The state is expected to expand Medi-Cal eligibility to childless adults and more families near the poverty line. (Gary Friedman / Los Angeles Times / October 10, 2006)




March 4, 2013
The 2010 healthcare reform law has three interlocking goals: to expand insurance coverage, improve the quality of care and slow the rise of healthcare spending. The first goal is the costliest, requiring federal and state governments to extend public and private insurance plans to millions of people who can't afford to pay the full price. Yet bringing them under the insurance umbrella is crucial to improving the quality, efficiency and cost-effectiveness of their care.
The law tries to expand coverage in part by having states sign up more impoverished legal residents for Medicaid, the federal-state healthcare program for the poor. California legislators are now debating competing visions for how to do that in Medi-Cal, the state's Medicaid program: an expansive approach promoted by Assembly Speaker John A. Perez and Sen. Ed Hernandez (D-West Covina), and a far more cautious one advanced by the Brown administration.
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