States are preparing to remove millions of people from Medicaid as protections put in place early in the covid-19 pandemic expire.
The Orange County Register says the change, which begins in April, will put millions of low-income Americans at risk of losing health coverage.
In California there are about 15.2 million people are enrolled in its Medicaid program, known as Medi-Cal, who could lose coverage because they no longer qualify.
Almost three years ago, federal government agreed to send billions of dollars in extra Medicaid funding to states on the condition that they stop dropping people.
Millions of people losing Medicaid coverage will be eligible for free or low-cost coverage through the ACA marketplaces, but choosing a plan is complicated.
Unlike Medicaid, so-called Obamacare plans often include deductibles and copayments - though some people, depending on income, can get financial help to lower those expenses.
People who lose Medicaid coverage - in the more than 30 states covered by the federal marketplace - will have until July 31, 2024, to sign up for ACA coverage.