In a significant Senate Floor Session on June 27, 2025, the California State Senate addressed critical healthcare reforms that will directly impact residents, particularly vulnerable populations. The discussions centered around Assembly Bill 116, which aims to enhance access to healthcare while navigating the challenges posed by federal funding cuts.

One of the most notable provisions of the bill is the implementation of a freeze on medical enrollment for undocumented individuals starting January 1, 2026, with a three-month grace period for those disenrolled to reapply. Additionally, beginning July 1, 2027, a monthly premium of $30 will be introduced for Medi-Cal beneficiaries with unsatisfactory immigration status. This move has raised concerns among advocates for immigrant rights, as it may limit access to essential healthcare services for many.

Senator María Elena Durazo expressed deep disappointment during the session, reflecting on her long-standing commitment to improving healthcare for immigrant workers. She described the current situation as a betrayal of the progress made over the years, emphasizing the emotional toll these changes have on those who have fought for dignity and access to healthcare.

The bill also reinstates the asset limit for Medi-Cal eligibility for seniors and individuals with disabilities to $130,000 for individuals and $65,000 for additional household members. This change aims to prevent seniors from being penalized for having minimal savings, a concern that has resonated with many constituents.

Furthermore, the legislation includes reforms targeting pharmacy benefit managers (PBMs), enhancing regulatory oversight to ensure transparency in drug pricing. It allocates $75 million to community-based organizations to offset the loss of federal funds for HIV prevention programs, a critical measure to maintain support for those affected by the cuts initiated by the previous administration.

Senator Scott Wiener, who sponsored the bill, highlighted the importance of these reforms in maintaining healthcare access amid financial challenges. He reassured the Senate that the bill does not disenroll anyone from Medi-Cal and aims to address the pressing healthcare needs of Californians.

The Senate ultimately passed Assembly Bill 116 with a vote of 25 in favor and 10 against, marking a pivotal step in California's ongoing efforts to secure healthcare for its residents. As the state navigates these changes, the focus remains on ensuring that all Californians, especially the most vulnerable, continue to receive the care they need.