California Gov. Newsom outlines $12 billion deficit and freeze on immigrant health care access

SACRAMENTO, Calif. (AP) — California is facing a $12 billion deficit that Gov. Gavin Newsom wants to help close by freezing enrollment in a state-funded health care program for immigrants living in California without legal status.

Newsom announced the deficit and his plans to cover it Wednesday as he outlined his nearly $322 billion state spending plan for the upcoming fiscal year.

Beyond higher-than-expected Medicaid spending, Newsom blamed broad economic uncertainty, including federal tariff policies and a volatile stock market. California relies heavily on revenue from a tax on capital gains.

Newsom’s finger-pointing on the budget shortfall is the biggest load of crap I’ve ever seen from a politician, and he shovels out a lot of it,” Gallagher said. “We’re in this mess because of his reckless spending, false promises, and failed leadership.”

His decision highlights Newsom’s struggle to protect his liberal policy priorities against budget challenges in his final years on the job and as he weighs his next political move, which could include a presidential run.

Immigration has become a politically potent issue nationally. Nearly half of Americans approve of President Donald Trump’s tougher immigration approach, according to an AP-NORC poll conducted in April. Meanwhile, Republicans in Congress have threatened to reduce Medicaid money for states that enroll immigrants living in the country illegally.

The freeze does not mean California is backing away from its support for immigrants, Newsom said.

No state has done more than the state of California, no state will continue to do more than the state of California by a long shot. And that’s a point of pride,” he said.

California was among one of the first states to extend free health care benefits to all poor adults regardless of their immigration status last year, an ambitious plan touted by Newsom to help the nation’s most populous state inch closer to a goal of universal health care. But the cost ran $2.7 billion more than the administration had anticipated.

Newsom in March suggested he was not considering rolling back health benefits for immigrants as the state was grappling with a $6.2 billion Medicaid shortfall. He also repeatedly defended the expansion, saying it saves the state money in the long run. The program is state-funded and does not use federal dollars.

Starting in 2027, adults with “unsatisfactory immigration status” on Medi-Cal will also have to pay a $100 monthly premium. The governor’s office said that is in line with the average cost paid by those who are on subsidized heath plans through California’s own marketplace. There’s no premium for most people currently on Medi-Cal.

We believe that people should have some skin in the game as it relates to contributions,” Newsom said.

Democratic state Sen. Dave Cortese said he opposed Newsom’s plan to scale back coverage for some immigrants without legal status.

Congress may be walking away from its obligation to the poor, the elderly, and the disabled, but California will not,” Cortese said in a statement.

Newsom’s proposals go against the commitment the state has made to the immigrant community, said Masih Fouladi, executive director of the California Immigrant Policy Center.

Questions about the practicality of the program aren’t even something that we want to entertain with,” he said. “The proposal just doesn’t match with our values as a state.”

Newsom also proposed eliminating state health care coverage for certain weight loss drugs beginning in January 2026, which would save an estimated $85 million for the upcoming fiscal year and $680 million by fiscal year 2028-29.

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