"Karen Sanchez has seen S, a man in his 30s with Down syndrome, every few months for the last 10 years that she has worked in an outpatient laboratory in a hospital in Antelope Valley, a rural part of Los Angeles County. S comes with an official caretaker and breaks into a smile when he sees Sanchez, with her now familiar purple hair, waiting in the lobby."
"United States President Donald Trump's One Big Beautiful Bill Act (OBBBA), passed in July 2025, would require S and other such patients to fill out paperwork every six months to determine their eligibility for Medi-Cal, the California version of the federally funded medical coverage programme known as Medicaid. This is a complex task for patients like S, whose name is being withheld to protect patient privacy. It is hard for him to even grasp the changes, Sanchez said."
California health workers propose a one-time 5 percent tax on residents with more than $1 billion in assets to offset federal Medicaid cuts. President Donald Trump's One Big Beautiful Bill Act (OBBBA), passed in July 2025, increases eligibility paperwork frequency, expands work requirements, and eliminates some beneficiaries to save $100bn. Patients with complex disabilities risk losing Medi-Cal coverage due to administrative burdens and confusion about recurring forms. Hospital outpatient staff report long-term relationships with affected patients who may fall through the cracks under the new rules. The proposed tax intends to restore funding and maintain services for vulnerable Californians reliant on Medi-Cal.
Read at www.aljazeera.com
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