When Isabel Almendarez moved from the Bay Area to the San Joaquin Valley last year, she figured her Medi-Cal health coverage would come with her. An enrollee for almost three decades, the 45-year-old had her four children – now ages 5 to 20 – while on the program that pays for health care services for California’s poorest, elderly and disabled. Her four kids are all also enrolled in Medi-Cal, which insures 15 million people across the state.