CHA News Article

CHHS Convenes Health Care Reform Stakeholder Group

The California Health and Human Services Agency (CHHS) convened members of its Health Care Reform Stakeholder Group to discuss options outlined in the Governor’s budget for expanding Medi-Cal. Under the Affordable Care Act, there are two Medicaid expansions — a mandatory expansion by simplifying rules affecting eligibility, enrollment, and retention; and an optional expansion to adults with incomes up to 138 percent of the federal poverty level. The Governor’s budget proposal includes two alternatives for the optional expansion — a state-based approach or a county-based approach. A state-based expansion would build on the existing state-administered program and managed care delivery system and would include a standardized, statewide benefit package comparable to Medi-Cal today, excluding long-term care coverage. The county-based expansion would build on existing low-income health programs in approximately 52 counties. Under this option, counties would meet statewide eligibility requirements and minimum health benefits consistent with benefits offered through Covered California. CHHS is planning to hold additional stakeholder meetings to discuss policy and finance issues related to both options. CHHS will develop a website soon to make all the related information available. Questions or concerns about the two alternatives for the optional expansion can be sent to