California has taken full advantage of the Affordable Care Act (ACA), with public health care systems playing a critical role in the successful development and implementation of key policy initiatives that contributed to the ACA’s success. Through local financing, the implementation of coverage programs such as the Low-Income Health Program, Hospital Presumptive Eligibility, programs for the remaining uninsured, and other efforts to improve quality, access and health for the more than 13 million beneficiaries, public health care systems comprise California’s core safety net for low-income Medi-Cal and uninsured patients .

The California Association of Public Hospitals and Health Systems’ state policy and advocacy agenda seeks to ensure that our members have the resources and tools necessary to improve health outcomes for the more than 2.8 million patients they serve. CAPH works closely with partner organizations to shape state health policy (including the Medi-Cal quality and payment reform efforts), the state budget, state legislation, state Medicaid waivers, county and public health system financing and the development of new state health pilot programs.