Changes in work and eligibility criteria granting access to Medicaid services under the One Big Beautiful Bill Act could threaten unhoused individuals’ access to health coverage.
The introduction of work reporting requirements, set to take effect Jan. 1, 2027, would require people ages 19-64 seeking Medi-Cal coverage to have a monthly or seasonal income at least 80 times that of the federal hourly minimum wage, or at least 80 hours of employment each month.
The law will also require members to renew their coverage every six months, as opposed to the current year long renewal period.
These new requirements have the potential to terminate an already rocky access to health care for many unhoused individuals, who are often more vulnerable to administrative obstacles.
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✍️: Cleo Topp
📸: Long Hei Ma
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