Since California's health insurance program for the poor was expanded under the Affordable Care Act last year, enrollment has exploded, with more than 3.5 million people signing up for the first time. Almost 1 in 3 Californians — a total of 12.2 million people — now receive coverage through Medi-Cal. Jennifer Kent Eleakis & Elder Photography Jennifer Kent, director of the California Department of Health Care Services, which managed the Medi-Cal program. (Eleakis & Elder Photography) But the sudden growth has raised questions about how state officials will serve millions of new beneficiaries and continue paying for the program, which currently costs the state $18 billion a year....
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