On July 4th, 2025, President Trump signed H.R. 1 into law, which makes significant cuts to the Medicaid program (California’s Medi-Cal). An estimated 3.5 million Californians will lose access to Medi-Cal because of H.R. 1, and immigrants will be overrepresented among the newly uninsured. The new law additionally puts $30 billion in federal funding for California’s hospitals and health systems at risk annually and will cause major disruptions for individuals including seniors, children, and people with disabilities relying on California’s safety-net programs.
Additional Federal Changes
H.R.1 is not the only attack on health care coverage. President Trump and Republican policymakers are continuing their attacks, issuing federal notices threatening to impose additional restrictions on access to safety-net programs and enacting regulatory changes that will make health care coverage much less affordable for the 1.6 million Californians who purchase insurance through Covered California, the state’s insurance marketplace. Taken together these policies will increase medical debt, threaten our economic security and harm our health.
Find Out What’s in H.R. 1 and Other Federal Rules:
Below are fact sheets and additional resources for information on the impact of federal policy changes on the health of millions of Californians:
H.R. 1 Impacts on Californians:
- Navigating Federal Cuts to Health and Human Services in California: A Presentation with CalHHS, Video presentation and transcript and Presentation slides
National Fact Sheets, Briefs and Explainers:
- The Anti-Immigrant Policies in Trump’s Final “Big Beautiful Bill,” Explained, National Immigration Law Center, Multilingual Policy Brief Toolkit, July 8, 2025
- Health Provisions in the 2025 Federal Reconciliation Bill, Kaiser Family Foundation, updated July 8, 2025
- Harmful Republican Megabill Fails Families, Children and Communities, Center on Budget and Policy Priorities, August 1, 2025
Other Federal Rule Changes:
- What New Federal Notices Mean for Immigrants’ Program Eligibility, National Immigration Law Center, July 23, 2025
The Fight for our Health is Far From Over!
All 9 of California’s Republican Congressional members who voted for H.R. 1 chose tax breaks for big corporations over health care for people fighting cancer, seniors in nursing homes, children, people with disabilities, veterans and those seeking reproductive care. This includes Representatives like David Valadao who represents a district where nearly two-thirds of people receive Medicaid. It is up to us to hold our leaders accountable for their vote to take health care away from Californians.
Take Action:
Stay informed about upcoming accountability actions and more ways to get involved in the Fight for Our Health campaign through our campaign action page.