State Policy · CA
California Medi-Cal Enrollment Drops 5% as 730,000 Disenroll Between June 2025 and March 2026
California's Medi-Cal program lost 730,000 enrollees—a 5% decline—between June 2025 and March 2026, according to California Health Care Foundation data analysis. Undocumented children and young adults experienced disproportionate coverage losses during this period. The enrollment decline follows the end of Medicaid continuous coverage requirements that had kept enrollment elevated during the public health emergency. State agencies and managed care plans should anticipate continued membership volatility and assess impacts on network capacity, risk adjustment, and community-based provider networks serving populations with higher disenrollment rates.
Why it mattersA 730,000-member drop in California, the nation's largest Medicaid program, signals significant managed care plan revenue loss, potential network adequacy shifts, and administrative strain from processing eligibility changes at scale.
Also covered by:chcf.org