In California, conservative districts are heavily reliant on Medicaid, with significant percentages of their populations enrolled. This presents a political challenge for Republican representatives who might risk voter backlash by opposing Medicaid expansions. While Democrats continue to push for program growth, with notable funding for undocumented immigrants, Republican strategies focus on reducing waste and potential cuts to Medicaid funding. The evolving landscape suggests that any reduction in federal support may shift financial burdens to states, impacting their ability to maintain current Medicaid spending.
"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's impossible for them to sustain their current levels of spending."
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.
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