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On 16 May, three months into Alice's stay, Jane emailed the consultant for Hepworth Ward, Dr Anju Soni, about an incident of self-harm with a plastic bag in which Alice lost consciousness.

Monica Soni, Covered California’s chief medical officer, worries federal spending cuts could soon bring turbulence to the state’s Affordable Care Act marketplace.

“The pieces are there,” said Monica Soni, chief medical officer of Covered California, the state’s Affordable Care Act health insurance marketplace.

Faced with potential federal spending cuts that threaten health coverage and falling childhood vaccination rates, Monica Soni, the chief medical officer of Covered California, has a lot on her plate — and on her mind.

And those middle-income earners who did not qualify for subsidies before would lose all financial assistance — $384 a month, on average — which Soni fears could prompt them to drop out.