Medi-Cal, California's Medicaid program, has been spending on non-medical programs like housing and meals, leading to a $6 billion deficit and the need for loans. The federal government is cracking down on these non-medical expenses, aligning with a narrower vision of Medicaid under the Trump administration.
Key Points
California's Medi-Cal program has been covering services from housing to healthy food under CalAIM.
The federal government, under the Trump administration, is insisting that Medicaid spending be restricted to medical expenses only.
The deficit in Medi-Cal has led to the need for loans to prevent collapse.
Pros
Providing services like housing and healthy food can improve the overall health and well-being of Medi-Cal recipients.
Experimenting with Medicaid funding can lead to innovative solutions for addressing social determinants of health.
Cons
Spending on non-medical programs has contributed to a significant deficit in the Medi-Cal program.
The federal government's crackdown on non-medical expenses may limit the flexibility of states like California to address social determinants of health.