Medi-Cal is California's Medicaid program, which provides health insurance to individuals and families who earn low incomes, including 40% of the state's children, half of Californians with disabilities, and over a million seniors. In total, the program covers more than 12 million people, or nearly one in three Californians. Medi-Cal also covers a large number of working Californians, although this may be one of the least recognized or understood populations served by the program. In a 2018 poll, 42% of Californians said that they believed that most working-age adults without a disability enrolled in Medi-Cal are unemployed. Twenty percent said they didn't know. This report combines key findings from survey data with insights from 19 in-depth interviews with enrollees to paint a more accurate and complete picture of working Californians who rely on Medi-Cal, why they came to enroll in the program, and the role it plays in their lives. Key findings include: (1) 2.9 million workers-- almost one in six (16%) of all California workers age 19 to 64--were enrolled in Medi-Cal, according to new analysis of the 2018 American Community Survey (ACS), the latest year for which data were available at the time of this report. (2) According to the ACS, the three industries with the highest rate of enrollment in Medi-Cal were (a) agriculture, forestry, fishing, and mining (32% of workers); (b) restaurants, bars, and food services (31%); and (c) "other services" (27%), a category that includes auto mechanics, hair salon workers, workers in private households, and other workers. (3) 64% of working-age, nondisabled adults enrolled in Medi-Cal work either full- or part-time, according to a 2019 KFF analysis.
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