California’s Health and Human Services Agency, Sacramento, USA.
Health Aff (Millwood). 2011 Jan;30(1):71-5. doi: 10.1377/hlthaff.2010.1143.
The fifty states will play a critical role in implementing the Affordable Care Act, and California is one of the states at the forefront of reform. The act can provide coverage to millions of currently uninsured Californians and offers important benefits in terms of more-affordable coverage, improved access to services, and better health outcomes. As the paper by Peter Long and Jonathan Gruber in this issue of Health Affairs notes, the ultimate effects of health reform in California will be influenced by the policy and program decisions that state lawmakers and administrators make during the next three years. Key issues include revamping cumbersome eligibility determination and enrollment processes that could prevent rapid enrollment in expanded public health insurance--but also affording that expansion in the face of large state budget deficits. California policy makers need to move thoughtfully and strategically to ensure that the potential of federal health reform becomes a reality for state residents.
五十个州将在实施平价医疗法案中发挥关键作用，而加利福尼亚州是处于改革前沿的州之一。该法案可以为目前数以百万计的未参保加利福尼亚人提供保险，并在更负担得起的保险、改善服务获取途径和改善健康结果方面提供重要好处。正如本期《卫生事务》杂志上 Peter Long 和 Jonathan Gruber 的论文所指出的，医疗改革对加利福尼亚的最终影响将受到州议员和行政管理人员在未来三年内做出的政策和方案决定的影响。关键问题包括改革繁琐的资格确定和登记程序，这些程序可能会阻碍扩大公共医疗保险的快速参保，但也需要在面对巨额州预算赤字的情况下扩大参保范围。加利福尼亚州的政策制定者需要深思熟虑和战略性地行动，以确保联邦医疗改革的潜力成为州居民的现实。
