The American Rescue Plan substantially increases premium subsidies for coverage purchased through health insurance exchanges like Covered California. We project that these subsidies will help over 1.6 million Californians, including 151,000 individual market enrollees who will qualify for subsidies for the first time and 135,000 uninsured people who will become insured.
Area of Expertise
Miranda Dietz is a research and policy associate at the Labor Center and project director of the California Simulation of Insurance Markets microsimulation model (CalSIM). CalSIM, developed jointly with the UCLA Center for Health Policy Research, models the impacts of various policies on health insurance coverage in California. Miranda’s research has focused on development of the model, estimates of the uninsured, and churn in and out of insurance coverage. Miranda has also written on local enforcement of labor standards, low-wage airport workers, and temporary workers in California. She is co-editor with Michael Reich and Ken Jacobs of When Mandates Work: Raising Labor Standards at the Local Level. Miranda received a Master of Public Policy degree from UC Berkeley in 2012, and a bachelor’s degree in government from Harvard University.
Even after the American Rescue Plan (ARP) substantially increases premium subsidies for health insurance coverage purchased through Covered California, large inequities remain in who has access to affordable coverage. Nearly 3.2 million Californians will remain uninsured in 2022, or about 9.5% of the population age 0-64, according to our projections. The highest uninsured rates will be among undocumented Californians (65%) and those eligible only for insurance through Covered California (28%).
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.
California’s Health Coverage Gains under the Affordable Care Act: What’s at Stake in California v. Texas?
This fact sheet highlights the key health coverage gains made in California under the state’s robust implementation of the ACA since it was enacted over 10 years ago. These achievements show how much is at stake in California v. Texas, the case the Supreme Court is scheduled to hear on November 10, 2020, under which the ACA could be overturned.