California led the nation with our historic expansion of health coverage and the biggest drop of the uninsured rate of any state by implementing and improving on the Affordable Care Act. With 93% of Californians covered, our state is ready for the next bold steps to achieve universal care that is affordable, accessible, and equitable.

Our bold new campaign aims to tackle the remaining obstacles to get Care4All California — without help or the need of approvals from the federal government.


  • #Health4All: Medi-Cal should cover all income-eligible adults regardless of their immigration status. Of the 2.8 million Californians who remain uninsured, 58% are undocumented adults, who are excluded from comprehensive Medi-Cal. (SB 974, Lara; AB 2965, Arambula)
  • Increase Affordability and Take-Up of Coverage: ACA subsidies have helped millions of people afford health coverage, but more help with affordability is needed, especially in a high cost state like California. For those who have a subsidy but who still can’t afford premiums, deductibles, or co-pays and those who earn too much to qualify for a subsidy, increasing subsidies will help more Californians get covered and reduce their costs for premiums and cost-sharing. (SB 1255, Hernandez; AB 2459, Friedman; AB 2565, Chiu)
  • Align Income Eligibility for the Medi-Cal Aged and Disabled Program with income eligibility for those under age 65. This will ensure over 20,000 California seniors and people with disabilities don’t face high share of costs for coverage. (AB 2430, Arambula)
  • Streamline and Encourage Enrollment by instituting express lane enrollment for those in the WIC program. (AB 2579, Burke)


The United States spends more than most industrialized countries on health care, not because we use more services or have better health outcomes, but because the prices are higher. All of us have been affected, as rising costs have eroded coverage. The sky-high prices of medical services, equipment, and medicine show up in our premiums, deductibles, and co-pays. They’re also felt in the form of smaller paychecks, as employers face soaring costs for covering workers.

Our higher prices are driven by consolidation, lack of oversight, and industry profit motives. For any health system to be sustainable, we must lower prices while improving quality and reducing health disparities.

  • Contain Costs: Establish an independent Health Care Cost, Quality and Equity Commission to set reasonable base amounts hospitals, doctors, and other providers of health care can collect from payers. (AB 3087, Kalra)
  • Encourage More Options in Covered California: Ensure and encourage public plan and other options in Covered California for every region of the state–so that no region of California is left with only one or zero plans, at the whim of private insurers. (AB 2472, Wood; AB 2472, Wood)
  • Ensure Quality in Medi-Cal Managed Care: Ensure the Medi-Cal managed care plans that cover nearly one-third of Californians are accountable for improving health care quality and reducing disparities. (AB 2275, Arambula)
  • Increase Oversight on Health Industry Consolidation
  • Continue Efforts to Prevent Prescription Drug Price Spikes


The Republican majority in Congress continues to try to repeal the ACA, and the Trump Administration has taken a series of regulatory steps to weaken our health system in general, including making it harder for people to enroll in Medicaid and making it easier for insurance companies to sell plans that exclude patients with preexisting conditions or don’t cover basic services like maternity care, mental health treatment, and prescription drugs. California must protect its consumers to:

  • Prevent substandard “junk” insurance promoted by the Trump Administration from being sold in California. (SB 910, Hernandez; SB 1375, Hernandez)
  • Require health plans to spend more on health care, limiting administrative costs and profits. (AB 2499, Arambula)
  • Prohibit the state from pursuing waivers that make it harder for low-income people to enroll in Medi-Cal. (SB 1108, Hernandez)
  • Maintain stability in the individual market and prevent premium spikes by maintaining the individual mandate, improving affordability in Covered California and encouraging enrollment.