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Pulse brief · 1 cited source · July 16, 2026

California moves to name large employers whose workers rely on Medi-Cal

A revived disclosure bill would identify companies with 100 or more employees that have workers on Medi-Cal, as a January work-requirement deadline approaches.

California state Sen. Lola Smallwood-Cuevas is pushing to revive an expired law requiring the state to identify companies that employ 100 or more people and have workers enrolled in Medi-Cal, timed against the Trump administration's January deadline for states to enforce new Medicaid work requirements. Nearly 5 million of the state's more than 14 million Medi-Cal enrollees will be subject to that rule. "Taxpayers deserve transparency about which large employers are shifting their healthcare costs onto the public," Smallwood-Cuevas said. The mechanism is not new: Nevada has had a naming law since 2017, and Walmart and Amazon, which regularly top its list, say the counts sweep in part-time and seasonal workers while their full-time hourly employees earn too much to qualify.

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Facing Funding Losses, States Call Out Big Businesses With Employees on Medicaid - KFF Health NewsTrusted reporting · kffhealthnews.org · Jul 15
  • California lawmakers are seeking to revive an expired law that would require the state to identify companies that employ 100 or more people and have employees enrolled in Medi-Cal.
  • The Trump administration has set a January deadline for states to enforce new Medicaid work requirements.
  • Democratic state Sen. Lola Smallwood-Cuevas is the author of the California bill.
  • Nearly 5 million out of more than 14 million California residents on Medi-Cal will be subject to the work-requirement rule.
  • Smallwood-Cuevas said "taxpayers deserve transparency about which large employers are shifting their healthcare costs onto the public."
  • Nevada has had a similar naming law in place since 2017.
  • Walmart and Amazon regularly top Nevada's list and have said the state included part-time and seasonal workers in the counts and that their full-time hourly employees make too much to qualify for Medicaid.