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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.


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

CaliforniACA October Newsletter

ITUP’s 17th Annual Conference Registration for our 17th annual conference is now open!  Confirmed speakers include: John Arensmeyer, Founder & CEO, Small Business Majority Kim Belshé, Director, First 5 L.A. Diana Bontá, CEO, The California Wellness Foundation Alex Briscoe, Director, Alameda County Health Care Services Agency Diana Dooley, Secretary, CA Dept. of Health and Human […] more

Integrating Medical Care with Mental Health and Substance Use Disorder Services in L.A. County: A Status Report

An opportunity exists to integrate mental health and substance use disorder (SUD) services with medical care in a patient-centered manner under the Patient Protection and Affordable Care Act (ACA) and federal parity requirements. Survey results on health care preferences of low-income Californians suggest that the safety net should provide more […] more

2012 Health Care Financing Report

The Health Care Financing Report examines the state’s budget, health expenditure trends, fiscal future, Proposition 30, and the state of public programs (Medi-Cal, Healthy Families, the Major Risk Medical Insurance Plan, Access for Infants and Mothers, Family PACT, Genetically Handicapped Persons Program).  The full report can be downloaded below. The State […] more

CaliforniACA September Newsletter

The California Health Benefit Exchange September Board Meeting Covers Stakeholder Consultation, Consumer Assistance, SHOP and Service Center Models During the September Exchange board meeting, staff presented onnaming/tagline updates, outreach and education grant program concepts,stakeholder engagement plans, consumer assistance/ombudsman options, contracting options for the administration of the Small Business Health Options Program (SHOP), qualified health […] more

Governor Brown Signs Health Reform Legislation, but Vetoes Some Measures

Over the weekend, Governor Brown signed legislation that implements central parts of the Affordable Care Act (ACA) in California. These pieces of legislation define the essential health benefits package, increase oversight of the small group health insurance market, inform individuals of insurance coverage options when they experience a major life […] more

Health Reform Implementation Legislation Still Awaiting a Decision from Governor Brown

Governor Brown has the remainder of the month of September to decide whether to sign or veto several pieces of health reform implementation legislation that the Legislature has passed. The legislation would implement many elements of the Affordable Care Act (ACA) in California. Included in these bills are provisions that […] 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

In Final Week of 2012 Session, California Legislature Passes ACA Implementation Legislation, Effort to Restore Healthy Families Fails

Last week was the final week of the 2012 legislative session, and the California Legislature passed several key pieces of health reform legislation. Many of the bills implement central elements of the Affordable Care Act (ACA) in California. Governor Brown will have the month of September to decide whether to […] more