California 2021-2022 Regular Session

California Assembly Bill AB1400

Introduced
2/19/21  
Introduced
2/19/21  
Refer
1/6/22  
Report Pass
1/12/22  
Report Pass
1/12/22  
Refer
1/12/22  
Refer
1/12/22  
Report Pass
1/20/22  

Caption

Guaranteed Health Care for All.

Impact

The impact of AB 1400 on state laws would be significant. It would modify the existing framework governing health care services in California by replacing a multi-payer system with a single-payer model, potentially transforming how health care is financed and delivered in the state. If implemented, CalCare would assume responsibility for all health benefits and services currently provided through various funding sources. The intention is to provide equitable access to quality health care and improve health outcomes, especially for underserved populations. Furthermore, the bill mandates a fiscal analysis to ascertain whether the program could be funded adequately, ensuring that it is economically sustainable within a defined timeframe.

Summary

Assembly Bill 1400, known as the California Guaranteed Health Care for All Act, proposes the establishment of a comprehensive universal single-payer health care coverage program called CalCare. This program aims to provide universal health coverage for every Californian, funded through broad-based revenue. The bill seeks to merge existing health care programs, such as Medi-Cal and Medicare, into CalCare to create a streamlined system that reduces administrative costs, thereby allowing more resources to be directed towards patient care. AB 1400 emphasizes the importance of eliminating cost-sharing requirements, such as premiums, copayments, and deductibles, which often prevent access to necessary health services.

Sentiment

The sentiment surrounding AB 1400 is polarized. Supporters, including many progressive legislators and health advocates, argue that establishing a single-payer system is essential for ensuring comprehensive, high-quality health care is available to all Californians. They highlight the potential for reducing administrative waste and improving health care outcomes. Conversely, opponents raise concerns regarding the financial feasibility of the program, potential tax increases, and the implications of transitioning from a familiar multi-payer system to a fully government-managed model. Critics also express apprehension about how the bill may affect health care providers and competition in the health care market.

Contention

Notable points of contention include the bill's reliance on broad-based revenue to fund the new health care system, which some critics consider vague and potentially burdensome for taxpayers. The proposal also raises questions regarding the integration of existing health care services, the management structure of CalCare, and how it would address health disparities among different socioeconomic and racial groups. Additionally, stakeholders from various sectors, including insurance companies and health care providers, have voiced their opinions on how the shift to a single-payer system might impact their operations, making the discussion multifaceted and complex.

Companion Bills

No companion bills found.

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