California is implementing new requirements for some Medi-Cal beneficiaries, linking continued health insurance coverage to 80 hours of monthly activity. These activities include work, study, or other qualifying programs. The changes primarily impact immigrant families who rely on Medi-Cal for healthcare access. Officials state the aim is to encourage self-sufficiency and workforce participation. However, advocates express concern that the new rules will lead to coverage loss for vulnerable populations unable to meet the hour requirements. The state has yet to detail the specific qualifying activities or the verification process for tracking hours. Implementation details and potential hardship exemptions are still being clarified.