The Uncertain Affordable Care Act Landscape: What It Means for California

Feb 17, 2017 - And What Policies Might Replace Those Found in the ACA. In addition to the lack of consensus among the presidential administration and the congressional majority around ACA repeal, a common set of ACA replacement policies have yet to be agreed upon.
https://lao.ca.gov/Publications/Report/3569

The 2023-24 Budget: Assessment of Covered California Budget Solution

Feb 13, 2023 - Notably, the ACA provided for the establishment of state health benefit exchanges, such as Covered California. The ACA also included provisions intended to encourage individuals to enroll in health coverage and improve affordability.
https://lao.ca.gov/Publications/Report/4681

The 2016-17 Budget: Analysis of the Medi-Cal Budget

Feb 11, 2016 - ACA Implementation Creates Substantial Uncertainty in Projecting Caseload. ACA –related changes have made it more difficult to project caseload using trends in historical caseload data from recent years.
https://lao.ca.gov/Publications/Report/3350

The 2017-18 Budget: Analysis of the Medi-Cal Budget

Mar 9, 2017 - The ACA expanded eligibility for Medi ‑Cal to individuals under age 65 (children, parents, and childless adults) with household incomes at or below 138  percent of FPL. The population who became eligible for Medi ‑Cal under the ACA is known as the ACA optional expansion population.
https://lao.ca.gov/Publications/Report/3612

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - Impacts of the ACA As noted earlier, the ACA brought about significant changes to the provision of health care coverage in California. Notably, the ACA gave states the option to expand Medicaid eligibility and establish health benefit exchanges.
https://lao.ca.gov/Publications/Report/4654

Fiscal Outlook: Medi-Cal

Nov 15, 2017 - ACA Optional Expansion In 2014, California expanded Medi-Cal eligibility to childless adults with incomes up to 138  percent of the federal poverty level, a population known as the ACA optional expansion population.
https://lao.ca.gov/Publications/Report/3715

Fiscal Outlook: Medi-Cal

Nov 14, 2018 - ACA Optional Expansion and CHIP Sharing Ratios to Stabilize by 2021-22. The state share of cost for the ACA optional expansion and CHIP is scheduled to continue to increase beyond 2019-20 before stabilizing in subsequent years.
https://lao.ca.gov/Publications/Report/3898

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Since this time, the private partner has started initial manufacturing in a facility in Virginia. Accordingly, as a budget solution, the spending plan elimi nates $45  million unspent carryover construction funds in 2024-25.
https://lao.ca.gov/Publications/Report/5075

The 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - ACA Created Individual Mandate That Was Subsequently Set to Zero. As originally enacted, the ACA imposed a requirement, referred to as the individual mandate, that most individuals obtain specified minimum health insurance coverage or pay a penalty.
https://lao.ca.gov/Publications/Report/4560

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - We project the fastest growth in the ACA optional expansion caseload category, for which the federal government pays 90  p ercent of cost. This generally results in the General Fund only bearing 10  p ercent of the cost of coverage for ACA optional expansion enrollees.
https://lao.ca.gov/Publications/Report/4299