Timeline Charts of Changes to Medi-Cal and Covered California Under OBBBA and the California Budget

Executive Summary

H.R. 1, also known as the “One Big Beautiful Bill Act,” (OBBBA) cuts approximately $1 trillion from Medicaid which will result in an estimated 10 million individuals and families losing health coverage across the nation. Just before the OBBBA’s passage, California finalized its budget, which includes additional cuts to the Medi-Cal (Medicaid) program. These reference charts provide a color coded timeline of all of the changes to Medi-Cal and Covered California. The Medi-Cal timeline provides an overview of the key changes under both budget bills to the Medi-Cal program. The Covered California timeline provides an overview of the key changes under OBBBA, including changes under the Marketplace Fine Rule.

• Covered California Timeline of OBBBA and Marketplace Final Rule Changes
• Medi-Cal Timeline: OBBBA and CA Budget Implementation Changes