The independent source for health policy research, polling, and news.
21-40 of 247 results
Republican proposals to tighten the use of special taxes to fund Medicaid programs could deprive states of billions of dollars for safety net health care. In California, any such limit would come on top of Medicaid cuts proposed by California Democrats in response to a $12 billion state deficit.
Bay Area senior Carol Crooks doesn鈥檛 know where congressional Republicans will land on Medicaid cuts as they look to fund a tax bill, but her health has already deteriorated as she worries about losing the help she needs to remain in her Oakland apartment 鈥 and out of a nursing home.
Gov. Gavin Newsom was elected to office in 2019 on a promise of universal health care. He dramatically expanded coverage, but after six years, the Democrat is forced to contemplate deep cuts 鈥 including to the nation鈥檚 largest health care expansion to immigrants living in the U.S. without legal permission.
As California鈥檚 budget deadline looms, state Sen. Akilah Weber Pierson, a physician-turned-lawmaker, says state leaders may soon have to make some tough decisions on health care spending. With the state鈥檚 Medi-Cal program billions of dollars short, California鈥檚 health care safety net is at risk 鈥 even without federal cuts to Medicaid.
Monica Soni, Covered California鈥檚 chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the state鈥檚 Affordable Care Act marketplace.
The state has in recent years embraced several initiatives recommended in an influential health care workforce report, including alternative payment arrangements for primary care doctors to earn more. Despite increasing residency programs, student debt forgiveness, and tuition-free medical school, California is unlikely to meet patient demand, observers say.
Federal law requires states to offer health insurance to many people with low incomes or disabilities. But some states, including California, are far more generous than what鈥檚 required. Budget pressures may force lawmakers to cut benefits that have led to a historic low in the uninsured rate.
As House Republicans mull a massive $880 billion cut from federal programs likely including Medicaid, constituents, disability advocates, and health care providers are joining forces to lobby GOP members in California 鈥 including those who represent rural, deeply conservative pockets that stand to lose the most.
Medi-Cal, California鈥檚 Medicaid program, borrowed $3.4 billion from the state 鈥 and will likely need even more 鈥 due to higher prescription costs and increased eligibility for seniors and immigrants. The top Republican in the state Senate is demanding a hearing 鈥渟o the public knows exactly where their tax dollars are going.鈥
At a town hall in Orange County, California, angry residents said Congress should keep its hands off Medicaid. The cuts contemplated in a House budget blueprint would bore a giant hole in California鈥檚 version of the safety net health insurance program, Medi-Cal, which covers nearly 15 million residents.
Enhanced federal subsidies and more state aid for out-of-pocket costs have made health insurance purchased through California鈥檚 marketplace more affordable. It's unclear if the incoming Republican Congress will extend the enhanced subsidies beyond 2025.
As Gov. Gavin Newsom enters the second half of his final term, health care stands out as his most ambitious but glaringly incomplete initiative for California residents. The issue will likely shape his national profile for better or worse. And now, Donald Trump brings a new wrinkle.
Donald Trump鈥檚 second term is reigniting mistrust in health services among California immigrants, making it harder for community health workers to get people enrolled in Medi-Cal. Yet the president-elect is also seen as someone who could improve their lives with a better economy, even if that means forgoing health care.
As Donald Trump prepares to reenter the White House with a Republican-controlled Congress, health officials and community advocates in California worry that large-scale Medicaid cuts could be enacted as soon as next year. More than 60% of California鈥檚 $161 billion Medi-Cal budget comes from Washington.
The state Office of Health Care Affordability has set a goal for insurers to direct 15% of their spending to primary care by 2034, part of a push to expand preventive care services. Health plans say it鈥檚 unclear how the policy will mesh with the state鈥檚 overarching goal to slow spending growth.
California this year completed its Medi-Cal expansion to include income-eligible residents regardless of their immigration status. This final installment of the 鈥淔aces of Medi-Cal鈥 series profiles three of those newly eligible patients and how coverage has affected their health.
This legislative cycle, Gov. Gavin Newsom signed bills affirming reproductive rights and mandating insurance coverage of in vitro fertilization, but the Democrat was reluctant to impose new regulations and frequently cited costs for vetoing bills.
Proposition 35, which would use revenue from a tax on managed-care plans to raise the pay of health care providers who serve Medi-Cal patients, has united a broad swath of California鈥檚 health care, business, and political establishments. But a newly formed, smaller group of opponents says it will do more harm than good.
As California cities crack down on homeless encampments in the wake of a U.S. Supreme Court ruling authorizing fines and arrests, front-line workers say such sweeps are undercutting billions in state and federal Medicaid spending meant to stabilize people鈥檚 health and get them off the streets.
John Baackes, who steered Medi-Cal鈥檚 largest health plan following the Affordable Care Act expansion, and later prepared it for a state overhaul of Medi-Cal, will retire after this year. Baackes believes low payments to doctors and other providers, along with an acute labor shortage, hamper Medi-Cal鈥檚 success.
漏 2026 KFF