December 14, 2012 – Health providers and advocates for the poor say they are worried that California’s cuts to its Medicaid program Medi-Cal will hamper the state’s ability to expand and improve healthcare under President Barack Obama’s overhaul. A federal appeals court backed California’s right to cut payments by 10%, saving the state more than $330 million a year. An attorney representing a group of pharmacies said they would appeal next week. Doctors, pharmacies and advocates for the poor say health providers could stop participating in the insurance program for the poor and disabled because the state’s payments are already low. Advocates also said it runs counter to the promises of health reform to expand and improve healthcare.