Sumi Sousa

Chief Policy Development & Coverage Programs Officer at San Francisco Health Plan

Sumi Sousa is the Officer of Policy Development and Coverage Programs at San Francisco Health Plan. She oversees the non-Medi-Cal lines of business that SFHP operates on behalf of the City and County of San Francisco, including Healthy San Francisco, Healthy Kids and SF City Option. She also manages the enrollment, eligibility and outreach functions of the San Francisco Health Plan Service Center that help the City and County of San Francisco and SFHP meet their universal coverage goals. Sumi draws on her prior work in state health policy and budgeting to help guide SFHP’s strategy, government relations and work with trade associations.

Sumi joined SFHP in 2011. Prior to SFHP, she served as the principal health policy advisor to four Assembly Speakers where she focused on expanding access to affordable, comprehensive health insurance and the health budget. She staffed legislation implementing the Affordable Care Act in California, including the legislation establishing the CA Health Benefit Exchange, now known as Covered CA.

Sumi serves on the California Health Facilities Financing Authority, a statewide board that provides financial assistance to non-profit health facilities and is the major conduit issuer of tax exempt debt for California’s non-profit hospitals and health systems. From 2013 – 2016, she served on the Little Hoover Commission, a bipartisan, independent state commission advising the Governor and Legislature on opportunities to improve efficiency in state government. She previously served as a board member on the California Children and Families Commission (State First 5) and the Asian Pacific Youth Leadership Project.

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  • Chief Policy Development & Coverage Programs Officer

    Current role

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