California Healthline: ‘Patchwork’ of Safety-Net Care in Calif. Likely To Remain Under ACA

Safety-net health care services in California are highly fragmented and likely will remain so once the Affordable Care Act is fully implemented next year, according to a new study by Health Access,Payers & Providers reports (Payers & Providers, 11/20).


California has the highest number of uninsured residents in the U.S. and the seventh-highest uninsured rate, according to the U.S. Census Bureau (Health Access study, November 2013).

Health Access estimates that 3.4 million California residents still could lack health insurance by 2020 (Payers & Providers, 11/20).


California likely will “continue to have a highly variable patchwork of indigent care and safety-net programs and services,” the study found, noting that “in some counties, consumers may have less access to care than before” the ACA was implemented.

Researchers found that California counties have responded “widely and wildly” to their obligation to provide care to low-income, uninsured residents. To provide such care:


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