Most people with Medi-Cal won’t be affected, but it may be confusing to figure out whether your benefits will change. Undocumented immigrantsAs of Jan. 1, immigrants over age 19 without legal status can no longer apply for Medi-Cal (children remain eligible). Starting Jan. 1, 2027, this group moves to “fee-for-service” Medi-Cal that limits some coverage. Adults without childrenAbout 5 million Californians gained Medi-Cal coverage when the Obama administration expanded eligibility to childless adults and those earning slightly above the federal poverty level. Now this group faces stricter requirements in order to keep their health coverage.