The full implementation of the Affordable Care Act (ACA) happened in 2014, introducing health insurance reforms and fresh health coverage options in Pennsylvania, California and other regions in the United States. Before the Affordable Care Act, under a waiver, California made several initiatives to expand the state’s Medicaid program – Medi-Cal – and made plans to restructure the health care delivery system within its safety net. Within the first two years after the ACA went into full effect, Medi-Cal, together with Covered California, which is the state’s health insurance Marketplace, facilitated the health coverage of millions of California residents. ...
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