Affordable Care Act

  • Facebook
  • Twitter
  • Instagram
  • YouTube
  • Newsletter
Publication for Sale

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

Visit E-Store
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 Dietz, Srikanth Kadiyala, Tynan Challenor, Annie Rak, Laurel Lucia, Dylan H. Robyand Gerald F. Kominski

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.

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.

Laurel Luciaand Ian Eve Perry

Comments on the Consumer Inflation Measures Produced by Federal Statistical Agencies

We urge you to not change the cost of living adjustment method for the OPM to Chained CPI-U, any other the other measures mentioned in the request for comment, or any other index that shows lower growth than the current CPI-U. Additionally, we urge you to include other issues apart from cost of living adjustments when considering any changes to the OPM.

Ian Eve Perry

Proposed Trump Administration Change to Federal Poverty Definition Would Cut Aid to Millions of Californians

While this proposal may seem simply technical in nature, the harm in California would be very real. Over time, millions of Californians would lose eligibility for benefits or receive reduced benefits, and that reduced assistance would translate to hundreds of millions of fewer federal dollars flowing into the state’s economy.

Miranda Dietz, Laurel Lucia, Srikanth Kadiyala, Petra W. Rasmussen, Ken Jacobs, Dylan H. Roby, Dave Graham-Squire, Jason Zhang, Greg Watson, Xiao Chenand Gerald F. Kominski

3.6 Million Californians Would Benefit if California Takes Bold Action to Expand Coverage and Improve Affordability

Many California policymakers have expressed a desire and commitment to resist federal sabotage of the ACA, control health care costs, and achieve universal health care coverage. As the state explores ways to fundamentally redesign our health care delivery system—including by adopting a single payer or other unified public financing approach—state policymakers are also considering near-term policies that do not require federal approval but address the immediate challenges of improving affordability and expanding coverage.

Miranda Dietz, Laurel Lucia, Dylan H. Roby, Ken Jacobs, Petra W. Rasmussen, Xiao Chen, Dave Graham-Squire, Greg Watson, Ian Eve Perryand Gerald F. Kominski

California’s Health Coverage Gains to Erode Without Further State Action

We project that between 150,000 and 450,000 more Californians will be uninsured in 2020, growing to between 490,000 and 790,000 more uninsured in 2023, compared to the projected number if the ACA penalty had been maintained.