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Public Coverage

California’s health system includes statewide public coverage programs and special county-based programs: Medi-Cal, Healthy Kids/Healthy Families, and others created under Section 1115 of the Social Security Act.


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

Summary of Federal Rules on Federal Medical Assistance Percentage to the States

Download the report here: Summary of Final Federal Rules on FMAP (Federal Medical Assistance Percentage) to the States for the Newly Insured Medi-Cal Eligibles. 42 CFR 433, CMS 2327 FC, RIN 0938-AR 38 Under the ACA (Affordable Care Act), states receive 100% FFP (federal financial participation) for the new Medicaid […] 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

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 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

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

Republican Governor Rick Scott Announces Support for ACA Medicaid Expansion in Florida

Yesterday, Florida Republican Governor Rick Scott threw his support behind adopting the Affordable Care Act’s (ACA) Medicaid expansion in the state. The move would extend eligibility for the program to 138% of federal poverty, offering health coverage to an additional 1 million people in Florida. Scott’s decision is particularly noteworthy […] more

Continued Slower Growth in U.S. Health Costs Reduces Federal Budget Deficit Estimates

Last week, the Congressional Budget Office (CBO) reduced its estimates of federal spending on Medicare and Medicaid as a result of a marked slowdown of the rise in health care costs during the last few years. This pattern of deceleration has brought the rise in health care costs to its […] more

Republican Governors Kasich of Ohio and Snyder of Michigan Move Forward to Implement ACA Medicaid Expansion

The group of Republican governors signaling support for expanding Medicaid in their states has grown in recent days. The LA Times reports that Governors John Kasich of Ohio and Rick Snyder of Michigan intend to expand eligibility for the program to 138% of federal poverty in 2014, a central element […] more

San Francisco’s Leg Up on the Affordable Care Act

Think the full implementation of the Affordable Care Act in 2014 will take care of the challenges of the uninsured? Think again. Even after full implementation, the Congressional Budget Office<http://cnsnews.com/news/article/cbo-obamacare-will-leave-30-million-uninsured> estimates that some 30 million Americans will remain without health insurance.  Some of these will be people who, despite the broader […] more