Pathways to Universal Coverage in California CHRIS HOENE, - - PowerPoint PPT Presentation

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Pathways to Universal Coverage in California CHRIS HOENE, - - PowerPoint PPT Presentation

Pathways to Universal Coverage in California CHRIS HOENE, EXECUTIVE DIRECTOR PRINCETON CONFERENCE: NAVIGATING UNCERTAINTY IN THE U.S. HEALTH CARE SYSTEM PRINCETON, NEW JERSEY, MAY 24, 2018 calbudgetcenter.org Key Issues Progress made


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Pathways to Universal Coverage in California

CHRIS HOENE, EXECUTIVE DIRECTOR PRINCETON CONFERENCE: NAVIGATING UNCERTAINTY IN THE U.S. HEALTH CARE SYSTEM PRINCETON, NEW JERSEY, MAY 24, 2018

calbudgetcenter.org

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Key Issues

  • Progress made in California to date under the ACA
  • Challenges that still need to be addressed
  • The politics of single-payer health care in California
  • Challenges to achieving single-payer in California
  • Pathways to universal coverage
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The Share of Californians Without Health Care Coverage Continued to Decline Into 2017

California Fully Implemented Federal Health Care Reform in January 2014

* January to June. Note: Estimates are based on survey respondents’ health care coverage status at the time of the interview. Source: National Center for Health Statistics, National Health Interview Survey

18.6% 7.2% 6.8% 17.0%

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Medi-Cal Enrollment Exceeds 13 Million, More Than Twice the 2006-07 Level

Enrollment Gains Have Been Due to Full Implementation of Health Care Reform

Note: Data for 2012-13 through 2017-18 are state estimates and 2018-19 is projected. Figures reflect average monthly enrollment. Source: Department of Health Care Services

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Federal Funds Account for More Than One-Third of California’s State Budget

Total Proposed 2018-19 Expenditures = $296.2 Billion

Source: Department of Finance

S ta te S pec ia l F unds 19.0% S ta te B

  • nd F

unds 0.8% F edera l F unds 35.7% S ta te G enera l F und 44.5%

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More Than 7 in 10 Federal Dollars Spent Through the State Budget Support Health and Human Services

Federal Funds Estimated to Be Spent Through the State Budget in 2018-19 = $105.9 Billion

* Includes Environmental Protection; Legislative, Judicial, and Executive; Corrections and Rehabilitation; and other state budget categories that account for relatively small shares of federal funds. Source: Department of Finance

$0 $10 $20 $30 $40 $50 $60 $70 $80 O ther* Higher E duc a tion T ra ns porta tion L a bor a nd W

  • rkforc

e D evelopment K

  • 12 E

duc a tion H ea lth a nd Huma n S ervic es 74.0% 7.1% 6.3% 5.4% 2.3% 4.9%

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Three principles for pursuing universal coverage in California

  • A comprehensive transition plan and realistic revenue plan

should be created before state lawmakers or voters are asked to approve a proposal.

  • These transition and financing plans should assume a gradual

phase-in of a new system, in light of the many uncertainties associated with transforming a sector that comprises one-seventh

  • f the state’s economy.
  • Let the voters weigh in in order to ensure that the system holds

up to constitutional requirements and legal scrutiny.

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1107 9th Street, Suite 310 Sacramento, California 95814 916.444.0500 choene@calbudgetcenter.org @CalBudgetCenter @CWHoene

calbudgetcenter.org