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Federal

The Patient Protection and Affordable Care Act, the landmark federal health reform legislation of 2010, makes a wide variety of changes to the existing health system in the United States. California is currently implementing the Affordable Care Act and preparing the health system for necessary changes. On this page, you will find information about federal and state health policy and regulations.


Summary of WalletHub article, “2015’s Rates of Uninsured by State Before & After Obamacare”

Using data from the US Census Bureau, WalletHub measured the uninsured rates, after the implementation of the Affordable Care act, in all 50 states and the District of Columbia.  Rates have been broken down to state levels. Commentary and methodology can be found here. In addition to overall insurance rates, […] more

Children’s Health Coverage Under the ACA

This series examines the future of children’s coverage in California, both where we are now and where we need to go in the near future.  Topics discussed include: Current coverage of children Remaining uninsured children post ACA implementation Future of state programs like CHDP, AIM, CCS, and Family PACT Delivery […] more

Summary of Proposed HHS Regulations for Exchange Navigators and Non-Navigator Assistance Personnel

The Department of Health and Human Services (HHS) recently proposed new rules to implement the Navigator and consumer assistance programs for the new health insurance Exchanges established by the Affordable Care Act (ACA). The proposed rules outline conflict-of-interest, training and certification, and meaningful access standards for Navigators and non-Navigator assistance […] more

Summary of Federal Rules on Federal Medical Assistance Percentage to the States

Download the report here: Summary of Final Federal Rules on FMAP (Federal Medical Assistance Percentage) to the States for the Newly Insured Medi-Cal Eligibles. 42 CFR 433, CMS 2327 FC, RIN 0938-AR 38 Under the ACA (Affordable Care Act), states receive 100% FFP (federal financial participation) for the new Medicaid […] 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

New Mexico Republican Governor Susana Martinez Announces State Will Move Forward with ACA Medicaid Expansion

New Mexico Governor Susana Martinez announced Tuesday that the Medicaid expansion under the Affordable Care Act (ACA) will move forward in the Land of Enchantment. She becomes only the second Republican governor to support the program’s expansion to 138% of federal poverty (roughly $14,856 in 2012) since the Supreme Court […] more

UC Study Finds Medi-Cal Expansion Would Have Minimal Cost to State while Greatly Expanding Coverage

The results of a new study from the UC Berkeley Labor Center and the UCLA Health Policy Center estimate that the Medi-Cal expansion to 138% of federal poverty through the Affordable Care Act (ACA) would be at minimal cost to the State of California. In addition, the expansion would extend […] more

California Health Benefit Exchange Receives Approval from Obama Administration

Health and Human Services (HHS) Secretary Kathleen Sebelius announced today that California received approval to operate a state-run health insurance Exchange. California was one of seven states (also including HI, ID, NV, NM, VT, and UT) that received approval for this type of Exchange, and this group of states joins […] more

Summary of Proposed Federal Rules on EHB, Actuarial Value and Accreditation of QHP

Plans in the individual and small employer markets must offer the 10 essential health benefits. 45 CFR §147.150 Plans in the individual market must offer child only coverage as well. Comment: this does not apply to grandfathered plans or to large and mid sized employer plans. A state can require […] more

Summary of CMS’ FAQs on the Exchange and Medicaid Expansion

There will be no further extensions of the deadlines for states to decide whether to operate an Exchange. State Exchanges must be financially self-sustaining by January 1, 2015. States will not be assessed a fee for using federal data services. Deadline to operate a Partnership Exchange between the state and […] more