H.R.1 has cost LA County 200,000 Medi-Cal Enrollees, seven clinic closures, and $9 billion in annual economic activity with more cuts on the way
April 2, 2026 – LOS ANGELES, CA – Since H.R.1. was passed in 2025, 200,000 LA County residents have been disenrolled from full-scope Medi-Cal coverage, roughly 1,100 people per day. One out of the five people who lost coverage is a child, including 787 infants, 4,000 toddlers, and over 15,000 school-age children.
“This is not a warning; this healthcare crisis is happening now. Hundreds of thousands of Angelenos have already been impacted by federal funding cuts, and this number will only continue to grow if we don’t take action immediately,” said Jim Mangia, President and CEO of St. John’s Community Health Clinic. “As part of Restore Healthcare for Angelenos, I urge all LA County Voters to vote yes on Measure ER in June. Half-a-penny is a small price for a huge impact: making sure our county has the resources to provide comprehensive health services to everyone, regardless of their insurance status or ability to pay.”
The impact of these cuts is not evenly distributed. Supervisorial District 2 has lost more Medi-Cal enrollees than any other district in the county: 62,447 people, nearly one in three of all Medi-Cal losses countywide, despite accounting for roughly 24% of total enrollment. The sharpest declines are among the most vulnerable: children ages one to five in Compton are disenrolling at rates of up to 9%, and young adults between 21 and 24 are dropping off at 6 to 9% across multiple cities.
“When people lose access to care, premiums go up, ER wait times increase, and our entire healthcare system becomes so strained that it worsens the affordability crisis. We cannot wait for Washington to act. I am urging every voter in Los Angeles County to vote yes on Measure ER on June 2nd. It’s up to us to protect our communities now,” said Los Angeles County Supervisor Holly J. Mitchell, who co-authored the motion to place Measure ER on the ballot.
Seven of LA County’s public health clinics have already closed following federal cuts to CDC and HHS grants. They are not expected to reopen. The patients from those closed clinics are now being funneled into facilities that face the same threat of closure. Every lost Medi-Cal dollar translates to $1.85 in lost economic output, and across LA County, the cuts put 63,800 jobs and $9 billion a year at risk.
In Bellflower, more than half the population is on Medi-Cal. In Paramount, 37.1%. In Long Beach, one in four residents. Across LA County, 3.5 million people rely on Medi-Cal and right now, that coverage is being dismantled in real time. You can find out more about how these cuts are impacting your city by visiting YesOnER.LA.
On June 2nd, Los Angeles County voters will have the opportunity to vote on Measure ER, a proposed temporary half-cent funding measure to generate revenue for community clinics, emergency rooms, and public health services.
Yes on ER supports Measure ER (formerly the Essential Services Restoration Act) and is committed to minimizing the impact of rising healthcare costs for all residents. The coalition is joined by St. John’s Community Health, SEIU Local 721, SEIU Local 2015, the Community Clinic Association of Los Angeles County, Planned Parenthood Advocacy Project LA County, Health Justice Action Fund, InnerCity Struggle, and numerous community leaders.