Lee D. Kemper is an expert in publicly funded health coverage programs, health benefit delivery for the low income single adult population that will become eligible for Medicaid in 2014 under the Affordable Care Act, rural health systems, and the interconnections between health, human service and behavioral health programs at the state and county levels.  Over a career spanning more than three decades, Mr. Kemper has held senior positions leading county health and social service organizations and senior health policy positions with the State of California.  A brief summary of Mr. Kemper’s experience includes:

Executive Director
County Medical Services Program Governing Board (1999-2012)

The County Medical Services Program (CMSP) Governing Board is responsible for providing comprehensive health benefit coverage to low-income, uninsured adults residing in 35 primarily rural California.  Duties:

  • Directed policy and program development for CMSP health benefit coverage, program eligibility, health provider payment rates and program administration.
  • Prepared and managed a $400 million total health program budget and a $4 million administrative office budget (FY 2012-13).
  • Negotiated and managed benefit administration contracts for health care services, pharmacy services and the Governing Board’s Low Income Health Program, Path2Health.

Major Accomplishments

  • Led conversion of CMSP from its structure under fee-for-service Medi-Cal to an organized health care delivery system composed of two parts:
    • Medical, dental and vision service administration by Anthem Blue Cross under a third party administrator agreement (2005).
    • Retail pharmacy benefit administration by MedImpact Health Systems, Inc. under a benefit administrator agreement (2003).
  • Led development and implementation of a 34-county Low Income Health Program (Path2Health), authorized under California’s 1115 Medicaid “Bridge to Reform” Waiver, which provides for early implementation of Medicaid coverage for single adults authorized under the Accountable Care Act.  Led expansion of CMSP/Path2Health to include a 35th participating county (Yolo County).
  • Led development of pilot projects to test the cost-effectiveness of providing certain benefits to CMSP members as a means for improving health outcomes and reducing program costs:  behavioral health services; telephonic care management services; and, local level care management services for members with complex health and/or social conditions.


Director of Policy
Center for Health Improvement (1996-1999)

The Center for Health Improvement, a non-profit policy center, conducted research and policy analysis concerning community health, health insurance and managed care issues, with an emphasis on prevention.  Duties:

  • Directed and co-directed population survey research projects in collaboration with The Field Institute, a California based survey research organization.  Topics included alcohol and drug abuse, public health and environmental health, welfare reform and children’s health.
  • Wrote and published policy briefs to inform state and local policy makers and interested stakeholders.
  • Consulted to public and community-based organizations concerning organizational development, strategic planning, and program development.


Associate Director for Policy Development
California Department of Health Services (1994-1996)               

The Department of Health Services administered over 150 programs, had a work force of over 4,000 employees and an annual budget of approximately $18 billion.  The position served as a key policy advisor to the Department Director concerning health access strategies, managed care reform and overall department operations.  Duties:

  • Led the Department’s evaluation of state and federal health reform issues and options, including the proposed Clinton Health Plan, for California’s commercial and publicly funded health care markets; advised the Department Director on preferred strategies; supervised analyses of managed care legislation; and, represented the department on key managed care issues.
  • Developed state-level health reform initiatives to expand access to health coverage, including state-level insurance reforms for the small employer market, expansion of small employer health insurance purchasing pools and children’s health care access.


Assistant Secretary
California Health and Human Services Agency (1991-1994)                                                                   

The Health and Human Services Agency supervises policy and program development for thirteen state health and human service departments.  Duties:

  • Oversaw program and fiscal policy development, including annual budget preparation and program initiatives for:
    • Department of Health Services, including:  indigent medical care programs, County Medical Services Program, Tobacco Control and other Proposition 99 (tobacco tax) funded programs, Child Health and Disability Prevention, Maternal and Child Health, AIDS programs, and all population-based public health programs
    • Office of Statewide Health Planning and Development
    • Emergency Medical Services Authority
    • Managed Risk Medical Insurance Board
  • Evaluated state and federal health reform proposals and recommended preferred strategies.
  • Developed state-level initiatives to reform the small employer health insurance market, expand training for primary care physicians and allied health practitioners, and expand access to children’s health coverage.


Executive Director
County Welfare Directors Association of California (1984-1991)

County social service departments in California administer various aid and service programs, including TANF, Food Stamps, General Assistance, Child Welfare Services, Foster Care, Adult Protection and In-Home Support Services.  The association represents the interests of these county departments at the state and federal levels.  Duties:

  • Served as first full-time Executive Director, and established the office and business operations.
  • Facilitated and guided development of administrative, legislative and state budget policy priorities and strategies for the association in consultation with the association’s Board of Directors, Executive Committee and twelve program committees.
  • As a registered lobbyist, represented the association before the Legislature, the state Departments of Social Services, Health, Mental Health and Finance, the Governor’s Office, constituency groups, county organizations and the media.
  • Represented the association on a variety of statutorily and non-statutorily established task forces and work groups, pertaining to issues including child welfare, foster care, aging and long-term care.
  • Supervised staff of the association and oversaw advocacy activities of the association’s federal representative.


Legislative Analyst/Representative
California State Association of Counties (1982-1984) 

The association represents the interests of County Boards of Supervisors at the state level.  The position assisted the association’s Health and Welfare Legislative Representative.  Duties:

  • Served as lead policy staff for mental health, alcohol and drug, aging, public health and social services block grant issues.  Staffed the association’s health and welfare, mental health and aging committees.
  • Represented association positions before the Legislature, state departments and constituency groups, and served as liaison to county directors of mental health, alcohol and drug programs and aging programs.



Masters Degree, Public Administration
University of Southern California

Bachelor of Arts Degree, Political Science-Public Service
University of California at Davis