Want a quick look at some of the issues that CHCF is working on? We’ve curated these collections of our research and analyses related to recent developments and topics of current interest.
Changes to Public Charge Rule
On August 12, 2019, the federal government finalized radical changes to “public charge” rules in an effort to disqualify many immigrants from gaining permanent residency in the US. The rule went into effect in California on February 24, 2020, even as multiple legal challenges continue to move through the federal courts. The US Citizenship and Immigration Service has announced that immigrants can seek testing, treatment, and prevention of COVID-19 without fearing immigration consequences due to public charge.
Covering All Californians
Coverage Trends, Medi-Cal
California is in the midst of critical health policy discussions about how to achieve the long sought-after goal of covering every person in the state. While the insured rate has risen to an all-time high under the ACA, about three million Californians continue to live without health coverage.
Community Paramedicine in California
A locally designed, community-based model of care, community paramedicine enables collaborations between emergency medical service and other health care and social service providers. Community paramedics complete specialized training and work under medical control as part of a local team of providers.
The Lean Approach in Health Care
Traditionally found in manufacturing, Lean is an approach to organizational redesign that focuses on the elimination of waste (think staff, time, money, and space). Learn how the Lean approach has been used in California’s public hospitals and safety-net system.
Health Implications of the Tax Bill
Expanding Health Coverage, Coverage Trends, Medi-Cal
The federal tax bill passed and signed into law in December 2017 will have major consequences for health care. It repeals the Affordable Care Act's individual mandate, which is projected to increase the number of uninsured in California by as much as 1.8 million in 2025. It also could lead to major cuts to Medicaid.