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How looming Medicaid cuts could hit Californians in GOP districts- CalMatters

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Now, the health care program faces potential cuts under a Republican Congress." /> <link rel="canonical" href="https://calmatters.org/health/2025/03/medicaid-cuts-republican-districts/" /> <meta property="og:locale" content="en_US" /> <meta property="og:type" content="article" /> <meta property="og:title" content="They live in California’s Republican districts. They feel betrayed by looming health care cuts" /> <meta property="og:description" content="Some of the state’s most conservative areas benefit disproportionately from Medicaid." /> <meta property="og:url" content="http://calmatters.org/health/2025/03/medicaid-cuts-republican-districts/" /> <meta property="og:site_name" content="CalMatters" /> <meta property="article:publisher" content="https://www.facebook.com/calmatters/" /> <meta property="article:published_time" content="2025-03-12T01:32:49+00:00" /> <meta property="article:modified_time" content="2025-03-12T16:51:26+00:00" /> <meta property="og:image" content="https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?fit=2000%2C1333&ssl=1" /> <meta property="og:image:width" content="2000" /> <meta property="og:image:height" content="1333" /> <meta property="og:image:type" content="image/jpeg" /> <meta name="author" content="Kristen Hwang" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:title" content="They live in California’s Republican districts. They feel betrayed by looming health care cuts" /> <meta name="twitter:creator" content="@khwangreports" /> <meta name="twitter:site" content="@CalMatters" /> <meta name="twitter:label1" content="Written by" /> <meta name="twitter:data1" content="Kristen Hwang" /> <meta name="twitter:label2" content="Est. reading time" /> <meta name="twitter:data2" content="9 minutes" /> <script type="application/ld+json" class="yoast-schema-graph">{"@context":"https://schema.org","@graph":[{"@type":"NewsArticle","@id":"https://calmatters.org/health/2025/03/medicaid-cuts-republican-districts/#article","isPartOf":{"@id":"https://calmatters.org/health/2025/03/medicaid-cuts-republican-districts/"},"author":[{"@id":"https://calmatters.org/#/schema/person/eb6093de877eba20d8bfd5d0a65c5bae"}],"headline":"They live in California’s Republican districts. 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menu-item-451007"><a href="https://calmatters.org/events/">Events</a></li> </ul></div> </div> </div> <div id="content" class="site-content"> <section id="primary" class="content-area category-health tag-california-budget tag-donald-trump tag-health-care tag-medi-cal tag-congress"> <main id="main" class="site-main"> <header class="entry-header"> <span class="cat-links"><span class="screen-reader-text">Posted in</span><a href="https://calmatters.org/category/health/" rel="category tag">Health</a></span> <h1 class="entry-title "> They live in California’s Republican districts. They feel betrayed by looming health care cuts </h1> <div class="entry-subhead"> <div class="entry-meta"> <span class="author-avatar"><img data-perfmatters-preload alt='Avatar photo' src='https://calmatters.org/wp-content/uploads/2023/12/cropped-Kristen-Hwang-80x80.jpg' srcset='https://calmatters.org/wp-content/uploads/2023/12/cropped-Kristen-Hwang-160x160.jpg 2x' class='avatar avatar-80 photo' height='80' width='80' /></span> <span class="byline"> <span>by</span> <span class="author vcard"><a class="url fn n" href="https://calmatters.org/author/kristen-hwang/">Kristen Hwang</a></span> </span><!-- .byline --> <span class="posted-on"><time class="entry-date published" datetime="2025-03-11T18:32:49-07:00">March 11, 2025</time><span class="updated-label">Updated </span><time class="updated" datetime="2025-03-12T09:51:26-07:00">March 12, 2025</time></span> </div><!-- .meta-info --> <div class="cm-republish-button-modal"> <a class="cm-republish-button" aria-label="CalMatters' republishing policy, opens in new tab" target="_blank" href="https://calmatters.org/about/republish/"> <span>Republish</span> </a> </div><div class="sharedaddy sd-sharing-enabled"><div class="robots-nocontent sd-block sd-social sd-social-icon sd-sharing"><h3 class="sd-title">Share this:</h3><div class="sd-content"><ul><li class="share-x"><a rel="nofollow noopener noreferrer" data-shared="sharing-x-458629" class="share-x sd-button share-icon no-text" href="https://calmatters.org/health/2025/03/medicaid-cuts-republican-districts/?share=x" target="_blank" title="Click to share on X" ><span></span><span class="sharing-screen-reader-text">Click to share on X (Opens in new window)</span></a></li><li class="share-facebook"><a rel="nofollow noopener noreferrer" data-shared="sharing-facebook-458629" class="share-facebook sd-button share-icon no-text" href="https://calmatters.org/health/2025/03/medicaid-cuts-republican-districts/?share=facebook" target="_blank" title="Click to share on Facebook" ><span></span><span class="sharing-screen-reader-text">Click to share on Facebook (Opens in new window)</span></a></li><li class="share-jetpack-whatsapp"><a rel="nofollow noopener noreferrer" data-shared="" class="share-jetpack-whatsapp sd-button share-icon no-text" href="https://calmatters.org/health/2025/03/medicaid-cuts-republican-districts/?share=jetpack-whatsapp" target="_blank" title="Click to share on WhatsApp" ><span></span><span class="sharing-screen-reader-text">Click to share on WhatsApp (Opens in new window)</span></a></li><li class="share-end"></li></ul></div></div></div> </div> </header> <figure class="post-thumbnail"> <img data-perfmatters-preload width="1200" height="800" src="https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?fit=1200%2C800&amp;ssl=1" class="attachment-newspack-featured-image size-newspack-featured-image wp-post-image" alt="A person, with medium-long, carmel-colored curly hair, stands in front of a gray building as they look on in front of them. She wears a purple-colored shirt with yellow and white words on it that read &quot;Medicaid Saves Lives.&quot;" data-hero-candidate="1" fetchpriority="high" decoding="async" srcset="https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?w=2000&amp;ssl=1 2000w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=300%2C200&amp;ssl=1 300w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=1024%2C682&amp;ssl=1 1024w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=768%2C512&amp;ssl=1 768w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=1536%2C1024&amp;ssl=1 1536w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=18%2C12&amp;ssl=1 18w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=1200%2C800&amp;ssl=1 1200w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=1568%2C1045&amp;ssl=1 1568w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=400%2C267&amp;ssl=1 400w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?fit=1200%2C800&amp;ssl=1&amp;w=370 370w" sizes="(max-width: 1200px) 100vw, 1200px" /> <figcaption><span>Pharmacy tech Natalie Padilla in front of the SEIU-UHW Union office in Bakersfield on March 11, 2025. Padilla’s family relies on Medicaid, motivating her to travel to Washington, D.C. to speak with Rep. David Valadao&#039;s staff about the health insurance program. Photo by Larry Valenzuela, CalMatters/CatchLight Local</span></figcaption> </figure><!-- .post-thumbnail --> <div class="main-content"> <article id="post-458629" class="post-458629 post type-post status-publish format-standard has-post-thumbnail hentry category-health tag-california-budget tag-donald-trump tag-health-care tag-medi-cal tag-congress entry"> <div class="entry-content"> <div class="wp-block-group has-light-gray-background-color has-background calmatters-summary"> <div class="wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow"> <p class="has-small-font-size calmatters-summary-heading"><strong>In summary</strong></p> <p class="calmatters-summary-content">Several California Republicans represent communities that rely on Medicaid for health care coverage. Their recent budget-cutting votes angered some constituents.</p> </div> </div> <aside> <div class="newspack-popup-container newspack-popup hidden newspack-inline-popup newspack-lightbox-no-border " role="button" tabindex="0" style="background-color:#FFFFFF;color:#000" id="id_436325" data-segments="" data-frequency="0,0,0,month" > <p><em>Welcome to CalMatters, the only nonprofit newsroom devoted solely to covering issues that affect all Californians. Sign up for <a href="https://calmatters.org/subscribe-to-calmatters/whatmatters">WhatMatters</a> to receive the latest news and commentary on the most important issues in the Golden State.</em></p> </div> </aside> <p>Natalie Padilla signed up for Medicaid 17 years ago. She had just given birth and needed insurance to bring her son to the doctor. The Bakersfield resident was still in school, and her husband’s work didn’t offer insurance. She was on the program for six months.</p> <p>About an hour north of Bakersfield, Rodolfo Morales-Ayon, a 21-year-old community college student, relies on Medicaid today. He’s studying political science and wants to go to law school. Morales-Ayon grew up in Pixley, a small Central Valley town where air quality is poor and asthma and respiratory infections are common.</p> <p>Farther south in Orange County, Josephine Rios’ 7-year-old grandson has cerebral palsy and needs Medicaid to pay for his medication and specialized wheelchair, which cost $22,000. Elijah is a lively boy, Rios said, but his disability means he’ll likely need Medicaid for his entire life.</p> <p>All three live in areas of California where their Republican representatives recently voted on a federal budget bill that would all but guarantee cuts to the Medicaid insurance program, which is known in California as <a href="https://calmatters.org/tag/medi-cal/">Medi-Cal</a>.&nbsp;</p> <aside class="scaip scaip-1 "> <div class='newspack_global_ad scaip-1'> <!-- /22668411460/test-ad-unit-61df1dd32fc09 --><div id='div-gpt-ad-b8676f4120-0'></div> </div> </aside> <p>Although the details will take months to iron out, the nonpartisan <a href="https://www.cbo.gov/system/files/2025-03/61235-Boyle-Pallone.pdf" target="_blank" rel="noreferrer noopener">Congressional Budget Office released a report</a> last week indicating that it was impossible for House Republicans to meet their <a href="https://www.washingtonpost.com/business/2025/03/05/gop-budget-medicaid-cuts/" target="_blank" rel="noreferrer noopener">goal of eliminating $880 billion in spending</a> over the next 10 years from the committee that oversees Medicaid and Medicare without cutting from either of the social safety net programs. Medicaid provides health insurance for disabled and low-income people. Medicare insures seniors over 65.</p> <p>The Senate voted on a narrower budget bill that is less likely to hit Medicaid, but the chamber will have to come to an agreement with the House later in the year. President Donald Trump has praised both budget bills, while at the same time indicating he doesn’t want to cut safety net programs for the poor. Congress is also rushing to <a href="https://www.usnews.com/news/national-news/articles/2025-03-10/are-we-headed-for-a-government-shutdown-3-things-to-watch" target="_blank" rel="noreferrer noopener">avert a government shutdown Friday with a separate budget bill</a>.</p> <p>“Medicare, Medicaid — none of that stuff is going to be touched,” Trump said in a February <a href="https://fox59.com/hill-politics/trumps-vow-to-preserve-medicaid-collides-with-house-gop-plan-for-tax-cuts/" target="_blank" rel="noreferrer noopener">interview with Sean Hannity on Fox News</a>.</p> <p>But Republican lawmakers want a deal that would offset the cost of extending Trump’s first-term tax cuts that are set to expire at the end of this year, and <a href="https://rollcall.com/2025/02/13/medicaid-overhaul-proves-to-be-politically-perilous-proposition/" target="_blank" rel="noreferrer noopener">Medicaid represents the largest share of federal funding</a> to states.</p> <aside> <div class="newspack-popup-container newspack-popup hidden newspack-inline-popup newspack-lightbox-no-border " role="button" tabindex="0" style="background-color:#FFFFFF;color:#000" id="id_447644" data-segments="" data-frequency="0,0,0,month" > <div class="wp-block-group cm-cta newsletter-inline cm-cta-remove-child-margins"><div class="wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained"> <style>.newsletter-inline{padding: 20px;max-width: 580px;border-radius: 3px;border: 1px solid #EEE;margin: auto;}.newsletter-inline .cm-icon{max-width: 60px;}@media screen and (min-width: 601px){.newsletter-inline .cm-icon{max-width: 70px;}}</style> <div class="wp-block-group"><div class="wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained"> <div class="wp-block-group"><div class="wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained"> <ol class="wp-block-list hed-06-07-bold"> <li>Taking a news break?</li> <li>Taking a news break?</li> </ol> <ol class="wp-block-list"> <li>We get it. 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=== null ) { const observer = new MutationObserver( ( mutations ) => { mutations.forEach( ( mutation ) => { if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) { debouncedTriggerPostRender(); observer.disconnect(); } }); }); observer.observe( document.body, { attributes: true, childList: false, subtree: true, attributeFilter: [ 'style', 'class' ], }); } else { triggerPostRender(); } } );} ); </script> </div></div> </div> </aside> <p>California’s behemoth Medicaid program insures 14.9 million people, more than one-third of the state’s population. Republicans hold nine House seats in California and represent 2.5 million Medicaid enrollees. All nine voted to approve the House GOP budget bill at the end of February.</p> <p>Some of the state’s most conservative areas benefit disproportionately from Medicaid, including Rep. Jay Obernolte’s district in San Bernardino County’s high desert and Rep. Doug LaMalfa’s district in the far northern counties, where 48% and 43% of the population have Medicaid respectively.</p> <p>Other Republicans represent swing districts where <a href="https://apnews.com/article/medicaid-cuts-budget-republicans-health-care-4a13fc3528d7bf20ea52db4a5551c8bf" target="_blank" rel="noreferrer noopener">voting against Medicaid </a>could be risky politically. Rep. <a href="https://www.politico.com/newsletters/california-playbook-pm/2024/11/13/valadao-house-win-00189478" target="_blank" rel="noreferrer noopener">David Valadao</a> in the San Joaquin Valley represents the greatest share of Medicaid enrollees in the state at 67%. He voted to advance the House bill. Six years ago, his <a href="https://www.politico.com/news/2025/02/20/david-valadao-medicaid-cuts-congress-00205072" target="_blank" rel="noreferrer noopener">vote to eliminate the Affordable Care Act</a> likely cost his reelection for a term.</p> <p>In contrast, California’s Democratic state lawmakers have taken every opportunity to <a href="https://calmatters.org/explainers/california-health-care-coverage/" target="_blank" rel="noreferrer noopener">expand the Medicaid program</a>, which grants full-scope health coverage to low-income people (for instance: an individual making less than $20,783 or a family of four making less than $43,056 annually).&nbsp;</p> <p>The number of people with Medicaid in California has increased 31% since 2014 when the Affordable Care Act allowed states to enroll people who made slightly more than the federal poverty threshold. California has also expanded in other categories, using about $8 billion annually of state <a href="https://calmatters.org/health/2023/12/undocumented-health-insurance-new-california-laws-2024/" target="_blank" rel="noreferrer noopener">money to insure undocumented immigrants</a>.&nbsp;</p> <p>Today, the state spends <a href="https://ebudget.ca.gov/2024-25/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf" target="_blank" rel="noreferrer noopener">$161 billion on Medicaid</a>, the <a href="https://calbudgetcenter.org/resources/federal-funds-drive-one-third-of-californias-state-budget/" target="_blank" rel="noreferrer noopener">majority of which comes from the federal government</a>.&nbsp;</p> <p>Republicans have focused talks on <a href="https://www.statnews.com/2025/03/03/medicaid-cuts-republicans-paragon-say-to-focus-on-waste-fraud-and-abuse/" target="_blank" rel="noreferrer noopener">rooting out “waste” and “fraud”</a> in federal programs, but <a href="https://www.nytimes.com/interactive/2025/01/23/us/politics/republican-tax-spending-cuts-options.html" target="_blank" rel="noreferrer noopener">early proposals</a> appear to aim at the fundamental payment structure of Medicaid. Experts say those types of cuts may require states to pay more for the programs, putting the political and financial onus on state lawmakers.&nbsp;</p> <p>“Many of these proposals are about having states be left holding the bag,” said Edwin Park, a public policy research professor at Georgetown University. “If states have less funding available, then it&#8217;s impossible for them to sustain their current levels of spending.”</p> <h2 class="wp-block-heading" id="h-some-people-will-die-without-it">&#8216;Some people will die without it&#8217;</h2> <p>In a <a href="https://www.youtube.com/watch?v=sKZxE-aaRoU" target="_blank" rel="noreferrer noopener">statement on the House floor</a> following the initial budget vote, Valadao said extending Trump’s 2017 tax cuts would make a real difference for “working families, farmers, and small business owners” but acknowledged that many of his constituents need Medicaid.</p> <p>“I’ve heard from countless constituents who tell me the only way they can afford health care is through programs like Medicaid,” Valadao said that day, indicating he could vote differently later in the year on a final proposal. “And I will not support a final reconciliation bill that risks leaving them behind.”</p> <p>But some California voters still feel like their representatives have failed them by advancing a bill that will likely lead to Medicaid cuts.</p> <figure class="wp-block-image size-large"><img data-recalc-dims="1" decoding="async" width="780" height="519" src="https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06.jpg?resize=780%2C519&#038;ssl=1" alt="" class="wp-image-458600" srcset="https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06.jpg?resize=1024%2C682&amp;ssl=1 1024w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06.jpg?resize=300%2C200&amp;ssl=1 300w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06.jpg?resize=768%2C512&amp;ssl=1 768w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06.jpg?resize=1536%2C1024&amp;ssl=1 1536w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06.jpg?resize=18%2C12&amp;ssl=1 18w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06.jpg?resize=1200%2C800&amp;ssl=1 1200w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06.jpg?resize=1568%2C1045&amp;ssl=1 1568w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06.jpg?resize=400%2C267&amp;ssl=1 400w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06.jpg?w=2000&amp;ssl=1 2000w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06-1024x682.jpg?w=370&amp;ssl=1 370w" sizes="(max-width: 780px) 100vw, 780px" /><figcaption class="wp-element-caption">Rudolpho Morales-Ayon, a community college student, in Pixley Park in Pixley on March 4, 2025. Morales enrolled in Medicaid as a child and continues the health insurance program. Photo by Larry Valenzuela, CalMatters/CatchLight Local</figcaption></figure> <p>“For our representative David Valadao, this is a betrayal. It’s nothing less than that,” Morales-Ayon, a district voter, said. Morales-Ayon voted for Valadao’s Democratic opponent last fall.</p> <p>Morales-Ayon had Medicaid as a child because his parents’ jobs didn’t provide insurance. Per capita earnings in Valadao’s district are about half as much as statewide earnings, according to census data.</p> <p>“People need these resources to manage their day-to-day lives,” Morales-Ayon said.&nbsp;</p> <p>Padilla, who also lives in Valadao’s district, now works as a pharmacy technician at Mercy Hospital Southwest in Bakersfield. She traveled with her union to Washington, D.C. several weeks ago to try and make an appeal to Valadao not to vote for any Medicaid cuts. Staff told the group that he was too busy to see them, Padilla said.</p> <p>Padilla grew up in the district and said multiple family members, including cousins and her 84-year-old grandmother, have Medicaid. Her family who rely on Medicaid have low-paying or part time jobs that don’t offer health insurance. Any reductions in coverage would be “devastating,” she said.</p> <p>“This is the raw, honest truth of hardworking people,” Padilla said.&nbsp;</p> <p>In Orange County, Rios, a certified nursing assistant for Kaiser Permanente, voted and rallied for Republican Rep. Young Kim, but these days she’s consumed by the thought of what will happen if Medicaid is cut. She’s worried that she’ll lose her job and that patients will lose access to health care.&nbsp;</p> <p>Most importantly to her, Rios said, her grandson Elijah with cerebral palsy might lose insurance. Elijah’s cerebral palsy medication costs $5,000 each month, she said.</p> <p>“It’s not a Republican thing. It’s not a Democratic thing. Forget the political BS, this is a human thing,” Rios said. “Some people will die without it. Some people’s lives like my grandson’s are at risk without it.”</p> <figure class="wp-block-image size-large"><img data-recalc-dims="1" decoding="async" width="682" height="1024" src="https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/Elijah_CM_01.jpg?resize=682%2C1024&#038;ssl=1" alt="A child, sitting on a wheel chair and wearing clear glasses with a blue and white patterned shirt, tilts their head to their right as they smile at the camera." class="wp-image-458599" srcset="https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/Elijah_CM_01.jpg?resize=682%2C1024&amp;ssl=1 682w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/Elijah_CM_01.jpg?resize=200%2C300&amp;ssl=1 200w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/Elijah_CM_01.jpg?resize=768%2C1152&amp;ssl=1 768w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/Elijah_CM_01.jpg?resize=1024%2C1536&amp;ssl=1 1024w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/Elijah_CM_01.jpg?resize=8%2C12&amp;ssl=1 8w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/Elijah_CM_01.jpg?resize=1200%2C1800&amp;ssl=1 1200w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/Elijah_CM_01.jpg?resize=400%2C600&amp;ssl=1 400w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/Elijah_CM_01.jpg?w=1333&amp;ssl=1 1333w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/Elijah_CM_01-682x1024.jpg?w=370&amp;ssl=1 370w" sizes="(max-width: 682px) 100vw, 682px" /><figcaption class="wp-element-caption">Josephine Rios’ 7-year-old grandson, Elijah, needs Medicaid to manage his cerebral palsy, the certified nursing assistant from Orange County said. Photo courtesy of Josephine Rios</figcaption></figure> <p>Rios, who has worked in health care for more than two decades, said she voted for Kim because Kim spoke compassionately about her constituents during her election campaign and also supported health care workers. But the budget vote was a “slap in the face.”</p> <p>“I’m very disappointed and very frustrated that she voted and she didn’t fight harder to keep Medi-Cal uncapped not only for her constituents like myself but for the young children who need it,” Rios said. “She needs to remember why we elected her into office.”</p> <p>In a <a href="https://youngkim.house.gov/2025/02/26/rep-young-kim-statement-on-h-con-res-14/" target="_blank" rel="noreferrer noopener">statement</a> on her website, Kim joined other Congressional Republicans in emphasizing that the bill passed was procedural and <a href="https://calvert.house.gov/media/press-releases/rep-calvert-votes-advance-budget-resolution-protect-taxpayers-massive-tax" target="_blank" rel="noreferrer noopener">didn’t make cuts to any specific programs</a>. The vote simply allowed the GOP to “move the ball forward,” Kim said in the statement.</p> <p>“As this process moves forward, I will continue to make clear that a budget that does not protect vital Medicaid services for the most vulnerable, provide tax relief for small businesses, and address the cap on state and local tax (SALT) deductions will not receive my vote,” Kim said in the statement.&nbsp;</p> <p>In her district, which covers portions of Orange County and the Inland Empire, 21% of people use Medicaid.&nbsp;</p> <h2 class="wp-block-heading" id="h-an-existential-threat-to-health-clinics">An &#8216;existential threat&#8217; to health clinics</h2> <p>But some health care providers say even the procedural vote was “too risky” for their liking.</p> <p>“It is an existential threat from our perspective,” said Francisco Silva, chief executive of the California Primary Care Association, which represents more than 1,200 community health centers in California.</p> <p>Community health centers, also known as federally qualified health centers, serve predominantly low-income communities. In some areas of the state, Medicaid is the only reason why health centers and hospitals can piece together enough revenue to stay open, Silva said.</p> <p>Marisol De La Vega Cardoso said any Medicaid cuts risk destabilizing community health centers at a time when poverty is increasing. De La Vega Cardoso is a senior vice president at Family HealthCare Network, the second-largest community health center network in the country.&nbsp;</p> <p>“Unfortunately we might be forced to cut back on services that are so needed,” De La Vega Cardoso said.&nbsp;</p> <p>Dr. Richard Thorp, a longtime internal medicine specialist in Paradise, is very concerned about how Medicaid cuts may destabilize the workforce in an area that already struggles to recruit doctors. Republican LaMalfa has represented the district that includes Paradise since 2013.</p> <p>The once idyllic town in the Sierra Nevada foothills outside of Chico was the site of California’s deadliest wildfire in 2018, which also destroyed the local hospital. More than 80% of the population never returned to live in Paradise, and Thorp’s medical group dropped from 15 primary care doctors to one full-time doctor supported by four advanced practice staff.</p> <p>“We have significant manpower and pipeline issues,” Thorp said. “As you make these cuts it makes it less and less feasible to practice in Butte county.”</p> <p>LaMalfa said in a statement online that the House budget bill was a first step in “reining in Washington’s out-of-control spending” and that a “typical family in NorCal” would see taxes go up without the federal government cutting spending. The statement made no mention of Medicaid.</p> <p>“It’s time to prioritize policies that grow the economy, cut waste, and ensure a stronger financial future for the American people.”</p> <p><em>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.</em></p> <div class="wp-block-newspack-blocks-homepage-articles cm-manual-eoa-recirc wpnbha show-image image-alignleft ts-3 is-1 is-landscape cm-manual-eoa-recirc has-text-align-left" style="" > <style id="newspack-blocks-inline-css" type="text/css">.wp-block-newspack-blocks-homepage-articles article .entry-title{font-size: 1.2em;}.wp-block-newspack-blocks-homepage-articles .entry-meta{display: flex;flex-wrap: wrap;align-items: center;margin-top: 0.5em;}.wp-block-newspack-blocks-homepage-articles article .entry-meta{font-size: 0.8em;}.wp-block-newspack-blocks-homepage-articles article .avatar{height: 25px;width: 25px;}.wp-block-newspack-blocks-homepage-articles .post-thumbnail{margin: 0;margin-bottom: 0.25em;}.wp-block-newspack-blocks-homepage-articles .post-thumbnail img{height: auto;width: 100%;}.wp-block-newspack-blocks-homepage-articles .post-thumbnail figcaption{margin-bottom: 0.5em;}.wp-block-newspack-blocks-homepage-articles p{margin: 0.5em 0;}.wpnbha.ts-3 .entry-title{font-size: 1em}.wpnbha.ts-3 article .newspack-post-subtitle,.wpnbha.ts-3 article .entry-wrapper p,.wpnbha.ts-3 article .entry-wrapper .more-link,.wpnbha.ts-3 article .entry-meta{font-size: 0.8em;}</style> <div data-posts data-current-post-id="458629"> <h2 class="article-section-title"> <span>more on california health care</span> </h2> <article data-post-id="457675" class="tag-california-budget tag-children-and-youth tag-donald-trump tag-health-care tag-medi-cal category-health type-post post-has-image" > <figure class="post-thumbnail"> <a href="https://calmatters.org/health/2025/02/medicaid-medi-cal-trump-cuts/" rel="bookmark" tabindex="-1" aria-hidden="true"> <img decoding="async" width="1200" height="900" src="https://i0.wp.com/calmatters.org/wp-content/uploads/2025/02/072820-Doctor-Pediatrician-Kid-GETTY-CM-01.jpg?resize=1200%2C900&amp;ssl=1" class="attachment-newspack-article-block-landscape-large size-newspack-article-block-landscape-large wp-post-image" alt="California has a lot to lose if Trump slashes Medicaid. Seniors, kids and more could face coverage cuts" data-hero-candidate="1" srcset="https://i0.wp.com/calmatters.org/wp-content/uploads/2025/02/072820-Doctor-Pediatrician-Kid-GETTY-CM-01.jpg?resize=1200%2C900&amp;ssl=1 1200w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/02/072820-Doctor-Pediatrician-Kid-GETTY-CM-01.jpg?resize=800%2C600&amp;ssl=1 800w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/02/072820-Doctor-Pediatrician-Kid-GETTY-CM-01.jpg?resize=600%2C450&amp;ssl=1 600w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/02/072820-Doctor-Pediatrician-Kid-GETTY-CM-01.jpg?resize=400%2C300&amp;ssl=1 400w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/02/072820-Doctor-Pediatrician-Kid-GETTY-CM-01.jpg?resize=200%2C150&amp;ssl=1 200w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/02/072820-Doctor-Pediatrician-Kid-GETTY-CM-01.jpg?resize=1200%2C900&amp;ssl=1&amp;w=370 370w" sizes="(min-width: 782px) 600px, (min-width: 600px) 42.5vw, 90vw" /> </a> </figure><!-- .featured-image --> <div class="entry-wrapper"> <h3 class="entry-title"><a href="https://calmatters.org/health/2025/02/medicaid-medi-cal-trump-cuts/" rel="bookmark">California has a lot to lose if Trump slashes Medicaid. Seniors, kids and more could face coverage cuts</a></h3> <div class="entry-meta"> <time class="entry-date published" datetime="2025-02-28T05:31:00">February 28, 2025</time><time class="updated" datetime="2025-03-03T16:36:34-08:00">March 3, 2025</time> </div><!-- .entry-meta --> </div><!-- .entry-wrapper --> </article> <article data-post-id="457772" class="tag-california-budget tag-gavin-newsom tag-health tag-health-care category-health type-post post-has-image" > <figure class="post-thumbnail"> <a href="https://calmatters.org/health/2025/03/california-insulin-production-delay/" rel="bookmark" tabindex="-1" aria-hidden="true"> <img decoding="async" width="1200" height="900" src="https://i0.wp.com/calmatters.org/wp-content/uploads/2023/10/031823-Insulin-REUTERS-CM-scaled.jpg?resize=1200%2C900&amp;ssl=1" class="attachment-newspack-article-block-landscape-large size-newspack-article-block-landscape-large wp-post-image" alt="California made a big bet on producing its own insulin. There&#8217;s no &#8216;date certain&#8217; for delivery" data-hero-candidate="1" srcset="https://i0.wp.com/calmatters.org/wp-content/uploads/2023/10/031823-Insulin-REUTERS-CM-scaled.jpg?resize=1200%2C900&amp;ssl=1 1200w, https://i0.wp.com/calmatters.org/wp-content/uploads/2023/10/031823-Insulin-REUTERS-CM-scaled.jpg?resize=800%2C600&amp;ssl=1 800w, https://i0.wp.com/calmatters.org/wp-content/uploads/2023/10/031823-Insulin-REUTERS-CM-scaled.jpg?resize=600%2C450&amp;ssl=1 600w, https://i0.wp.com/calmatters.org/wp-content/uploads/2023/10/031823-Insulin-REUTERS-CM-scaled.jpg?resize=400%2C300&amp;ssl=1 400w, https://i0.wp.com/calmatters.org/wp-content/uploads/2023/10/031823-Insulin-REUTERS-CM-scaled.jpg?resize=200%2C150&amp;ssl=1 200w, https://i0.wp.com/calmatters.org/wp-content/uploads/2023/10/031823-Insulin-REUTERS-CM-scaled.jpg?zoom=2&amp;resize=1200%2C900&amp;ssl=1 2400w, https://i0.wp.com/calmatters.org/wp-content/uploads/2023/10/031823-Insulin-REUTERS-CM-scaled.jpg?resize=1200%2C900&amp;ssl=1&amp;w=370 370w" sizes="(min-width: 782px) 600px, (min-width: 600px) 42.5vw, 90vw" /> </a> </figure><!-- .featured-image --> <div class="entry-wrapper"> <h3 class="entry-title"><a href="https://calmatters.org/health/2025/03/california-insulin-production-delay/" rel="bookmark">California made a big bet on producing its own insulin. There&#8217;s no &#8216;date certain&#8217; for delivery</a></h3> <div class="entry-meta"> <time class="entry-date published" datetime="2025-03-03T05:30:00">March 3, 2025</time><time class="updated" datetime="2025-03-03T17:17:03-08:00">March 3, 2025</time> </div><!-- .entry-meta --> </div><!-- .entry-wrapper --> </article> </div> </div> <section id="block-5" class="below-content widget widget_block"><!-- wp:shortcode --><aside> <div class="newspack-popup-container newspack-popup hidden newspack-inline-popup newspack-lightbox-no-border engagement-donation" role="button" tabindex="0" style="background-color:#FFFFFF;color:#000" id="id_247087" data-segments="" data-frequency="0,0,0,month" > <div class="wp-block-group"><div class="wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained"> <style>.engagement-donation{background-color: transparent !important;}</style> <div class="after-article-engagement"> <p class="engage-call">Read more from CalMatters</p> 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Prior to joining CalMatters,... <a class="author-link" href="https://calmatters.org/author/kristen-hwang/" rel="author"> More by Kristen Hwang </a> </p> </div><!-- .author-bio-text --> </div><!-- .author-bio --> </article><!-- #post-${ID} --> </div> </main><!-- #main --> </section><!-- #primary --> <div id="rp-modal" style="display:none" class="republishing-outer-modal cm-fade-in-animation cm-fade-out-animation"> <div class="republishing-header"> <button class="close-republishing-modal cm-republish-button-modal"> <svg xmlns="http://www.w3.org/2000/svg" width="12" height="12" viewBox="0 0 12 12" fill="none" role="button"> <path fill-rule="evenodd" clip-rule="evenodd" d="M12 1.05L10.95 0L6 4.95L1.05 0L0 1.05L4.95 6L0 10.95L1.05 12L6 7.05L10.95 12L12 10.95L7.05 6L12 1.05Z" fill="white"></path> </svg> </button> <div class="republishing-article-title"> <h6>Republish</h6> <h3>They live in California’s Republican districts. 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They feel betrayed by looming health care cuts&lt;/h1&gt; &lt;p&gt;By &lt;a href=&quot;https://calmatters.org/author/kristen-hwang/&quot; title=&quot;Posts by Kristen Hwang&quot; class=&quot;author url fn&quot; rel=&quot;author&quot;&gt;Kristen Hwang&lt;/a&gt;, CalMatters&lt;/p&gt; &lt;figure&gt; &lt;img width=&quot;1568&quot; height=&quot;1045&quot; src=&quot;https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?fit=1568%2C1045&amp;amp;ssl=1&quot; class=&quot;attachment-post-thumbnail size-post-thumbnail wp-post-image&quot; alt=&quot;A person, with medium-long, carmel-colored curly hair, stands in front of a gray building as they look on in front of them. She wears a purple-colored shirt with yellow and white words on it that read &amp;quot;Medicaid Saves Lives.&amp;quot;&quot; decoding=&quot;async&quot; srcset=&quot;https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?w=2000&amp;amp;ssl=1 2000w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=300%2C200&amp;amp;ssl=1 300w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=1024%2C682&amp;amp;ssl=1 1024w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=768%2C512&amp;amp;ssl=1 768w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=1536%2C1024&amp;amp;ssl=1 1536w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=18%2C12&amp;amp;ssl=1 18w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=1200%2C800&amp;amp;ssl=1 1200w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=1568%2C1045&amp;amp;ssl=1 1568w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?resize=400%2C267&amp;amp;ssl=1 400w, https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/031125_Medicaid-Bakersfield_LV_CM_05.jpg?fit=1568%2C1045&amp;amp;ssl=1&amp;amp;w=370 370w&quot; sizes=&quot;(max-width: 1568px) 100vw, 1568px&quot; /&gt; &lt;figcaption&gt;Pharmacy tech Natalie Padilla in front of the SEIU-UHW Union office in Bakersfield on March 11, 2025. Padilla’s family relies on Medicaid, motivating her to travel to Washington, D.C. to speak with Rep. David Valadao&amp;#039;s staff about the health insurance program. Photo by Larry Valenzuela, CalMatters/CatchLight Local&lt;/figcaption&gt; &lt;/figure&gt; &lt;p&gt;This story was originally published by &lt;a href=&quot;https://calmatters.org/&quot;&gt;CalMatters&lt;/a&gt;. &lt;a href=&quot;https://calmatters.org/subscribe-to-calmatters/&quot;&gt;Sign up&lt;/a&gt; for their newsletters.&lt;/p&gt; &lt;p&gt;Natalie Padilla signed up for Medicaid 17 years ago. She had just given birth and needed insurance to bring her son to the doctor. The Bakersfield resident was still in school, and her husband’s work didn’t offer insurance. She was on the program for six months.&lt;/p&gt; &lt;p&gt;About an hour north of Bakersfield, Rodolfo Morales-Ayon, a 21-year-old community college student, relies on Medicaid today. He’s studying political science and wants to go to law school. Morales-Ayon grew up in Pixley, a small Central Valley town where air quality is poor and asthma and respiratory infections are common.&lt;/p&gt; &lt;p&gt;Farther south in Orange County, Josephine Rios’ 7-year-old grandson has cerebral palsy and needs Medicaid to pay for his medication and specialized wheelchair, which cost $22,000. Elijah is a lively boy, Rios said, but his disability means he’ll likely need Medicaid for his entire life.&lt;/p&gt; &lt;p&gt;All three live in areas of California where their Republican representatives recently voted on a federal budget bill that would all but guarantee cuts to the Medicaid insurance program, which is known in California as &lt;a href=&quot;https://calmatters.org/tag/medi-cal/&quot;&gt;Medi-Cal&lt;/a&gt;.&amp;nbsp;&lt;/p&gt; &lt;p&gt;Although the details will take months to iron out, the nonpartisan &lt;a href=&quot;https://www.cbo.gov/system/files/2025-03/61235-Boyle-Pallone.pdf&quot;&gt;Congressional Budget Office released a report&lt;/a&gt; last week indicating that it was impossible for House Republicans to meet their &lt;a href=&quot;https://www.washingtonpost.com/business/2025/03/05/gop-budget-medicaid-cuts/&quot;&gt;goal of eliminating $880 billion in spending&lt;/a&gt; over the next 10 years from the committee that oversees Medicaid and Medicare without cutting from either of the social safety net programs. Medicaid provides health insurance for disabled and low-income people. Medicare insures seniors over 65.&lt;/p&gt; &lt;p&gt;The Senate voted on a narrower budget bill that is less likely to hit Medicaid, but the chamber will have to come to an agreement with the House later in the year. President Donald Trump has praised both budget bills, while at the same time indicating he doesn’t want to cut safety net programs for the poor. Congress is also rushing to &lt;a href=&quot;https://www.usnews.com/news/national-news/articles/2025-03-10/are-we-headed-for-a-government-shutdown-3-things-to-watch&quot;&gt;avert a government shutdown Friday with a separate budget bill&lt;/a&gt;.&lt;/p&gt; &lt;p&gt;“Medicare, Medicaid — none of that stuff is going to be touched,” Trump said in a February &lt;a href=&quot;https://fox59.com/hill-politics/trumps-vow-to-preserve-medicaid-collides-with-house-gop-plan-for-tax-cuts/&quot;&gt;interview with Sean Hannity on Fox News&lt;/a&gt;.&lt;/p&gt; &lt;p&gt;But Republican lawmakers want a deal that would offset the cost of extending Trump’s first-term tax cuts that are set to expire at the end of this year, and &lt;a href=&quot;https://rollcall.com/2025/02/13/medicaid-overhaul-proves-to-be-politically-perilous-proposition/&quot;&gt;Medicaid represents the largest share of federal funding&lt;/a&gt; to states.&lt;/p&gt; &lt;p&gt;California’s behemoth Medicaid program insures 14.9 million people, more than one-third of the state’s population. Republicans hold nine House seats in California and represent 2.5 million Medicaid enrollees. All nine voted to approve the House GOP budget bill at the end of February.&lt;/p&gt; &lt;p&gt;Some of the state’s most conservative areas benefit disproportionately from Medicaid, including Rep. Jay Obernolte’s district in San Bernardino County’s high desert and Rep. Doug LaMalfa’s district in the far northern counties, where 48% and 43% of the population have Medicaid respectively.&lt;/p&gt; &lt;p&gt;Other Republicans represent swing districts where &lt;a href=&quot;https://apnews.com/article/medicaid-cuts-budget-republicans-health-care-4a13fc3528d7bf20ea52db4a5551c8bf&quot;&gt;voting against Medicaid &lt;/a&gt;could be risky politically. Rep. &lt;a href=&quot;https://www.politico.com/newsletters/california-playbook-pm/2024/11/13/valadao-house-win-00189478&quot;&gt;David Valadao&lt;/a&gt; in the San Joaquin Valley represents the greatest share of Medicaid enrollees in the state at 67%. He voted to advance the House bill. Six years ago, his &lt;a href=&quot;https://www.politico.com/news/2025/02/20/david-valadao-medicaid-cuts-congress-00205072&quot;&gt;vote to eliminate the Affordable Care Act&lt;/a&gt; likely cost his reelection for a term.&lt;/p&gt; &lt;p&gt;In contrast, California’s Democratic state lawmakers have taken every opportunity to &lt;a href=&quot;https://calmatters.org/explainers/california-health-care-coverage/&quot;&gt;expand the Medicaid program&lt;/a&gt;, which grants full-scope health coverage to low-income people (for instance: an individual making less than $20,783 or a family of four making less than $43,056 annually).&amp;nbsp;&lt;/p&gt; &lt;p&gt;The number of people with Medicaid in California has increased 31% since 2014 when the Affordable Care Act allowed states to enroll people who made slightly more than the federal poverty threshold. California has also expanded in other categories, using about $8 billion annually of state &lt;a href=&quot;https://calmatters.org/health/2023/12/undocumented-health-insurance-new-california-laws-2024/&quot;&gt;money to insure undocumented immigrants&lt;/a&gt;.&amp;nbsp;&lt;/p&gt; &lt;p&gt;Today, the state spends &lt;a href=&quot;https://ebudget.ca.gov/2024-25/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf&quot;&gt;$161 billion on Medicaid&lt;/a&gt;, the &lt;a href=&quot;https://calbudgetcenter.org/resources/federal-funds-drive-one-third-of-californias-state-budget/&quot;&gt;majority of which comes from the federal government&lt;/a&gt;.&amp;nbsp;&lt;/p&gt; &lt;p&gt;Republicans have focused talks on &lt;a href=&quot;https://www.statnews.com/2025/03/03/medicaid-cuts-republicans-paragon-say-to-focus-on-waste-fraud-and-abuse/&quot;&gt;rooting out “waste” and “fraud”&lt;/a&gt; in federal programs, but &lt;a href=&quot;https://www.nytimes.com/interactive/2025/01/23/us/politics/republican-tax-spending-cuts-options.html&quot;&gt;early proposals&lt;/a&gt; appear to aim at the fundamental payment structure of Medicaid. Experts say those types of cuts may require states to pay more for the programs, putting the political and financial onus on state lawmakers.&amp;nbsp;&lt;/p&gt; &lt;p&gt;“Many of these proposals are about having states be left holding the bag,” said Edwin Park, a public policy research professor at Georgetown University. “If states have less funding available, then it&#039;s impossible for them to sustain their current levels of spending.”&lt;/p&gt; &lt;h2&gt;&#039;Some people will die without it&#039;&lt;/h2&gt; &lt;p&gt;In a &lt;a href=&quot;https://www.youtube.com/watch?v=sKZxE-aaRoU&quot;&gt;statement on the House floor&lt;/a&gt; following the initial budget vote, Valadao said extending Trump’s 2017 tax cuts would make a real difference for “working families, farmers, and small business owners” but acknowledged that many of his constituents need Medicaid.&lt;/p&gt; &lt;p&gt;“I’ve heard from countless constituents who tell me the only way they can afford health care is through programs like Medicaid,” Valadao said that day, indicating he could vote differently later in the year on a final proposal. “And I will not support a final reconciliation bill that risks leaving them behind.”&lt;/p&gt; &lt;p&gt;But some California voters still feel like their representatives have failed them by advancing a bill that will likely lead to Medicaid cuts.&lt;/p&gt; &lt;figure&gt;&lt;img src=&quot;https://calmatters.org/wp-content/uploads/2025/03/030425_Medicaid-Pixley_LV_CM_06-1024x682.jpg&quot; alt=&quot;&quot;/&gt;&lt;figcaption&gt;Rudolpho Morales-Ayon, a community college student, in Pixley Park in Pixley on March 4, 2025. Morales enrolled in Medicaid as a child and continues the health insurance program. Photo by Larry Valenzuela, CalMatters/CatchLight Local&lt;/figcaption&gt;&lt;/figure&gt; &lt;p&gt;“For our representative David Valadao, this is a betrayal. It’s nothing less than that,” Morales-Ayon, a district voter, said. Morales-Ayon voted for Valadao’s Democratic opponent last fall.&lt;/p&gt; &lt;p&gt;Morales-Ayon had Medicaid as a child because his parents’ jobs didn’t provide insurance. Per capita earnings in Valadao’s district are about half as much as statewide earnings, according to census data.&lt;/p&gt; &lt;p&gt;“People need these resources to manage their day-to-day lives,” Morales-Ayon said.&amp;nbsp;&lt;/p&gt; &lt;p&gt;Padilla, who also lives in Valadao’s district, now works as a pharmacy technician at Mercy Hospital Southwest in Bakersfield. She traveled with her union to Washington, D.C. several weeks ago to try and make an appeal to Valadao not to vote for any Medicaid cuts. Staff told the group that he was too busy to see them, Padilla said.&lt;/p&gt; &lt;p&gt;Padilla grew up in the district and said multiple family members, including cousins and her 84-year-old grandmother, have Medicaid. Her family who rely on Medicaid have low-paying or part time jobs that don’t offer health insurance. Any reductions in coverage would be “devastating,” she said.&lt;/p&gt; &lt;p&gt;“This is the raw, honest truth of hardworking people,” Padilla said.&amp;nbsp;&lt;/p&gt; &lt;p&gt;In Orange County, Rios, a certified nursing assistant for Kaiser Permanente, voted and rallied for Republican Rep. Young Kim, but these days she’s consumed by the thought of what will happen if Medicaid is cut. She’s worried that she’ll lose her job and that patients will lose access to health care.&amp;nbsp;&lt;/p&gt; &lt;p&gt;Most importantly to her, Rios said, her grandson Elijah with cerebral palsy might lose insurance. Elijah’s cerebral palsy medication costs $5,000 each month, she said.&lt;/p&gt; &lt;p&gt;“It’s not a Republican thing. It’s not a Democratic thing. Forget the political BS, this is a human thing,” Rios said. “Some people will die without it. Some people’s lives like my grandson’s are at risk without it.”&lt;/p&gt; &lt;p&gt;Rios, who has worked in health care for more than two decades, said she voted for Kim because Kim spoke compassionately about her constituents during her election campaign and also supported health care workers. But the budget vote was a “slap in the face.”&lt;/p&gt; &lt;p&gt;“I’m very disappointed and very frustrated that she voted and she didn’t fight harder to keep Medi-Cal uncapped not only for her constituents like myself but for the young children who need it,” Rios said. “She needs to remember why we elected her into office.”&lt;/p&gt; &lt;p&gt;In a &lt;a href=&quot;https://youngkim.house.gov/2025/02/26/rep-young-kim-statement-on-h-con-res-14/&quot;&gt;statement&lt;/a&gt; on her website, Kim joined other Congressional Republicans in emphasizing that the bill passed was procedural and &lt;a href=&quot;https://calvert.house.gov/media/press-releases/rep-calvert-votes-advance-budget-resolution-protect-taxpayers-massive-tax&quot;&gt;didn’t make cuts to any specific programs&lt;/a&gt;. The vote simply allowed the GOP to “move the ball forward,” Kim said in the statement.&lt;/p&gt; &lt;p&gt;“As this process moves forward, I will continue to make clear that a budget that does not protect vital Medicaid services for the most vulnerable, provide tax relief for small businesses, and address the cap on state and local tax (SALT) deductions will not receive my vote,” Kim said in the statement.&amp;nbsp;&lt;/p&gt; &lt;p&gt;In her district, which covers portions of Orange County and the Inland Empire, 21% of people use Medicaid.&amp;nbsp;&lt;/p&gt; &lt;h2&gt;An &#039;existential threat&#039; to health clinics&lt;/h2&gt; &lt;p&gt;But some health care providers say even the procedural vote was “too risky” for their liking.&lt;/p&gt; &lt;p&gt;“It is an existential threat from our perspective,” said Francisco Silva, chief executive of the California Primary Care Association, which represents more than 1,200 community health centers in California.&lt;/p&gt; &lt;p&gt;Community health centers, also known as federally qualified health centers, serve predominantly low-income communities. In some areas of the state, Medicaid is the only reason why health centers and hospitals can piece together enough revenue to stay open, Silva said.&lt;/p&gt; &lt;p&gt;Marisol De La Vega Cardoso said any Medicaid cuts risk destabilizing community health centers at a time when poverty is increasing. De La Vega Cardoso is a senior vice president at Family HealthCare Network, the second-largest community health center network in the country.&amp;nbsp;&lt;/p&gt; &lt;p&gt;“Unfortunately we might be forced to cut back on services that are so needed,” De La Vega Cardoso said.&amp;nbsp;&lt;/p&gt; &lt;p&gt;Dr. Richard Thorp, a longtime internal medicine specialist in Paradise, is very concerned about how Medicaid cuts may destabilize the workforce in an area that already struggles to recruit doctors. Republican LaMalfa has represented the district that includes Paradise since 2013.&lt;/p&gt; &lt;p&gt;The once idyllic town in the Sierra Nevada foothills outside of Chico was the site of California’s deadliest wildfire in 2018, which also destroyed the local hospital. More than 80% of the population never returned to live in Paradise, and Thorp’s medical group dropped from 15 primary care doctors to one full-time doctor supported by four advanced practice staff.&lt;/p&gt; &lt;p&gt;“We have significant manpower and pipeline issues,” Thorp said. “As you make these cuts it makes it less and less feasible to practice in Butte county.”&lt;/p&gt; &lt;p&gt;LaMalfa said in a statement online that the House budget bill was a first step in “reining in Washington’s out-of-control spending” and that a “typical family in NorCal” would see taxes go up without the federal government cutting spending. The statement made no mention of Medicaid.&lt;/p&gt; &lt;p&gt;“It’s time to prioritize policies that grow the economy, cut waste, and ensure a stronger financial future for the American people.”&lt;/p&gt; &lt;p&gt;&lt;em&gt;Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.&lt;/em&gt;&lt;/p&gt; &lt;p&gt;This article was &lt;a href=&quot;https://calmatters.org/health/2025/03/medicaid-cuts-republican-districts/&quot;&gt;originally published on CalMatters&lt;/a&gt; and was republished under the &lt;a href=&quot;https://creativecommons.org/licenses/by-nc-nd/4.0/&quot;&gt;Creative Commons Attribution-NonCommercial-NoDerivatives&lt;/a&gt; license.&lt;/p&gt;</textarea> <button id="copy-republishing-code">Copy HTML</button> </div> </div> </div> </div> <script> var republishingSuccessText = "Article copied to clipboard."; var republishingErrorText = "Unable to copy article."; </script> <h3 class="cm-read-next-eoa-label cm-read-next-eoa">The Latest</h3><section class="cm-read-next-eoa-unit cm-read-next-eoa" created_at="2025-03-20 07:12pm"> <a href="https://calmatters.org/education/higher-education/2025/03/ucla-protest/" class="cm-read-next-eoa-article"> <img width="400" height="300" src="https://i0.wp.com/calmatters.org/wp-content/uploads/2024/05/043024_UCLA-Palestine-Protest_AP_CM_01.jpg?resize=400%2C300&amp;ssl=1" class="cm-read-next-eoa-img wp-post-image" alt="" decoding="async" srcset="https://i0.wp.com/calmatters.org/wp-content/uploads/2024/05/043024_UCLA-Palestine-Protest_AP_CM_01.jpg?resize=1200%2C900&amp;ssl=1 1200w, https://i0.wp.com/calmatters.org/wp-content/uploads/2024/05/043024_UCLA-Palestine-Protest_AP_CM_01.jpg?resize=800%2C600&amp;ssl=1 800w, https://i0.wp.com/calmatters.org/wp-content/uploads/2024/05/043024_UCLA-Palestine-Protest_AP_CM_01.jpg?resize=600%2C450&amp;ssl=1 600w, https://i0.wp.com/calmatters.org/wp-content/uploads/2024/05/043024_UCLA-Palestine-Protest_AP_CM_01.jpg?resize=400%2C300&amp;ssl=1 400w, https://i0.wp.com/calmatters.org/wp-content/uploads/2024/05/043024_UCLA-Palestine-Protest_AP_CM_01.jpg?resize=200%2C150&amp;ssl=1 200w, https://i0.wp.com/calmatters.org/wp-content/uploads/2024/05/043024_UCLA-Palestine-Protest_AP_CM_01.jpg?resize=400%2C300&amp;ssl=1&amp;w=370 370w" sizes="(max-width: 400px) 100vw, 400px" /> <div class="cm-read-next-eoa-title">Students and faculty sue administrators over last spring’s UCLA pro-Palestinian protests</div> </a> <a href="https://calmatters.org/education/k-12-education/2025/03/test-scores-2/" class="cm-read-next-eoa-article"> <img width="400" height="300" src="https://i0.wp.com/calmatters.org/wp-content/uploads/2025/03/030525-Delano-Schools-LV_23.jpg?resize=400%2C300&amp;ssl=1" class="cm-read-next-eoa-img wp-post-image" alt="A person stands and writes on a whiteboard in front of a group of children sitting at desks inside a classroom with brightly colored decorations. 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