As new Medicaid rules take effect in 2026, some people face a critical year-end deadline to keep their opportunity for full-scope health insurance through Medi-Cal.
Changes to Medicaid, signed into law with the passage of H.R. 1, and subsequent changes to Medi-Cal from the state, will begin to take effect on January 1, 2026. Some adults with “unsatisfactory immigration status” may forever lose their opportunity to receive full-scope Medi-Cal if they don’t enroll by December 31.
About 25% of the City of Alameda’s residents were born in another country. Providers at Alameda Health System (AHS), which operates Alameda Hospital, know that these changes to Medicaid may impact immigrant patients and the health of the community. Many are already fearful due to increased enforcement activity. Some may avoid leaving their homes, postpone medical care, or skip medical appointments.
“I know many families are feeling uncertain right now,” said Alejandro Diaz, MD, vice-chair of internal medicine at AHS. “I want our community to hear that you’re not alone. We’re here to support you, answer your questions, and make sure you can get care in a way that feels safe and comfortable.”
Part of caring for our community is helping patients access the health coverage they need to be healthy. For adults with an “unsatisfactory immigration status,” enrolling by December 31 is essential to keep the opportunity for full-scope Medi-Cal coverage. AHS is here to help you and your family enroll, so you can get the care you need to stay healthy. You can get health care coverage one of these ways:
- Go to BenefitsCal.com. This is the best way to get your health care coverage.
- Visit one of the many Enrollment Sites at a location near you.
- Call and get support to apply. If you need help, you can also call Alameda County Social Services Agency toll-free at 1-888-999-4772, Monday through Friday, 8 a.m. to 5 p.m., or visit the Alameda County Social Services website.
- For information on additional health coverage programs, contact Alameda County Health Insurance Technicians (HITs) at 1-800-422-9495, 8:30 a.m. to 5 p.m., Monday through Friday.
- AHS patients should call Enrollment Services at 510-437-4961, 8:30 a.m. to 5 p.m., Monday through Friday.
As changes to Medicaid continue, millions of Californians are expected to lose their health insurance. AHS is preparing for a likely increase in uninsured patients seeking care, especially in our emergency departments. AHS is required by the Emergency Medical Treatment and Labor Act (EMTALA) to care for everyone who comes to our emergency departments, and will continue to stand by our mission of caring, healing, teaching, and serving all, regardless of a patient’s ability to pay.
There is a special trust between patients and health care providers, and no one should ever be afraid to seek care for themselves or their loved ones.
“I encourage my patients not to put off their health if they can help it,” Dr. Diaz said. “If you’re feeling unsure about insurance changes or worried about what this all means for your family, please call or come talk to us. We will help you make the decisions that feel right for you.”
Healthy Alameda is a healthcare column provided by Alameda Health System (AHS), the public safety-net health system that serves all in Alameda County. AHS operates five facilities in the City of Alameda, including Alameda Hospital, Creedon Advanced Wound Care Center, Park Bridge Rehabilitation and Wellness, South Shore Rehabilitation and Wellness, and Marina Wellness and Surgical Associates.
