Single-payer healthcare proposal fizzles in California kook Assembly

SACRAMENTO — Lawmakers declined to vote on a high-profile effort to 
overhaul California’s healthcare system on Monday, putting an end to a 
proposal that would have guaranteed medical coverage to every resident by 
levying billions in new taxes.

Assembly Bill 1400 by Assemblyman Ash Kalra (D-San Jose) did not have the 
necessary votes to move forward ahead of a key deadline Monday. Instead of 
forcing a vote that could be politically damaging for some of his 
Democratic colleagues, Kalra opted to let the bill die, angering the 
California Nurses Assn. that has championed single-payer for years.

“Despite heavy opposition and substantial misinformation from those that 
stand to profit from our current healthcare system, we were able to ignite 
a realistic and achievable path toward single-payer and bring AB 1400 to 
the floor of the Assembly,” Kalra said in a statement. “However, it became 
clear that we did not have the votes necessary for passage and I decided 
the best course of action is to not put AB 1400 for a vote today.”

AB 1400 would have created a publicly financed healthcare system called 
CalCare, which could cost between $314 billion and $391 billion in state 
and federal funds, according to a legislative analysis. But supporters 
said residents in the state would ultimately have saved money when 
compared with paying for insurance, co-pays and deductibles.

“Elected leaders in California had the opportunity to put patients first 
and set an example for the whole country by passing AB 1400,” the 
California Nurses Assn. said in a statement. “Instead, Assembly Member Ash 
Kalra, the main author of the bill, chose not to hold a vote on this bill 
at all, providing cover for those who would have been forced to go on the 
record about where they stand on guaranteed health care for all people in 
California.”

It’s the second time in the last five years that a single-payer bill has 
died in the Assembly. In 2017, a Senate bill to create a single-payer plan 
was shelved by Assembly Speaker Anthony Rendon (D-Lakewood), who called 
that proposal “woefully incomplete.” Rendon’s decision at the time angered 
the nurses’ union, which said failing to put it up for a vote was “a 
cowardly act.”

On Monday, Rendon said the shortage of votes for AB 1400 shows how 
difficult it is to implement single-payer healthcare in the state.

“Nevertheless, I’m deeply disappointed that the author did not bring this 
bill up for a vote today,” Rendon said in a statement. “I support single-
payer and fully intended to vote yes on this bill. With time, we will have 
better and more successful legislation to bring us closer to this goal.”

Supporters of the bill said the COVID-19 pandemic made the importance of 
healthcare access critically clear. A recent poll by the California Health 
Care Foundation and NORC at the University of Chicago found 83% of 
Californians say it is “extremely” or “very” important for Newsom and 
lawmakers to focus on “making health care more affordable” this year.

Still, Kalra’s bill has faced immense odds since it was introduced last 
February. For nearly a year, AB 1400 failed to gain traction while it 
lacked details on how it would be financed. This year, Kalra introduced a 
second bill, Assembly Constitutional Amendment 11, which would have used 
$163 billion in proposed new taxes to pay for the single-payer plan under 
AB 1400.

That helped the bill win support this month in the Assembly’s health and 
appropriations committees. Lawmakers faced intense lobbying on both sides 
of the bill leading up to Monday’s critical vote. The Progressive Caucus 
of the California Democratic Party threatened to withhold endorsements 
from any Assembly member that did not vote for AB 1400.

Critics of the single-payer plan have been flooding Californians’ 
cellphones and social media with ads criticizing the bill, saying it would 
“cause massive disruption to Californians’ healthcare at the worst 
possible time” and urging people to call lawmakers to tell them to reject 
AB 1400.

Opponents say even with its massive price tag, the proposal would still 
come up short of paying for the healthcare system overhaul. Exactly how 
much the proposal would have cost if it ultimately became law is still 
unknown. The Assembly recently approved a Republican request for the 
nonpartisan Legislative Analyst’s Office to review the cost and effects of 
the legislation.

The California Chamber of Commerce added the proposal to its annual “job 
killer” list that highlights laws corporate interests say will hurt 
employment and the economy. A chamber spokesman said the legislation would 
“ruin quality healthcare delivery” and “create the largest tax increase in 
state history.”

“AB 1400 was a disaster in the making and an unnecessary distraction from 
the real work of creating a healthcare system that can provide affordable, 
high-quality care to all Californians,” said Jim Wunderman, president and 
chief executive of the Bay Area Council. “It was unworkable and would have 
cost California taxpayers and businesses hundreds of billions in new 
taxes, with little or no hope that it would ever produce any results.”

Assembly Republican leader Marie Waldron of Escondido praised Democrats 
who helped stop the “foolhardy plan.”

“Better late than never,” Waldron said. “The fact that a proposal for a 
government takeover of our state’s entire healthcare system even made it 
this far shows just how out of touch the Democratic Party is from the 
needs of everyday Californians.”

The single-payer proposal has largely overshadowed a budget proposal by 
Gov. Gavin Newsom to allow all income-eligible residents to qualify for 
the state’s healthcare program for low-income people regardless of 
immigration status.

California already allows children and young adults living in the country 
illegally to qualify for Medi-Cal, while Californians 50 and older will be 
eligible beginning May 1. Newsom’s plan would add the final age group, 
which includes an estimated 700,000 people who otherwise meet income 
requirements but can not receive Medi-Cal because of their immigration 
status.

Newsom, who campaigned four years ago on implementing single-payer 
healthcare, said he remains committed to the goal, but did not weigh in on 
Kalra’s bill as he pushed his Medi-Cal expansion.

The governor said he is awaiting a report by the state’s Healthy 
California for All Commission detailing a plan on how best to create a 
single-payer model in the state.

“The facts are on our side that a single-payer system will save money and 
lives — and the people are on our side that meaningful healthcare reform 
is urgently needed,” Kalra said. “Especially with four democratic 
vacancies in the Assembly, the votes were not there today, but we will not 
give up.”

https://www.latimes.com/california/story/2022-01-31/single-payer-
healthcare-proposal-fizzles-in-california-assembly