Overview

• California has frozen new Medi-Cal enrollments for undocumented adults and will require a $100 monthly premium starting January 2027 under Governor Newsom’s budget plan.
• Illinois will end its Health Benefits for Immigrant Adults program on July 1 after costs surged to about $800 million annually.
• Minnesota legislators approved removing undocumented adults from MinnesotaCare by year’s end, a move projected to save $57 million over two years.
• Colorado Republicans have appealed to Governor Polis to rescind Medicaid eligibility for undocumented immigrants in Health First Colorado, citing escalating costs.
• A proposed federal bill to reduce Medicaid funding from 90% to 80% for states covering undocumented immigrants is intensifying pressure on sanctuary states to reverse their expansions.