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Congressional Failure to Extend Critical Health Programs Threatens Access to Care in California

While Congress failed to pass legislation that would “repeal and replace” the Affordable Care Act (ACA) by the September 30 deadline (for a budget reconciliation bill with a simply majority in the U.S. Senate), the dominance of repeal efforts in the preceeding weeks resulted in two critical health care programs […] more

California Department of Health Care Services Confirms Graham-Cassidy Legislation Would Be Devastating for Health Care in California

On September 22, 2017, the California Department of Health Care Services (DHCS) released a fiscal analysis of pending Affordable Care Act (ACA) repeal legislation authored by U.S. Senators Graham, Cassidy, Heller and Johnson (Graham-Cassidy). The DHCS analysis, prepared in collaboration with California’s ACA exchange, Covered California, and the state Department […] more

The U.S. Senate is contemplating ACA repeal legislation that could lead to 6.7 million Californians losing coverage

The Number of Uninsured in California Could Reach 10 million by 2027 Under the latest Republican ACA “repeal and replace” bill, 6.7 million Californians could lose coverage and California could lose in one year an amount in federal funding equivalent to more than one-third of all General Fund spending in […] more

U.S. Senate Hearings Focus on Short-Term Market Stabilization Initiatives

The U.S. Senate Committee on Health, Education, Labor and Pensions held two hearings last week on stabilizing premiums and strengthening the individual insurance market for 2018. Several Governors and State Insurance Commissioners testified on market stabilization proposals they believed would strengthen the individual market in the short-term. The testimony exhibited […] more

California Assembly Speaker Creates New Select Committee to focus on Health Care Reform

On August 25, 2017, Speaker of the California Assembly, Anthony Rendon (D-Lakewood), announced the formation of the new Select Committee on Health Care Delivery Systems and Universal Coverage. The committee, co-chaired by assembly members, Joaquin Arambula, MD (D-Fresno) and Jim Wood, DDS (D-Healdsburg) will hold investigative hearings during the legislative […] more

Covered California 2018 Rates Complicated By Federal Uncertainty and Rural Challenges

This week, Covered California, California’s Affordable Care Act (ACA) exchange, announced preliminary 2018 premium rates for exchange health plan offerings. Health plan proposed rates are still subject to regulatory review by the state Department of Managed Health Care (DMHC) and the California Department of Insurance (CDI). Covered California announced an […] more

ACA Stands (for Now): Takeaways from the Repeal and Replace Roller Coaster

In recent days, multiple Republican bills to repeal or rollback the Affordable Care Act (ACA) failed to get enough votes on the U.S. Senate floor. It was a close vote. Senators came within one vote of sending a repeal bill to a two-house conference committee where all the most damaging […] more

The Common Theme of Pending Senate Health Reform Bills? Dramatic Increases in the Number of Uninsured

As of this writing, multiple discussion drafts of potential legislation to repeal or rollback the federal Affordable Care Act (ACA) are pending in the U.S. Senate. All the bills result in dramatic increases in the number of uninsured over the next ten years; ranging from 22 million to 32 million […] more

Revised Senate Health Reform Continues to Threaten Coverage for Millions

On July 13, 2017 Senate Republican leaders released a revised discussion draft of the Better Care Reconciliation Act (BCRA). The changes made in this version of the Senate proposal do not substantively change the basic features of the original BCRA proposal. The Congressional Budget Office (CBO) concluded the original BCRA […] more

State Medicaid Agency Finds Staggering Losses for California Under U.S. Senate Bill

On June 28, 2017, the California Department of Health Care Services (DHCS) released its analysis of the impacts for California’s Medicaid program, Medi-Cal, from the Senate Better Care Reconciliation Act (BCRA) now pending in the U.S. Senate. (See ITUP summary of the BCRA here.) DHCS concludes that over the seven-year […] more