Medi-Cal is California's program that helps people with low incomes pay for healthcare, like doctor visits or nursing home care. Starting January 1, 2026, Medi-Cal will check your assets-things like savings or a second home-to see if you qualify. If you have more than $130,000 (or $195,000 for couples), you might not get benefits unless you plan smartly. Trusts and stacked gifting are two ways to keep your assets safe while still getting Medi-Cal help.
Editor Moryt Milo, who moderated the Sept. 17 State of Health Care in Silicon Valley event, questioned panelists on the ramifications of $1 billion in federal Medicaid revenue cuts slated to hit the county's public health care system, and their plans to tackle an estimated total $4.4 billion revenue drop through fiscal year 2029-30. These cuts are the result of federal slashes under President Donald Trump's watershed budget bill H.R. 1.
Medi-Cal is California's version of Medicaid. It's a program that helps people with lower incomes cover healthcare costs-like trips to the doctor, hospital stays, or even long-term care. It's a big deal for anyone who needs support to afford medical expenses as they get older. But heads up: some changes are coming to Medi-Cal that could affect you or your loved ones, so let's talk about what's happening and how you can get ready.