Publications

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Policy Brief
California’s historic expansion of Medi-Cal eligibility to all low-income Californians regardless of immigration status is scheduled to go into effect in January of 2024, when low-income undocumented adults ages 26-49 will become eligible for full-scope Medi-Cal coverage. Authors project that after the new enrollment has taken place, California’s uninsured population will decrease to a record low of 2.57 million under age 65. This represents substantial progress in access to health insurance.
Policy Brief
California’s historic expansion of Medi-Cal eligibility to all low-income Californians regardless of immigration status is scheduled to go into effect in January of 2024, when low-income undocumented adults ages 26-49 will become eligible for full-scope Medi-Cal coverage. Authors project that after the new enrollment has taken place, California’s uninsured population will decrease to a record low of 2.57 million under age 65. This represents substantial progress in access to health insurance.
Fact Sheet
Many Californians struggle to afford job-based coverage, especially family coverage. Under the original Affordable Care Act (ACA) regulations, workers whose coverage for themselves only cost more than 9.61% of household income (in 2022) could receive subsidies to enroll in Marketplace coverage, along with their family members. However, if coverage for the worker only was affordable no one in the family was eligible for subsidies, even if the cost of family coverage was unaffordable.
Fact Sheet
Many Californians struggle to afford job-based coverage, especially family coverage. Under the original Affordable Care Act (ACA) regulations, workers whose coverage for themselves only cost more than 9.61% of household income (in 2022) could receive subsidies to enroll in Marketplace coverage, along with their family members. However, if coverage for the worker only was affordable no one in the family was eligible for subsidies, even if the cost of family coverage was unaffordable.
Policy Brief
Since the enactment of the Affordable Care Act (ACA) in 2010, California has reduced the number of uninsured from 6.5 million in 2011 to a projected 2.99 million in 2023. This dramatic increase in the number of Californians with health insurance coverage was the result of policy choices at both the state and federal levels to not simply implement the ACA but to build on it, including through early implementation, expansion of Medi-Cal, and improvements in subsidies.
Policy Brief
Since the enactment of the Affordable Care Act (ACA) in 2010, California has reduced the number of uninsured from 6.5 million in 2011 to a projected 2.99 million in 2023. This dramatic increase in the number of Californians with health insurance coverage was the result of policy choices at both the state and federal levels to not simply implement the ACA but to build on it, including through early implementation, expansion of Medi-Cal, and improvements in subsidies.
Policy Brief
Since the Affordable Care Act (ACA) was enacted in 2010, California has successfully implemented the law and built upon its provisions by extending affordable coverage to even more California residents. The proposal to expand Medi-Cal to all low-income residents ages 26 to 49 regardless of immigration status would cover close to 700,000 Californians and result in the largest decrease in the uninsured rate since the major insurance reforms in the ACA were implemented in 2014.
Policy Brief
Since the Affordable Care Act (ACA) was enacted in 2010, California has successfully implemented the law and built upon its provisions by extending affordable coverage to even more California residents. The proposal to expand Medi-Cal to all low-income residents ages 26 to 49 regardless of immigration status would cover close to 700,000 Californians and result in the largest decrease in the uninsured rate since the major insurance reforms in the ACA were implemented in 2014.
Research Report
This study identifies whether culturally based differences in perceptions of health resulted in differences in ambulatory care use among the elderly.  Methods: The authors conducted stratified Poisson regressions on data from a 1992 survey of older Koreans and Whites in Los Angeles County. The models included measures of demographics, health, functioning, income, insurance, social support, and culture (perceptions of health or other beliefs).  Results: Descriptive findings showed older Koreans
Research Report
This study identifies whether culturally based differences in perceptions of health resulted in differences in ambulatory care use among the elderly.  Methods: The authors conducted stratified Poisson regressions on data from a 1992 survey of older Koreans and Whites in Los Angeles County. The models included measures of demographics, health, functioning, income, insurance, social support, and culture (perceptions of health or other beliefs).  Results: Descriptive findings showed older Koreans
Policy Note
The COVID-19 pandemic has further highlighted the importance of ensuring that all Californians have health coverage. As the state explores options for the unified financing of health care, policymakers are simultaneously working toward universal coverage under the current system.
Policy Note
The COVID-19 pandemic has further highlighted the importance of ensuring that all Californians have health coverage. As the state explores options for the unified financing of health care, policymakers are simultaneously working toward universal coverage under the current system.
Journal Article
During the period 2014–16 the Affordable Care Act (ACA) dramatically reduced rates of uninsurance and underinsurance in the United States. In this study, authors estimated the effects of these coverage increases on cancer detection among the near-elderly population (ages 60–64).  Findings: Using 2010–16 Surveillance, Epidemiology, and End Results (SEER) Program data, authors estimated that the ACA increased cancer detection among this population.
Journal Article
During the period 2014–16 the Affordable Care Act (ACA) dramatically reduced rates of uninsurance and underinsurance in the United States. In this study, authors estimated the effects of these coverage increases on cancer detection among the near-elderly population (ages 60–64).  Findings: Using 2010–16 Surveillance, Epidemiology, and End Results (SEER) Program data, authors estimated that the ACA increased cancer detection among this population.
Journal Article
During the period 2014–16 the Affordable Care Act (ACA) dramatically reduced rates of uninsurance and underinsurance in the United States. In this study, authors estimated the effects of these coverage increases on cancer detection among the near-elderly population (ages 60–64).  Findings: Using 2010–16 Surveillance, Epidemiology, and End Results (SEER) Program data, authors estimated that the ACA increased cancer detection among this population.
Journal Article
During the period 2014–16 the Affordable Care Act (ACA) dramatically reduced rates of uninsurance and underinsurance in the United States. In this study, authors estimated the effects of these coverage increases on cancer detection among the near-elderly population (ages 60–64).  Findings: Using 2010–16 Surveillance, Epidemiology, and End Results (SEER) Program data, authors estimated that the ACA increased cancer detection among this population.
External Publication
The Affordable Care Act (ACA) reduced uninsured rates for all racial and ethnic groups in California, while also narrowing, but not eliminating, the coverage gaps for Latino and Black Californians in this state. Findings: If the ACA is ultimately overturned due to the California v. Texas case, scheduled to be heard by the Supreme Court starting on November 10, 2020, the progress on racial and ethnic health coverage disparities would be reversed.
External Publication
The Affordable Care Act (ACA) reduced uninsured rates for all racial and ethnic groups in California, while also narrowing, but not eliminating, the coverage gaps for Latino and Black Californians in this state. Findings: If the ACA is ultimately overturned due to the California v. Texas case, scheduled to be heard by the Supreme Court starting on November 10, 2020, the progress on racial and ethnic health coverage disparities would be reversed.
Policy Brief
California made historic gains in health insurance coverage under the Affordable Care Act (ACA), but several million Californians remain uninsured and many struggle to afford individual market insurance. If the state takes no action, the number of Californians uninsured is projected to increase to 4.4 million in 2023 due to the elimination of the individual mandate penalty as well as other trends such as premium growth, population growth, and changes in eligibility due to minimum wage increases.
Policy Brief
California made historic gains in health insurance coverage under the Affordable Care Act (ACA), but several million Californians remain uninsured and many struggle to afford individual market insurance. If the state takes no action, the number of Californians uninsured is projected to increase to 4.4 million in 2023 due to the elimination of the individual mandate penalty as well as other trends such as premium growth, population growth, and changes in eligibility due to minimum wage increases.