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Friday, Jan 8 2016

Full Issue

Calif. Gov.'s Budget Would Raise Medi-Cal Spending, Seeks Compromise On Insurer Tax

In the $122.6 billion budget proposal, Gov. Jerry Brown offers more funds for the program that provides health coverage to low-income residents, but he says an extension of the current tax on health insurers is necessary to help pay for the program.

On its face, Gov. Jerry Brown鈥檚 proposed $122.6 billion California budget plan would seem to please Democratic interests by pumping billions of new dollars into public schools, health care for the poor and public infrastructure, even as it bolsters the state鈥檚 rainy day fund. ... Brown鈥檚 proposal includes a $1.1 billion compromise on a new tax on health insurers to replace one expiring in June. Brown said the tax is critical to maintaining the state health care program for the poor, Medi-Cal, which is projected to cover 13.5 million people by 2017, nearly a third of the state鈥檚 population. Republicans whose votes are needed signaled opposition. (Thompson and Williams, 1/8)

In the areas where the governor鈥檚 new budget really opens up the state鈥檚 checkbook, it鈥檚 largely to dole out dollars linked to decisions made years, even decades, earlier. That would be an additional $1.4-billion more for the Medi-Cal program that provides healthcare for low-income Californians to cover expansion sparked by the Affordable Care Act; $3.1-billion in proceeds from the sale of greenhouse gas pollution credits; and $8 billion in mandatory payments to the pension funds of government workers and teachers. (Myers, Mason and Mai-Duc, 1/7)

Health care advocates had hoped the projected budget surplus meant there was enough to restore cuts made in the depths of the recession, including those to public health programs, Medi-Cal health benefits and Medi-Cal provider reimbursement fees. But as they have come to learn, Brown is reluctant to include any additional investments or restorations in his budgets. (Murphy, Rogers, Mintz, Richards, de Sa and Seipel, 1/7)

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