Bay Area Could Lose Millions in Medi-Cal Expansion Ruling

Bay Area counties could lose tens of millions of dollars if the U.S. Supreme Court rules that a planned Medi-Cal expansion under the federal health reform law is unconstitutional. Medi-Cal is California's Medicaid program. Forty-seven California counties by the end of January had established low-income health programs to prepare for implementing the Medicaid expansion in 2014, including Alameda, Contra Costa, San Mateo and Santa Clara counties. If the expansion is ruled unconstitutional, the counties could lose out on expected federal funding.

• "Bay Area Counties Stand To Lose Millions of Dollars if Medicaid Expansion Ruled Unconstitutional" (Kleffman, San Jose Mercury News, 4/1).