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California (14)

New Analysis Shows Covered California’s Risk Mix Improving and Remaining Stable and Strong

California’s risk score improved from 2016 to 2017, indicating a healthier mix of consumers who have enrolled in coverage.

· Analysis shows what health insurance exchanges like Covered California can do when they work on behalf of consumers.

· Covered California has shared data with health plans in advance of rate negotiations for the past three years, helping plans “price right” — but unprecedented federal policy uncertainty makes 2018 premiums potentially more variable than ever.

SACRAMENTO, Calif. — A new analysis shows that Covered California continues to attract a healthy mix of enrollees, and the overall health of its enrollees improved from 2016 to 2017. This data is key to Covered California’s stability and will be used to help shape and inform rate negotiations with its 11 qualified health plans for 2018.

“We continue to attract a healthy mix of enrollees, and this is further evidence that the individual market in California is stable and strong,” said Peter V. Lee, executive director of Covered California. “A healthy pool of consumers means lower premiums, resulting in lower costs to those who do not receive financial help and receive less federal spending.”

The study, titled “Amid ACA Uncertainty, Covered California’s Risk Profile Remains Stable,” was posted earlier this week on Health Affairs, a prominent website devoted to health policy and issues affecting health and health care. Covered California released an expanded description of the results of the analysis, “Covered California Continues to Attract Sufficient Enrollment and a Good Risk Mix Necessary for Marketplace Sustainability.”

According to the data, California’s risk score dropped from 1.11 in 2016 to 1.09 in 2017, indicating that the current population is healthier, with respect to chronic conditions, than it was a year ago.

In addition, new enrollees in 2017 have an approximately 16 percent lower mean risk score than renewing enrollees, which is an improvement of 4 percent between 2016 and 2017. This suggests that Covered California is successfully attracting healthy enrollees to stabilize the risk pool.

The analysis continues California’s trend of having a healthy pool of consumers. While it used a different methodology, the Centers for Medicare and Medicaid Services determined California had the lowest “average plan liability risk score” in the individual market in both 2014 and 2015. In 2016, California continued to have one of the lowest risk scores in the nation.

Lee pointed to four key reasons why California has been successful in attracting a healthy mix of consumers:

·The expansion of coverage linked to providing financial help through federal tax credits is bringing a healthy mix of consumers into the individual market and keeping them there.

· Covered California continues to invest significantly in marketing and outreach, recognizing that there is high turnover in the individual market.

· Unlike many other states, California converted all health coverage in the individual market into “compliant” plans and created one common risk pool as of 2014.

·Health plans through Covered California offer patient-centered benefit designs, which allow consumers to access a wide variety of care that is not subject to a deductible, meaning consumers get more value from their coverage.

“Doing early analysis of California’s risk mix is important because we can share this information with health insurance carriers during rate negotiations to get the best value for California’s consumers,” Lee said. “While we are doing what we can to provide health plans with the certainty they need to set their premiums as low as possible, there is still significant uncertainty among health plans because of the lack of clarity around whether there will be direct federal funding of cost-sharing reduction payments and continued enforcement of the individual mandate.”

Last month Covered California released an analysis that showed health plan premiums could rise up to 49 percent, and up to 340,000 Californians would drop from coverage, if cost-sharing reduction reimbursements were no longer directly made to carriers, and the individual shared responsibility payment were not enforced.

Health insurance carriers have begun the process of negotiation in California to develop rates for 2018.

“Health insurance carriers need certainty, and without confidence that the federal support for cost-sharing reduction payments will be made for 2018 as they have for the past four years, they will need to raise their rates and it will actually cost the federal government billions of dollars more,” Lee said. “There is still time to remove this specter of uncertainty and take the concrete steps necessary to keep the marketplaces stable, protect consumers and preserve coverage for millions of people.”

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Bill Assistance Program Helps Customers in Need

Through SCE's Energy Savings Assistance Program, income-qualified customers may be eligible for a free replacement energy-efficient refrigerator.

You, or someone you know, may qualify for a free replacement energy-efficient refrigerator, lighting, cooling system or various energy conservation services that can help save money on your Southern California Edison electricity bill.

Through the Energy Savings Assistance Program, income-qualified customers may be eligible for free appliances and no-cost installation. Customers may qualify based on current participation in an eligible public assistance program or their household income.

Last year, more than 74,000 SCE households participated in the Energy Savings Assistance Program, saving more than 27 million kilowatt-hours and reducing demand by 4,443 kilowatts.

With nearly one-third of our customers eligible, we want to ensure that as many qualified households participate and take advantage of these no-cost programs to help lower their energy bills.”


Mark Wallenrod

SCE director of Program Operations

“SCE offers rate discount, energy-efficiency and other assistance programs to income-qualified customers across our service area needing support to meet their energy needs,” said Mark Wallenrod, SCE director of Program Operations. “With nearly one-third of our customers eligible, we want to ensure that as many qualified households participate and take advantage of these no-cost programs to help lower their energy bills.”

Based on the customer’s area of residence, free energy-saving products and services provided by the Energy Savings Assistance Program may include:


Refrigerator

Central or room air conditioner

Evaporative cooler

Pool pump

Energy-efficient lighting

Smart power strip

Weatherization services


Customers can learn more about energy savings assistance and other income-qualified programs at sce.com/billhelp or call 1-800-736-4777.

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California’s Educators Denounce U.S. House OK of Bill Threatening Vital Health Benefits for Nation’s Students and Families

BURLINGAME – Eric C. Heins, president of the 325,000-member California Teachers Association, issued this statement today about the narrow approval by the U.S. House of Representatives of the American Health Care Act that would gut vital parts of the Affordable Care Act:

“California’s educators feel today as many Americans do now that Republicans in the U.S. House of Representatives just rushed to narrowly and blindly pass a dangerously flawed bill that will threaten the health care of millions of students and families. We stand with groups such as the American Medical Association, American Cancer Society and AARP in opposing this ‘Trumpcare’ scheme that would also allow insurance companies to discriminate against people with pre-existing conditions and is projected to increase insurance premiums for thousands of middle-class families. We urge the U.S. Senate to reject this morally bankrupt bill that eliminates health care for more than 24 million people, while giving massive tax cuts to the rich. It also puts essential health benefits such as maternity and newborn care, dental and vision care for kids, and mental health care at risk.”

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Wine and Food Tasting Event Returns to Botanic Gardens

RIVERSIDE, Calif. (www.ucr.edu) — The Friends of the UC Riverside Botanic Gardens will host the 19th Annual Primavera in the Gardens wine and food tasting fundraising event from 2 to 5 p.m. May 21 at the University of California, Riverside Botanic Gardens.

Guests will be able to stroll through the scenic garden paths, enjoy appetizers, drink locally brewed beer and wine and listen to live music. Proceeds from the event are used to maintain and improve the gardens, fund educational programs and tours that host thousands of school children each year, and support student employees.

Appetizers will be provided by restaurants and caterers, including: Pepitos Mexican Restaurant, Mario’s Place, Cafe Sevilla, Edible Arrangements, GraPow, The Salted Pig, Marisa’s Italian Deli, Habanero Mexican Grill, ProAbition – Whiskey Lounge & Kitchen, Gandhi Indian Cuisine, the Marriott, Nothing Bundt Cakes, Anchos, Riverside Food Co-op, and UC Riverside Citrus Grove Catering. Coffee will be from Augie’s Coffee House.

Wine and beer will be offered by regional vineyards and wineries including Falkner Winery, Galleano Winery, Hart Family Winery, Maurice Car’rie Winery, Via One Hope Winery, Roadrunner Ridge Winery, Lorimar Vineyards & Winery, Canyon Crest Winery, Mystic Hills Vineyard, Inland Empire Brewing Company, Euryale Brewing Company, Wicks Brewing Co., Heroes Restaurant & Brewery, and Packinghouse Brewing Company.In addition, there will be a silent auction and live entertainment by Tom Perring, Caleb Sotelo, and Marti and the Smooth Katz.

Nearly 500 people attended the event in 2016 and a full house is expected this year. Tickets to the fundraiser are $75 per person if purchased in advance and $85 at the gate. Tickets can also be purchased by credit card at http://gardens.ucr.edu/.

For more information, call 951-784-6962, send an e-mail to This email address is being protected from spambots. You need JavaScript enabled to view it., or visit www.gardens.ucr.edu.

Parking for the event is $5. A trolley, which will shuttle guests to and from the garden entrance, will be available and free to use.

The Botanic Gardens cover nearly 40 acres and feature more than 3,000 plant species from around the world. Every year, some 50,000 visitors, including school children, enjoy the beautiful vistas and scenic pathways.

To view press release visit: https://ucrtoday.ucr.edu/46897

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What it Means to Be Undocumented in California

We call her Juana – she can't risk using her real name. She came to the United States in 2006, fleeing the terrifying violence in El Salvador that left many of her family members dead. Here in America she lives with a different kind of fear – not of murderous gangs, but of being discovered. Juana is one of 2.6 million undocumented immigrants living in California, and being deported would mean leaving her husband and two young children behind.

As part of a new series about how California is dealing with the Trump administration's hardline approach to immigration, Capital & Main reporter Aura Bogado spent time with Juana, watching her "calculate and recalculate even the smallest decisions in her life" in an effort to remain undetected. Co-published by The American Prospect.

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State Lawmaker Wants to Tax Companies That Profit from Prisons

With the current national focus on law and order, some statewide organizations and lawmakers are working on what they say are solutions that promote investment in young people and reduce California’s privately-owned prison population. Assemblymember Tony Thurmond has sponsored AB 43, a bill that would levy a 10 percent tax on "private prisons and prison-related services."

The bill is aimed at what experts call the Prison Industrial Complex, a process where the correctional system turns inmates and their families into sources of revenue. Inmates and their families have complained about exorbitant fees charged for making calls to and from prison. Also, some privately-owned companies have contracts with states to employ inmates. However, inmates are often paid way below minimum wage, allowing firms to maximize their profits.

Thurmond said the Prison Industrial Complex is a "modern form of slavery." He was motivated to sponsor the legislation after watching Ava Duvernay's documentary "13th."

"We want the state to switch from investing in prisons to investing in schools," said Thurmond, a former social worker who is also running for state superintendent of public instruction.

Thurmond's legislation would raise funds that would go to prison prevention programs and universal preschool. Funds would be deposited in the State Incarceration Prevention Fund.

There have been some policies that have been said to contribute to the rise in prison population. From The War on Drugs to California's "Three Strikes" law policies have all been said to have caused overcrowding situation that led to a Federal judge ordering a decrease in the state's prison population.

According to the bill, California currently spends about $4.5 billion per year on the Department of Corrections and Rehabilitation. Some of that money also trickles down to companies that provide services to inmates. According to an article in the East Bay Times, CoreCivic, a company that owns several private facilities in the state, has received $2 billion from the Department of Corrections and Rehabilitation.

"Companies continue to profit as a result of high state incarceration rates. These for-profit companies provide necessary goods and services to state facilities, often at a markup. In effect, taxpayers are stuck footing the bill, enabling companies to see large profits for goods and services due to California's prison population," says the proposed bill.

AB 43 is supported by the California Teachers Association, Anti-Recidivism Coalition, California Nurses Association, Californians for Justice, and First 5 Association of California. The bill will be voted on later this month.

Thurmond and supporters of the bill say that investing in early education and prison prevention programs are key to stopping the School-to-Prison pipeline.

"Children who start kindergarten behind, are more likely to stay behind – a trend that feeds into the school-to-prison pipeline," said Moira Kenney, executive director of the First 5 Association of California. "Early interventions like quality child care and preschool can break this cycle and put children on a path that leads to success in school and in life."

But not everyone is happy about AB 43.

The National Federation of Independent Business (NFIB/CA) said the bill would harm small companies who want to do business with the state. NFIB/CA placed AB 43 on it's "The Good, The Bad and Ugly" list. According to NFIB/CA State Communications Director Shawn Lewis, the list tracks bills that could negatively impact small business.

"Imposing a tax on a business that has been awarded a state contract is punitive and counterproductive to the goals of keeping costs down and creating jobs," said Ken DeVore, NFIB legislative director, in a letter to Thurmond. “Such a tax serves no purpose for the state, and will only hurt small business.”

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Assembly Budget Subcommittee on Education Rejects Governor’s Cuts to Child Care and Early Education Programs

SACRAMENTO, CA) – Assemblymember Kevin McCarty (D - Sacramento), Chair of the Assembly Budget Subcommittee on Education Finance led a bipartisan effort today to reject Governor Jerry Brown’s proposal to reduce support for state child care and preschool programs and voted to restore $527 million in critical child care and preschool funding.

California families are typically eligible for subsidized child care if their household income is below 70 percent of the 2007-08 State Median Income (about $42,000 for a family of three), if the parents have a need for care related to work, training, or education, and if the children are under 13 years-old. The 2016-17 budget agreement included a multi-year investment in early childhood education programs, including increased provider reimbursement rates and additional slots for the California State Preschool Program. Governor Brown’s 2017-18 proposed budget would cut over half a billion dollars from that multi-year commitment.

“California’s successful child care and preschool programs help parents get to work, reduces poverty, closes the K-12 achievement gap and fights crime in our communities,” said Assemblymember Kevin McCarty. “I am proud of today’s bipartisan work by the Assembly Budget Subcommittee to reject the Governor’s cuts to critical child care and preschool programs and reaffirm our commitment to make early childhood education a priority in California.”

The California Constitution requires the Legislature to approve the Budget Act by June 15th.

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More Than One Million Defective Airbag Inflators Remain Unrepaired In Southern California

Airbags in certain Hondas and Acuras pose up to a 50 percent chance of exploding upon deployment, prompting community leaders to call for immediate consumer action in response to the largest auto safety recall in U.S. history

LOS ANGELES – March 27, 2017 – Hundreds of thousands of Southern California residents are driving recalled vehicles with defective airbag inflators that could blast shrapnel into the passenger compartment upon deployment. In response, dozens of civic and community leaders have joined together in an urgent, region-wide effort to encourage affected Southern California drivers to get a free repair.

While the recall affects as many as 42 million vehicles and 19 different automakers, the airbag inflators in certain 2001-2003 Hondas and Acuras pose the most urgent threat, with up to a 50 percent chance of exploding upon deployment. These models include the 2001 and 2002 Honda Civic, the 2001 and 2002 Honda Accord, the 2002 and 2003 Acura TL, the 2002 Honda Odyssey, the 2002 Honda CR-V, the 2003 Acura CL and the 2003 Honda Pilot. Owners of these vehicles should schedule their free repair immediately by calling Honda at 1-888-234-2138.

According to the U.S. Department of Transportation, “With as high as a 50 percent chance of a dangerous air bag inflator rupture in a crash, these vehicles are unsafe and need to be repaired immediately.”[1] Any Honda or Acura dealership will provide free towing service to the dealership and perform the free repair.

At least 11 Americans – including three Californians – have been killed by defective airbag inflators, and approximately 180 Americans have suffered serious injuries, including cuts or lacerations to the face or neck, broken or fractured facial bones, loss of eyesight and broken teeth. The victims from California were each driving an older, higher-risk Honda or Acura. In these and nearly all other similar cases in the United States, the fatal airbag explosion was triggered by a minor collision that the driver should have been able to walk away from. Thousands of these higher-risk vehicles are still on the road in Southern California, but have yet to be repaired.

Southern California leads the nation in fatalities caused by defective airbags. The risk for serious injury or death is particularly acute in Southern California due to high temperatures that exacerbate the defect in the airbag inflator. A new community mobilization effort called Airbag Recall: Southern California is educating communities across the region about the magnitude of the recall and helping affected drivers schedule life-saving, free repairs with local dealerships, where replacements parts are available for higher-risk vehicles.

In addition, as part of ongoing efforts to address this recall, on Dec. 9, 2016, the National Highway Traffic Safety Administration issued a new repair prioritization plan designed to accelerate the availability of replacement parts for vehicles impacted by the recall. Nationwide, as many as 70 million inflators in 42 million vehicles are or will be under recall by 2020.

Residents can find out whether their vehicle has a defective airbag inflator at www.AirbagRecall.com. If impacted by the recall, they can contact any of their automaker’s nearby dealerships to schedule a free repair. Southern California residents who may be waiting for replacement parts for their vehicle, or who are not affected by the current recall, are also encouraged to call their local dealer to confirm that their contact information is up to date so they receive recall-related updates going forward.

Quotes:

"Airbags save lives, but defective ones are a hazard that puts our loved ones at risk. We have to give people the information they need to protect themselves and their families. The coalition behind 'Airbag Recall: Southern California' is standing up to make sure that everyone — especially communities of color and low-income Angelenos who face the greatest danger — is aware of free resources that can help keep them safe." – Eric Garcetti, Mayor, City of Los Angeles

“The ongoing airbag recall demands immediate attention from residents across Southern California. The defect in these recalled airbags is potentially lethal. It doesn’t mean an airbag will somehow fail to inflate. It means instead of simply inflating on impact, it will explode like a grenade. I urge all drivers to check their vehicles at AirbagRecall.com. This simple action could make a life-saving difference for you and your family. Once you’ve checked your vehicle, consider paying it forward by helping an elderly relative, neighbor or friend do the same. They may be driving one of these ticking time-bombs and be totally unaware of the life-threatening danger they face.” – Aja Brown, Mayor, City of Compton

“As a Los Angeles native and in my capacity as a city councilmember, I am deeply invested in the safety and security of our community. I join so many other community leaders today in lending my voice and support to ensuring all members of our community, including diverse, low-income and under-served populations, are educated about the gravity and magnitude of the airbag recall and how to get their defective airbags repaired for free.” – Curren Price Jr., Los Angeles City Councilmember, District 9

“In Southern California, many of us drive or ride in a car every day, several times a day. If your vehicle contains a defective airbag, this part of your daily life could threaten your life. To confront this issue head-on, the Valley Economic Alliance has partnered with auto-body shops throughout the area to check drivers’ vehicles for outstanding recalls and to educate them on how to get their airbags replaced free of charge at a local dealership. Our organization is committed to supporting outreach efforts throughout Southern California and to helping prevent another deadly accident caused by a defective airbag inflator.” – Kenn Phillips, President & CEO, Valley Economic Alliance

“It is critical that information about the airbag recall reaches all residents of the greater Los Angeles area, regardless of the neighborhood they live in or the language they speak. We must work together with local organizations to educate drivers about the airbag recall and to assure them that their privacy will be protected throughout the airbag repair process. Regardless of your immigration status or what type of vehicle you drive, visit AirbagRecall.com today. If your vehicle is impacted by the airbag recall, a dealership will fix it for free – no questions asked.” – Gil Dyer, Board Director, Latin Business Association

“Our call to action for drivers across Southern California is simple: fix it, don’t risk it. Even a minor fender bender can be fatal. It’s too easy to fix and too dangerous to ignore. Check your VIN today at www.AirbagRecall.com.” – John D. Buretta, Independent Monitor of Takata and the Coordinated Remedy Program

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Southern California Ronald McDONALD Houses® RALLY COMMUNITY SUPPORT FOR FAMILIES WITH CRITICALLY ILL CHILDREN AS WALK FOR KIDS RETURNS THIS MONTH

Celebrating 40 Years of Keeping Families Close throughout Southern California

LOS ANGELES (March 1, 2017) – Starting March 25, Southland communities and businesses are lacing up to support the annual 2017 Walk for Kids, which helps raise awareness and funds for the life-changing services and programs provided to critically ill children and their families by Ronald McDonald House Charities of Southern California (RMHCSC). Now celebrating 40 years of service, Southern California Ronald McDonald Houses keep families together by providing a “home away from home” while their children undergo treatment at nearby hospitals and medical facilities. With a fundraising goal of $2.1 million, RMHCSC dedicates 100 percent of the money raised during the family-friendly 5k (3.1 miles) pledge event towards serving families in and throughout Southern California. Supporters are encouraged to register by starting or joining a team for $25 by visiting www.walkforkids.org.

“Over the years, Walk for Kids has become an annual testament to the overwhelming love, support and compassion that exists in our Southern California community for children and families in need,” said Vince Bryson, chief executive officer, RMHCSC. “The funds raised from the thousands of supporters who turn out every year provide a lifeline for the families we have the privilege to serve and who make the Ronald McDonald House a home.”

2017 Ronald McDonald House Walk for Kids Schedule:

· Coachella Valley (Inland Empire) – Saturday, March 25 (Civic Center Park, La Quinta)

· Inland Empire – Sunday, April 2 (Citizens Business Bank Arena, Ontario)

· Los Angeles / Camp Ronald McDonald For Good Times® – Sunday, April 2 (Exposition Park)

· Pasadena – Sunday, April 2 (Central Park)

· Orange County – Sunday, April 9 (Honda Center, Anaheim)

· Long Beach – Sunday, April 23 (Shoreline Park)

From March 20 to April 7, Southern California McDonald’s customers can also support Walk for Kids by visiting a participating McDonald’s restaurant and purchasing a “Shoe” for $1. The shoes will then be displayed with the donor’s name in a designated area of the restaurant. In 2016, area McDonald’s restaurants generated more than $418,000 from shoe sales alone. 100 percent of the proceeds from the shoe sales will directly benefit RMHCSC programs.

Additionally, Southern California McDonald’s will donate $.25 from each McCafé Shamrock Chocolate beverage purchased to RMHC during the week of March 11-17. The iconic Shamrock Shake has been a key part of fundraising for RMHC since 1974 when the first Ronald McDonald House was opened.

Built on the simple idea that nothing else should matter when a family is focused on healing their child – not where they can afford to stay, where they will get their next meal, or where they will lay their head at night to rest – RMHCSC helps families with critically-ill children stay together, connecting them with others facing similar challenges through its six Ronald McDonald Houses in Bakersfield, Inland Empire (Loma Linda), Long Beach, Los Angeles, Orange and Pasadena, and two Ronald McDonald Family Rooms. The Chapter also operates the cost-free, medically supervised Camp Ronald McDonald for Good Times, helping ill children and their siblings rediscover childhood and develop the self-esteem and self-efficacy often lost as a result of the disease.

To learn more about Walk for Kids, donate directly or register by starting or joining a team for $25, visit www.walkforkids.org or follow the conversation on social media using #WalkforKids.

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Covered California Releases Analysis of Support Provided to Consumers Under the Affordable Care Act and an Early Look at Consumer Impact of Changes Proposed in the American Health Care Act

Covered California enrollees benefited from $4.2 billion in subsidies to help them purchase health coverage and get care in 2016.

·County data shows how tax credits help individuals throughout California purchase health insurance.

· The average subsidy in 2016 was worth $5,300 per household and $3,500 per individual, but sizeable numbers of enrollees received more — with 12 percent of households receiving more than $10,000 per year to help them pay for coverage.

· Initial review of proposed changes under the current American Health Care Act indicates big impacts, especially to older Californians and those who live in higher-cost areas.

SACRAMENTO, Calif. — Covered California released a new comprehensive analysis on Tuesday detailing the financial assistance available through the Affordable Care Act as well as a preliminary analysis of how changes proposed in federal law would affect enrollees.

The studies come one day after the Congressional Budget Office (CBO) reported that 24 million consumers could lose coverage under the proposed American Health Care Act (AHCA), which was introduced in the U.S. House of Representatives on March 6.

“We are deeply troubled by the CBO’s finding that the amount of support provided for consumers to buy health insurance in 2020 under proposed legislation would be only 60 percent of what is provided under current law,” said Covered California Executive Director Peter V. Lee. “While we are still doing an analysis of the aggregate effects of this law on our consumers, the likely effect of basing subsidies on age alone — rather than considering income and where an individual lives — is that it will make coverage unaffordable and in many cases, put coverage out of reach.”

Covered California released two documents on Tuesday: “Bringing Health Care Coverage Within Reach,” an in-depth analysis of Covered California enrollees and the subsidies they receive in 2016; and “Preliminary Analysis of Impacts to Consumers from Changes in Premium Subsidies and Cost Sharing Reductions Available Under the Proposed American Health Care Act.”

The first analysis shows Covered California households received an average of $5,300 per year in tax credits to help pay for the cost of their coverage in 2016. Additionally, 12 percent of Covered California households receive more than $10,000 per year and 16 percent of individuals receive more than $6,000 per year to help bring health care coverage within reach.

Approximately half of Covered California consumers are enrolled in “Enhanced Silver” plans, which give them the additional benefit of cost-sharing reductions that reduce their out-of-pocket expenses by an average of $1,500 per year.

“Health insurance can be expensive, and the financial assistance provided through Covered California helps consumers save money and brings that coverage within reach of millions,” Lee said. “As policy makers in Washington consider changes to our health care system, it is important that the impact on real individuals informs the debate in Washington, D.C. because we are seeing that many will be priced out of needed coverage.”

While the average effects are relatively clear and consistent with the CBO’s assessment that “the average subsidy under the legislation would be about 60 percent of the average subsidy under current law,” the effect on individuals in California and nationally will vary greatly.

The examples below compare the financial help that consumers receive now through the Affordable Care Act — which considers a consumer’s age, income, family size and where they live — to the newly proposed age-based-only subsidies of the AHCA. For example, under the age-based subsidy structure, consumers purchasing the second-lowest Silver plan would fare very differently depending on whether they live in Los Angeles or San Francisco:

In Los Angeles, a 27-year-old earning $17,000 a year would see similar net premiums: $55 per month under the proposed law compared to $52 per month under the current law. However, if that same individual lived in San Francisco, his or her new net premium would be four times higher — $199 per month — compared to $52 per month under the current law.

In Los Angeles, a 62-year-old earning $30,000 a year would see his or her net premium increase from $207 per month under the current law to $275 per month under the proposed law. If that person lived in San Francisco, his or her net premium would jump threefold from $209 per month to $668 per month.

“As many independent studies have shown, moving to age-based tax credits will hurt many of our consumers, particularly those older and lower- to middle-income consumers, and price them out of the market,” Lee said. “This would damage our risk mix and lead to higher premiums for everyone in the individual market, even those who do not purchase their insurance through Covered California.”

Covered California plans to conduct further analysis of the overall impact of proposed changes including all provisions contained in the American Health Care Act.

The county data used to prepare today’s analysis can be found here: http://hbex.coveredca.com/data-research/library/County_APTC_CSR_data.pdf.

This is the latest analysis performed by Covered California that details how consumers are benefitting from the Affordable Care Act. Previous analyses include “Consumer and Market Implications of Affordable Care Act Repeal Without a Viable Replacement” and “Covered California Brings Health Care Within Reach and Shows How Consumers Can Save by Shopping.”

Now that open enrollment has ended, Covered California is focused on its special-enrollment period. Consumers are eligible to sign up now if they experience changes in their life circumstances, such as losing their health care coverage, getting married, having a child or moving.

For more information on special-enrollment rules, visit: www.CoveredCA.com/individuals-and-families/getting-covered/special-enrollment.

Consumers who qualify for Medi-Cal may enroll through Covered California year round.

For more information, consumers should visit CoveredCA.com, where they can enroll online or get information about obtaining free, confidential in-person assistance in a variety of languages. They can find a certified enroller at a storefront in their area or have a certified enroller contact them through the “Help on Demand” feature.

Consumers can also enroll over the phone by calling Covered California at (800) 300-1506.

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