Medi-Cal

Despite Pandemic, Progress Continued on Health Care, Coverage, and Costs in California; Advocates Urge Governor Newsom Sign Key Access and Accountability Bills

The California Legislature ended a 2020 session marked by significant changes due to the COVID-19 crisis. While several high-profile health policy initiatives stalled in light of the pandemic and the economic emergency that caused a state budget deficit, the legislative year ended with key advances on health policy for California consumers. Despite the pandemic, progress was made on improving California health coverage, care, and costs during this COVID-19 impacted legislative session. Admittedly, we were disappointed that solutions stalled on surprise medical bills and health care consolidation, which are both major drivers of higher health costs, the Legislature passed several other health policy highlights. Patient advocates urge Governor Newsom to sign the bills on his desk to help Californian consumers, including […] Read More

New Senate GOP COVID-19 Relief Package Falls Short for Californians

US Senate Republicans today announced a new COVID-19 relief package that will do little to actually help struggling Californians. Beyond the reduced unemployment benefits negatively impacting millions of Californians, the new proposal includes no new aid to state and local governments, likely forcing major cuts to education, health care, and other vital human services that are needed now more than ever. In contrast, the HEROES Act passed by the House of Representatives, includes $500 billion in aid for states, additional help for local governments, increased Medicaid matching funds, other funds supporting human services, and direct financial assistance to help consumers maintain their employer-based health care coverage. These elements are the only way to help Californians out of this economic and public […] Read More

As COVID-19 Crisis Continues, CoveredCA Extends Deadline to Sign-Up for Health Coverage

In the midst of the COVID-19 pandemic, many Californians losing jobs or hours are also losing their health care coverage. To help ensure that Californians are covered, Covered California, our state-based marketplace, announced an extension of the open enrollment period by another month, through the end of July. This extension is for both CoveredCA and off-exchange plans. Over 6 million Californians have filed for unemployment during the pandemic, and Covered California has seen a surge in enrollment of over 175,000 people. Health coverage is crucial at all times, but in the middle of a global pandemic it’s essential to ensure the health and well-being of yourself and your family. Especially for those who have lost employer-based coverage, Californians should take advantage of the new state […] Read More

2020-21 State Budget Deal Protects Many Key Health and Health Human Services – But Tough Cuts Made, and More Loom without Revenues

Governor Newsom and the California legislative leaders have announced a state budget deal today that pulls back many of the cuts to vital health and human services proposed in the May Revise, keeping this coverage and care intact as the state works to combat the COVID-19 pandemic. While some significant cuts were made, this budget deal staves off the worst of the proposed health care cuts which would have denied coverage to tens of thousands of low-income seniors, and cut benefits and access to health providers for millions more on Medi-Cal. The budget deal does still rely heavily on federal aid, which is currently pending in Congress. Health care advocates continue to call on the Federal Government to step in with financial […] Read More

CA Legislature Passes a 2020-21 State Budget That Protects Most Health and Human Services Programs – For Now

Deal with Governor Still Being Negotiated–Federal Funds and New State Revenues and Taxes Needed to Stop Trigger Cuts Today the California State Senate and Assembly passed a budget preserving most funding for vital health and human services programs, which are even more important as our state works to combat the COVID-19 pandemic. The budget passed by the California Legislature meets the constitutional deadline for passage, even as negotiations continue with Governor Newsom on a final budget. Those negotiations show signs that a deal to reject the worst of these health care cuts might be reached, but that would depend on new revenues, from federal funds or new state revenues. If the Governor adopts the Legislature’s version of the budget, it would rely on federal […] Read More

New CA Budget Proposes Major Cuts to Health and Other Needed Services, Even Worse Without Federal Assistance

Governor Gavin Newsom today unveiled his May Revision of the California State Budget which includes significant cuts to health, education, and other vital services in order to address the budget deficit caused by the COVID-19 crisis. In a stark contrast from the Governor’s initial proposal in January that had a surplus, Governor Newsom’s budget attempts to address an estimated $54 billion state deficit with deep cuts to the state budget–including to health and human services, a particularly harmful measure in the face of a public health crisis. Governor Newsom emphasized that much of these cuts could be minimized if Congress passes needed state aid, as House leadership has proposed in the pending HEROES Act up for a vote tomorrow. The State Legislature will now […] Read More

New Estimates on Job-Based Coverage Losses in California Highlight Need to Preserve and Strengthen Medi-Cal & Covered California

Researchers at the UC Berkeley Labor Center recently released a new report detailing the impact of job losses during the COVID-19 pandemic on Californians health coverage. The Center estimates that for every 100,000 California workers losing their jobs due to the pandemic, up to 67,000 workers, spouses, and children are at risk of losing job-based coverage. The report also estimates that most of these workers (over three-quarters) will likely be income-eligible for Medi-Cal or subsidized insurance through Covered California. These projections are based on workers in the industries with the highest risk of job losses due to the coronavirus pandemic including those in hospitality, retail, arts, sports, landscaping and transportation services. These workers were approximately 16% of the California workforce in 2018. This report joins with other […] Read More

New Month is a Good Time to Reassess Your Health Care Options

As we begin May, your health care coverage options may be changing as well. If you lost employment or hours in April, the beginning of the month is a good time to assess your health insurance status and make necessary changes. With unemployment claims rising, estimates suggest nearly two million Californians have also lost their employer-sponsored health care coverage. A change in income could mean you are now eligible for more help to access or afford coverage. Even if California didn’t have a requirement for health coverage, a public health pandemic is an important time to ensure that you and your family are covered. What is it? As California’s version of Medicaid, this program provides comprehensive health care coverage, often at no cost, […] Read More

During COVID-19 Crisis Enrollment in Covered California Continues to Grow

Covered California today released updated enrollment numbers showing that interest and sign-ups in the exchange continue to grow. Due to the COVID-19 pandemic, on March 20 Covered California announced a special enrollment period to last until June 30. Since then over 84,000 Californians have enrolled in health care coverage through Covered California—2.5 times more enrollments than during the same period last year. Covered California also announced a new E-mail outreach effort to over 11 million California consumers to help them better understand their health care options.   Federal and state investments in Covered California and Medi-Cal are more crucial than ever. Covered California’s surge in enrollment highlights the need for health care options for those losing their jobs and employer-based coverage […] Read More

California Expands Emergency COVID-19 Treatment for Uninsured

California continues to take urgent and necessary steps to fight the public health emergency  created by COVID-19. Late last week, California announced new measures to provide emergency coverage for COVID-19 testing and treatment for the uninsured and some underinsured. Under this new “presumptive eligibility” guidance by the Department of Health Care Services (DHCS), uninsured and some underinsured Californians will be able to get covered under emergency Medi-Cal for COVID-19 testing and treatment. This builds on earlier guidance from DHCS that clarified that Medi-Cal coverage for COVID-19 testing and treatment for those in restricted-scope Medi-Cal whether the emergency care takes place in inpatient or outpatient services, including hospitals or a community clinic. This new Medi-Cal aid code will reach beyond the 13 million Californians […] Read More