1. Affordable Care Act Implementation Updates
Joel Diringer, JD, MPH
May 2015

2. Covered California Open enrollment ended February 15
Special enrollment
Unaware of tax penalty extension – ended April 30
Qualifying life events (e.g. losing coverage, marriage, divorce, birth, adoption) – year round
Next open enrollment for 2016 – starts in Fall
Medi-Cal enrollment is year round!!

3. Statewide enrollment First open enrollment: 1.4 million Californians
Second open enrollment: 495,000 Californians
Special enrollment through mid-April
unaware of tax penalty: >33,000
Losing Medi-Cal: 25,000
Qualifying life event: 22,000
Medi-Cal 2.7 million Californians enrolled from October 2013 to November 2014

4. Local enrollment Merced County Covered California enrollment
First open enrollment: 8,403 person (95% subsidized)
Second open enrollment: 2,931 persons
Region 10 (San Joaquin, Stanislaus, Merced, Mariposa, Tulare)
First open enrollment: 61,499
Second open enrollment 21,289
Carrier selected
73% Anthem Blue Cross
5% Blue Shield
<1% Health Net
21% Kaiser (not available in Merced)
Metal levels: 24% Bronze, 67% Silver, 5% Gold, 4% Platinum

5. SB 4 (Lara) Health4All
Low income undocumented persons would be enrolled in full-scope Medi-Cal
Higher income undocumented persons could purchase private insurance through Covered CA (no subsidies).
Costs:
$280 to $740 million a year without DAPA (President’s Executive Action)
$175 TO $455 million a year with DAPA
Placed in Senate Appropriations Suspense File