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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.


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

Health Care Reform in Massachusetts: Act II

Massachusetts Governor Deval Patrick signed into law today an expansive range of health care cost-control measures. The new legislation comes six years after former Governor Mitt Romney, the current presumptive Republican presidential nominee, signed the state’s previous major health reform law, which greatly expanded insurance coverage. Many policymakers and stakeholders… more

Proposition 30: Options and Consequences

Proposition 30 (Prop. 30) would raise approximately $6 billion in annual revenue by implementing temporary increases in sales taxes for all taxpayers in California and in marginal personal income tax rates for high-income earners. This piece outlines the elements of Prop. 30 and discusses the consequences for taxpayers and public… more

CaliforniACA July Newsletter

State Budget Special Funds Discrepancy Between State Controller and Dept of Finance A review of the state controller’s records and the Department of Finance found a $2.3 billion discrepancy in Special Fund accounts. The state spends about $40 billion annually on special fund programs, which include mental health services and… more

Executive Summaries for the 2011 Regional Workgroups

Executive Summaries (2011 RWG Round 2) Executive Summaries (2011 RWG Round 1) Workgroup Materials (2011 RWG Round 2) Central Coast San Diego Orange County more

The Puzzling Mystery of Shifting 0.9M Healthy Families Children into Medi-Cal

The Governor and the California legislature agreed to shift about 900,000 moderate-income children from Healthy Families to Medi-Cal. The shift is part of the legislature’s efforts to balance the state’s nearly $16 billion budget shortfall.[1] However, this particular effort will cost the state far more than it saves, disrupt children… more

Thoughts on the Morning After the Supreme Court’s Ruling

Having read the majority and dissenting opinions in NFIB v. Sebelius over the last day, I am left with the following thoughts. First, all the Justices developed a deep understanding of health policy and the extraordinary challenges facing Congress in constructing health reforms across the minefield of conflicting interests. Second,… more

CaliforniACA June Newsletter

Executive Director’s Note Supreme Court Upholds ACA In National Federation of Independent Business v. Sebelius, 567 US – (2012), the Supreme Court ratified the Affordable Care Act to assure that every American has access to medical care. After 100 years of efforts the US now joins every other developed country… more

Providing Health Care to the Residually Uninsured in a Post-Reform World

On March 23, 2010, the Patient Protection and Affordable Care Act (ACA) was signed into law, laying the groundwork for many health reforms, including the expansion of Medicaid, increasing coverage of preexisting conditions through guaranteed issue, and the establishment of statewide and/or regional health insurance exchanges. Although these reforms will provide… more

Payment Reform and the ACA

This draft report examines the history of payment reforms in California, and how it pertains to the §1115 Medicaid waiver and ACA implementation. more