CaliforniACA: April 2013 Newsletter
| May 6, 2013 | Posted by Kiwon Yoo under Legislation/Policy, State |
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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 and Analysis of SB X1 3 (Hernandez)
| April 9, 2013 | Posted by Lucien Wulsin under Insurance Exchange, Legislation/Policy, Medi-Cal, Public Coverage, State |
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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
Redefining the Relationship between California’s State and County Governments: Creating Healthier Communities through Innovative Collaboration and Financing
| April 3, 2013 | Posted by John Connolly under Delivery Systems, Health Financing, Insurance Exchange, Legislation/Policy, Medi-Cal, Public Coverage, State, State Budget |
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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
| April 1, 2013 | Posted by Lucien Wulsin under Insurance Exchange, Legislation/Policy, State, The Uninsured |
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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
| April 1, 2013 | Posted by Kiwon Yoo under Legislation/Policy, State |
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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
| April 1, 2013 | Posted by Lucien Wulsin under Legislation/Policy, Medi-Cal, Public Coverage, State |
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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)
| April 1, 2013 | Posted by Lucien Wulsin under Legislation/Policy, State |
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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
Summary and Commentary ABX1 1 (Perez) and SBX1 1 (Hernandez & Steinberg)
| March 14, 2013 | Posted by Lucien Wulsin under Legislation/Policy, Medi-Cal, State |
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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
| February 21, 2013 | Posted by Lucien Wulsin under Delivery Systems, Health Financing, Legislation/Policy, Public Coverage, State |
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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
January Exchange Board Meeting: Covered California Announces Federal Grant Award, Considers Plan Contract Requirements and Bridge Plans to Include Medi-Cal Managed Care Plans
| January 22, 2013 | Posted by John Connolly under Blog, Insurance Exchange, Legislation/Policy, State |
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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
