Roughly 400,000 Californians, including 5,000 in Mendocino County, face losing health insurance via Covered California if federal tax credits expire on December 31, potentially doubling premiums. While state funds will partially offset this, future federal changes in 2027 will limit aid for 119,000 legal immigrants, and 2028 brings an end to automatic renewals. Clinics like Mendocino Coast Clinics fear lost insurance will cut vital reimbursement, necessitating service reductions or possibly event clinic closures.