Healthy Alameda: How to Navigate New Medicaid Rules in 2026

As new Medicaid rules take effect in 2026, some people face a critical year-end deadline to keep their opportunity for full-scope health insurance through Medi-Cal.

Changes to Medicaid, signed into law with the passage of H.R. 1, and subsequent changes to Medi-Cal from the state, will begin to take effect on January 1, 2026. Some adults with “unsatisfactory immigration status” may forever lose their opportunity to receive full-scope Medi-Cal if they don’t enroll by December 31.

About 25% of the City of Alameda’s residents were born in another country. Providers at Alameda Health System (AHS), which operates Alameda Hospital, know that these changes to Medicaid may impact immigrant patients and the health of the community. Many are already fearful due to increased enforcement activity. Some may avoid leaving their homes, postpone medical care, or skip medical appointments.

“I know many families are feeling uncertain right now,” said Alejandro Diaz, MD, vice-chair of internal medicine at AHS. “I want our community to hear that you’re not alone. We’re here to support you, answer your questions, and make sure you can get care in a way that feels safe and comfortable.”…

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