Blue Shield of California believes that access to quality healthcare is a fundamental right, and we have long supported healthcare reform efforts at both the federal and state level.

The Affordable Care Act (ACA), which took effect January 2014, made significant changes to the marketplace in which individuals and small businesses purchase healthcare coverage in order to expand access to quality health care for all and reduce costs. As a result, more than 20 million Americans have gained access to health insurance.

California is a leader in implementing federal healthcare reform, launching the first and largest insurance exchange in the nation, Covered California. Blue Shield is proud to offer plans at competitive rates across the state through this exchange. By 2017, an estimated 2.3 million Californians will be enrolled in a health plan through Covered California.

We pledge to do all that we can to make reform work and build on its successes so that one day soon we can achieve lasting health security for all.

Our history of support for reform



  • Assemblywoman Rebecca Cohn introduces legislation modeled after Blue Shield’s “universal coverage, universal responsibility plan.
  • Blue Shield endorses SB 2, legislation by Senator John Burton to expand coverage to California workers.


  • Blue Shield supports ballot referendum campaign to affirm SB 2.


  • Blue Shield announces support for Governor Schwarzenegger’s universal health coverage effort.
  • Blue Shield joins with labor unions, consumer groups, insurers, hospitals, doctors and other health plans in a coalition to support health care reform in California.


  • Blue Shield endorses final version of Schwarzenegger/Nunez health care reform legislation.
  • Blue Shield's Bruce Bodaken co-founds Health Care CEOs for Health Reform with reform-minded leaders of other healthcare organizations to support the national healthcare reform effort.


  • Blue Shield supports President Obama’s effort to pass the Affordable Care Act (ACA).
  • Blue Shield supports California’s bipartisan effort to establish the first health benefit exchange in the county under the ACA with the passage of AB1602.


  • Blue Shield joined a broad coalition of healthcare industry leaders to launch Enroll America, a nonprofit organization focused on accelerating the enrollment of Americans who will become eligible for new health coverage in 2014.


  • Covered California approved Blue Shield as a Qualified Health Plan in the small business and individual and family plan (IFP) markets in all 19 regions.


  • Blue Shield offered individual coverage through Covered California in its first year and, as a result, increased IFP enrollment and market share.

See our 2002 "Universal Coverage, Universal Responsibility" proposal