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Governor Signs SB 10 — Legislation Aimed at Allowing Undocumented Californians to Buy Coverage in the State Exchange

Governor Jerry Brown signed SB 10 (Lara) which requires Covered California to seek federal approval allowing undocumented Californians to buy health coverage through the exchange. The Affordable Care Act (ACA) prohibits undocumented persons from buying coverage or receiving subsidies through state exchanges, but does not prohibit them from buying unsubsidized […] more

Opportunities for California Under Section 1332 of the Affordable Care Act

ITUP’s report, Opportunities for California Under Section 1332 of the Affordable Care Act, is now available. California has made great progress implementing the Affordable Care Act (ACA), with 6 million people newly enrolled in either Medi-Cal or Covered California since December 2013. The state strives to improve the quality, outcomes […] more

Analysis of §1115 Waiver Renewal: Whole Person Care Pilots

This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. As health care systems are focusing on providing more efficient, high quality care, systems around the country are moving towards more integrated patient care. The addition of the Whole Person Care Pilots (WPC) in California’s new […] more

Summary of the Terms and Conditions for California’s Section 1115 Waiver Renewal

California’s Section 1115 Waiver Renewal Terms and Conditions has six elements: managed care expansion; preventive dental care for children ($750 million); whole person care pilots ($1.5 billion); substance abuse treatments (Drug Medi-Cal); global budgets for public hospitals; and PRIME upgrades ($7.5 billion) in managed care readiness for county, UC, and […] more

California’s §1115 Waiver Renewal

California’s §1115 waiver recently expired on October 31, 2015, and HHS granted a temporary extension of the waiver until December 31, 2015.  On October 31, 2015, DHCS and CMS announced a conceptual agreement that outlines the major components of the waiver renewal. There are several improvements in the renewed waiver, while also room to continue […] more

Understanding the ACA’s Employer Responsibilities and the Impacts of the Delay in Employer Penalties

Download the full report here: Employer Responsibilities   The Obama administration announced a delay of the penalties in the ACA’s employer mandate for one year.[1] What does this mean? As best as we can determine it has relatively little to no impact. So what is going on? And why? The […] more

Republican Governor Rick Scott Announces Support for ACA Medicaid Expansion in Florida

Yesterday, Florida Republican Governor Rick Scott threw his support behind adopting the Affordable Care Act’s (ACA) Medicaid expansion in the state. The move would extend eligibility for the program to 138% of federal poverty, offering health coverage to an additional 1 million people in Florida. Scott’s decision is particularly noteworthy […] more

Republican Governors Kasich of Ohio and Snyder of Michigan Move Forward to Implement ACA Medicaid Expansion

The group of Republican governors signaling support for expanding Medicaid in their states has grown in recent days. The LA Times reports that Governors John Kasich of Ohio and Rick Snyder of Michigan intend to expand eligibility for the program to 138% of federal poverty in 2014, a central element […] more

Bipartisan Group of Senators Announces Outline of Immigration Reform Plan

Today, a bipartisan group of eight senators announced agreement on a broad outline of an immigration reform plan. The group included Senators Schumer (D-NY), McCain (R-AZ), Durbin (D-IL), Graham (R-SC), Menendez (D-NJ), Rubio (R-FL), Bennett (D-CO), and Flake (R-AZ). The proposal lists principles that would serve as the foundation for […] more

Arizona Republican Governor Jan Brewer Announces State Will Implement Medicaid Expansion

Arizona Republican Governor Jan Brewer has announced that she will move forward to implement the Affordable Care Act’s Medicaid expansion in her state. She made the decision public in her annual State of the State address. This expansion would extend coverage to 240,000 Arizonans and bring $1.6 billion in federal […] more