As Covered California continues to witness growth in enrollment, with nearly 2 million individuals now signed up for qualified health plans, healthcare providers and practices must stay informed about impending changes. The enrollment surge marks the fourth consecutive year of increased participation, highlighting the program’s significance in providing essential health coverage to Californians.
With key federal subsidies, including the Enhanced Premium Tax Credits, set to expire at the end of 2025, it is vital for physician practices to familiarize themselves with their participation status and the available products in their respective areas. The uncertainty around these subsidies adds to the importance of preparedness as we head into 2026.
To assist practices in navigating these changes, the California Medical Association (CMA) has released a comprehensive tip sheet titled “Navigating Covered California: Preparing for Changes in 2026.” This resource is designed to clarify what practices can expect in the coming year and how they can adjust to stay compliant and effective. The tip sheet is available free of charge to CMA members, emphasizing the organization’s commitment to supporting healthcare providers during this transitional period.
Staying proactive about these developments can not only help practices adapt to shifts in healthcare policy but also ensure that patients continue to receive the coverage they need. As we move forward, both healthcare providers and recipients can remain hopeful for a smooth transition that prioritizes access to quality healthcare.