Healthcare Policy
California Healthcare Policy 2026
Medicaid expansion status, ACA coverage, uninsured rates, and how healthcare shapes the 2026 elections in California.
Yes
Medicaid Expanded
6.3%
Uninsured Rate
1,900,000
ACA Marketplace Enrollees
State (Covered California)
Exchange Type
Key Healthcare Provisions
| Medicaid Expansion (ACA) | Yes |
| Reproductive Healthcare | Fully covered |
| Mental Health Parity | Nation-leading parity |
| Drug Pricing Policy | State drug pricing board established |
Healthcare System Overview
California has the most comprehensive healthcare system of any state. Medi-Cal (Medicaid) was expanded to undocumented immigrants of all ages. The state has a state-run exchange (Covered California) and has pushed toward a single-payer system (though Newsom vetoed SB 770 in 2022).
2026 Political Impact
California is the model for progressive healthcare policy. The single-payer debate continues; advocates push for a universal healthcare system. California\'s drug pricing board is a model being watched nationally.