Image Image Image Image Image Image Image Image

Center for Labor Research and Education

About:

Scroll to top

Top

ACA Repeal in California: Who Stands to Lose?

UC Berkeley Center for Labor Research and Education
UCLA Center for Health Policy Research

  • California has a lot to lose if the Affordable Care Act (ACA) is repealed. The state made significant investments in implementing the law successfully, and under the ACA cut the number of uninsured residents in half, from 6.5 million in 2013 to 3.3 million in 2015—the largest decline in the uninsured rate of any state. The two major reasons for this drop in uninsurance were the expansion of Medicaid and the provision of financial assistance for purchasing coverage through the state health insurance marketplace, Covered California. As a result of these policies, California experienced a significant reduction in health coverage disparities: the biggest drops in the uninsurance rate were among those least likely to have coverage before the ACA, namely those with the lowest income, young adults, part-time workers, and Latinos. Repealing the ACA threatens not only to leave millions without health insurance, but also to undo the progress California has made in reducing inequality of health insurance access.

    This brief focuses on Californians enrolled in expanded Medi-Cal (the state’s Medicaid program) and those who receive subsidized coverage through Covered California, the two groups most immediately affected if the ACA is repealed. However, many more Californians could see diminished health coverage under various Congressional Republicans’ proposals to repeal and replace the ACA.


  • Obamacare repeal could leave 5 million Californians without health care
    Sacramento Bee | January 19, 2017

    Counties Brace For Health Law Changes
    KNCO | January 19, 2017

    Senator Kamala Harris joins LA rally to ‘save health care’
    Los Angeles Daily News | January 15, 2017

    Obamacare repeal could cost jobs in Ventura County
    Ventura County Star | January 13, 2017

    Study: Obamacare repeal to cost Sonoma County 2,000 jobs, $200M
    The Press Democrat | January 13, 2017