Ambulance Costs To Explode 382% As Feds Target California’s Healthcare For Illegals
The Department of Homeland Security is sounding the alarm over new California data showing that publicly funded ambulance rides could soar by as much as 383%, a spike the Trump administration is using to intensify its attacks on Gov. Gavin Newsom’s policies extending Medi-Cal and Medicaid access to illegal immigrants.
Officials in Washington have repeatedly faulted California for allowing state and federal healthcare dollars to cover emergency services for migrants without legal status—a dispute that became a flashpoint during the recent government shutdown. DHS Assistant Secretary Tricia McLaughlin told Fox News Digital that “President Trump consistently promised to protect Medicaid for eligible beneficiaries” and said the administration is now working to ensure taxpayer funds are not diverted to those who are not legally entitled to them. She added, “To keep that promise after Joe Biden flooded our country with tens of millions of illegal aliens, CMS and DHS are exploring an initiative to ensure that illegal aliens are not receiving Medicaid benefits that are meant for law-abiding Americans.”
McLaughlin argued that California has already been forced to confront the strain its policies created, saying, “California should understand this principle pretty well by now, since they had to announce they were freezing Medi-Cal enrollment for illegal immigrants earlier this year.” Newsom revealed in May that the state would halt new Medi-Cal enrollment for undocumented adults beginning in 2026, and later announced plans to require those already in the program to begin paying monthly premiums in mid-2027. Although Newsom initially sought a $100 monthly charge, the Democratic-controlled legislature reduced the figure to $30.
Those not yet enrolled will be barred from applying starting in 2026, a restriction that narrows who can receive emergency Medicaid services—but does not eliminate one of the most expensive elements: ambulance transportation. According to the California Department of Health Care Services, the cost of a taxpayer-funded ambulance trip surged from $339 per ride in 2022 to $1,168 in 2024. The state has now asked the Centers for Medicare & Medicaid Services to approve rates of $1,597 for 2025 and $1,637 for 2026—a jump that amounts to roughly 382%.
Although California did not explicitly tie its soaring ambulance expenditures to services for illegal migrants, DHS suggested there may be a connection and used the moment to reiterate the administration’s push for more detailed data about migrants receiving care. McLaughlin said, “This information sharing is essential to identify who is in our country, including violent criminals, determine what public safety and terror threats may exist so we can neutralize them and identify what public benefits these aliens are using at taxpayer expense.” She followed with a pointed critique: “California Democrats, like Gavin Newsom, should stop putting illegal aliens over Americans.”
Part of the controversy centers on California’s use of intergovernmental transfers, or IGTs—transactions in which counties and public hospitals send funds to the state, allowing California to claim those dollars as Medicaid spending. The federal government then matches that inflated amount. Afterward, states can return the original money to the local entities while keeping the federal match. According to DHS, this mechanism contributes to widening disparities: private ambulance providers remain stuck at a reimbursement rate of $339, while publicly funded ambulance services in California have seen dramatically increased payouts.
DHS argues that taxpayers nationwide are effectively subsidizing a system that inflates costs and helps bankroll healthcare for illegal immigrants. The administration notes that while other states also rely on IGTs, California’s exceptionally large undocumented population makes it particularly vulnerable to federal scrutiny—and a prime target for the Trump administration’s broader effort to restrict benefits for those in the country illegally.
{Matzav.com}
