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California Watch

News stories in this section spotlight activities in California, including actions by the state Assembly and state Senate; proposed legislation; regulators like the Department of Managed Health Care and Department of Insurance; and the state ACA exchange, Covered California.

Estimated 400K Californians Could Be ‘Priced Out’ Of Covered CA If Congress Doesn’t Extend Funding

This year’s open enrollment for Covered California comes at a pivotal time. If Congress does not extend the tax credits as part of the government shutdown deal, hundreds of thousands of Californians who have the state’s health insurance could see a 97% increase in monthly premiums. “We do estimate as many as 400,000 of our current enrollees could be ...

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CMS Grants Temporary Flexibility For Telehealth Coverage In Medicare Advantage During The Government Shutdown

The Centers for Medicare & Medicaid Services (CMS) has issued new guidance allowing Medicare Advantage plans to maintain coverage of certain telehealth services that technically expired when federal telehealth authorities lapsed on October 1, 2025. Under the announcement, CMS will temporarily waive the prohibition on mid-year benefit changes to permit plans to continue offering these ...

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‘It’s insane’: This Calif. Couple is a Facing an 800% Hike in Health Care Costs

David Delfiner and Lisa Parsons received a shocking letter from their health insurance provider when they checked their mail last week. Their monthly health insurance cost will increase from $350 a month this year to $2,221 starting in 2026. “It’s insane. It’s unbelievable,” said Parsons, a 59-year-old retiree living in South Lake Tahoe. The couple is not ...

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For This Bay Area Mother and Son, Trump’s Medicaid Cuts Could Shred a Lifeline

Luca-Amine Hadir was 4 days old when his parents raced him to the ER. His mother, Jill McDonald, had wanted her child to have a gentle transition into the world, and Luca’s first four days were just that. He was born at home in San Francisco’s Bernal Heights neighborhood, in spring 2020 — Jill, now ...

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California Union Proposes Taxing Billionaires To Offset Medicaid Cuts

A major union announced a proposal Thursday to impose a one-time 5% tax on billionaires in California to address federal funding cuts to health care for low-income people. Proponents, including the Service Employees International Union, hope to place the statewide measure before voters next year. The tax would be on the net worth of California’s ...

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California Hospitals Are Suing Over The State’s Efforts To Curb Their Spending

Hospitals argue that spending caps imposed by an affordability office will result in layoffs, cuts in health care services and reduced access to care for Californians.

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Governor Newsom Signs Major Benefit Mandates, Vetoes Others To Protect Health Plans

California Gov. Gavin Newsom signed a major state major medical insurance benefits bill into law this week. The Democrat also vetoed some health benefits bills, arguing that those bills would do too much to weaken health plan care utilization management efforts and increase plan costs. The new EHB package law could have a direct effect on ...

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Kaiser Healthcare Worker Strike Ends After Five Days. Bargaining Resumes This Week

A five-day strike that affected hundreds of Kaiser Permanente clinics and hospitals in California and Hawaii came to an end after the union representing workers said it had “new momentum” to head back to the bargaining table, but no apparent agreement has been reached. “This strike may be over — but the fight for patient ...

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California’s Health Insurance Marketplace Braces for Chaos as Shutdown Persists

California this week plans to notify Affordable Care Act marketplace enrollees that their costs could rise sharply next year unless Congress extends subsidies to help people buy health insurance. Health care analysts say the nation’s uninsured population will rise significantly if federal lawmakers do not agree to renew covid-era tax credits, which Congress authorized in 2021 to ...

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Newly Passed California Laws Tackle Prior Authorization, Private Equity In Care And More

Changes to prior authorization, charity care screening and corporate influence in medicine are on the way for Californian healthcare organizations. Among the dozens of bills signed this week by Gov. Gavin Newsom ahead of an Oct. 12 deadline were several outlining new requirements or broader enforcement of healthcare practices. The new laws, as well as ...

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