CPEHN is concerned that the Republican proposal for replacing the Affordable Care Act (ACA) will lead to less care at higher cost for communities who least can afford it. After six years of attempting to repeal the ACA without a viable replacement plan, Congressional Republican leadership released another white paper on Thursday, February 16, outlining their ideas. Republicans insist their ideas will be “better” but they are only moving us in the wrong direction.
CPEHN’s Executive Director, Sarah de Guia, opens the newsletter reflecting on the results of the recent election and describes upcoming events and actions to protect and defend the Affordable Care Act!
Our Ethnic Partner Spotlight features an article from the Asian & Pacific Islander American Health Forum (APIAHF) detailing the potential effects of repeal on the Asian American, Native Hawaiian, and Pacific Islander (AA and NHPI) communities. The Asian American population in the U.S. is comparatively young, with 37 percent under the age of 26. They risk losing health insurance if repeal of the ACA includes ending the provision that allows young people to stay on their parents’ plan up to age 26. .
Welcome to This Week in Equity Engagement on Twitter (TWEET) for the week of November 2, 2015. Once again, we have a bunch of great social and environmental justice discussion to highlight. Let’s get to it!
California’s prison spending continues to pace the country.
As Covered California’s third open enrollment period fast approaches, a new report sheds some light on the state’s remaining uninsured and finds that roughly half are eligible for either Medi-Cal or subsidized coverage through Covered California. Earlier this week, the Kaiser Family Foundation released New Estimates of Eligibility for ACA Coverage among the Uninsured, which looks at the over 32 million remaining uninsured across the country after the first two years of the Affordable Care Act (ACA) coverage expansions.
Nationally, the report shows the devastating impact of many states’ refusals to expand Medicaid. Roughly one-tenth of the remaining uninsured in the U.S. – over 3 million individuals – would fall into the coverage gap and could have been covered had their states decided to expand Medicaid as stipulated in the ACA.
But the report also looks at the remaining uninsured at a state-by-state level, and with this analysis we see that over half (53%) of California’s more than 3.8 million uninsured are eligible for either Medi-Cal (37%) or for subsidized coverage in Covered California (16%). These numbers show that while we have cut our state’s uninsured population nearly in half over the past three years, we still have an opportunity to continue this dramatic improvement. With another open enrollment period on the horizon, it is imperative that there are sufficient outreach and enrollment efforts, particularly in low-income areas, communities of color, and Limited English Proficient populations to maximize participation by the eligible population.
Welcome to This Week in Equity Engagement on Twitter (TWEET) for the week of September 21, 2015. This week was highlighted by National Voter Registration Day and some resources for Child Obesity Awareness Month. Let’s get to it:
The Afterschool Alliance has some great resources that point to the importance of physical activity in reducing childhood obesity.
This post originally appeared on the UC Berkeley Center for Labor Research and Education's blog, Raising the Bar.
According to newly released data from the Census, the first year of the Affordable Care Act succeeded in reducing the ranks of the uninsured while having little effect on employer sponsored coverage. California was no exception, and indeed showed the fifth largest drop in uninsurance of any state.
The share of Californians under 65 years of age who were uninsured for the entire year fell by about 5 percentage points from 16.4% in 2013 to 11.4% in 2014, according to the newly released Current Population Survey (CPS) data. This amounts to 3.8 million Californians age 0-64 who remained uninsured throughout 2014, 1.6 million fewer than in 2013.
The major changes in coverage occurred because of the opening of the Covered California health care marketplace, through which 88% of enrollees received federal subsidies, and the expansion of MediCal, California’s Medicaid program. The share of Californians with insurance through an employer for any part of the year remained steady, at about 55% of the non-elderly population.
Fig 1. Percentage point change in coverage rate by coverage type, Californians age 0-64, CPS 2013 to 2014
Over the past two years, California’s implementation of the Affordable Care Act’s (ACA) coverage expansions has resulted in the biggest increase in access to affordable health care in a generation. Today, thanks to a new Field Poll sponsored by the California Wellness Foundation, we know that a large majority of voters in the state see the ACA as a success. Further, there is significant support for expanding access to coverage to undocumented immigrants, who are currently left out of the ACA.
Health care advocates credited the implementation of the Affordable Care Act as contributing to the shift in sensibilities.
“Californians acknowledge that the Affordable Care Act and the expansion of services is working,” said Sarah de Guia... “People understand what it’s like to be uninsured (and then get coverage). Now there’s this growing movement of ‘We need to finish the job.’”
Earlier today, the California Wellness Foundation hosted a hearing in Sacramento to discuss the results of the survey. The event featured a presentation by Field Poll director Mark DiCamillo followed by a panel including de Guia, Health and Human Services Agency Secretary Diana Dooley, Covered California Director Peter Lee, and Juan Esparza Loera, editor of Vida en el Valle.
DiCamillo gave a detailed overview of the results of the poll, with accompanying charts. The panel after his presentation went into more detail about the findings. Some highlights included:
Editor's note: This report from Texas Health Institute features a great analysis of outreach and enrollment in Covered California and how it compares to other states.
Health insurance marketplaces have enrolled over 14 million individuals in health insurance since the first open enrollment began in 2013 -- an unprecedented achievement that together with Medicaid expansion in many states has lowered the national uninsured rate to its lowest in over 15 years. Despite this momentum, and notwithstanding gains across virtually all racial and ethnic groups, uninsured rates are still much higher for groups such as Latinos and African Americans as compared to Whites.
CPEHN Executive Director Sarah de Guia appeared on National Public Radio (via Bay Area affiliate KQED) to discuss the report and the impact the ACA has had in our state:
"This is really great news for California," said Sarah de Guia, executive director of the California Pan-Ethnic Health Network, an advocacy group. She spoke of people being lifted from the fear of paying for care. "There's this sense of relief, that they're not one accident or incident away from bankruptcy. ... They can keep their costs contained."