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California · 2025-2026 Regular Session
SB1422Medi-Cal: eligibility: immigration status.
Direction
Immigration enforcementsanctuary policiesAI label
↓Restricts immigration enforcement✓ Reviewedmodel said: Restricts · Phases full Medi-Cal back in for people without satisfactory immigration status (opposite of AB1012). v5 rationale said restricts but picked expands.model confidence 80%
Expands Medi-Cal eligibility to more individuals without satisfactory immigration status by phasing out service limitations (such as restricting to pregnancy and emergency services only) when budget conditions allow, so less immigration enforcement via reduced cooperation with federal Medicaid alien
the service limitations described in this subdivision shall end for the next group of individuals described in subdivision (a)
✓ Quote verified word for word in the bill text
Immigration enforcementotherAI label
=No change to immigration enforcementmodel confidence 70%
Requires the Director of Finance to annually report on the General Fund cost of full-scope Medi-Cal for individuals without satisfactory immigration status and whether it would cause a deficit, conditioning expansion of eligibility on no deficit, so more conditional access to state-funded health for
On or before August 1, 2027, and each year thereafter until all individuals described in subdivision (a) are no longer subject to the service limitations described in this subdivision, the Director of Finance shall annually report to the Governor and the Legislature both of the following: (I) The annual General Fund cost of implementing eligibility for the full scope of Medi-Cal benefits for each age group described in subdivision (a) without service limitations described in this subdivision on the following January 1. (II) Whether, including the General Fund costs described in subclause (I),
Why the model tagged it this way: The bill amends existing law that already extends full-scope Medi-Cal to those without satisfactory immigration status (phased by age), but adds a budget-triggered mechanism to remove current and future limitations on services for adults 19+ (limiting them to pregnancy/emergency care and excluding most dental), while imposing premiums for some; this affects state health benefits eligibility tied to immigration status but does not address state-federal cooperation, sanctuary policies, state crimes, E-Verify, detention or transport, so only the sanctuary-policies and other subtags apply under a
Related bills
AB1655CalWORKs: temporary absence: immigration detention.↓Restricts immigration enforcement Law
AB1807Immigration enforcement: use of state-owned property.↓Restricts immigration enforcement↓Restricts immigration enforcement Law
AB1994Defending Immigrant Victims Act.↓Restricts immigration enforcement=No change to immigration enforcement Law