Office of the Governor, California
January 7, 2019

In a new press release detailing his health care focused first acts, California Governor Gavin Newsom cites a report co-authored by University of Maryland School of Public Health Assistant Professor Dr. Dylan Roby to support his proposal to expand and reinforce the Affordable Care Act.

Newsom cites the report, "California’s Health Coverage Gains to Erode Without Further State Action," as predicting "that the rate of uninsured Californians would increase without state action to counteract the federal government’s move, a development that would increase health care premiums across the state even further — even for families on private insurance."

According to the report, California “could expand Medi-Cal to all low-income residents regardless of immigration status, provide state subsidies to improve affordability of individual market premiums and out-of-pocket costs, implement a state individual mandate, and continue to support and strengthen outreach and enrollment efforts.” These actions would “protect the progress made under the ACA in expanding health coverage and to reduce the remaining coverage gaps” within the state.

In line with the report’s suggestions, Newsom's proposal would reinstate the individual mandate at the state level, provide coverage for undocumented young adults ages 19-25 through Medi-Cal and offer subsidies to middle income individuals and families.

Dr. Roby co-authored the report as part of the the California Simulation of Insurance Markets (CalSIM) microsimulation model, a collaboration with colleagues at the University of California, Berkeley’s Center for Labor Research and Education and the University of California, Los Angeles’ Center for Health Policy Research.

The CalSIM helps California’s state and local health officials, medical providers, community representatives, insurance companies and others understand the impacts of various elements of the Affordable Care Act on employer decisions to offer insurance coverage and individual decisions to obtain coverage in California.

Dr. Roby has helped develop CalSIM over the past decade, and is a member of the cost analysis team for the California Health Benefit Review Program.

Related Links

California’s Health Coverage Gains to Erode Without Further State Action

In First Act as Governor, Gavin Newsom Takes on Cost of Prescription Drugs & Fights for Health Care for All

Related People
Dylan H. Roby