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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.


Realignment Redistribution Formulas

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

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

Thoughts on the Medicaid Expansion in CA

This report is also available for download: Last week, the Governor proposed that we use the new federal Affordable Care Act funds available to expand[1] the Medicaid program in one of two ways: 1) the state would contract with managed care plans for their care or 2) the state would […] more

Notes from Conference Call with CHHS Secretary Dooley and Medi-Cal Director Douglas about Governor’s 2013-14 Budget Proposal

Secretary of the California Health and Human Services Agency Diana Dooley hosted a stakeholder conference call on January 10, 2013 to discuss the Governor’s budget proposal for Fiscal Year 2013-14. She was accompanied by Medi-Cal Director Toby Douglas, as well as officials from other departments. Secretary Dooley began by announcing […] more

Governor Brown Announces 2013-14 California Budget Proposal

Governor Brown released his budget proposal for the 2013-14 Fiscal Year and announced that the State’s budget would be balanced for the first time since the Great Recession began in 2008. Brown also announced that California will implement the Medicaid eligibility expansion in the ACA, which the Supreme Court made […] more

New Mexico Republican Governor Susana Martinez Announces State Will Move Forward with ACA Medicaid Expansion

New Mexico Governor Susana Martinez announced Tuesday that the Medicaid expansion under the Affordable Care Act (ACA) will move forward in the Land of Enchantment. She becomes only the second Republican governor to support the program’s expansion to 138% of federal poverty (roughly $14,856 in 2012) since the Supreme Court […] more

UC Study Finds Medi-Cal Expansion Would Have Minimal Cost to State while Greatly Expanding Coverage

The results of a new study from the UC Berkeley Labor Center and the UCLA Health Policy Center estimate that the Medi-Cal expansion to 138% of federal poverty through the Affordable Care Act (ACA) would be at minimal cost to the State of California. In addition, the expansion would extend […] more

California Health Benefit Exchange Receives Approval from Obama Administration

Health and Human Services (HHS) Secretary Kathleen Sebelius announced today that California received approval to operate a state-run health insurance Exchange. California was one of seven states (also including HI, ID, NV, NM, VT, and UT) that received approval for this type of Exchange, and this group of states joins […] more

Thinking Ahead: High Priorities for CA’s ACA Implementation (DRAFT)

This working draft examines California’s ACA implementation efforts – where we are and where we need to go in the near future.  Topics discussed include: Education, outreach and enrollment Medi-Cal expansion and simplification Exchange Residually uninsured Behavioral health Safety net Bending the cost curve Evolution The draft is available for […] more

Summary of Proposed Federal Rules on EHB, Actuarial Value and Accreditation of QHP

Plans in the individual and small employer markets must offer the 10 essential health benefits. 45 CFR §147.150 Plans in the individual market must offer child only coverage as well. Comment: this does not apply to grandfathered plans or to large and mid sized employer plans. A state can require […] more