State-level policy change restricting immigrant health care access. A-score 15.36: civil_rights driver elevated (3.5) for access restriction to vulnerable population, rule_of_law (2.5) for policy implementation affecting legal protections, minimal separation concerns. Policy_change mechanism adds 15% modifier, single_state scope reduces by 15%. Severity multipliers modest (durability 1.1, precedent 1.05) as state policy reversible and California has history of policy shifts. B-score 17.31: high outrage_bait (6) and media_friendliness (7) given California's progressive reputation and immigrant rights sensitivity, moderate novelty (4) as policy reversals occur, low meme_ability (3). Layer 2 shows pattern_match (5) with broader immigration debates, moderate narrative_pivot (4). Intentionality low (4) - appears budget/fiscal driven rather than strategic distraction. Both scores below 25 threshold, classifies as Noise despite policy_change mechanism due to routine state-level adjustment lacking constitutional crisis indicators.