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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.


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

ITUP’s Thoughts on the Basic Health Plan Option

ITUP’s goals for California’s implementation of the Affordable Care Acts are: 1) to cover as many uninsured as possible; 2) to build a strong and successful Exchange to buy more affordable coverage for small employers and privately insured and uninsured individuals; and 3) to develop integrated safety nets that compete […] 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

CaliforniACA March Newsletter

Supreme Court Challenge The Department of Health and Human Services v. Florida Days after the 2nd anniversary of the ACA, the Supreme Court heard 3 days of oral arguments over the constitutionality of the ACA.  The first day was on whether or not the Court had the authority to hear […] more

ITUP Guide to the Constitutional Challenges to the ACA

The ACA expands coverage to the uninsured and assures continuity of coverage for the insured in several ways: First it expands Medicaid to all US citizens and long time legal permanent (5+ years) residents with incomes less than 133% of the Federal Poverty Level ($14,000 for an individual); Second it […] more