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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.


Primary Care Reimbursement Rates – Summary of New Federal Regulations

As you all know, the ACA provides for an increase in primary care physician reimbursement from the Medicaid levels to the Medicare levels with 100% federal financial participation (FFP) of the incremental costs of this increase for Calendar Years 2013 and 2014. The goal of this increase is to increase […] more

The Affordable Care Act: How Is It Financed?

The Affordable Care Act (ACA) contains many important protections and valuable benefits for both consumers and health care providers. Many of these items, such as generous tax credits to help individuals and small businesses purchase health insurance, a sizeable expansion of the Medicaid program, and a more generous Medicare prescription […] more

A Short History of the Efforts to Extend Health Coverage for All Working Americans

It’s Labor Day, and we should all take a moment to remember the long fight to establish health care for all working people. This effort began in Germany in the late 19th century led by trade unions and passed by the very conservative Chancellor Otto Von Bismarck. By the end […] more

RomneyCare vs. ObamaCare: A Comparison

Although the economy has received much of the attention during the presidential campaign, the Affordable Care Act (ACA), or “ObamaCare” has also been an important issue.  As one of the most ambitious and consequential pieces of legislation that President Obama signed into law during his first term, it has also […] more

Summary of Federal Medicaid Eligibility Rule Changes

* Impacts and options for California are italicized. The new federal Medicaid rules do the following: Set the Medicaid minimum income eligibility at 133% of FPL for non-disabled adults Collapse Medicaid eligibility categories into four groups: children, pregnant women, parents and all other adults Modernize eligibility verifications to rely on […] more

Thoughts on Florida Case Ruling

When I went to law school in the 60’s and later when I tried several constitutional law cases in the 70’s and early 80’s, Judge Vinson’s recent decision would have been unthinkable. I have a very hard time imagining the United States Constitution has changed much in the last forty […] more

Federal Health Reform: Impacts on Small and Medium Businesses

Discusses the impacts on small and medium employers under federal reform including tax credits, the exchange, and the pay or play provision. more

Federal Health Reform and Small/Medium Businesses

Background Current health reform proposals may have a large (and we think positive) impact on how small businesses purchase health insurance. Small businesses face certain disadvantages in our current health insurance market. Because of their size, small businesses lack the market power to negotiate lower rates with insurers and thus […] more

ITUP Presentation of PPACA

A presentation summarizing the Patient Protection and Affordable Care Act more