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"This proposal suggests introducing a monthly premium of $100 for certain Medi-Cal recipients to generate revenue for the program's long-term viability amid a projected $38 billion state budget shortfall for fiscal year 2026-27."

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It is part of the broader effort to balance the state budget while preserving the Medi-Cal expansion that extended coverage to all income-eligible adults regardless of immigration status, adding approximately 1.6 million new enrollees since 2024.