California
Editorial: California Medi-Cal measure locks in special-interest funding
Proposition 35, the Medi-Cal funding measure on the Nov. 5 ballot, presents another example of special-interest ballot-box budgeting that limits the discretion of lawmakers and reduces flexibility to respond to fiscal crises. Voters should reject it.
If we’ve learned anything in the past few years, it’s that multibillion budget surpluses one year can morph into gigantic deficits the next. The governor and state lawmakers need flexibility to responsibly address the shortfalls.
California voters should not lock in funding allocations that favor doctors and hospitals over children and community health workers. Nor should they keep tying the hands of lawmakers, who must already contend with, for example, voter mandates for school funding, which must receive about 40% of the state budget; for prudent budget reserves; and for arts education.
At issue with Proposition 35 is a tax on health plans that provides $7.5 billion of the $161 billion needed to annually fund Medi-Cal — the federal-state health program for low-income people.
The tax is based on the number of people to whom the health plans provide coverage. The state leverages the tax money for matching funds from the federal government.
Medi-Cal, in turn, reimburses the health plans for almost all the tax, with the federal government covering the majority of the cost. In other words, it’s a tax that’s not really a tax but rather a way to pull in more federal money.
Proposition 35 is being sold as a measure that would secure that $7.5 billion in funding by permanently extending the tax on health plans. But this lock-in isn’t needed. State lawmakers, understanding how the tax leverages federal dollars, have generally levied and renewed it for nearly two decades and are incentivized to do so in the future.
Meanwhile, Proposition 35 would not only make the tax permanent, it would also dictate allocation of the spoils. It would pick winners and losers.
Not surprisingly, the winners include doctors, hospitals and emergency ambulance providers, which explains why they are major financial backers of the measure. Their funding would be protected and, in some cases, increased under Proposition 35.
Among the possible losers are community health workers, private nurses and children under age 5, who are currently protected from losing their Medi-Cal coverage.
To provide the additional funding for the winners under Proposition 35 and still preserve other Medi-Cal programs, the state would need to tap the general fund for another $1 billion to $2 billion annually in 2025 and 2026, according to the Legislative Analyst’s Office.
The current tax will expire at the end of 2026 unless the Legislature and the federal government extend it. But there’s every reason to believe state lawmakers will do their part, just as they have in the past.
Yet, Proposition 35 backers tout that their measure would make the tax permanent starting in 2027 — and use the notion of going after politically unpopular insurance companies for money as a selling point even though those companies will get their money back.
Backers of the ballot measure also say that the tax revenue has been diverted to bolster the state’s general fund. But the state this fiscal year will provide $62.4 billion to help fund Medi-Cal, including $35 billion from the general fund.
It’s fiscally reckless to keep using ballot measures to earmark unpredictable state revenues. Proposition 35, which is 43 pages long, “hamstrings our ability to have the kind of flexibility that’s required at the moment we’re living in,” says Gov. Gavin Newsom.
He’s right.
More funding for health care for the poor is a laudable goal. So are attempts to raise rates for doctors and other health care providers who serve Medi-Cal patients. Indeed, there are legitimate concerns about Medi-Cal patients not being able to find providers because doctors don’t want to take them on at low payment rates.
But the allocation of limited general fund money should be made when all the competing demands are weighed by state lawmakers. We shouldn’t be locking it in with a ballot measure few voters will ever understand.
California
California loses $160M for delaying revocation of 17,000 commercial driver’s licenses for immigrants
California will lose $160 million for delaying the revocations of 17,000 commercial driver’s licenses for immigrants, federal transportation officials announced Wednesday.
Transportation Secretary Sean Duffy already withheld $40 million in federal funding because he said California isn’t enforcing English proficiency requirements for truckers.
The state notified these drivers in the fall that they would lose their licenses after a federal audit found problems that included licenses for truckers and bus drivers that remained valid long after an immigrant’s visa expired. Some licenses were also given to citizens of Mexico and Canada who don’t qualify. More than one-quarter of the small sample of California licenses that investigators reviewed were unlawful.
But then last week California said it would delay those revocations until March after immigrant groups sued the state because of concerns that some groups were being unfairly targeted. Duffy said the state was supposed to revoke those licenses by Monday.
Duffy is pressuring California and other states to make sure immigrants who are in the country illegally aren’t granted the licenses.
“Our demands were simple: follow the rules, revoke the unlawfully-issued licenses to dangerous foreign drivers, and fix the system so this never happens again,” Duffy said in a written statement. “(Gov.) Gavin Newsom has failed to do so — putting the needs of illegal immigrants over the safety of the American people.”
Newsom’s office did not immediately respond after the action was announced Wednesday afternoon.
After Duffy objected to the delay in revocations, Newsom posted on X that the state believed federal officials were open to a delay after a meeting on Dec. 18. But in the official letter the Federal Motor Carrier Safety Administration sent Wednesday, federal officials said they never agreed to the delay and still expected the 17,000 licenses to be revoked by this week.
Enforcement ramped up after fatal crashes
The federal government began cracking down during the summer. The issue became prominent after a truck driver who was not authorized to be in the U.S. made an illegal U-turn and caused a crash in Florida that killed three people in August.
Duffy previously threatened to withhold millions of dollars in federal funding from California, Pennsylvania, Minnesota, New York, Texas, South Dakota, Colorado, and Washington after audits found significant problems under the existing rules, including commercial licenses being valid long after an immigrant truck driver’s work permit expired. He had dropped the threat to withhold nearly $160 million from California after the state said it would revoke the licenses.
Federal Motor Carrier Safety Administration Administrator Derek Barrs said California failed to live up to the promise it made in November to revoke all the flawed licenses by Jan. 5. The agency said the state also unilaterally decide to delay until March the cancellations of roughly 4,700 additional unlawful licenses that were discovered after the initial ones were found.
“We will not accept a corrective plan that knowingly leaves thousands of drivers holding noncompliant licenses behind the wheel of 80,000-pound trucks in open defiance of federal safety regulations,” Barrs said.
Industry praises the enforcement
Trucking trade groups have praised the effort to get unqualified drivers who shouldn’t have licenses or can’t speak English off the road. They also applauded the Transportation Department’s moves to go after questionable commercial driver’s license schools.
“For too long, loopholes in this program have allowed unqualified drivers onto our highways, putting professional truckers and the motoring public at risk,” said Todd Spencer, president of the Owner Operator Independent Drivers Association.
The spotlight has been on Sikh truckers because the driver in the Florida crash and the driver in another fatal crash in California in October are both Sikhs. So the Sikh Coalition, a national group defending the civil rights of Sikhs, and the San Francisco-based Asian Law Caucus filed a class-action lawsuit on behalf of the California drivers. They said immigrant truck drivers were being unfairly targeted.
Immigrants account for about 20% of all truck drivers, but these non-domiciled licenses immigrants can receive only represent about 5% of all commercial driver’s licenses or about 200,000 drivers. The Transportation Department also proposed new restrictions that would severely limit which noncitizens could get a license, but a court put the new rules on hold.
California
California officials facing backlash in aftermath of Palisades fire one year later | Fox News Video
California
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