State and federal agencies that focus on health care policy, implement public health programs, provide regulatory oversight, or collect official government data
Federal or National
The agency supports research designed to improve the outcomes and quality of health care, reduce its costs, address patient safety and medical errors, and broaden access to effective services. The research sponsored, conducted, and disseminated by the Agency for Healthcare Research and Quality (AHRQ) provides information that helps people make better decisions about health care.
The Bureau of Labor Statistics is the principal fact-finding agency for the Federal Government covering the broad field of labor economics and statistics.
The Centers for Disease Control and Prevention (CDC) is recognized as the lead federal agency for protecting the health and safety of people – at home and abroad – providing credible information to enhance health decisions, and promoting health through strong partnerships. CDC serves as the national focus for developing and applying disease prevention and control, environmental health, and health promotion and education activities designed to improve the health of the people of the United States.
The Centers for Medicare & Medicaid Services (CMS) is the Health and Human Services agency responsible for administering the Medicare, Medicaid, SCHIP (State Children’s Health Insurance), and several other health-related programs.
(NAIC) is the U.S. standard-setting and regulatory support organization created and governed by the chief insurance regulators from the 50 states, the District of Columbia and five U.S. territories. Through the NAIC, state insurance regulators establish standards and best practices, conduct peer review, and coordinate their regulatory oversight. NAIC staff supports these efforts and represents the collective views of state regulators domestically and internationally.
The National Association of State Budget Officers (NASBO) serves as the professional membership organization for state finance officers. The major functions of the organization consist of research, policy development, education, training, and technical assistance. These are achieved primarily through NASBO’s publications, membership meetings, and training sessions.
The National Center for Education Statistics (NCES), is the primary federal entity for collecting and analyzing data related to education. U.S. Bureau of Labor Statistics.
The National Committee for Quality Assurance is a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality. Since its founding in 1990, NCQA has been a central figure in driving improvement throughout the health care system, helping to elevate the issue of health care quality to the top of the national agenda. See NCQA Multicultural Health Care Distinction Report Card.
Since 1975, NCSL has been the champion of state legislatures, helping states remain strong and independent by giving them the tools, information and resources to craft the best solutions to difficult problems.
The Census Bureau serves as the leading source of quality data about the nation’s people and economy.
The Department of Health and Human Services (HHS) is the United States government’s principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves.
The World Health Organization (WHO) is the directing and coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends.
The Department of Health Care Services’ (DHCS) mission is to preserve and improve the health status of all Californians. DHCS works closely with health care professionals, county governments and health plans to provide a health care safety net for California’s low-income and persons with disabilities. DHCS finances and administers a number of individual health care service delivery programs, including the California Medical Assistance Program (Medi-Cal), California Children’s Services program, Child Health and Disability Prevention program and Genetically Handicapped Persons Program.
The Department of Insurance (DOI) licenses and regulates the rates and practices of insurance companies, agents, and brokers in California, including all private health insuracne plans and policies.
The Department of Managed Health Care ( DMHC) licenses and regulates all managed health care plans (HMOs) operating in California. Californians are fortunate to have the strongest patients’ rights laws in the nation. The DMHC ensures these laws are followed and that all health plan members get the right care at the right time.
The California Department of Public Health is dedicated to optimizing the health and well-being of the people in California.
Family PACT is California Department of Public Health’s innovative approach to provide comprehensive family planning services to eligible low-income men and women. This clinical program increases access to services by expanding the provider network to include medical providers, pharmacies, and laboratories.
The Office of the Patient Advocate (OPA) is an independent state office established in July 2000 in conjunction with the Department of Managed Health Care. The OPA was created to represent the interests of health plan members to get the care they deserve and to promote transparency and quality health care by publishing an annual Quality of Care Report Card.
CalSORH seeks to link rural communities with state and federal resources. Part of the California Department of Health Care Services, the office collaborates statewide rural health associations, and public and private agencies to promote and improve rural health services. CalSORH also maintains and oversees the Medicare Rural Hospital Flexibility/Critical Access Hospital (FLEX/CAH) Program, Small Rural Hospital Improvement Program (SHIP), and J-1 Visa Waiver Programs.
Covered California (consumer facing website and enrollment portal)
Covered California™ is an easy-to-use marketplace implementing the federal Patient Protection and Affordable Care Act in California. Through Covered California, individuals and families can compare affordable, quality health insurance options and choose the one that best fits their needs and budget.
The exchange website for the policy community, this has all of the Board and stakeholder committee and other planning materials.
In 1998 California passed Proposition 10 adding a 50-cent tax to each pack of cigarettes sold in the state to create First 5 California, also known as the California Children and Families Commission. First 5 California is dedicated to improving the lives of California’s young children and their families through a comprehensive system of education, health services, childcare, and other crucial programs. Since its creation nearly a decade ago, First 5 California has brought these critical services to millions of parents, caregivers and children ages 0 to 5.
The Major Risk Medical Insurance Program (MRMIP) provides health insurance for Californians unable to obtain coverage in the individual health insurance market because of their pre-existing conditions.