Health Net Terminated Assisted Living Coverage
3,000 California Medicaid enrollees face potential out-of-pocket costs for essential assisted living services.
Updated on Sept. 23, 2026 in Eldercare
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Health Net has removed Assisted Living Facility Transitions and Personal Care Homemaker Services from its Community Support benefits, impacting 3,000 California Medicaid enrollees. These individuals now face monthly out-of-pocket expenses for assisted living that can reach $7,000.
Why it matters
The discontinuation of these benefits forces families to navigate sudden financial burdens for ongoing care needs. Senator Adam Schiff has intervened, formally requesting that the insurer restore coverage for these critical services.
Health Net cut services for 3,000 California Medicaid enrollees, leading to potential monthly costs of $7,000 for assisted living. The impact centers on the loss of Assisted Living Facility Transitions and Personal Care Homemaker Services.
The players
Senator Adam Schiff
A U.S. Senator representing California who is advocating for the restoration of health benefits for state residents.
Health Net
An insurance provider that manages health benefits for enrollees and has recently discontinued specific community support coverage.
Eric Schmacker
The interim CEO of Health Net who received a formal request to restore coverage for affected enrollees.
The details
Health Net removed the specific assisted living and personal care support services from its Community Support benefits program. Without this coverage, enrollees are responsible for the full cost of these facilities and care services. These changes arrive ahead of broader federal health care cuts scheduled to impact programs by the start of next year.
Timeline
September 23, 2026: Senator Schiff requested benefit restoration from Health Net.
January 1, 2027: Federal health care cuts take effect.
The Home Front
The removal of these benefits aligns with a broader shift in health care coverage as institutions adjust programs ahead of the 2027 federal health care cuts. This transition increases the financial uncertainty for families who rely on Medicaid-supported assisted living options.
Review your current Medicaid benefit documents to determine if your specific coverage for assisted living or homemaker services has been affected. Contact your health plan administrator or a social worker to discuss alternative funding resources or assistance programs.
The takeaway
Families impacted by the loss of these services should act quickly to evaluate their long-term care budget and communicate with their insurance provider. Maintain all correspondence with your health plan administrator to ensure you have a written record of your benefit status.
What happens next
Federal health care cuts are set to take effect on January 1, 2027, which may trigger additional changes to health benefit programs.
Further reading
For more information on navigating long-term care support and coverage, visit Eldercare.
Source note: This article includes information reported by Gold Rush Cam.
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