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CA Single Payer Updates: AB 1400 & ACA 11

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Single-payer health coverage is back in California with two proposed bills:

• AB 1400 Guaranteed Health Care for All
• ACA 11 Taxes to fund health care coverage and cost control

1/31/22 Update

AB 1400 was shelved by Assemblymember Ash Kalra as he decided to not put the bill up for vote, citing it did not have enough support to pass.

AB 1400 Overview

This bill would establish CalCare, a single-payer health care coverage program and the CalCare Board of 9 members to administer CalCare. On or before July 1, 2024, the CalCare Board would be required to deliver a fiscal analysis to the Legislature to determine:

1. Whether CalCare may be implemented; and
2. Whether revenue is likely to be sufficient to pay for program costs within eight years of implementation.

After the board determines the above items, CalCare would need to considered by various committees and approved by the Legislature. Then the people of California would need to approve the funding mechanisms.

ACA 11 Overview

This measure would impose an excise tax, payroll taxes, and State Personal Income CalCare Tax to fund CalCare. Since ACA 11 would increases taxes, it must be passed by a two-thirds majority in both houses of the Legislature.

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