As Gov. Gavin Newsom spars with President Donald Trump and courts nationwide consideration for a possible presidential bid, at residence he’s catching flak from the left and the precise on well being care.
The California Democrat got here into workplace promising to battle for “assured well being look after all,” and he got here near reaching it. Actually shut. However because it seems, that’s simpler mentioned than completed when you’re juggling power finances deficits, rising well being care prices, and shrinking federal help.
Now he’s strolling the wonderful line between protecting his early guarantees to progressives and being tarred as a reckless state govt who has stretched California’s spending past its means.
After years of political infighting, Newsom and the Democratic-controlled legislature in 2024 broadened California’s Medicaid program, Medi-Cal, to all income-eligible youngsters and adults no matter immigration standing.
Now, he’s rolling again these expansions within the identify of “fiscal prudence.”
This yr, California froze Medi-Cal enrollment for most adults with out authorized standing, simply two years after making them all eligible. On July 1, immigrants not eligible for federal Medicaid — each authorized residents and people with out authorization — will lose entry to state dental protection. Subsequent yr, they’ll have to start out paying month-to-month premiums.
Final month, Newsom proposed letting roughly 200,000 authorized immigrants — asylees, refugees, and others — get reduce off from Medi-Cal after Sept. 30, when the federal authorities will cease paying for them.
Advocates are furious.
Progressives say Newsom’s political ambitions — and perceived have to distance himself from the polarized matter of immigrant well being care — go in opposition to his early pledges.
“You’re clouded by what Arkansas goes to assume, or Tennessee goes to assume, when what California thinks is one thing utterly totally different,” mentioned California state Sen. Caroline Menjivar, chair of the finances subcommittee on well being and human companies.
In the meantime, Republicans and financial hawks have painted Newsom as a tax-and-spend Democrat prioritizing use of restricted state funds on free well being look after noncitizens. And Newsom has taken hits from the Trump administration accusing California of “gaming the system” to make use of federal funds for immigrant well being companies.
He’s not the one governor grappling with this dilemma. And all 50 states, which are at present required to present well being protection to refugees, asylees, and others, should determine whether or not to backfill that protection for some 1.4 million authorized immigrants beginning Oct. 1, when a provision of the One Large Lovely Invoice Act kicks in and leaves states with out federal reimbursement for his or her care.