Authors: Peter Harbage and Meredith Ledford King
Prepared with the California Health Care Foundation
October 2012 – The Patient Protection and Affordable Care Act (ACA) creates opportunities and challenges for state policymakers to improve their healthcare systems. A handful of states embraced health reform immediately and quickly began work on implementation. California was among the first; its planning effort on health reform began on the heels of the ACA, with submission of a comprehensive Medicaid 1115 waiver proposal in July 2010. Called the Bridge to Reform, the federal Centers for Medicare and Medicaid Services (CMS) approved the waiver in November 2010.