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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 of Medicaid Expansion: SB X 1 1 and AB X 1 1

Download the full summary here: Executive Summary Eligibility Coverage of Parents and MIAs up to 133% of FPL (MAGI, Modified Adjusted Gross Income eligibles) MAGI applies to all individuals and families, except the aged and disabled. Consolidation of all income disregards to a 5% uniform disregard for all MAGI eligibles, […] more

Visions for Reaching an Agreement on Expanding Medi-Cal

California is one of the nation’s leaders in implementing the Affordable Care Act for its 7 million uninsured residents. In December 2012, the Governor’s Let’s Get Healthy California Task Force issued its report delineating California’s goals and steps to improve the health of all Californians, to become the healthiest state […] more

CaliforniACA: April 2013 Newsletter

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)

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

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

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

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

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)

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)

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