January 1st will mark the first anniversary of the expansion of coverage under the Affordable Care Act.

At the heart of the landmark health law is the idea that by reducing the number of uninsured, Americans will get healthier thanks to regular checkups. Planners have hoped that would result in fewer chronic conditions that drive up health care costs for everyone. 

It may be a simple idea, but implementing the incredibly complex law was anything but easy, and so far it’s been filled with plenty of highs and lows.

Ezra David Romero / Valley Public Radio

This week on Valley Edition host Joe Moore speaks with Fresno Superior Court Judge Robert Oliver about the relevancy of the grand jury system in lieu of the activities in Ferguson, Missouri. 

Rebecca Plevin / Valley Public Radio

In a cramped cubicle in the Sunnyside neighborhood of Fresno County, Neng Yang is playing a small role in the country’s healthcare overhaul. On this afternoon, she’s helping a Hmong woman enroll in Medi-Cal.

“She prefers English, so her kids can read to her, because she doesn’t read and write in Hmong, and sometimes the translation gets lost when it’s sent to her in Hmong,” says Yang, a certified enrollment counselor at Fresno Center for New Americans.

Community Hospitals/ UCSF Fresno

In Fresno County, implementation of the federal healthcare law has had some unintended consequences.

For one, the law expanded the insurance program for the poor, known here as Medi-Cal. That’s a huge benefit to uninsured people who could not previously afford health coverage. But it’s turned out to be a problem for the county. It’s now receiving less state funding for its medical safety-net program, based on the assumption that less people will need it. The county contracts out this care to Community Regional Medical Center.

No Deadline Extension, Says Covered California

Dec 23, 2013

California’s health care exchange is NOT extending the same one-day enrollment grace period as the White House is for the federal exchange.  As Ben Adler reports from Sacramento, that means the deadline for Californians to apply for health insurance that takes effect January 1st remains tonight at midnight.

Rebecca Plevin / Valley Public Radio

Operators have responded to about 400,000 calls since Covered California, the state’s health insurance exchange, launched Oct. 1. Starting this week, employees at the new Fresno Service Center will also answer questions, and help people enroll in health insurance.

“Fresno is a community that reflects the diversity of California, and that’s who we need to have on our phones, serving Californians,” said Peter Lee, the executive director of Covered California.