About Coverage
Health care coverage is necessary for Californians to live fruitful, productive lives and all should have coverage so they can access their health care system. As of 2021, about 93% of Californians had some kind of health insurance, and as of June 2023, about 15.6 million people were enrolled in Medi-Cal. Coverage opens the door to care for wellness, chronic disease, emergency needs, and life-threatening illnesses, and more must be done to ensure equitable access, especially for populations that have gone far too long without it.
Final Rule on ACA Marketplace Integrity Aims to Address ‘Improper’ Enrollment
What’s happening: On June 20, the Centers for Medicare & Medicaid Services (CMS) issued its final rule on Affordable Care Act (ACA) marketplace integrity and affordability.
CHA Memo Helps Hospital EDs with Psychiatric Emergencies Under AB 1316
What’s happening: As of Jan. 1, hospital emergency departments (EDs) have a clear pathway for Medi-Cal reimbursement for behavioral health visits under CHA-sponsored Assembly Bill (AB) 1316 (2024). In a memo to members, CHA provides guidance to hospitals on the new requirements and their obligations for stabilizing or transferring individuals in EDs experiencing a mental health crisis.
Summary on Affordable Care Act Marketplace Integrity Proposed Rule Now Available
What’s happening: A summary of the Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability proposed rule for health insurance marketplaces — including issuers, agents, and brokers who assist marketplace enrollees — is available for CHA members.
What else to know: Comments on the proposed rule, which alters several policies, are due to the Centers for Medicare & Medicaid Services (CMS) by April 11.