Health Care

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California Workers' Rights: A Manual of Job Rights, Protections and Remedies

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Laurel Lucia, Enrique Lopezliraand Ken Jacobs

California health care minimum wage: New estimates for impacts on workers, patients, and the state budget

This brief analyzes the impact SB 525 is projected to have on workers, patients, and the state budget in the first year of the policy. It is an update of our June 2023 and April 2023 briefs, both of which analyzed preliminary versions of the bill.

Miranda Dietzand Laurel Lucia

Measuring Consumer Affordability is Integral to Achieving the Goals of the California Office of Health Care Affordability

Consumer health care affordability has deteriorated over the past two decades in California due to rising premiums along with increasingly common and increasingly large deductibles for job-based coverage. This report documents these trends and their implications for Californian’s health and financial well-being, and recommends how California’s new Office of Health Care Affordability can monitor consumer affordability metrics in order to ensure that consumers benefit from the office’s efforts to control growth in per capita health care spending.

Laurel Lucia, Miranda Dietzand Tynan Challenor

What can we afford? Considerations for aligning Office of Health Care Affordability spending target with Californians’ ability to afford increases

The California Office of Health Care Affordability (OHCA) will establish statewide and sectoral health care spending targets with the goal of achieving a more sustainable per capita rate of spending growth on health care provided by a range of health care entities. This policy brief will discuss the various economic indicators that can be used in setting the statewide target.

Laurel Lucia, Enrique Lopezlira, Ken Jacobsand Savannah Hunter

Proposed health care minimum wage increase: State costs would be offset by reduced reliance on the public safety net by health workers and their families

In this brief we estimate the new costs to the state resulting from SB 525 as well as the savings it would generate through reductions in safety net program enrollment of affected workers and their family members.

Miranda Dietz, Srikanth Kadiyalaand Laurel Lucia

Extending Covered California subsidies to DACA recipients would fill coverage gap for 40,000 Californians

In April, the Biden Administration announced a proposed rule that would allow an estimated 40,000 uninsured DACA recipients in California access to subsidized health coverage through Covered California. This fills an important gap in health coverage options, but it renders access to Covered California contingent on DACA status—which itself is at risk of being overturned by the courts.

Enrique Lopezliraand Ken Jacobs

Proposed health care minimum wage increase: What it would mean for workers, patients, and industry

This report shows that the proposed California Senate Bill No. 525 (SB 525), which would establish a new $25 per hour minimum wage for health care employees, has the potential to substantially improve conditions for low-wage health care workers that provide essential services to the state, ameliorate staffing shortages in the industry, and improve quality of care.

Miranda Dietz, Laurel Lucia, Srikanth Kadiyala, Tynan Challenor, Annie Rak, Yupeng Chen, Menbere Haile, Dylan H. Robyand Gerald F. Kominski

California’s Uninsured in 2024: Medi-Cal expands to all low-income adults, but half a million undocumented Californians lack affordable coverage options

California continues to make remarkable progress in expanding access to health coverage, including by expanding Medi-Cal eligibility for low-income undocumented residents. Yet, we project there will be 520,000 uninsured undocumented residents who earn too much for Medi-Cal and do not have employer coverage. This group remains categorically excluded from enrolling in Covered California and cannot receive federal subsidies to make coverage more affordable.

Laurel Lucia

Many California family child care providers will now be better able to afford health care

This blog post outlines the assistance offered by the recently-established Child Care Providers United California Workers Health Care Fund, summarizes recent findings from a David Binder Research/ California Health Care Foundation survey that underscore the need for this new health care investment for family child care providers, and discusses how the program will improve affordability for providers and benefit California as a whole.

Miranda Dietz, Tynan Challenorand Srikanth Kadiyala

Fact Sheet: Fixing the Family Glitch in California — Projections from the California Simulation of Insurance Markets

Proposed federal regulations would fix the family glitch by extending subsidies to spouses and children offered unaffordable family coverage through an employer. The employee would still be excluded from subsidies if their cost for single coverage through their employer was affordable. We use the California Simulations of Insurance Markets (CalSIM) model to project for 2023 how many people would fall into the family glitch in California, how many would be newly eligible for a positive dollar subsidy, and how many would enroll in Covered California with subsidies under the family glitch fix.

Miranda Dietzand Laurel Lucia

What’s at Stake for California Health Care Affordability in the Inflation Reduction Act?

The Inflation Reduction Act (IRA) currently being considered by Congress would improve health care affordability for many Californians by addressing high and rising drug prices and by extending the improved premium affordability assistance to Covered California enrollees that began in 2021. The extension of federal premium assistance would also unlock additional state-financed affordability help to reduce how much Covered California enrollees pay out-of-pocket when they access care.

Laurel Lucia, Tynan Challenorand Miranda Dietz

How will Californians’ health coverage sources change when the public health emergency ends?

The Medi-Cal redetermination process has been paused during the COVID public health emergency. As a result, many more individuals have newly enrolled in Medi-Cal than disenrolled, increasing Medi-Cal enrollment by almost 2 million since the beginning of the pandemic. This blog post summarizes (1) the available estimates of the potential reduction in Medi-Cal enrollment once the PHE is unwound and redeterminations have been completed, and (2) the likely eligibility for and enrollment in private coverage among those losing Medi-Cal.

Miranda Dietz, Laurel Lucia, Srikanth Kadiyala, Tynan Challenor, Annie Rak, Dylan H. Robyand Gerald F. Kominski

California’s biggest coverage expansion since the ACA: Extending Medi-Cal to all low-income adults

California has the opportunity to expand Medi-Cal to all low-income Californians, regardless of immigration status or age. This policy would result in a massive increase in coverage, bringing close to 700,000 undocumented Californians into coverage and reducing the uninsured rate for residents under 65 to just 7.1%, the biggest single improvement since implementation of the ACA.

Srikanth Kadiyala, Tynan Challenor, Annie Rak, Laurel Lucia, Dylan H. Roby, Gerald F. Kominskiand Miranda Dietz

The Threat to Coverage and Affordability Gains in Covered California if Congress Fails to Renew Subsidy Enhancements

In response to the COVID-19 pandemic, Congress enacted the American Rescue Plan of 2021 to provide additional temporary financial help for buying health insurance through the ACA Marketplaces. If these enhanced subsidies are not extended for 2023 and beyond, we project 220,000 fewer Californians would have individual market insurance in 2023 than if enhanced subsidies are extended, and premiums would be less affordable for more than two million individual market enrollees.

RELEASE: Health coverage for nearly 1M Californians will be affected by Medi-Cal expansion and federal subsidies extension

Two reports released today project how the expansion of Medi-Cal eligibility to all low-income adults regardless of immigration status and the discontinuation of enhanced federal subsidies in Covered California would affect health coverage for nearly one million Californians