On November 10, the Supreme Court is scheduled to hear oral arguments in the case California v. Texas, one possible outcome of which is the Affordable Care Act (ACA) being struck down in its entirety. The Labor Center has produced several publications exploring the potential consequences for California if the ACA is overturned.
Research & Publications
The ACA covered millions of people and reduced the racial and ethnic disparities in health coverage in California; to take away these coverage options especially during a global pandemic and recession would exacerbate racial and ethnic inequality in California.
The ACA expanded coverage options available to low-income Californians and unemployed workers; to take away those options during a global pandemic and recession would compound the hardships faced by low-income households.
Overturning the ACA would reduce annual federal funding to California by $28.8 billion in 2022, the year of focus for this analysis. Many Californians’ jobs are also at stake should the ACA be overturned. California would be projected to have 269,000 fewer jobs, $29.3 billion less in state GDP, and $2.2 billion less in state and local tax revenue, compared to if the ACA remains in effect.
The California Health Care Foundation (CHCF) has released two new publications, co-authored by Labor Center researchers, exploring COVID-related health coverage trends in the state through early summer and the important role of Medi-Cal coverage for workers.
New Series: Affordable Care Act in California: What’s at Stake in California v. Texas?
- October 15, 2020 California could lose 269,000 jobs if the ACA is overturned
- October 15, 2020 Racial and ethnic health coverage inequities in California would widen if ACA is overturned
- October 15, 2020 Overturning the ACA would reverse health coverage gains for low-income Californians
- September 28, 2020 California’s Health Coverage Gains under the Affordable Care Act: What’s at Stake in California v. Texas?
October 9, 2020
New Publications from California Health Care Foundation, co-authored by Laurel Lucia
August 12, 2020
Economic and Health Benefits of a PPE Stockpile
July 21, 2020
Workers as Health Monitors: An Assessment of LA County’s Workplace Public Health Council Proposal
Blog Series on Health Care Affordability
- February 20, 2020 High Health Care Prices are the Primary Driver of California Workers’ Health Care Cost Problems
- January 29, 2020 Increases in health care costs are coming out of workers’ pockets one way or another: The tradeoff between employer premium contributions and wages
- December 18, 2019 High out-of-pocket costs contribute to poor access to care and financial hardships for California workers
This stipend bears little resemblance to traditional employer-based insurance, which is what drivers would get if they were considered employees instead of gig workers, said Ken Jacobs, chair of the University of California-Berkeley Center for Labor Research and Education.
California receives some $27 billion a year from the federal government to subsidize insurance coverage for low- and moderate-income Californians, an amount roughly equivalent to what the state spends annually on prisons, colleges and universities, according to estimates by the UC Berkeley Labor Center.
Los Angeles County worked with UCLA’s Labor Center and the University of California Berkeley’s Labor Center to study and respond to the situation. The first step was to give workers a direct and private way to report worrisome situations. Thousands of tips poured in, allowing the county to crack down on situations.
“The U.C. Berkeley Labor Center estimates that California could annually lose 27 billion [dollars] and potentially 299,000 jobs if the ACA was struck down,” Kelch outlined.
LA officials pushed to set up tip lines for violations on workplace health enforcement and other offenses. UC Berkeley Labor Center believed the idea was “innovative,” noting that the workplace was the driver of COVID-19 in the county, affecting mostly Latinos and Blacks.