STATE OF CALIFORNIA’S CONCEPT FOR A COMPREHENSIVE SECTION 1115 WAIVER TO REPLACE THE CURRENT MEDI-CAL HOSPITAL/UNINSURED CARE DEMONSTRATION PROJECT This document presents the State of California’s concept of potential components for a section

This document presents the State of California’s concept of potential components for a section 1115 waiver, to be effective September 1, 2010. This new waiver reflects the need to achieve the structural reforms as adopted as part of the State’s 2009-10 budget and to prepare for possible national health care reform. Under the terms of the waiver, and consistent with recent legislation passed by the California Legislature and signed by the Governor (ABx4 6), California will create more accountable coordinated systems of care, strengthen the health care safety net, reward health care quality and improve outcomes, slow the long-term expenditure growth rate of Medi-Cal (California’s Medicaid program), and expand coverage to uninsured Californians.