Medicaid, or Medi-Cal in California, provides health insurance coverage to low-income Californians, with rules set forth by federal statute and through federal regulation, and then implemented by states. Medicare is a federal coverage program for seniors and persons with disabilities.
Coverage expansion through the Affordable Care Act (ACA) has helped transform how public health care systems provide care in California’s communities. The ACA offered an unprecedented expansion of insurance coverage to low-income Californians, with Medi-Cal enrollment increasing from 8.6 million prior to the ACA to over 13 million. CAPH is advocating for the preservation of this progress.
CAPH engages in federal advocacy related to the Medicaid and Medicare programs on issues such as promoting health insurance coverage; hospital, physician, and clinic reimbursement; quality improvement and accountability for patient outcomes; managed care; prescription drug access and the 340B program; and other critical policies that help support safety-net providers, including supplemental payments and the ability to test new innovative approaches to care through Medicaid waivers.
CAPH’s comments, letters, and advocacy materials on federal Medicaid and Medicare issues are available below.
Recent Comment Letters
- Medicaid Fiscal Accountability Rule
- Medicare Outpatient Prospective Payment System (OPPS) Rule
- Medicare Inpatient Prospective Payment Systems (IPPS) Rule
- OMB Request for Comment on Inflation Index for Poverty Line
- Request for Information on Modifying HIPAA Rules to Improve Coordinated Care
- Medicaid Program; Medicaid and Children’s Health Insurance Plan (CHIP) Managed Care
- Public Charge Rule
- Title X Family Planning Regulations
- H.R. 6701 Stretching Entity Resources for Vulnerable Communities
- Joint Commission Proposed Rule to Amend Methods for Assuring Access to FFS
- Substance Abuse and Mental Health Services Administration; Confidentiality of Substance Use Disorder Patient Records