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Immigrants and Health Insurance

By Shannon McConville

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

There may be two opportunities for California’s undocumented population to gain access to health coverage.

Fact Sheet

Health Care Reform in California

By Shannon McConville

Coverage expansions under the Affordable Care Act likely kept many Californians insured in 2020.

Report

Health Insurance, Health Care Use, and Health Status in Los Angeles County

By Weiyi Shi, Marianne Bitler

In this report, Marianne Bitler and Weiyi Shi look at how adults and children in Los Angeles are faring in the health arena, paying attention to differences across racial and ethnic groups. The authors focus particularly on Hispanics, a large and growing part of the state’s population. They also analyze outcomes according to nativity and immigration status. The ability to differentiate between documented and undocumented immigrants is relatively rare, and is possible because of the unique, high-quality, individual-level data included in the Los Angeles Family and Neighborhood Survey (LAFANS), the primary data source for the report.

blog post

Expanding Health Insurance—to Jail Inmates

By David Lesher

At a recent event, PPIC researchers Mia Bird and Shannon McConville discussed how the federal Affordable Care Act provides an opportunity to help to lower costs and improve health conditions in local jails.

blog post

Medi-Cal Has Expanded Health Coverage in California

By Shannon McConville, Shalini Mustala

Over the past ten years, the expansion of Medi-Cal has been a key driver of health coverage gains under the federal Affordable Care Act. Federal policy responses during the COVID-19 public health emergency also boosted Medi-Cal enrollment, though it has declined with the resumption last year of regular eligibility checks.

Report

California’s Future: Health Care

By Shannon McConville, Paulette Cha

California is looking to protect and expand health coverage gains. Health care costs—and an uncertain federal policy landscape—are a major concern.

Fact Sheet

Immigrants and Health in California

By Paulette Cha

Immigrants and their families have limited health care coverage, even as many face disproportionate health risks, especially during the pandemic.

California Economic Policy, Report

Pay-or-Play Health Insurance Mandates: Lessons from California

By Aaron S. Yelowitz

In 2003, Sacramento enacted one of the first "pay or play" laws, mandating that employers either provide health insurance to California workers or pay a fee. Although the law was never implemented, the pay or play idea has since caught the attention of many other states’ legislatures. In this issue of CEP, the author examines the probable outcomes of California’s version of pay or play and concludes that it was seriously flawed: Employment and wages would have stagnated as employers passed on their increased costs, and many in the population would have remained uninsured.

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