Right now, counties use some state funds to pay for the treatment of uninsured patients.
But Governor Jerry Brown's budget suggests the administration is reassessing how that funding is directed to counties in anticipation of the new costs associated with enrolling more people in Medi-Cal next year.
A coalition of health advocates want to keep that money for counties. They say three to four million people may still be uninsured even under the Affordable Care Act.
Anthony Wright is from the consumer advocacy organization, Health Access.
WRIGHT:"We want to make sure that assessment is done wisely and responsibly, taking into account not only the fiscal needs of the state but also the needs of the remaining uninsured."
The advocates propose the state capture some savings from counties only after three years, if the counties are not using all the funds for uninsured patients.