Many of the approximately four million Californians who will remain uninsured by 2019 could have trouble accessing healthcare as funding for safety-net providers increasingly drops, according to an issue brief by the Greenlining Institute. According to the brief, the uninsured population in California by 2019 is expected to be "very diverse" but not entirely made up of undocumented immigrants. The brief notes that residents could lack coverage because of:
- ACA exemptions based on immigration status;
- Lack of affordable coverage; and,
- Unforeseen life circumstances.