California officials are plowing ahead with a major healthcare expansion now that the threat of repeal has lifted with the reelection of President Obama.
Republican challenger Mitt Romney had vowed to overturn the federal Affordable Care Act, casting uncertainty over state efforts to implement the coverage expansion for millions of Americans.
"The election removes what was really the last distraction from focusing on the job, which is to get millions of Californians enrolled in health coverage," said Peter Lee, executive director of the state's health benefit exchange, now called Covered California.
"This marks a new starting line to implement the Affordable Care Act in California," Lee added.
Next week, California and other states must give the federal government their detailed plans for running the insurance exchanges.
State Sen. Ed Hernandez (D-West Covina), chairman of the Senate health committee, said "health reform is moving forward and California will be at the front of the line."