Health Care

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

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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

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

American Rescue Plan Improvements to Covered California Affordability: Who Gains?

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.

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

Undocumented Californians Projected to Remain the Largest Group of Uninsured in the State in 2022

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%).

Laurel Lucia

Modified Adjusted Gross Income under the Affordable Care Act – UPDATED WITH INFORMATION FOR COVID-19 POLICIES

Under the Affordable Care Act, eligibility for income-based Medicaid and subsidized health insurance through the Marketplaces is calculated using a household’s Modified Adjusted Gross Income (MAGI). The Affordable Care Act definition of MAGI under the Internal Revenue Code and federal Medicaid regulations is shown below.

Laurel Lucia

California could lose 269,000 jobs if the ACA is overturned

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.

Laurel Lucia, Miranda Dietzand Ken Jacobs

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.

William Dow, Kevin Leeand Laurel Lucia

Economic and Health Benefits of a PPE Stockpile

The COVID-19 pandemic has exposed tragic shortcomings in California’s preparedness for infrequent but catastrophic public health threats. This failure has caused serious health consequences—in addition to being financially myopic. One specific type of prevention investment that is widely recognized to be crucial is the stockpiling of personal protective equipment (PPE) for essential workers.

Ken Jacobs, Tia Koonseand Jennifer Ray

Workers as Health Monitors: An Assessment of LA County’s Workplace Public Health Council Proposal

This report examines the costs and benefits of an innovative LA County proposal to recruit frontline workers in the fight against COVID-19 transmission. The proposal requires businesses to permit employees to form public safety councils who meet with management to plan and troubleshoot compliance and report regularly to the DPH.