Christina M. Kinane

Between 1.8 and 2.1 million Californians will have subsidized health coverage in 2019 due to the Affordable Care Act

The Affordable Care Act (ACA) will significantly expand access to affordable health coverage in California, increasing the share of insured non-elderly Californians to nearly 90 percent. An estimated 3 to 4 million Californians are predicted to remain uninsured in 2019, depending on the extent of outreach and enrollment activities and ease of enrollment and retention.

The California Simulation of Insurance Markets (CalSIM) model is designed to estimate the impact of various elements of the ACA on employer decisions to offer insurance coverage and individual decisions to obtain coverage in California.

Between 1.2 and 1.6 million more Californians are predicted to be enrolled in Medi-Cal in 2019 than otherwise would have been under current law

Language barriers could deter more than 100,000 Californians from enrolling in the state’s Health Benefit Exchange. The study recommendations include investing in linguistically and culturally appropriate marketing and outreach as well as investing in primary care and workforce diversity in underserved areas, among other actions.