San Francisco opens new adult immunization clinic amid Medicaid cuts updates

In a recent meeting of the San Francisco Health Commission, significant discussions centered around the opening of a new adult immunization and travel clinic, as well as critical updates on upcoming changes to Medi-Cal and the Affordable Care Act (ACA) that could impact thousands of residents.

The newly relocated Adult Immunization and Travel Clinic (AITC) has moved from 101 Grove to a more accessible site at 27 Van Ness. This clinic, which has served over 100,000 San Franciscans since its inception, provides essential immunization services, particularly for those without access to healthcare. The clinic's new facilities include upgraded storage and individual exam rooms, enhancing the quality of care for the community.

However, the meeting also highlighted concerning changes on the horizon for Medi-Cal, particularly for individuals with unsatisfactory immigration status. Starting in January 2026, enrollment freezes will prevent those aged 19 and older from joining Medi-Cal unless they were already enrolled as minors. Additionally, significant cuts to Medicaid funding at both the federal and state levels are expected to reduce access to healthcare for many residents. These changes include a freeze on adult dental coverage and a reduction in payments to Federally Qualified Health Centers (FQHCs) for those with unsatisfactory immigration status.

The implications of these changes are profound, with estimates suggesting that up to 17 million people could lose their health coverage over the next decade due to cuts in Medicaid and the expiration of enhanced ACA subsidies. The commission plans to continue discussions on these issues in future meetings, emphasizing the need for a strategic response to mitigate the impact on vulnerable populations in San Francisco.

As the city navigates these challenges, the Health Commission remains committed to ensuring that all residents have access to necessary health services, particularly as federal and state policies evolve. The community is encouraged to stay informed and engaged as these critical issues develop.