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Centering Equity in Maternal Care: Unpacking California’s Medi-Cal Doula Services Implementation
July 21, 2025
The last ITUP publication, Centering Equity in Maternal Care: Unpacking California’s Medi-Cal Doula Services Implementation, explores the promise and challenges of the Medi-Cal doula benefit through a health equity lens.
Read More- Clear Filter
ITUP Legislative Toolkit: Advancing Health Coverage in California
March 26, 2025
This toolkit provides a deep dive into the state of health coverage in California, equipping policymakers with the knowledge and strategies needed to reduce uninsured rates and expand access to care.
Read MoreITUP Legislative Toolkit: Understanding Essential Health Benefits
February 26, 2025
EHBs ensure that all Covered California health plans provide a standardized level of care, protecting individuals and families from gaps in coverage.
Read MoreCalifornia Health Care Specialty Workforce Shortages Fact Sheet
January 3, 2025
This ITUP fact sheet explores the current state of California’s specialty health care workforce, highlighting critical gaps and opportunities within the system.
Read MoreHealth Coverage at a Glance In California 2024
August 26, 2024
This ITUP Fact Sheet includes data on the race/ethnicity breakdown of employer-sponsored coverage, Covered California, and Medi-Cal, including enrollment by health plan in California.
Read MoreITUP Blog: Key Highlights in California’s Final FY 2024 – 25 Budget Act
July 12, 2024
This ITUP blog summarizes the final FY 2024-25 Budget Act and is the third in ITUP’s Budget Blog series in addition to Governor’s Fiscal Year 2023-24 Budget Proposal and Governor’s FY 2024-25 Budget: Key Highlights in the May Revision
Read More2024 Regional Health Coverage Fact Sheets
July 9, 2024
The “Coverage at a Glance” fact sheets include health coverage data with race/ethnicity breakdown of counties and among the uninsured.
Read MoreITUP Convenes Medi-Cal Redetermination Listening Sessions – Final Takeaways
March 28, 2024
Learn more about the Medi-Cal redetermination process and read local insights and additional opportunities to support Medi-Cal redetermination across the state.
Read MoreITUP Blog: 2024 Introduced Legislation
March 14, 2024
This blog summarizes introduced legislation that proposes solutions relating to ITUP’s three priority policy issues: health care coverage and access, delivery system transformation, and the future of health.
Read MoreMaking Medi-Cal Work for California Farmworkers
December 7, 2023
This issue brief spotlights three actionable ways, identified from work with farmworker advocates and stakeholders, policymakers can use to make the Medi-Cal system work for California farmworkers.
Read MoreHealth Coverage at a Glance In California
October 23, 2023
This Health Coverage at a Glance in California includes data on the race/ethnicity breakdown of employer-sponsored coverage, Covered California, and Medi-Cal, including enrollment by health plan.
Read MoreExpanding Health Coverage for California Farmworkers
July 27, 2023
This issue brief emphasizes three actionable ways policymakers can expand access to coverage for farmworkers.
Read MoreITUP Blog: Governor’s FY 2023-24 Budget: Key Highlights in the May Revision
June 7, 2023
This publication highlights key health and human services proposals in the FY 2023-24 May Revision.
Read MoreITUP Blog: Key Highlights in the Governor’s FY 2022-23 May Revise
June 2, 2022
This ITUP publication highlights key health and human services proposals in the FY 2022-23 May Revision as well as proposals that improve health equity and address the social determinants of health.
Read MoreITUP Blog: Governor’s FY 2022-23 Budget Proposal: Key Highlights
January 20, 2022
This blog highlights key health and human services proposals in the FY 2022-23 proposed budget as well as proposals that improve health equity and address the social determinants of health.
Read MoreSnapshot: Remaining Uninsured in California (2021 Update)
December 16, 2021
This ITUP Snapshot updates the profile of the state’s uninsured using 2020 data from the California Health Interview Survey (CHIS), and projections for 2022 from the California Simulation of Insurance Markets (CalSIM).
Read More2021 Regional Coverage Fact Sheets
April 15, 2021
Each year ITUP releases “Coverage at a Glance” regional health coverage fact sheets highlighting key coverage facts county-by-county in California. Find your local 2021 regional health coverage fact sheet here.
Read MoreITUP Blog: California’s Final 2020-21 Budget
August 6, 2020
This ITUP blog summarizes the final 2020-2021 California State Budget and is the third in our Budget Blog series.
Read MoreHealth Care Coverage Options During COVID-19
May 19, 2020
This ITUP Fact Sheet provides an overview of what the health coverage landscape looked like before COVID-19 and how the pandemic has impacted coverage access in California.
Read MoreSnapshot: Remaining Uninsured in California (Updated)
December 3, 2019
This ITUP Snapshot updates the profile of the state’s uninsured using 2018 data from the California Health Interview Survey (CHIS), and projections for 2022 from the California Simulation of Insurance Markets (CalSIM).
Read MoreFinal Federal Rule on Immigrants and Public Charge Fact Sheet
August 14, 2019
The latest ITUP Fact Sheet review and summarize the final rule, existing federal law related to public charge and health care programs, and assess the potential impacts on immigrant access to health care programs in California.
Read MorePublic Charge & Health Care in California
August 14, 2019
On August 12, 2019, the U.S. Department of Homeland Security (USDHS) released the final rule on “public charge.” The latest ITUP Blog and Fact Sheet provide additional background on the final rule.
Read MoreHealth Care Programs for California Immigrants (Updated)
July 19, 2019
This ITUP fact sheet reviews existing health care programs for immigrants in California. California generally provides better access to health care coverage for immigrants than most other states, including covering all children in Medi-Cal regardless of immigration status.
Read More2019 County Medically Indigent Care Programs
March 21, 2019
This version of ITUP Tracking provides an update to the ITUP 2017 Review of Medically Indigent Adult (MIA) programs administered by counties for low-income uninsured adults.
Read MoreITUP Issues Comments on Public Charge
December 4, 2018
In comments addressed to the Department of Homeland Security (DHS), Insure the Uninsured Project (ITUP) expressed deep concern with the proposed rule on public charge and urged DHS to withdraw the proposal.
Read MoreNew Projections Estimate the Uninsured will Rise in California
November 28, 2018
In the years since implementation of the Affordable Care Act California made steady progress in reducing the number of uninsured in the state. According to newly released projections, this pattern is unlikely to continue without state policy intervention.
Read MoreNew Data Reveals that Racial/Ethnic Disparities in Health Coverage are Narrowing Under the Affordable Care Act
October 31, 2018
According to newly released California Health Interview Survey (CHIS) 2017 data, disparities in health care coverage across race and ethnic subgroups have narrowed with the implementation of the Affordable Care Act (ACA).
Read MoreUPDATE: California Strategies: Covering California’s Remaining Uninsured and Improving Affordability
October 8, 2018
This updated issue brief analyzes policy proposals advanced in 2018 to move the state closer to universal coverage by focusing on the challenges many Californians face.
Read MoreProposed Federal Rule on Immigrants and Public Charge Fact Sheet
October 3, 2018
The ITUP fact sheet briefly describes existing federal law on public charge and health care programs, the proposed changes, and the impact on immigrants’ access to health care programs in California.
Read MoreProposed Federal Rule on Immigrants and Public Charge
September 28, 2018
In late September 2018, the U.S. Department of Homeland Security released a proposed rule to change the factors affecting a “public charge” determination for immigrants to the U.S. The proposed rule represents a dramatic shift in immigration policy and could prevent many low-income immigrants from reuniting with their families in the U.S.
Read MoreCalifornia’s Uninsured Rate is 7.2 Percent, According to New Census Data
September 13, 2018
A new report from the U.S. Census Bureau shows California continued to make progress in reducing the number of uninsured in 2017. Census Bureau figures show that between 2016 and 2017, the number dropped by 47,000, leaving 2.8 million uninsured, or 7.2 percent of the population.
Read MoreCalifornia’s Health Care Safety Net
June 26, 2018
ITUP is pleased to release a new report, California’s Health Care Safety Net, the first in a new ITUP series, Health Policy Essentials, highlighting the basics on California health care programs and policy issues. This first issue brief focuses on the programs, providers and populations that make-up the state’s health care safety net for low-income and underserved communities.
Read MoreCalifornia Strategies: Covering California’s Remaining Uninsured and Improving Affordability
June 7, 2018
This issue brief analyzes policy proposals advanced this year to move the state closer to universal coverage by focusing on the challenges many Californians face.
Read MoreRemaining Uninsured in California (Revised and Updated, April 2018)
April 27, 2018
California fully embraced the federal Affordable Care Act (ACA) with dramatic results. California’s uninsured rate is
currently at just 7 percent overall and 8.1 percent among those under 65 years old. In the years prior to the ACA,
California’s uninsured rate hovered between 16 and 19 percent.
Exploring Public Options in California
March 20, 2018
This ITUP report looks at public plan choice, the “public option,” through a California lens. ITUP identifies the unique circumstances in California relevant for the discussion about public options and outlines how a California public option might be structured.
Read MoreNotes from the Field: Immigrant Communities in California Under the Cloud of Immigration Enforcement
February 14, 2018
In 2017, ITUP hosted annual workgroups throughout California, 10 regional workgroups and two collaboratives in Los Angeles. This report includes background on the legal complexities at the intersection of immigration policy and health access, and highlights key themes from the workgroup discussions.
Read MoreHealth Care Reform: 2017 Year-In-Review
January 7, 2018
Because California embraced the opportunities available under the Affordable Care Act (ACA), 2017 began and ended with California reaching historic low rates of uninsured. The timeline below reviews notable health reform events for 2017 and includes links to source documents and related ITUP publications.
Read MoreCalifornia Department of Health Care Services Confirms Graham-Cassidy Legislation Would Be Devastating for Health Care in California
September 25, 2017
On September 22, 2017, the California Department of Health Care Services (DHCS) released a fiscal analysis of pending Affordable Care Act (ACA) repeal legislation authored by U.S. Senators Graham, Cassidy, Heller and Johnson (Graham-Cassidy).
Read MoreFact Sheet November 2017 – Remaining Uninsured in California
September 13, 2017
California benefited more than most states from the Affordable Care Act (ACA) because California fully embraced the ACA opportunities to expand coverage and streamline enrollment and retention processes. This also means that California has the most at stake in federal efforts to repeal or rollback the ACA coverage expansions. In the years preceding the ACA, […]
Read MoreACA Stands (for Now): Takeaways from the Repeal and Replace Roller Coaster
July 28, 2017
For now, the ACA remains. Credit goes to all the community voices, advocates, and experts who kept the pressure on elected officials and continued to call out the very real threats the proposals represented. Here for consideration are some takeaways from the admittedly chaotic “repeal and replace” process.
Read MoreThe Common Theme of Pending Senate Health Reform Bills? Dramatic Increases in the Number of Uninsured
July 23, 2017
As of this writing, multiple discussion drafts of potential legislation to repeal or rollback the federal Affordable Care Act (ACA) are pending in the U.S. Senate. All the bills result in dramatic increases in the number of uninsured over the next ten years.
Read MoreState Medicaid Agency Finds Staggering Losses for California Under U.S. Senate Bill
June 29, 2017
The magnitude of the state funding gap created by the BCRA threatens every part of the Medi-Cal program – provider payments, eligibility and benefits. The bill threatens California’s progress in reducing the uninsured and improving the health of Californians.
Read MoreU.S. Senate Discussion Draft Continues Path to Increasing the Uninsured
June 23, 2017
On June 22, 2017, Senate Republicans released a discussion draft of legislation that would undo key provisions of the ACA. The BCRA would slow the timeline for some changes to ACA, but includes deeper cuts to Medicaid.
Read MoreMeeting the Health Needs of the Immigrant Community In Uncertain Times
June 14, 2017
This fact sheet provides information on California’s immigrant community, the barriers they face to access health care, and California policies promoting access and/or coverage for all residents, regardless of immigration status.
Read MoreCalifornia Budget Conference Committee Considers Coverage Expansion for Young Adults
June 5, 2017
While federal policymakers consider legislation that would eliminate coverage for 23 million Americans, California considers expanding Medi-Cal to all low-income California residents up to age 26 Late last week, the two-house budget conference committee of the California Legislature began deliberations on the 2017-2018 state budget. The conference committee will take up multiple budget items […]
Read MoreCBO Confirms Devastating Consequences of the House-passed American Health Care Act
May 25, 2017
On May 24, 2017, the Congressional Budget Office (CBO) released an updated cost estimate for the American Health Care Act passed by the U.S. House of Representatives on May 4, 2017, adjusting their analysis for last minute amendments to H.R. 1628. (See ITUP summary of AHCA here.) The March 23, 2017 CBO analysis of a previous […]
Read MoreSummary of President Trump’s Proposed Fiscal Year 2018 Budget Plan
May 24, 2017
On May 23, 2017, the Trump Administration released its proposed federal fiscal year (FFY) 2018 budget plan which relies on draconian cuts to the safety-net to increase spending for the military, border security, tax reform and infrastructure.
Read MoreCalifornia Moves to Protect ACA Consumer Cost-sharing Reductions (CSRs)
May 23, 2017
On May 18, 2017, California and New York led 13 other states and the District of Columbia in filing a motion to intervene in the federal lawsuit affecting payments that reduce out-of-pocket costs for low income individuals enrolled in Affordable Care Act (ACA) marketplaces. Under ACA, individuals and families with incomes below 250 percent of […]
Read MoreU.S. House of Representatives Passes Bill that Will Lead to Millions of Uninsured
May 5, 2017
On May 4, 2017, the United States (U.S.) House of Representatives passed a budget resolution, the American Health Care Act (AHCA) (H.R. 1628), as amended. AHCA passed on a party line vote, 217-213. The AHCA is intended to deliver on the Republican pledge to “repeal and replace” the ACA. Last minute amendments added funding for […]
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