The trigger cuts come after reductions to services for seniors and the disabled announced earlier this year.
Now, providers in Medi-Cal plans spared from earlier cuts will see 10% less money from the state, and recipients will have co-pays.
Joanne Handy of Aging Services of California says it's too early to see the impact of the trigger cuts. But they add anxiety and uncertainty.
HANDY: "It's a feeling that the safety net is being torn away, leaving people to wonder, 'Well, what is going to my services?'"
The new cuts will affect some 12,000 Californians starting January 1st.
The triggers also call for a 20% reduction in hours to In Home Supportive Services or IHSS.
Those cuts have been delayed by a restraining order until a court hearing in mid- January.