make \u003ca href=\"https://calmatters.org/health/2025/03/medi-cal-budget-shortfall/\">“critical” payments for Medi-Cal\u003c/a>, the state-federal health insurance program for people with low income.\u003c/p>\n\u003cp>Combined, that’s $6.2 billion in spending above what was projected in the budget Gov. Gavin Newsom signed last summer. Almost 15 million Californians have health care coverage through Medi-Cal, also known as Medicaid.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“With the loan and these additional funds, the administration anticipates being able to manage expenditures for the remainder of the current year,” said Michelle Bass, director of the Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>Bass told legislators in a budget hearing that several factors are contributing to the higher-than-anticipated spending, including an increase in pharmacy costs, but also more growth in enrollment than the state projected. For one, the state underestimated the \u003ca href=\"https://calmatters.org/health/2023/12/undocumented-health-insurance-new-california-laws-2024/\">number of immigrants without legal status\u003c/a> who would sign up to the program in the last year.\u003c/p>\n\u003cp>Bass said the department had about one month of data regarding new policies before it had to make projections for the budget Newsom signed.\u003c/p>\n\u003cp>“These changes were unprecedented, and all happened at once,” Bass said.\u003c/p>\n\u003cp>The developments include:\u003c/p>\n\u003cul class=\"wp-block-list\">\n\u003cli>More immigrants without legal status enrolled in the program than expected. Over the last 10 years, California has \u003ca href=\"https://calmatters.org/explainers/california-health-care-coverage/\">expanded Medi-Cal coverage\u003c/a> to undocumented people in different age groups. The final group, adults ages 26 to 49, were allowed to apply for Medi-Cal starting Jan. 1, 2024. In January, Bass’ department estimated California would be spending \u003ca href=\"https://www.dhcs.ca.gov/Documents/Budget-Highlights/DHCS-FY-2025-26-Governors-Budget-Highlights.pdf\">$2.7 billion beyond what it budgeted (PDF)\u003c/a> due to the cost of covering care and prescriptions for newly enrolled immigrants. According to updated estimates from the administration, it costs the state about $8.5 billion from the general fund to cover immigrants who are in the country without legal authorization.\u003c/li>\n\u003cli>Also starting on Jan. 1, 2024, more seniors were able to sign up for Medi-Cal after the state stopped counting certain assets, such as cars, homes and savings when considering someone’s eligibility. Now, like everyone else, seniors’ eligibility is based on their income.\u003c/li>\n\u003cli>The program has seen higher overall enrollment due to pandemic-related flexibilities. California’s overall Medi-Cal population ballooned during the COVID-19 pandemic when the federal government temporarily suspended income eligibility checks to keep people insured during the national emergency. The number of people who dropped off the program after the pandemic was smaller than the department assumed.\u003c/li>\n\u003c/ul>\n\u003cp>Bass said other states are also going over budget, noting health care spending in general is increasing across the U.S.\u003c/p>\n\u003cp>Going over budget has vexed some state Republicans who say the governor and Democrats over-promised when they decided to expand Medi-Cal services to all immigrants with low income. Democrats have come out in defense of the expansion and the state’s efforts to keep people covered during the pandemic.[aside postID=news_12022068 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-536950177-1020x680.jpg']“The things that you’re talking about means that we have been successful,” Assemblymember Pilar Schiavo, a Santa Clarita Democrat, told Bass during Monday’s hearing. “We have been successful about keeping people covered, about making sure that they have access to health care.”\u003c/p>\n\u003cp>Schiavo added that California’s current shortfall is solvable, but less so are the potential cuts to Medicaid that Congress is currently weighing.\u003c/p>\n\u003cp>House Republicans recently voted to advance a proposal that could result in cuts of\u003ca href=\"https://calmatters.org/health/2025/02/medicaid-medi-cal-trump-cuts/\"> $880 billion to a group of programs\u003c/a>, largely Medicaid, over the next 10 years. According to some estimates, that could translate into annual losses of \u003ca href=\"https://calbudgetcenter.org/resources/california-at-risk-proposed-federal-funding-cuts-jeopardize-key-services/\">$10 billion to $20 billion a year\u003c/a> for California, an amount that state officials have said the state would not be able to backfill.\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "California is spending billions more than planned for Medi-Cal. Some of the cost drivers include higher enrollment among immigrants without legal status as well as pharmacy costs.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The hole in California’s \u003ca href=\"https://calmatters.org/tag/medi-cal/\">Medi-Cal\u003c/a> budget seems to be bigger than what state officials reported just last week.\u003c/p>\n\u003cp>California health care officials told the Legislature on Monday that the state will need another $2.8 billion to be able to pay Medi-Cal providers through the end of the fiscal year.\u003c/p>\n\u003cp>That’s on top of a $3.4 billion loan that the administration told lawmakers last week it needed to make \u003ca href=\"https://calmatters.org/health/2025/03/medi-cal-budget-shortfall/\">“critical” payments for Medi-Cal\u003c/a>, the state-federal health insurance program for people with low income.\u003c/p>\n\u003cp>Combined, that’s $6.2 billion in spending above what was projected in the budget Gov. Gavin Newsom signed last summer. Almost 15 million Californians have health care coverage through Medi-Cal, also known as Medicaid.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“With the loan and these additional funds, the administration anticipates being able to manage expenditures for the remainder of the current year,” said Michelle Bass, director of the Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>Bass told legislators in a budget hearing that several factors are contributing to the higher-than-anticipated spending, including an increase in pharmacy costs, but also more growth in enrollment than the state projected. For one, the state underestimated the \u003ca href=\"https://calmatters.org/health/2023/12/undocumented-health-insurance-new-california-laws-2024/\">number of immigrants without legal status\u003c/a> who would sign up to the program in the last year.\u003c/p>\n\u003cp>Bass said the department had about one month of data regarding new policies before it had to make projections for the budget Newsom signed.\u003c/p>\n\u003cp>“These changes were unprecedented, and all happened at once,” Bass said.\u003c/p>\n\u003cp>The developments include:\u003c/p>\n\u003cul class=\"wp-block-list\">\n\u003cli>More immigrants without legal status enrolled in the program than expected. Over the last 10 years, California has \u003ca href=\"https://calmatters.org/explainers/california-health-care-coverage/\">expanded Medi-Cal coverage\u003c/a> to undocumented people in different age groups. The final group, adults ages 26 to 49, were allowed to apply for Medi-Cal starting Jan. 1, 2024. In January, Bass’ department estimated California would be spending \u003ca href=\"https://www.dhcs.ca.gov/Documents/Budget-Highlights/DHCS-FY-2025-26-Governors-Budget-Highlights.pdf\">$2.7 billion beyond what it budgeted (PDF)\u003c/a> due to the cost of covering care and prescriptions for newly enrolled immigrants. According to updated estimates from the administration, it costs the state about $8.5 billion from the general fund to cover immigrants who are in the country without legal authorization.\u003c/li>\n\u003cli>Also starting on Jan. 1, 2024, more seniors were able to sign up for Medi-Cal after the state stopped counting certain assets, such as cars, homes and savings when considering someone’s eligibility. Now, like everyone else, seniors’ eligibility is based on their income.\u003c/li>\n\u003cli>The program has seen higher overall enrollment due to pandemic-related flexibilities. California’s overall Medi-Cal population ballooned during the COVID-19 pandemic when the federal government temporarily suspended income eligibility checks to keep people insured during the national emergency. The number of people who dropped off the program after the pandemic was smaller than the department assumed.\u003c/li>\n\u003c/ul>\n\u003cp>Bass said other states are also going over budget, noting health care spending in general is increasing across the U.S.\u003c/p>\n\u003cp>Going over budget has vexed some state Republicans who say the governor and Democrats over-promised when they decided to expand Medi-Cal services to all immigrants with low income. Democrats have come out in defense of the expansion and the state’s efforts to keep people covered during the pandemic.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The things that you’re talking about means that we have been successful,” Assemblymember Pilar Schiavo, a Santa Clarita Democrat, told Bass during Monday’s hearing. “We have been successful about keeping people covered, about making sure that they have access to health care.”\u003c/p>\n\u003cp>Schiavo added that California’s current shortfall is solvable, but less so are the potential cuts to Medicaid that Congress is currently weighing.\u003c/p>\n\u003cp>House Republicans recently voted to advance a proposal that could result in cuts of\u003ca href=\"https://calmatters.org/health/2025/02/medicaid-medi-cal-trump-cuts/\"> $880 billion to a group of programs\u003c/a>, largely Medicaid, over the next 10 years. According to some estimates, that could translate into annual losses of \u003ca href=\"https://calbudgetcenter.org/resources/california-at-risk-proposed-federal-funding-cuts-jeopardize-key-services/\">$10 billion to $20 billion a year\u003c/a> for California, an amount that state officials have said the state would not be able to backfill.\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "california-has-a-lot-to-lose-if-trump-slashes-medicaid-seniors-kids-could-face-coverage-cuts",
"title": "California Has a Lot to Lose if Trump Slashes Medicaid. Seniors, Kids Could Face Coverage Cuts",
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"content": "\u003cp>Perhaps no state has more to lose than California in the federal budget proposal House Republicans passed this week.\u003c/p>\n\u003cp>That spending plan sets up significant cuts to Medicaid, the health insurance program for people with low income. California has taken just about every route and opportunity to expand the Medicaid program. Today, 14.9 million Californians are enrolled in it, and federal funding cuts would almost certainly roll back services and coverage for some of them.\u003c/p>\n\u003cp>Looking for a way to offset the cost of extending President Donald Trump’s 2017 tax cuts, the House advanced a bill Tuesday that directs the Energy and Commerce Committee to find $880 billion in spending cuts over the next 10 years. Those cuts, budget and health policy experts say, would largely have to come from Medicaid, also known as \u003ca href=\"https://calmatters.org/tag/medi-cal/\">Medi-Cal in California\u003c/a>.\u003c/p>\n\u003cp>The Senate voted for its own, narrower budget bill last week. Next, both chambers have to work out their differences and agree on one budget.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>At this point, it’s not clear which Medicaid services would be cut or how many people exactly would lose coverage because lawmakers can hit the spending reductions in a number of ways.\u003c/p>\n\u003cp>Still, enrollees, health advocates and providers in California and across the country are now grappling with what the cuts would mean for them and the people they care for. In press conferences and online meetings, they’ve called the proposed cuts a “five-alarm fire” and Republicans’ vote “the ultimate betrayal” of their constituents.\u003c/p>\n\u003cp>Their outcries echo the first Trump administration, when in 2017 House Republicans voted to repeal the Affordable Care Act. The law ultimately survived, but that health care vote \u003ca href=\"https://calmatters.org/politics/2018/11/hidden-dem-shifts-beneath-blue-wave-california/\">helped stir up the “blue wave”\u003c/a> that flipped Republican House seats in the 2018 election.\u003c/p>\n\u003cp>“These cuts would rip care away from children, seniors, disabled Californians, and more while raising costs for everyone, all to give tax breaks to the ultra-wealthy,” Amanda McAllister-Wallner, interim executive director of Health Access California, a health consumer advocacy group, said in a statement following the House vote. “This is just the beginning — we will be pushing our California congress members at every turn to put the health of their constituents first.”\u003c/p>\n\u003cp>Medicaid is the backbone of California’s social safety net. It covers half of all children and 40% of all births. It \u003ca href=\"https://www.medicare.gov/coverage/long-term-care\">also covers long-term care\u003c/a> services for seniors and disabled people.\u003c/p>\n\u003cp>Since 2014, the state \u003ca href=\"https://calmatters.org/explainers/california-health-care-coverage/\">has expanded the program big time\u003c/a> — first to more adults allowed in the Medicaid expansion under the Affordable Care Act, and gradually to low-income immigrants, regardless of their legal status. Cuts to the scale that Republicans in Congress are proposing, advocates and providers say, would be harmful across the board.\u003c/p>\n\u003cp>Hospitals, doctors and \u003ca href=\"https://news.santaclaracounty.gov/statement-county-executive-james-r-williams-impact-proposed-federal-funding-cuts-santa-clara-county\">county officials\u003c/a> are also speaking out against the proposed cuts because Medicaid is a key payer, especially for those located in rural areas or communities with high poverty rates. If these facilities can’t keep their doors open, entire communities, not just people enrolled in Medicaid, could lose access.\u003c/p>\n\u003cp>House Speaker Mike Johnson, a Louisiana Republican, has said savings could be accomplished through eliminating Medicaid fraud and waste — although that would only get Republicans so far. \u003ca href=\"https://www.washingtonpost.com/politics/2025/02/26/republicans-could-be-touching-third-rail-medicaid/\">Johnson has cited about $50 billion in alleged fraud\u003c/a>, a small slice of the GOP’s goal total, the Washington Post reports.\u003c/p>\n\u003ch2>Cuts would leave big budget hole for state\u003c/h2>\n\u003cp>Medicaid accounts for a significant portion of states’ budgets. The program is jointly funded by the federal government and states, meaning federal cuts would leave major budget gaps that would force reductions in services and enrollment, and also could trigger cuts to other state programs. California’s budget includes \u003ca href=\"https://ebudget.ca.gov/2024-25/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf\">$161 billion for Medi-Cal (PDF)\u003c/a>, of which more than half is paid for with federal funds.\u003c/p>\n\u003cp>Based on proposals that Republicans in Congress are considering, \u003ca href=\"https://calbudgetcenter.org/resources/california-at-risk-proposed-federal-funding-cuts-jeopardize-key-services/\">California could lose $10 billion to $20 billion a year\u003c/a>, the California Budget Policy Center estimates.\u003c/p>\n\u003cfigure id=\"attachment_12029304\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029304\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Speaker of the House Mike Johnson speaks at the Conservative Political Action Conference (CPAC) at the Gaylord National Resort and Convention Center in National Harbor, Maryland on Feb. 20, 2025. \u003ccite>(Jack Gruber/USA TODAY via Reuters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A big question mark is how exactly Congress will meet its savings goal — Republican lawmakers have floated a number of proposals, but it’s unclear yet what could stick.\u003c/p>\n\u003cp>They’ve proposed imposing work requirements, for example. The idea behind that is enrollment would drop as people who don’t meet the requirements get kicked off the program. But the spending reductions from such a policy would not get Republicans all the way to their target, said Edwin Park, a research professor at the Georgetown University McCourt School of Public Policy.\u003c/p>\n\u003cp>A second proposal would require restructuring the program so that instead of the federal government paying states a fixed percentage of Medicaid costs, it could set a spending cap per enrollee.\u003c/p>\n\u003cp>Under the Affordable Care Act, California opened up its Medi-Cal roll to low-income adults who had previously not been covered. The federal government pays California 90% of the cost for this expansion group — \u003ca href=\"https://www.kff.org/medicaid/state-indicator/federal-matching-rate-and-multiplier/?currentTimeframe=2&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D\">that’s up from the state’s 50% regular match rate\u003c/a>. Republicans may also choose to eliminate the increased match rate for adults covered under this expansion.\u003c/p>\n\u003cp>“One reason that these types of cuts are popular among federal policy makers is because…it really allows the blame to be placed on governors and state legislatures,” Park said. “The federal government is cutting federal funding, making it harder for states to finance their share of the cost of Medicaid, but it’s not actually saying ‘You have to cut eligibility in this way or cut provider rates in this way.’”\u003c/p>\n\u003cp>“It’s really, ‘States, you figure it out, you have to balance your budget,’” Park added. “And you know, there’s only three choices: higher taxes, cutting the rest of the budget, which is primarily education in California, and then, most likely, really dramatically cutting Medi-Cal in the state.”\u003c/p>\n\u003ch2>Coverage for seniors and people with disabilities\u003c/h2>\n\u003cp>President Trump and Republicans have promised to not touch seniors’ Medicare, but millions of seniors also rely on Medicaid. In California, about 2.2 million seniors and people with disabilities are enrolled in Medi-Cal, according to data from the state’s Department of Health Care Services.\u003c/p>\n\u003cp>Traditional Medicare does not cover services including dental, vision and hearing benefits. Seniors typically have to buy into a Medicare Advantage plan to get that covered. Low-income seniors in California can access those services with no or at a low-cost through Medi-Cal.[aside label=\"Related Stories\" postID=\"news_12022068,forum_2010101908967,news_12028454\"]\u003cbr>\nNursing home stays and in-home care are also largely covered by Medicaid. Nationally, \u003ca href=\"https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/\">about 6 in 10 nursing home residents\u003c/a> are covered by Medicaid, according to an analysis by KFF, a health polling and research organization.\u003c/p>\n\u003cp>“Medicare has huge gaps in coverage and Medicare is really expensive,” said Amber Christ, managing director of health advocacy at Justice in Aging, which advocates on behalf of older adults. “It is Medicaid, not Medicare, that is the primary payer of long-term care in this country.”\u003c/p>\n\u003cp>Because of their high needs, seniors and people with disabilities are the most costly population. In California, they make up about \u003ca href=\"https://www.dhcs.ca.gov/provgovpart/Documents/SPD-Final-Evaluation-Report.pdf\">15% of the people enrolled in Medi-Cal (PDF)\u003c/a>, but account for roughly half of all the program’s spending.\u003c/p>\n\u003cp>“So if the state wants to go where the money is, that’s seniors and people with disabilities. That’s long-term care, nursing home care, community-based services,” said Park. To protect the coverage of this population, he said, the state would have to consider potentially making larger cuts for other groups of people.\u003c/p>\n\u003ch2>A safety net for California kids\u003c/h2>\n\u003cp>More than 5 million kids in California are insured through Medi-Cal and the accompanying \u003ca href=\"https://www.medicaid.gov/chip/index.html\">Children’s Health Insurance Program\u003c/a>. It pays for their preventive care, such as immunizations and screenings, but it also covers support services, such as counseling and therapy. For about 160,000 children in the foster care system and who have been adopted, it also pays for an array of social services.\u003c/p>\n\u003cp>Getting kids insured has long been a priority for California. When the state began expanding Medi-Cal to undocumented people in 2016, children were first in line.\u003c/p>\n\u003cp>Perhaps less known is that Medi-Cal is also a big player in services provided at schools. It helps fund services and equipment for students with disabilities, such as hearing aids and specialty transportation. It reimburses school districts for certain providers, including psychologists and social workers, for example. Across the state, some districts also provide physical and mental health care to children and their families through school-based health centers that also draw down on Medi-Cal funding.\u003c/p>\n\u003cp>“The rates of depression and anxiety among youth are rising at alarming rates, and for many, Medi-Cal services are their only option for care,” said Michele Cantwell-Copher, the Fresno County Superintendent of Schools, on a media call with advocates and parents on Thursday. “Ensuring that children have access to the mental health support they need is critical to their well-being and their success in schools.”\u003c/p>\n\u003cp>Medi-Cal is a keystone program for many kids but also for their birthing parent — it pays for about 40% of the state’s births. California offers coverage for pregnant people at slightly higher income levels than the regular cut-off, allowing more to qualify. It provides coverage during their pregnancy and 12 months postpartum, paying for standard obstetric visits, prescriptions, laboratory services, doula services and hospital care.\u003c/p>\n\u003cp>“If we want kids to have a healthy start, that means making sure that their birthing parent has access to health care,” said Mike Odeh, health policy director at Children Now. “Those early years really are important for both babies and parents. There are a lot of services in that time period that really are critical, and any reduction in those services could have very bad effects.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Almost 15 million Californians have health care coverage through Medi-Cal, a program that stands to lose billions of dollars if Republicans follow through on proposed cuts.",
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"title": "California Has a Lot to Lose if Trump Slashes Medicaid. Seniors, Kids Could Face Coverage Cuts | KQED",
"description": "Almost 15 million Californians have health care coverage through Medi-Cal, a program that stands to lose billions of dollars if Republicans follow through on proposed cuts.",
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"headline": "California Has a Lot to Lose if Trump Slashes Medicaid. Seniors, Kids Could Face Coverage Cuts",
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"nprByline": "\u003ca href=\"https://calmatters.org/author/anaibarra/\">Ana B. Ibarra\u003c/a>, CalMatters",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Perhaps no state has more to lose than California in the federal budget proposal House Republicans passed this week.\u003c/p>\n\u003cp>That spending plan sets up significant cuts to Medicaid, the health insurance program for people with low income. California has taken just about every route and opportunity to expand the Medicaid program. Today, 14.9 million Californians are enrolled in it, and federal funding cuts would almost certainly roll back services and coverage for some of them.\u003c/p>\n\u003cp>Looking for a way to offset the cost of extending President Donald Trump’s 2017 tax cuts, the House advanced a bill Tuesday that directs the Energy and Commerce Committee to find $880 billion in spending cuts over the next 10 years. Those cuts, budget and health policy experts say, would largely have to come from Medicaid, also known as \u003ca href=\"https://calmatters.org/tag/medi-cal/\">Medi-Cal in California\u003c/a>.\u003c/p>\n\u003cp>The Senate voted for its own, narrower budget bill last week. Next, both chambers have to work out their differences and agree on one budget.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At this point, it’s not clear which Medicaid services would be cut or how many people exactly would lose coverage because lawmakers can hit the spending reductions in a number of ways.\u003c/p>\n\u003cp>Still, enrollees, health advocates and providers in California and across the country are now grappling with what the cuts would mean for them and the people they care for. In press conferences and online meetings, they’ve called the proposed cuts a “five-alarm fire” and Republicans’ vote “the ultimate betrayal” of their constituents.\u003c/p>\n\u003cp>Their outcries echo the first Trump administration, when in 2017 House Republicans voted to repeal the Affordable Care Act. The law ultimately survived, but that health care vote \u003ca href=\"https://calmatters.org/politics/2018/11/hidden-dem-shifts-beneath-blue-wave-california/\">helped stir up the “blue wave”\u003c/a> that flipped Republican House seats in the 2018 election.\u003c/p>\n\u003cp>“These cuts would rip care away from children, seniors, disabled Californians, and more while raising costs for everyone, all to give tax breaks to the ultra-wealthy,” Amanda McAllister-Wallner, interim executive director of Health Access California, a health consumer advocacy group, said in a statement following the House vote. “This is just the beginning — we will be pushing our California congress members at every turn to put the health of their constituents first.”\u003c/p>\n\u003cp>Medicaid is the backbone of California’s social safety net. It covers half of all children and 40% of all births. It \u003ca href=\"https://www.medicare.gov/coverage/long-term-care\">also covers long-term care\u003c/a> services for seniors and disabled people.\u003c/p>\n\u003cp>Since 2014, the state \u003ca href=\"https://calmatters.org/explainers/california-health-care-coverage/\">has expanded the program big time\u003c/a> — first to more adults allowed in the Medicaid expansion under the Affordable Care Act, and gradually to low-income immigrants, regardless of their legal status. Cuts to the scale that Republicans in Congress are proposing, advocates and providers say, would be harmful across the board.\u003c/p>\n\u003cp>Hospitals, doctors and \u003ca href=\"https://news.santaclaracounty.gov/statement-county-executive-james-r-williams-impact-proposed-federal-funding-cuts-santa-clara-county\">county officials\u003c/a> are also speaking out against the proposed cuts because Medicaid is a key payer, especially for those located in rural areas or communities with high poverty rates. If these facilities can’t keep their doors open, entire communities, not just people enrolled in Medicaid, could lose access.\u003c/p>\n\u003cp>House Speaker Mike Johnson, a Louisiana Republican, has said savings could be accomplished through eliminating Medicaid fraud and waste — although that would only get Republicans so far. \u003ca href=\"https://www.washingtonpost.com/politics/2025/02/26/republicans-could-be-touching-third-rail-medicaid/\">Johnson has cited about $50 billion in alleged fraud\u003c/a>, a small slice of the GOP’s goal total, the Washington Post reports.\u003c/p>\n\u003ch2>Cuts would leave big budget hole for state\u003c/h2>\n\u003cp>Medicaid accounts for a significant portion of states’ budgets. The program is jointly funded by the federal government and states, meaning federal cuts would leave major budget gaps that would force reductions in services and enrollment, and also could trigger cuts to other state programs. California’s budget includes \u003ca href=\"https://ebudget.ca.gov/2024-25/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf\">$161 billion for Medi-Cal (PDF)\u003c/a>, of which more than half is paid for with federal funds.\u003c/p>\n\u003cp>Based on proposals that Republicans in Congress are considering, \u003ca href=\"https://calbudgetcenter.org/resources/california-at-risk-proposed-federal-funding-cuts-jeopardize-key-services/\">California could lose $10 billion to $20 billion a year\u003c/a>, the California Budget Policy Center estimates.\u003c/p>\n\u003cfigure id=\"attachment_12029304\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029304\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Speaker of the House Mike Johnson speaks at the Conservative Political Action Conference (CPAC) at the Gaylord National Resort and Convention Center in National Harbor, Maryland on Feb. 20, 2025. \u003ccite>(Jack Gruber/USA TODAY via Reuters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A big question mark is how exactly Congress will meet its savings goal — Republican lawmakers have floated a number of proposals, but it’s unclear yet what could stick.\u003c/p>\n\u003cp>They’ve proposed imposing work requirements, for example. The idea behind that is enrollment would drop as people who don’t meet the requirements get kicked off the program. But the spending reductions from such a policy would not get Republicans all the way to their target, said Edwin Park, a research professor at the Georgetown University McCourt School of Public Policy.\u003c/p>\n\u003cp>A second proposal would require restructuring the program so that instead of the federal government paying states a fixed percentage of Medicaid costs, it could set a spending cap per enrollee.\u003c/p>\n\u003cp>Under the Affordable Care Act, California opened up its Medi-Cal roll to low-income adults who had previously not been covered. The federal government pays California 90% of the cost for this expansion group — \u003ca href=\"https://www.kff.org/medicaid/state-indicator/federal-matching-rate-and-multiplier/?currentTimeframe=2&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D\">that’s up from the state’s 50% regular match rate\u003c/a>. Republicans may also choose to eliminate the increased match rate for adults covered under this expansion.\u003c/p>\n\u003cp>“One reason that these types of cuts are popular among federal policy makers is because…it really allows the blame to be placed on governors and state legislatures,” Park said. “The federal government is cutting federal funding, making it harder for states to finance their share of the cost of Medicaid, but it’s not actually saying ‘You have to cut eligibility in this way or cut provider rates in this way.’”\u003c/p>\n\u003cp>“It’s really, ‘States, you figure it out, you have to balance your budget,’” Park added. “And you know, there’s only three choices: higher taxes, cutting the rest of the budget, which is primarily education in California, and then, most likely, really dramatically cutting Medi-Cal in the state.”\u003c/p>\n\u003ch2>Coverage for seniors and people with disabilities\u003c/h2>\n\u003cp>President Trump and Republicans have promised to not touch seniors’ Medicare, but millions of seniors also rely on Medicaid. In California, about 2.2 million seniors and people with disabilities are enrolled in Medi-Cal, according to data from the state’s Department of Health Care Services.\u003c/p>\n\u003cp>Traditional Medicare does not cover services including dental, vision and hearing benefits. Seniors typically have to buy into a Medicare Advantage plan to get that covered. Low-income seniors in California can access those services with no or at a low-cost through Medi-Cal.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nNursing home stays and in-home care are also largely covered by Medicaid. Nationally, \u003ca href=\"https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/\">about 6 in 10 nursing home residents\u003c/a> are covered by Medicaid, according to an analysis by KFF, a health polling and research organization.\u003c/p>\n\u003cp>“Medicare has huge gaps in coverage and Medicare is really expensive,” said Amber Christ, managing director of health advocacy at Justice in Aging, which advocates on behalf of older adults. “It is Medicaid, not Medicare, that is the primary payer of long-term care in this country.”\u003c/p>\n\u003cp>Because of their high needs, seniors and people with disabilities are the most costly population. In California, they make up about \u003ca href=\"https://www.dhcs.ca.gov/provgovpart/Documents/SPD-Final-Evaluation-Report.pdf\">15% of the people enrolled in Medi-Cal (PDF)\u003c/a>, but account for roughly half of all the program’s spending.\u003c/p>\n\u003cp>“So if the state wants to go where the money is, that’s seniors and people with disabilities. That’s long-term care, nursing home care, community-based services,” said Park. To protect the coverage of this population, he said, the state would have to consider potentially making larger cuts for other groups of people.\u003c/p>\n\u003ch2>A safety net for California kids\u003c/h2>\n\u003cp>More than 5 million kids in California are insured through Medi-Cal and the accompanying \u003ca href=\"https://www.medicaid.gov/chip/index.html\">Children’s Health Insurance Program\u003c/a>. It pays for their preventive care, such as immunizations and screenings, but it also covers support services, such as counseling and therapy. For about 160,000 children in the foster care system and who have been adopted, it also pays for an array of social services.\u003c/p>\n\u003cp>Getting kids insured has long been a priority for California. When the state began expanding Medi-Cal to undocumented people in 2016, children were first in line.\u003c/p>\n\u003cp>Perhaps less known is that Medi-Cal is also a big player in services provided at schools. It helps fund services and equipment for students with disabilities, such as hearing aids and specialty transportation. It reimburses school districts for certain providers, including psychologists and social workers, for example. Across the state, some districts also provide physical and mental health care to children and their families through school-based health centers that also draw down on Medi-Cal funding.\u003c/p>\n\u003cp>“The rates of depression and anxiety among youth are rising at alarming rates, and for many, Medi-Cal services are their only option for care,” said Michele Cantwell-Copher, the Fresno County Superintendent of Schools, on a media call with advocates and parents on Thursday. “Ensuring that children have access to the mental health support they need is critical to their well-being and their success in schools.”\u003c/p>\n\u003cp>Medi-Cal is a keystone program for many kids but also for their birthing parent — it pays for about 40% of the state’s births. California offers coverage for pregnant people at slightly higher income levels than the regular cut-off, allowing more to qualify. It provides coverage during their pregnancy and 12 months postpartum, paying for standard obstetric visits, prescriptions, laboratory services, doula services and hospital care.\u003c/p>\n\u003cp>“If we want kids to have a healthy start, that means making sure that their birthing parent has access to health care,” said Mike Odeh, health policy director at Children Now. “Those early years really are important for both babies and parents. There are a lot of services in that time period that really are critical, and any reduction in those services could have very bad effects.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"planet-money": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"source": "kqed",
"order": 16
},
"link": "/podcasts/rightnowish",
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},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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},
"snap-judgment": {
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