Health Care Reform

In 2010, the federal government enacted a comprehensive law to reform the health care system, called the Patient Protection and Affordable Care Act (ACA). The purpose of the law was to increase access to affordable health insurance. The law expanded eligibility to free health insurance for low income individuals and created a marketplace for individuals to purchase health insurance. In California, this free public health insurance program is called Medi-Cal and the health insurance marketplace is called Covered California.

President Trump and the 2017 Congress have indicated their intention to repeal and replace the ACA. It is unclear what “repeal and replace” would look like at this time, when it would occur and what the impact would be. Until the Congress and the President act to successfully change the ACA, the ACA remains in place.  Qualifying individuals remain eligible for Medi-Cal and the cost sharing subsidies for Covered CA premiums which were made available through the ACA.

This page will be updated as more information is available.

Healthy San Francisco Remains in Place

San Francisco remains committed to health care access for all residents. The election has not changed the Department of Public Health’s commitment to provide quality health care.

The Healthy San Francisco program will continue to operate for those San Francisco residents age 18 or older with income up to 500% of the federal poverty level who are uninsured and ineligible for Medi-Cal or Medicare.

San Francisco promotes inclusiveness, diversity, and respect in all of our public services and programs. We will continue to provide health care to all San Franciscans in need, regardless of immigration or insurance status.