blog post Reviving the Health Care Mandate: Who Pays? By Radhika Mehlotra, Shannon McConville Mar 5, 2019 As policymakers in California weigh implementing a state individual mandate, it's worth considering which Californians would bear the burden of the tax penalty and which would benefit.
blog post Immigrants and Health Insurance By Shannon McConville Nov 18, 2015 California has seen large declines in the uninsured rate among noncitizens—a group that includes an estimated 2.6 million people who legally reside in the state, as well as 2.7 million undocumented immigrants.
blog post Health Insurance for the Undocumented By Laura Hill, Shannon McConville Jun 1, 2015 There may be two opportunities for California’s undocumented population to gain access to health coverage.
Policy Brief Policy Brief: Health Care Access among California’s Farmworkers By Paulette Cha, Stephanie Barton Apr 25, 2022 California’s farmworkers, who are a key link in the food supply chain, often face barriers to health care—including cost or lack of insurance. Certain expansions to Medi-Cal led to gains in insurance coverage for some farmworkers; other policies, such as the employer mandate in the Affordable Care Act, did not seem to improve coverage.
Report Expanding Health Coverage in California: County Jails as Enrollment Sites By Shannon McConville, Mia Bird May 10, 2016 In 2014, the first year of Affordable Care Act (ACA) implementation, the number of Californians with health insurance increased substantially. However, millions of state residents continue to lack comprehensive health coverage, and those who remain uninsured are likely more difficult to enroll through traditional strategies. In this report, we find that uninsured rates are highest for young men and for those with low levels of education, income, and employment. The prevalence of these same characteristics among correctional populations suggests that the justice system—and, in particular, county jails—may offer points of contact for many uninsured individuals who would otherwise be hard to reach. Outreach and enrollment efforts aimed at local jail populations are set within the policy context of California’s 2011 Public Safety Realignment, which created incentives and resources for local corrections agencies to improve reentry outcomes. With expansions in access to health insurance coverage under the ACA, nearly all counties are establishing programs to provide enrollment assistance to jail inmates as part of a more comprehensive reentry strategy. But resources and capacity are limited, so it is important to identify effective models to maximize the potential of county correctional systems as sites of insurance enrollment.
blog post Expanding Health Care Coverage for Undocumented Immigrants By Shannon McConville Apr 4, 2018 California lawmakers are supporting incremental policy measures to expand health care coverage to all income-eligible residents, regardless of immigration status.
blog post Focus on Medi-Cal Funding By Shannon McConville Jul 17, 2015 Regardless of how the legislature addresses Med-Cal funding in the special session, the state faces the challenge of establishing a stable and sustainable state funding base for the program.
Report Rethinking the State-Local Relationship: Health Care By Shannon McConville, Kimberly Belshé Feb 12, 2013 The federal Affordable Care Act will transform California’s health care safety net. It could also affect California’s long-standing division of responsibilities between state and local governments. This report outlines key issues that state policymakers will need to consider as they grapple with the costs and opportunities of health care reform.
blog post Immigrants Are Key to California’s Health Workforce By Paulette Cha May 1, 2019 With strong job growth in health care expected to continue, the state’s immigrant population will be a key source of workers in this sector.
