2025 Federal Impact Reports
Our State’s Safety Net
Data on Federal Impact by Congressional District
A chart detailing Medi-Cal and Covered California enrollees, and Medicare eligibles by California Congressional district, with the most recent available estimates, identifying the number of people in each district that would be impacted by any changes to existing programs.
Federal Reconciliation
What’s at Risk for Covered California and Medi-Cal?
Congress has proposed major cuts to federal programs, including Medicaid (Medi-Cal in California) and Affordable Care Act (ACA) marketplaces like Covered California. Republicans have narrow majorities in both the Senate and the House, with 53 Republicans in the Senate and 220 (or fewer with potential Cabinet appointees) in the House. Republicans have said they will seek to pass budget cuts through what’s known as “the reconciliation process” which can be done without bipartisan support. Under current congressional rules, other changes such as repealing the ACA consumer protections (like coverage of pre-existing conditions) requires bipartisan support and 60 votes in the U.S. Senate.
California health consumers benefit from federal actions including
Together, these federal laws:
- Expand coverage to millions of Californians
- Make premiums for Covered California enrollees affordable
- Protect Californians from being denied health coverage due to a pre-existing condition
- Mandate certain health benefits
- Lower drug costs for seniors
- And more
Partner Resources
- Families USA: The Importance of Premium Tax Credits: Affording Health Insurance in California
- HHS: THE BIDEN-HARRIS ADMINISTRATION Lowering Prescription Drug Costs for California
- Protect Our Care: NEW REPORT: Californians Get Lower Health Care Costs Thanks to the Biden-Harris Administration and Democrats in Congress
- Protect Our Care: Trump And MAGA Republicans Want To Put Californians’ Lives At Risk