Experts warn ripple effects like these could happen more frequently as hospitals grapple with a coming spike in uninsured patients. President Donald Trump’s tax law last year cut nearly $1 trillion from Medicaid, the federal health insurance program for low-income people, over the next decade. In preparation for federal and state cuts, California hospitals have already laid off more than 3,000 workers. Without relatively healthy people subsidizing the cost of care, insurers can’t afford to hold the line on premiums. Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford.