California will need to borrow $3.44 billion to close a budget gap in the state’s Medicaid program, Newsom administration officials told lawmakers. That’s the maximum amount California can borrow, and will only be enough to cover bills for Medi-Cal — the state’s Medicaid program — through the end of the month
The budget pressure will bring fresh scrutiny to the state’s coverage of undocumented immigrants, which is costing more than first budgeted.
Originally, the state estimated it would cost around $5.8 billion in 2024-25 to insure that population. But one year after the program has been fully implemented, it’s turning out to be more expensive than anticipated.
Gov. Gavin Newsom’s current budget proposal estimates the state will shell out $8.4 billion to cover undocumented immigrants in Medi-Cal in 2024-2025, and $7.4 billion in 2025-2026.
California has been covering undocumented children on Medi-Cal since 2016. Under Newsom, the program has slowly expanded, to young adults in 2020, older adults in 2022 and then all ages in 2024.
Source: https://www.politico.com/news/2025/03/12/california-medicaid-shortfall-00227904
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