Even in light of the federal government shutdown, Covered California—our state’s vehicle for the health exchange—officially began enrolling residents of the Golden State for insurance programs today.

California, an early-adopter of the Affordable Care Act (ACA) requirements, has been a leader among the fifty states. Its 58 counties have played a key role in the transition. According to a report by the Public Policy Institute of California, that relationship may continue to evolve in a variety of innovative, cost-effective and mutually-beneficial ways.

The federal Affordable Care Act will transform California’s health care safety net. It could also affect California’s long-standing division of responsibilities between state and local governments. This report outlines key issues that state policymakers will need to consider as they grapple with the costs and opportunities of health care reform.

–  Public Policy Institute of California

Author Shannon McConville explains what implementation of the ACA  is likely to look like in California.

Download here or view the report below. It’s not worth missing.