California is changing Medi-Cal eligibility in stages, and state officials say most current enrollees can keep their coverage if they meet income, residency and renewal requirements on time.[1][4] But the rules are becoming stricter for some adults, and more changes are set for 2027.[5]
As of Jan. 1, 2026, adults age 19 and older without a qualifying immigration status can no longer apply for full-scope Medi-Cal, according to the state Department of Health Care Services.[1][2][4] Children 18 and younger, pregnant people through one year after delivery, and former or current foster youth under 26 remain eligible to apply, the department says.[4]
California has also brought back an asset test for certain enrollees, including seniors, people with disabilities and nursing home residents.[3][4] Through June 30, 2027, the asset limit is $130,000 for one person, plus $65,000 for each additional household member, and countable assets include cash, bank accounts, stocks and a second home or vehicle, while a primary home, one car and regular retirement accounts are excluded.[3][4]
More changes are scheduled to phase in beginning in 2027, including work or community engagement requirements for some adults and six-month eligibility checks for certain beneficiaries.[5] For Korean American families in Los Angeles who rely on Medi-Cal, officials say the key steps are to keep addresses updated, watch renewal notices closely and respond to state mailings on time.[1][5]
