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Major California Health Insurance Bill on the Cusp of Legislative Approval

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By Frank D. Russo

A truly historic bill that would provide health coverage to all Californians through a single payer system is on the cusp of being passed by the legislature and put on the Governor’s desk. SB 840 (Kuehl) comes up for a vote in the Assembly Appropriations Committee on Wednesday. After that, the biggest hurdle is the Assembly floor vote that will follow.

According to vote counters who are working to secure the passage of SB 840, it has 40 votes in the Assembly, and they need to secure one more committed vote so it will have the necessary 41 votes needed in the 80 member Assembly.

SB 840 has already passed the State Senate by a vote of 25 to 15. Although the measure needs to pass a vote again in the Senate concurring in the amendments made in the Assembly, that is apparently not a major stumbling block, according to the vote counters.

There has been heavy lobbying and a major rally was held at the Capitol last week during which Speaker of the Assembly Fabian Nunez declared that passage of the bill was a priority for him and the Democratic leadership of the Assembly.

An additional reason for passage of this measure is the recent announcement that over 6,000 employers will be losing their health coverage through PacAdvantage. This program, which assisted small businesses in California as a result of a law passed in 1992, means that an additional 116,000 Californians will lose medical benefits unless their employers can successfully scramble for other options for themselves and their employees.

Its demise has been covered by the San Francisco Chronicle, Los Angeles Times, and Sacramento Bee. It also has received coverage in the state's business journals because of the lurch it leaves many small employers in themselves as the consumers of medical services.


"Our health care marketplace is falling apart, as both consumers and employers are finding fewer and whose options for purchasing health coverage," said Anthony Wright, executive director, Health Access California, the statewide health care consumer advocacy coalition. "This action shows the need for major health reform, like the universal health care proposal that the legislature will vote on this month. Our elected leaders need to put forward their plan to reform the health care system. Since the Governor opposes the pending health coverage expansions, then it is his obligation to offer his solutions, including his remedy to the problems caused by the closure of PacAdvantage."

It is hoped that this new development, meaning that even more Californians will be without health insurance during the tenure of the Schwarzenegger Administration, will cause the Governor to sign SB 840. The Governor has indicated he will not articulate a health insurance plan until after the election and has given indications he will veto SB 840. If he does veto this measure, especially without having proposed one himself, expect this to become a campaign issue.

Posted on August 14, 2006

Comments

A single payer system is not the solution especially government operated. Note the Calif. prison health system is in a shambles, Medi-Cal is bringing hospitals, especially ERs, to near bankruptcy due to arbitrary low reimbursements. Hospitals have to add those additional costs onto their charges to the commercial population. PacAdvantage is not able to provide an advantage to small employers that is not already provided in the commercial insurance arena. This state suffers from a lack of competition in the commercial insurance (HMO and all others) market place partly due to the acquisition of the Calif. based HMOs, Blue Cross and PacifiCare by national companies and the merger of many others. A second significant and subtle factor in the lacking of competition is the refusal of the HMOs to release client claims history. Specifically, the amount that has been paid for claims for previous year. This prevents the employer client from knowing how much was paid versus the premium charged. The employer is unable to negotiate from knowledge with competing HMOs and is unable to choose other alternatives such as self-insuring. Certainly, competition is not the total solution however downward pressure on commercial rates through competition will reduce the cost to employers allowing more employers to provide coverage to their employees.

Posted by: Jack L. Reid at August 15, 2006 07:46 AM

I oppose government interference where free markets work, but here in California only the insurance companies are happy with the status quo. I can't believe Single-payer could be any worse than what we have now.

Posted by: Dan Fourjay at August 20, 2006 03:16 PM

I think the passage of any healthcare program that is run by any government is sick.
I have very good coverage now and I resent the fact that I would have to lower my quality of healthcare and take socialized healthcare. That's why we choose the work places that we do because they offer good medical coverage.
There is already Medi-Cal and other coverages available, that most of us are supporting already.
I predict a great number of doctors would flee California for other states if a bill such as this passed.
I have an excellent doctor now and do not feel that anyone would get adequate care with socialized medicine.
It would b no different if we all worked and threw our money into the pot and dispersed it over-all. I think they call it Communism.

Posted by: B. H. at August 29, 2006 08:06 PM

The number one problem with medical treatment in this nation is health insurance companies. Should the practice of medicine be about money? No....the practice of medicine should be about taking care of people who need treatment. Take the for-profit insurance companies out of medicine and you save a bunch of money. Make the primary focus of medicine treatment to people who need it....and you've got something that potentially can serve the entire population much better.

Posted by: J Relas Powell at November 22, 2007 07:25 PM

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