Health Reform

Federal Build Back Better Framework Includes Major Health Investments, Falls Short on Prescription Drug & Medicare Reform

Today President Biden announced a federal framework for the Build Back Better proposal that includes historic investments to help Californians afford their health care, but does not include key proposals around prescription drug price reform and expanding Medicare dental and vision benefits. The framework includes the continued expansion of financial help in Covered California, providing annual assistance of hundreds or, for many, thousands of dollars to 1.4 million enrollees—help that is especially urgent in our high cost-of-living state. The health of millions of Californians would benefit from this assistance to afford coverage, have Medicare covering hearing aids, and other investments in home care, child care, and much more. We are deeply disappointed that despite a broad popular support to have […] Read More

Another Low Covered California Rate Increase for 2022

Following a year that has seen the greatest investment in the Affordable Care Act since the law took effect, Covered California, the state’s health care insurance marketplace, today announced its third straight year of minimal premium rate increases. In fact, earlier this year, virtually all in Covered California saw reductions in their premiums through federal subsidies, which will continue in 2022. Through the American Rescue Plan (ARP), the Biden Administration took action to increase subsides for those who purchase health care on their own via the marketplace, capping premiums to 8.5% of income across the board – and much lower for middle and lower income consumers. These actions, along with state affordability assistance, have significantly reduced costs for the nearly 1.6 million enrollees in Covered California, […] Read More

2021-22 CA Budget Takes Major Steps to a More Universal & Equitable Health Care System

The State Legislature passed the final 2021-2022 health budget bill (AB 133) that includes historic investments in expanding and improving health coverage for millions of Californians. It now goes to Governor Newsom for his final signature in the coming days. Many of the proposals included in this budget bill were key priorities of the Care4All California coalition of over 70 consumer, community, labor, progressive, and health care organizations working to advance the goal of quality affordable health care for all Californians as soon as possible. The coalition supported these investments which, working together, represent important steps to a more universal, equitable, and affordable health care system in California. These organizations pushed for key proposals to improve Medi-Cal and reduce health care disparities for low-income […] Read More

CA Governor & State Legislature Strike Budget Deal with Major Steps Towards a More Universal Health Care System

The state legislative leaders announced the outlines of a 2021-2022 budget agreement with Governor Newsom that includes funding for a more universal, equitable, and affordable, health care system. The final deal includes historic investments in our health system, including a first-in-the-nation end to the exclusion of income-eligible undocumented adults age 50 and over in Medi-Cal. #Health4All By opening up Medi-Cal coverage to all income-eligible Californians age 50 and over regardless of immigration status, California is not just making our health system more universal and equitable, but stronger and more resilient for all of us. Especially after a pandemic, our health care system works better when anyone who calls California home can access comprehensive and preventative health care. So many of these immigrants have contributed over […] Read More

California Legislature Passes Their 2021 – 2022 Budget with Steps Towards A More Universal Health Care System. Deal On Final Budget Must Still Be Reached With Governor Newsom.

Yesterday, the California State Assembly and State Senate voted to pass a 2021-2022 state budget that includes funding for a more universal, equitable, and affordable, health care system. While the Legislature is in agreement on this version of the budget, negotiations continue with Governor Newsom on a final deal. On June 1, the state legislature announced a joint budget proposal that aligned on a number of key health care proposals, which is what was passed today. It includes historic investments in our health system, including a plan for the first-in-the-nation end to the exclusion of income-eligible undocumented adults age 50 and over in Medi-Cal. The Governor’s May Revision included a proposal to end this exclusion for those 60 and over. […] Read More

California Health Advocates Praise Federal Federal COVID-19 Relief Bill on ACA Affordability Assistance

California consumer and health advocates hailed the current COVID-19 relief package that passed the Senate this weekend for its historic investments in health care coverage and accessibility and urged its final passage in the House of Representatives. The package includes significant funding for vaccine distribution, direct income support to families, and aid to state and local governments that will assist in providing health and human services. Most notably, the federal bill provides historic financial assistance to help millions of Americans afford health coverage in the midst of this pandemic, ensuring that no American will pay more than 8.5% of their income on health care coverage. This premium relief builds on the work already done in California, where the state has been investing […] Read More

COVID-19 and the ACA’s 10th Anniversary

On March 23, 2020, we mark the 10th anniversary of the Affordable Care Act (ACA). Especially at this moment, we are grateful for the improvements in our health system that were sorely needed and now help at at time like this. In the context of the COVID-19 crisis, California’s health system would be much less equipped to deal with the pandemic if the ACA had not been put in place. Prior to the implementation of the ACA: we had four million more uninsured Californians, and a uninsured rate of nearly 20%; we had more financially struggling hospitals and health providers, and we didn’t have the resulting surge in our health system capacity throughout the state; we had those who are […] Read More

HEALTH ACCESS UPDATE ON HMO PATIENTS BILL OF RIGHTS: Colleagues: Several disturbing developments have occurred that jeopardize the gains we made in 1999 in HMO reform. · Yesterday, an administrative law judge ruled in a case involving Kaiser Permanente and Mrs. Utterback, a Kaiser enrollee who died because of inappropriate triage, that the Department of Managed Health Care has little authority to regulate the care provided by doctors, hospitals and other providers that contract with HMOs. This removes one of the major underpinnings of HMO reform. · Earlier this year, a court ruled in CMA v. Zingale that the Department of Managed Health Care is unable to collect and disclose financial data necessary to assure that medical groups have the […] Read More