Illegal aliens are getting taxpayer-funded boob jobs and sex change ops in Newsom’s California, watchdog says

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Illegal immigrantsstaying in homeless shelters in California have undergone sex change procedures and cross-sex hormone therapy treatments on the taxpayers’ dime, a watchdog unearthed.

Manhattan Institute fellowChris Ruforeports in a video that some illegal immigrants have accessed transgender medical procedures through California’s Medi-Cal program, which provides healthcare coverage to low-income residents regardless of immigration status.The state spends roughly $9 billion in taxpayer dollars to provide healthcare for illegal immigrants, which also includes transgender care, according to the California Department of Health Care Services.

Roughly 1.7 million illegal immigrants received full-scope coverage inCalifornia’s Medicaid program, which in some instances included “gender-affirming care.” California Gov.Gavin Newsomexpanded the state’s Medicaid program known as Medi-Cal to all immigrants — regardless of legal status — in January 2024.

Rufo filmed his encounters with illegal immigrants who are also transgender outside taxpayer-funded homeless shelters in San Francisco.The video shows one illegal immigrant, a transgender woman from Honduras, talking about how they received cross-sex gender therapy treatment through the state’s Medicaid program.

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California Gov. Gavin Newsom speaking at a press conference in Hayward

California Gov.Gavin Newsom speaks during a press conference in Hayward, California, on March 2, where he criticized President Donald Trump’s decision to strike Iran.(Tayfun Coskun/Anadolu)

Another migrant interviewed, who claimed to have legal status, said they were able to get taxpayer-funded breast implants.

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“Undocumented Californians don’t get special treatment.Everyone on Medi-Cal gets the same access to care,” a spokesperson for Newsom’s office said in a statement.“If you want to call California woke for not letting politicians interfere with doctors — or not wanting people to die in the streets — then go ahead.”

White House Communications director Steven Cheung slammed Newsom.

“This is like the holy trinity of woke, liberal, out-of-touch, perverse ideology from Scumbag Gavin Newsom,” Cheung wrote on X.

State broadly provides gender-affirming surgeriesto specific populations without limitation, which is completely false.Medi-Cal is a needs-based program with strict eligibility requirements,” DHCS said in a statement.

DHCS added that Medi-Cal coverage for transgender care is granted if it’s deemed “medically necessary.”

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People gathering at Union Square for a rally supporting transgender youth in New York City

People gather in Union Square for the Together We Win rally in support of transgender youth held in New York City, N.Y., on Jan.10, 2026.(Jason Alpert-Wisnia/Hans Lucas/AFP)

“Medi-Cal covers gender-affirming care for members with full-scope Medi-Cal only when it is medically necessary, based on established clinical standards and consistent with nationally recognized clinical practice guidelines,” the agency said.

But, aMedi-Cal manualreported by Rufo outlined that medical intervention is necessary if the treatment will alleviate symptoms of gender dysphoria.For instance,reconstructive surgerywould be approved for coverage if it’s “determined to be medically necessary for the treatment of gender dysphoria.”

State Democratic lawmakers have introduced legislation, known as Senate Bill 1422, which would ensure all illegal immigrants in the state receive coverage under the state’s Medicaid program known as Medi-Cal.

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The legislation comes in response to California pausing new enrollment in Medi-Cal in January for all adults over the age of 19 without legal immigration status in the United States.The pause in coverage comes amid rising costs as the state faces a $21 billion budget deficit for the 2027 fiscal year.

�s office for comment.

� William La Jeuenesse contributed to this report.

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