Public Benefits Changes Coming Soon

New state and federal rules will impact recipients of public benefits

These changes will take effect over the next two years. If you already receive CalFresh or Medi-Cal, be sure to follow the recertification instructions for your benefits. 

Below is the most recent information on some of the key changes and exemptions to eligibility and coverage from January 1, 2026 through late 2027.  

For updates: Please check this webpage often for more details from the state on how and when these changes will take place.

We encourage everyone to apply now for the benefits they need by visiting our Medi-Cal and CalFresh (food stamps) webpages or calling (415) 557-5000. 

You can also visit Our Services page to apply for other benefits. 

Starting January 1, 2026 

Enrollment restrictions for undocumented Californians

Undocumented Californians aged 19 and older who currently do not receive Medi-Cal benefits are no longer eligible to enroll for full medical coverage through Medi-Cal. Exceptions apply for undocumented foster youth up to age 26 and pregnant people. 

If you are an undocumented adult who already receives Medi-Cal, you can keep your benefits as long as you renew.   

If you lost coverage or are uncertain if you qualify for Medi-Cal, contact us:  

Get information on how to access low-cost healthcare in San Francisco. 

Apply for full Medi-Cal to get the healthcare you need in one of these ways: 

Asset limits are now reinstated for older adults and people with disabilities  

When you apply for or renew your Medi-Cal, we will evaluate your assets, such as cash, bank accounts, second vehicles, and second homes.  

You will be affected if you are over 65, have a disability, or live in a nursing home. The asset limit for individuals will be $130,000 and $65,000 for each additional household member (up to 10). Important: the home you live in does not count. ​​ 

See  details on asset limits.​ 

There are no changes for:  

  • The monthly income rules for Medi-Cal
  • Full coverage for existing Medi-Cal recipients: Californians who already have full coverage should renew their coverage when their Medi-Cal renewal is due to keep their benefits. This applies to all Medi-Cal recipients regardless of immigration status or age.
  • Full coverage for children ages 0-18 and pregnant people: They can still enroll in full-scope Medi-Cal, regardless of immigration status. Coverage is for the entire pregnancy and one year after the pregnancy ends. Full-scope Medi-Cal coverage includes doctor visits, dental, vision, and mental health services.  

Starting July 1, 2026  

  • Dental benefits end for undocumented adults: Full Medi-Cal coverage recipients age 19 and older who are undocumented or have temporary immigration status will lose dental benefits.  

Starting January 1, 2027 

  • Renewal required every six months for most adults: Most adults ages 19-64 without disabilities or children 18 or younger will need to renew their Medi-Cal every six months instead of yearly.
  • New work/school/community service rules: Most adults ages 19-64 who are able to work and without children age 18 or younger must work, attend school, or do community service for at least 80 hours each month to qualify. Many people, including those unable to work due to mental or physical challenges or a substance use disorder, will be exempt from the rules 
  • Less time for applicants to get help paying old medical bills: Medi-Cal will only pay for one month of past bills for adults ages 19-64 who don’t have children 18 or younger. Medi-Cal will pay up to two months of past bills for all others. 

Starting July 1, 2027  

  • Monthly premium required for some non-citizens: Medi-Cal recipients ages 19–59 who are undocumented or have a temporary immigration status will begin paying a $30 monthly premium per person on the Medi-Cal case. 

For more information  

See the state's updates on all upcoming changes to Medi-Cal. 

 

June 1, 2026, pending final State guidance

  • Work/school/community service rules: Most adults ages 18-64 who are able to work will be required to work, do community service, or attend school at least 80 hours each month. 

    Many people, including those who have a child under age 13 at home or are unable to work due to mental or physical challenges, will be exempt from the rules. People who are not exempt and do not meet the requirements will lose benefits after three months during a three-year period.  

SFHSA takes your privacy very seriously. We use client personal information only to determine their eligibility for benefits. 

By law, our agency is required to share information with the State of California, which, in turn, is required to share demographic information with the federal Centers for Medicare & Medicaid Services.

Currently, lawsuits—including in California—are blocking the use of SNAP and Medicaid information for immigration enforcement. Clients should also be aware that disenrolling from benefits will not retroactively remove their personal information from the state-run database.

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