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California’s Coverage Expansion: Fiscal and Political Risks

May 30, 2017

On May 4, 2017, with the passage of the Republicans’ American Health Care Act (AHCA) in the US House of Representatives, a sharp tremor was felt by California’s vast health system. The AHCA threatens withdrawal of at least $150 billion from the state’s health system over the next ten years, with the sharpest reductions felt from 2020 thru 2022. However, even if the House bill fails to become law, if history is any guide, California’s notoriously cyclical economy may not ultimately sustain the weight of the state’s expanded Medi-Cal program, posing future economic risks to its care system. Read More

Trump Seeks Delay of Ruling on Health Law Subsidies, Prolonging Uncertainty

May 23, 2017

The Trump administration asked a federal appeals court on Monday to delay ruling on a lawsuit that could determine whether the government will continue paying subsidies under the Affordable Care Act to health insurance companies for the benefit of low-income people — effectively prolonging uncertainty that is already rattling the health law. Read More