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A new federal law (H.R. 1) will require some Medi-Cal members to meet work, education, or volunteer requirements beginning January 1, 2027. An estimated 1.1 million Californians could lose coverage by 2029–2030, often due to administrative barriers, though many individuals may qualify for exemptions. For more information, please review below:
What’s Going On?
A federal proposal called HR1 includes a new rule that would require many adults on Medicaid to prove they are working or looking for work in order to keep their health coverage. In California, Medicaid is known as Medi‑Cal, and right now, no work requirement exists.
CHCF (California Health Care Foundation) released a “Policy at a Glance” explaining how this change could affect Californians.
Why This Matters for Medi‑Cal Members
Even though most Medi‑Cal adults already work, a federal work requirement would add new paperwork and reporting rules. People could lose coverage not because they aren’t working, but because they miss deadlines, can’t upload documents, or face language barriers.
Groups Most at Risk
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People working part‑time or unstable jobs
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Caregivers for children or elders
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People with disabilities that aren’t formally documented
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Individuals experiencing homelessness
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People with limited English
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People without steady internet access
States that tried work requirements in the past saw large drops in coverage and no increase in employment.
What Could Happen in California
If HR1 becomes law, California would need to build a new statewide system to track:
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Work hours
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Job‑search activities
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Exemptions
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Monthly reporting
This would cost money and create delays. Many people could lose Medi‑Cal even though they still qualify.
Healthcare providers may also see more uninsured patients, making it harder for families to get consistent care.
Bottom Line
HR1’s work requirement could create new barriers for Californians who rely on Medi‑Cal — especially those already facing economic or health challenges. Staying informed helps our community prepare for possible changes.
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Chuyện gì đang diễn ra?
Dự luật liên bang HR1 đề xuất bắt buộc nhiều người lớn đang dùng Medi‑Cal phải chứng minh mình đang đi làm hoặc đang tìm việc để tiếp tục giữ bảo hiểm. Hiện tại, Medi‑Cal không yêu cầu điều này.
CHCF vừa đăng một bản tóm tắt để giải thích ảnh hưởng của quy định này đối với người dân California.
Vì sao cộng đồng mình nên quan tâm
Dù đa số người dùng Medi‑Cal vẫn đang đi làm, quy định mới sẽ thêm giấy tờ, báo cáo hàng tháng, và nhiều bước phức tạp. Nhiều người có thể mất bảo hiểm không phải vì không đi làm, mà vì:
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Không kịp nộp giấy tờ
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Không biết cách báo cáo online
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Rào cản ngôn ngữ
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Không có internet ổn định
Những tiểu bang từng áp dụng quy định này trước đây đều thấy nhiều người mất bảo hiểm và không hề tăng số người đi làm.
Ảnh hưởng tại California nếu HR1 được thông qua
California sẽ phải xây dựng một hệ thống lớn để:
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Theo dõi giờ làm
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Theo dõi việc tìm việc
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Xét miễn trừ
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Nhận báo cáo hàng tháng
Điều này tốn chi phí và dễ gây chậm trễ. Nhiều người có thể mất Medi‑Cal dù vẫn đủ điều kiện.
Các phòng khám và bệnh viện cũng có thể gặp nhiều bệnh nhân không còn bảo hiểm, gây khó khăn cho việc chăm sóc liên tục.
Tóm lại
Nếu HR1 được áp dụng, quy định mới có thể tạo thêm rào cản cho những người đang cần Medi‑Cal nhất — đặc biệt là gia đình thu nhập thấp, người già, người khuyết tật, và người mới nhập cư.
Cộng đồng mình nên theo dõi để chuẩn bị cho những thay đổi có thể xảy ra.
What Is Connect Bay Area? Connect Bay Area is a proposed regional funding measure that would establish a 14-year retail transactions and use tax to stabilize and strengthen public transportation systems across the Bay Area. In Santa Clara, San Mateo, Contra Costa, and Alameda Counties, the measure would add a 0.5% (half-cent) sales tax. San Francisco would implement a 1-cent increase. If approved by a majority of voters across the five-county district, the measure is projected to generate approximately $980 million annually to support regional transit operations and service improvements. The measure is intended to address a growing fiscal crisis facing Bay Area transit agencies, including Bay Area Rapid Transit (BART), Caltrain, Santa Clara Valley Transportation Authority (VTA), San Francisco Municipal Transportation Agency (MUNI), and other regional operators.
Why This Measure Matters: Public transportation is essential to a balanced and functional transportation system—and to the hundreds of thousands of Bay Area residents who rely on transit every day, including seniors, students, people with disabilities, low-income households, and essential workers. While transit ridership continues to recover from the pandemic, fare revenue remains below pre-pandemic levels. At the same time:
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Federal and state emergency funding is expiring
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Sales tax and other local revenues are softening
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Transit agencies face significant operating deficits
Some agencies are already implementing austerity measures. For example, VTA has enacted hiring freezes, while MUNI has begun service reductions and other cost-saving actions. Without new funding, the Bay Area could face a historic reduction in public transportation service, fundamentally reshaping mobility throughout the region.
What Could Happen Without Additional Funding? Transit agencies across the Bay Area have warned of potentially severe consequences if new operating revenue is not secured.
Caltrain could:
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Close more than one-third of its stations
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Eliminate weekend service
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Reduce frequency to hourly trains
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End service after 9 p.m.
These changes alone could add an estimated 36,000 additional daily car trips and approximately 220 metric tons of CO₂ emissions per day.
BART contingency plans include:
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63–70% service reductions
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Trains arriving only every 30 minutes
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Shutdown of service after 9 p.m.
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Closure of 10–15 stations
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Elimination of some rail lines
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Fare increases of up to 30%
Other systems face similarly serious impacts:
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MUNI: major service reductions and suspension of historic lines
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VTA: additional cuts and austerity measures to a system already operating below its 2002 peak service levels
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Regional bus operators: potential reductions in frequency, hours, and coverage
These reductions would fundamentally change whether transit remains usable for many riders. A train every 30 minutes is no longer rapid transit for most commuters, particularly for those who rely on timed transfers or work nontraditional hours.
Transportation planners have warned about the potential for a long-term “transit death spiral”: Service cuts → fewer riders → lower revenue → additional cuts → greater car dependence
The consequences of a transit system collapse would extend far beyond transit riders themselves. Potential regional impacts include:
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Increased freeway congestion and longer commutes
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Reduced economic recovery for Bay Area downtowns
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Higher household transportation costs
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Increased pressure to widen highways and roadways
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Increased greenhouse gas emissions and air pollution
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Worsening mobility inequities for residents without access to a car
If these cuts fully materialize, the Bay Area could shift from a relatively functional multimodal transportation system to a far more auto-dependent region where peak-hour travel becomes increasingly unreliable and inaccessible for many communities. Even residents who do not regularly use transit would likely feel the impacts through increased traffic congestion, parking demand, environmental impacts, and economic strain.
Current Status: Connect Bay Area is in the tail end of the signature-gathering phase for the November 2026 General Election ballot. We're working to verify more than 200,000 signatures to qualify the measure.
How You Take Action
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Request a presentation by responding to this email
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Engage in VTA and/or SamTrans' local transit investment planning processes by contacting Adina Levin at adina@seamlessbayarea.org
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Share information with your networks. We'd be happy to provide any information or materials that you may need.





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