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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 and Commentary ABX1 1 (Perez) and SBX1 1 (Hernandez & Steinberg)

The following paper provides ITUP’s Commentary on Assembly Bill X1 1, which was introduced in the California Assembly by Speaker John A. Perez, and Senate Bill X1, which was introduced in the California Senate by Senator Ed Hernandez and Senate President pro Tempore Darrell Steingberg. more

Realignment Redistribution Formulas

The full report is also available for download: One of the great questions at the ITUP conference that went unanswered is “what formula could/should/might be used by the state and the counties in re-allocating the county health realignment savings from coverage expansion?” Background: Health realignment pays for indigent health and […] 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

San Francisco’s Leg Up on the Affordable Care Act

Think the full implementation of the Affordable Care Act in 2014 will take care of the challenges of the uninsured? Think again. Even after full implementation, the Congressional Budget Office<http://cnsnews.com/news/article/cbo-obamacare-will-leave-30-million-uninsured> estimates that some 30 million Americans will remain without health insurance.  Some of these will be people who, despite the broader […] more

Covered California Provides Updates about Service Center in Webinar

The staff of Covered California hosted a webinar on January 31 about the development of the Service Center. The staff reviewed the timeline for the rollout of the Service Center, the quick sort model for warm hand-offs of callers to county service centers, protocols for handling different types of applicants, […] 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

Thinking Ahead – High Priorities for ACA Implementation in California

This report looks at California — where we are and where we need to go in implementing the Affordable Care Act. These materials reflect ITUP’s views on the challenges for California health reform and a status report for the progress we’ve made. We welcome your thoughts and feedback, and hope […] more

January Exchange Board Meeting: Covered California Announces Federal Grant Award, Considers Plan Contract Requirements and Bridge Plans to Include Medi-Cal Managed Care Plans

The January Exchange Board meeting opened with the Executive Director’s report, with Peter Lee summarizing Covered California’s major planned milestones for 2013. These goals include launching a Covered California consumer website in January, selecting an administrative vendor for the SHOP Exchange in February, announcing outreach grantees in April, beginning assister […] 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

Thoughts on the Medicaid Expansion in CA

This report is also available for download: Last week, the Governor proposed that we use the new federal Affordable Care Act funds available to expand[1] the Medicaid program in one of two ways: 1) the state would contract with managed care plans for their care or 2) the state would […] more