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Health Financing

California’s health system is funded through several income streams, from individual premiums to federal tax income. ITUP focuses on financing for public health programs, the most relevant funder being the California State Budget.


Final Week of 2012 California Legislative Session: Votes Scheduled on ACA Implementation Legislation; New Bills Arise to Halt Healthy Families Transition to Medi-Cal

This week, the California Legislature is scheduled to vote on key pieces of legislation that will implement the Affordable Care Act (ACA) in California. Bills under consideration would enact key health insurance market reforms, including prohibiting denials of coverage for preexisting conditions and establishing an essential health benefits package for […] more

Affordable Care Act Provisions for Health Care Providers

The Affordable Care Act (ACA) was the most consequential piece of health care legislation in decades and remains deeply controversial among the American public more than two years after becoming law. Even though some individuals have strongly held opinions about the law, much of the public still has a relatively […] more

Health Care Reform in Massachusetts: Act II

Massachusetts Governor Deval Patrick signed into law today an expansive range of health care cost-control measures. The new legislation comes six years after former Governor Mitt Romney, the current presumptive Republican presidential nominee, signed the state’s previous major health reform law, which greatly expanded insurance coverage. Many policymakers and stakeholders […] more

Proposition 30: Options and Consequences

Proposition 30 (Prop. 30) would raise approximately $6 billion in annual revenue by implementing temporary increases in sales taxes for all taxpayers in California and in marginal personal income tax rates for high-income earners. This piece outlines the elements of Prop. 30 and discusses the consequences for taxpayers and public […] more

2012 Health Care Financing Report: Medi-Cal (DRAFT)

This report is a draft of the Medi-Cal section of the 2012 Health Care Financing Report, which includes a state budget overview, health expenditures, fiscal future of California, and the Medi-Cal program summary (spending, utilization, future of the program). The full report, which will include other public programs, will be […] more

Providing Health Care to the Residually Uninsured in a Post-Reform World

On March 23, 2010, the Patient Protection and Affordable Care Act (ACA) was signed into law, laying the groundwork for many health reforms, including the expansion of Medicaid, increasing coverage of preexisting conditions through guaranteed issue, and the establishment of statewide and/or regional health insurance exchanges. Although these reforms will provide […] more

Payment Reform and the ACA

This draft report examines the history of payment reforms in California, and how it pertains to the §1115 Medicaid waiver and ACA implementation. more

An Alternative Look into the Deficit

How much has Obama added to the deficit? There are two answers: $4 trillion, or about $983 billion, only one of which is closer to being correct. The first is calculated by subtracting $10.5 trillion, the national debt when Obama took office, from $15.2 trillion, the current debt amount. Simple subtraction […] more

Summary of FY2012-13 Health Budget Proposals

1. MRMIB will be eliminated and its programs (Healthy Families, AIM, MRMIP and PCIP) will be shifted into the Department of Health Care Services (DHCS). Roughly 457,000 children will lose Healthy Families eligibility and shift to Medi-Cal in 2012-13. Managed care reimbursement rates will be cut by 25.7%. 2. DMH […] more

The Search for CPEs

California’s new section 1115 waiver allows counties to secure a federal match for care to their medically indigent adult (MIA) population, those adults with incomes less than 133% of the federal poverty level (FPL).  While this federal match is uncapped, the limiting factor is the availability of certified public expenditures […] more