California’s Newsom proposes middle-income health premium subsidy.
California’s new governor is asking the federal government to allow a move to a single-payer system. Gavin Newsom began his term as California’s 40th governor by proposing that the state provide health insurance premium subsidies for residents earning from 400 percent to 600 percent of the federal poverty level. The ThinkAdvisor article stated the following.
The Democrat also sent federal officials a letter asking the federal government to expand the Affordable Care Act Section 1332 rule waiver program, to give states more ability to “tailor their own solutions, and lay the groundwork for more comprehensive solutions, such as a single-payer system.”
Newsom wrote in the letter, which was addressed to President Donald Trump, and to the leaders of the U.S. House and the U.S. Senate, that he is taking the following steps through executive orders:
- Establishing a state-run, single-purchaser for drugs. The state Department of Health Care Services will run the program on behalf of the state Medicaid program, other state agencies, and any employers or other private purchasers that want to participate, Newsom said.
- Establishing a California surgeon general post. Newsom said the surgeon general will look into the causes of serious health conditions and propose strategies for addressing inequality in health.
Newsom said he will include the following provisions in his budget proposal:
- Expanding access to health insurance premium subsidies. The subsidies are now available to individuals earning up to 400% of the federal poverty level, or $48,000 per year, and families of four earning up to $98,000. Newsom wants to make subsidies available to residents earning up to 600% of the federal poverty level. The new limits would be $72,840 for an individual and $150,600 for a family of four.
- Establishing a state “individual shared responsibility” provision. This would supplement or replace the federal Affordable Care Act individual coverage mandate, which requires many people to have what the federal government classifies as major medical coverage or pay a penalty. The federal penalty is now set at zero.
- Provide access to Medicaid coverage to young adults who cannot document that they are in the country legally. California now makes Medicaid coverage available for undocumented children. Newsom wants to make coverage available to undocumented residents ages 19 to 26.
Newsom is describing the executive orders and budget proposals as being part of a “California for All” agenda.
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