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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.


Creating a Streamlined Service Center for California’s Health Subsidy Programs

The California Health Benefit Exchange, in coordination with the Department of Health Care Services (DHCS), will launch a new service center in 2014 to provide individuals and families with a unified eligibility determination and enrollment portal. This service center will allow consumers to learn about their coverage options and simultaneously […] more

Integrating Medical Care with Mental Health and Substance Use Disorder Services in L.A. County: A Status Report

An opportunity exists to integrate mental health and substance use disorder (SUD) services with medical care in a patient-centered manner under the Patient Protection and Affordable Care Act (ACA) and federal parity requirements. Survey results on health care preferences of low-income Californians suggest that the safety net should provide more […] more

2012 Health Care Financing Report

The Health Care Financing Report examines the state’s budget, health expenditure trends, fiscal future, Proposition 30, and the state of public programs (Medi-Cal, Healthy Families, the Major Risk Medical Insurance Plan, Access for Infants and Mothers, Family PACT, Genetically Handicapped Persons Program).  The full report can be downloaded below. The State […] more

Survey of State Medicaid Programs Finds Program Spending at Near-Record Low, Slowing Enrollment and Provider Payment Cuts Cited As Causes

A Kaiser Family Foundation survey of Medicaid programs in all 50 states and the District of Columbia found that overall Medicaid program spending is nearly at a record low in 2012. State Medicaid programs also expect similar spending figures in 2013. The survey cites two chief reasons for the reduced overall […] more

Governor Brown Signs Health Reform Legislation, but Vetoes Some Measures

Over the weekend, Governor Brown signed legislation that implements central parts of the Affordable Care Act (ACA) in California. These pieces of legislation define the essential health benefits package, increase oversight of the small group health insurance market, inform individuals of insurance coverage options when they experience a major life […] more

Medi-Cal in Rapid Transition

California is in the process of substantially transforming the Medi-Cal program. This overhaul necessitated by several factors, including implementation of the state’s §1115 waiver, implementation of the Affordable Care Act (ACA), persistent budgetary difficulties,2 and other opportunities to improve the effectiveness and efficiency of care through the rapid expansion of […] more

The Affordable Care Act: How Is It Financed?

The Affordable Care Act (ACA) contains many important protections and valuable benefits for both consumers and health care providers. Many of these items, such as generous tax credits to help individuals and small businesses purchase health insurance, a sizeable expansion of the Medicaid program, and a more generous Medicare prescription […] more

Affordable Care Act Provisions for Consumers

The Affordable Care Act (ACA) was the most consequential piece of health care legislation in decades and remains deeply controversial among the American public more than two years after becoming law. Even though some individuals have strongly held opinions about the law, much of the public still has a relatively […] more

A Short History of the Efforts to Extend Health Coverage for All Working Americans

It’s Labor Day, and we should all take a moment to remember the long fight to establish health care for all working people. This effort began in Germany in the late 19th century led by trade unions and passed by the very conservative Chancellor Otto Von Bismarck. By the end […] more

In Final Week of 2012 Session, California Legislature Passes ACA Implementation Legislation, Effort to Restore Healthy Families Fails

Last week was the final week of the 2012 legislative session, and the California Legislature passed several key pieces of health reform legislation. Many of the bills implement central elements of the Affordable Care Act (ACA) in California. Governor Brown will have the month of September to decide whether to […] more