About Medi-Cal
More than 15 million Californians rely on Medi-Cal, the state’s version of the federal program known as Medicaid, for health insurance. The program acts as California’s health care coverage safety net, with those on Medi-Cal often living in communities with a lack of adequate health care providers. Without significant investments to support providers that deliver health care to California’s most vulnerable, millions living in rural and underserved areas are in jeopardy.
CHA Warns of Growing Financial Strain on Hospitals at Budget Subcommittee Hearing
What’s happening: On April 6, the Assembly Budget Subcommittee on Health held a hearing to continue its overview of the state’s budget condition and impacts of the One Big Beautiful Bill Act (OBBBA).
DHCS Issues RFI to Shape Comprehensive Hospital Value Strategy
What’s happening: The Department of Health Care Services (DHCS) has issued a request for information that seeks to collect input from stakeholders and shape DHCS’ comprehensive “Hospital Value Strategy.” The RFI deadline is April 17.
Medicaid State-Directed Payments Help Ensure Patient Access to Care
About State-Directed Payments (SDPs) SDPs are additional payments made to health care providers to support Medicaid quality and access goals. The Centers for Medicare & Medicaid Services (CMS) reviews and approves SDPs for each 12-month rating period. Payments to providers are made via managed care organizations (MCOs) and are based on utilization of Medicaid services....
Medicaid Provider Taxes Protect Californians’ Access to Care
Medicaid provider taxes are a cornerstone of the Medicaid financing structure. Without federal revenue generated from these taxes, reimbursement for care provided to patients covered by Medicaid would be woefully insufficient and health care access would be at grave risk. For many hospitals, losing this revenue would mean closure of service lines; for others, it...
Key Messages: California’s Health Care System Is on Life Support
The risk of losing access to critical health care services for Californians has never been greater.
Infographic: Financial Instability
Newsom Administration Proposal to Use Proposition 35 Funds to Balance State Budget Thwarts Will of California Voters
SACRAMENTO (May 14, 2025) — “Just two days after a congressional committee released a federal budget proposal that would hollow out Californians’ health care services through drastic Medicaid cuts, the state’s May budget revision proposal piles on. The state would fill its spending gap by taking $1.6 billion from resources that voters directed to Medi-Cal providers and protecting access to care,” said Carmela Coyle, President & CEO of the California Hospital Association.
Medicaid Cuts Will Hurt All Californians
SACRAMENTO (May 12, 2025) — “The legislation proposed by the House Energy and Commerce Committee to enact massive Medicaid cuts is a devastating blow that will be felt by all who need hospital care,” said Carmela Coyle, President & CEO of the California Hospital Association. “Cuts of this magnitude cannot be absorbed. Hospitals will have no other choice but to reduce patient care services or, in the worst cases, close entirely. That means care is lost for everyone — children, seniors, privately insured people — no matter what type of health insurance coverage you have.”
Issue Brief: All Californians Deserve Timely Access to Medical Care
Current California standards require health plans to ensure that their enrollees have timely access to medical care — such as being within 15 miles or a 30-minute drive from a hospital. Unfortunately, many people covered by Medi-Cal still face significant hurdles to access care.
Key Messages: All Californians Deserve Timely Access to Medical Care
California standards that ensure timely access to care for Medi-Cal enrollees will expire in less than a year.