President Donald Trump's "One Big Beautiful Bill" could result in thousands of homeless Californians losing their Medi-Cal coverage due to work requirements. The law requires states to verify that able-bodied adults younger than 65 without dependent children are performing 80 hours or more of work each month to qualify for Medicaid. It also requires state officials to verify income and eligibility criteria every six months, rather than once per year. State officials estimate up to 2 million people, about 14% of the state’s 14 million Medi Cal recipients, will lose coverage. Without insurance, these individuals will be unable to access medications or find primary care providers. The exemptions include those with substance use disorders, disabling mental health conditions, complex medical conditions and other disabilities. However, many likely qualify for work exemptions.