Home » Legislation/Policy


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.

Visions for Reaching an Agreement on Expanding Medi-Cal

California is one of the nation’s leaders in implementing the Affordable Care Act for its 7 million uninsured residents. In December 2012, the Governor’s Let’s Get Healthy California Task Force issued its report delineating California’s goals and steps to improve the health of all Californians, to become the healthiest state […] more

CaliforniACA: April 2013 Newsletter

Legislation Legislature Passes First Set of Special Session Bills The Senate and Assembly voted to approve ABX1 2 (Pan, D-Sacramento) and SBX1 2 (Hernandez, D-West Covina) respectively, which would reform the individual and small employer health insurance markets and ban pre-existing conditions as a reason for insurance denial.  The bills are headed to the […] 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 and Analysis of SB X1 3 (Hernandez)

The summary is available for download:   This is the Administration’s effort to authorize bridge plans (i.e. Medi-Cal managed care plans that participate in the Exchange for limited purposes). HHS issued guidance that “bridge plans” could be authorized for two purposes: 1) allow individuals who lost their Medi-Cal coverage to […] 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

Redefining the Relationship between California’s State and County Governments: Creating Healthier Communities through Innovative Collaboration and Financing

California is the most populous and perhaps the most diverse state in the nation. To accommodate the needs of its different communities, the state relies on its 58 counties to administer many public and social services. The State formally realigned responsibility for administering certain public programs from the state to […] more

Summary and Analysis of Milliman Report on the Impact of the Affordable Care Act’s Underwriting Reforms and the Exchange on Individual Health Insurance Premiums in California

The full report is available for download: The Affordable Care Act makes a number of changes to assure access for everyone to the individual market; these include guaranteed issue, guaranteed renewal, no pre-existing condition exclusions, essential health benefits, refundable tax credits and the Exchange (a purchasing pool for individuals). Features […] more

CaliforniACA March Newsletter

Legislation Special Session Bills See Mixed Progress Two bills were discussed during the first Special Session hearings in late February: ABX1 1 (Perez, D-Los Angeles)/SBX 1 1 (Hernandez, D-West Covina) – Medi-Cal Eligibility: implements key ACA provisions to expand Medi-Cal eligibility to childless non-elderly adults with incomes up to 138% […] more

ITUP’s Chart of Small Employer and Individual Underwriting Reforms

The following chart displays the small employer and individual underwriting reforms that are contained the Assembly Bill X1 2 and Senate Bill X1 2. more

Summary and Commentary on AB X1 2 (Pan) and SB X1 2 (Hernandez)

The following paper provides ITUP’s Commentary on Assembly Bill X1 2 (Pan) and SB X1 2 (Hernandez), health care reform bills that will help protect consumers and expand coverage. more