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Wednesday, September 04, 2002
 
HEALTH ACCESS ALERT
Tuesday, September 3rd, 2002

GOVERNOR WEIGHS BUDGET OPTIONS
Some Health Items Hang In Balance


It is expected that on Thursday, September 5th, Governor Davis will sign the state budget that was passed by the Legislature over the weekend. With that signature, he is expected to veto some of the spending items, and make specific spending reductions in other areas. After the budget signing, he is expected to make additional spending reductions in state operations, given the budget agreement and future projected deficits.

See the updated budget cuts scorecard at http://www.health-access.org/scorecard.htm that shows how health care services have fared in the passed budget, and what the Governor's options are with specific spending items. On items like Medi-Cal benefits, eligibility standards, and reporting requirements, the Governor cannot make changes without legislative approval, and in many cases, the legislature decided not to make the proposed cuts.

However, there are a several items where the Governor is allowed--and in some cases, expected--to make reductions or full item vetoes. If your organization has the ability to advocate in the immediate future, the following are the health care items that may be in danger and should be preserved:

* The fall rollout and implementation of the Healthy Families expansion, to eventually cover 300,000 low-income working parents.
* The initial start of the "express lane" effort to use school lunch programs to get more children enrolled in Medi-Cal and Healthy Families.
* The financial support for county administration, including those workers that help enroll families in Medi-Cal health coverage.
* The funding for the state's financially-strapped trauma centers, as well as for community clinics, public hospitals, and other safety-net institutions.
* The resources for state government operations, including public health initiatives and other key programs.
* The partial restorations of provider rates, so that families who get Medi-Cal have the ability to see the doctor or specialist in their area.

Letters to the Governor's office [The Honorable Gray Davis, Governor, The State of California, State Capitol Building, Sacramento, CA 95814] can be faxed to 916-445-4633, although time is extremely limited.

--
Anthony E. Wright
Health Access
1127 11th St., #234, Sacramento, CA 95814
Ph: 916-442-2308, Fx: 916-497-0921
awright@health-access.org

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posted by Kristin | Permalink | 2:21 PM


 
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Tuesday, September 03, 2002
 
HEALTH ACCESS ALERT
Sunday, September 1, 2002

CALIFORNIA STATE BUDGET PASSES
* More Cuts Forthcoming in Immediate and Longer-Term Future
* Continued Advocacy Needed


PASSAGE: Late Saturday and early Sunday, the Legislature worked on and passed a state budget. The most delayed budget in state history, it passed the Assembly two months after the start of the fiscal year, with votes from all Assembly Democrats and Republican Assemblymen Briggs, Dickerson, Kelley, and Richman. Below is the first release of the Associated Press article with some of the details of the package.

CUTS: Differences with the budget passed by the Senate two months ago are significant. The budget only has $2.425 billion in increased revenues, and no tax increases in tobacco or satellite television, or restorations of the vehicle license fee or upper tax bracket.

Given this reduction of revenue raising from the Senate budget, the passed budget includes an additional $1.7 billion in cuts, including $750 million in reductions in government administration and operations. The specific cuts have yet to be determined by the Governor, but the impact will be real and significant, with real health care repercussions. More information may be forthcoming in the next week.

ACTION: Advocates for the uninsured should communicate to Governor Davis their priorities, as he makes decisions on making hundreds of millions of dollars in additional cuts through item vetos, funding reductions, and administrative cuts. Even in this fiscal crisis, advocates should urge against cuts that delay or deny Californians from getting needed health care.

FUTURE: The structure and content of the budget and related bills puts the state of California in a greater bind for next year and into the future. With a budget deficit next year estimated at least at $12 billion, there will no longer be options like tobacco securitization and one-time fund transfers. The budget deal included increasing commitments for infrastructure over the next decade, and other costly commitments in out years. Health care advocates must continue to organize and fight for increased revenues in order to defend and expand access to health care for California families.

-------------------

Legislators tentatively approve budget after 60-day standoff

By ALEXA H. BLUTH -- Associated Press Writer
Published 10:28 p.m. PDT Saturday, August 31, 2002


SACRAMENTO (AP) - The California Assembly ended a 60-day standoff and tentatively approved an overdue budget late Saturday that includes a total of about $9 billion in spending cuts and about $2.4 billion in revenue increases to help fill the state's gaping deficit.

The deal reached in the final hours of the legislative session abandons plans to raise taxes on smokers and drivers to help fill the $23.6 billion shortfall.

Lawmakers hooted, applauded and high-fived after the Assembly voted 54-26 in favor of the budget - just enough for the required two-thirds majority - shortly after 10 p.m. Saturday.

"Tonight I believe we've done it," said Assembly Speaker Herb Wesson, a Culver City Democrat who brokered the deal and presided over the longest legislative budget impasse in California. "Although it is not a perfect bridge, it allows us to find some ground where we can at least, for a moment, stand together."

But the Assembly vote was put on hold, as the state Senate still needed to concur with the Assembly's new $99 billion plan late Saturday before the budget could be sent to Gov. Gray Davis two months into the fiscal year.

The vote capped a two-month standoff between Republican and Democratic Assembly leaders over whether to raise taxes or carve into programs to fill in the budget deficit.

Four Republicans - who refused for months to supply the votes needed to pass a budget by the required two-thirds majority - finally said Saturday they could accept concessions made by Democrats including scrapping the car and cigarette tax plans.

"I think it is my job to help the state of California get a budget," said Assemblyman Dick Dickerson, of Redding, who said he would vote in favor of the budget.

Both Democrats and Republicans declared victory Saturday. Democrats said they achieved their goal of preserving funding for schools, prison and colleges.

"What this budget is, is a responsible plan to protect vital services that this state and its residents rely upon," said Assembly budget chairwoman Jenny Oropeza, D-Long Beach.

Assemblyman John Campbell of Irvine, the Assembly Republicans' main budget negotiator, said Republicans consider the deal a victory in the area of taxes. "The straight-up tax increases have been taken out of this."

Some Republicans who planned to vote against the budget blasted it on the Assembly floor Saturday night.

"I hope the people of California are listening up because you are being shot right dead in the wallet," said Assemblyman Jay La Suer, R-La Mesa.

An 11th-hour vote would end two months of intense negotiations by Davis and the Legislature's majority Democrats to get the necessary Republican votes.

The budget negotiations coincided with the Democratic governor's re-election campaign against his Republican challenger, Los Angeles businessman Bill Simon.

Saturday's agreement features about $1.7 billion in cuts and directs Davis to cut about $750 million from government operations, rather than programs, on top of $7 billion in cuts already proposed in May. It would cut 1,000 state jobs by the end of next fiscal year and encourage longtime state employees to retire.

The plan also would effectively reduce the minimum amount of money the state must spend on K-12 schools by about $700 million.

It also raises about $2.4 billion in new money, which supporters call "revenue enhancements" to avoid calling them tax increases and appeal to Republicans and their constituents.

The largest component of the tax increases is the two-year suspension of a key tax break for businesses - the net operating loss deduction, which enables them to offset income tax liability with operating losses. However after the two years, businesses will be allowed to write off 100 percent of their losses compared to the 65 percent they can now.

The suspension is expected to save the state $1.2 billion.

Other new sources of money include scrapping tax credits for teachers, increasing penalties for filing late taxes and requiring employers to withhold income taxes on stock options.

But the deal abandons two major tax increase plans put forth by Davis - an increase in the state vehicle license fee back to 1998 levels and an increase on the state excise tax for cigarettes.

The compromise also includes the creation of a bipartisan commission to study possible solutions to the state's volatile revenue structure. This year's budget deficit ballooned in part because of the collapse of the high-tech sector and a sagging national economy.

Assemblyman Keith Richman, R-Northridge, acknowledged Saturday that he is one of the four Republicans who plan to vote for the budget deal.

Richman, a first-term lawmaker, said he didn't think it would hurt him politically to break with Republicans and vote for the budget.

"This is the right budget," Richman said. "This is a more fiscally prudent budget than the one submitted by the governor."

One condition of Richman's support - putting to voters a constitutional amendment steering a gradually increasing percentage of its general budget to schools, highways, parks and water projects starting in 2006 – cleared the Assembly Saturday by a 75-0 vote. It needed to be passed by the Senate before the Assembly budget vote would be taken off call, and that had not happened by 11:15 p.m.

Once approved, the 2002-03 budget will be the latest in recorded California history. Despite the delay, most state workers continued to be paid, although legislative staffers and elected officials have not received paychecks for two months.

College students were unable to secure state grants for tuition and school supplies, vendors who sell food and supplies to state prisons and hospitals were not paid and some state-funded programs for the elderly and disabled went unfunded.

--
Anthony E. Wright
Executive Director
Health Access
1127 11th St., #234, Sacramento, CA 95814
Ph: 916-442-2308, Fx: 916-497-0921
awright@health-access.org

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posted by Kristin | Permalink | 10:06 AM


 
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HEALTH ACCESS UPDATE
Saturday, August 31, 2002

If Baseball Can Agree On A Deal, Can The California Legislature?


* NO BUDGET YET: Despite many rumors suggesting that a budget proposal would be considered on Friday, the Assembly adjourned early Saturday morning without taking up a budget deal. The Assembly reconvenes at 11:00am on Saturday for the last day of regular session. The Senate will reconvene at 10:30am. Both houses will be busy considering pending bills that need to pass by midnight, Saturday, August 31st.

* DEAL POSSIBLE, WOULD INVOLVE CUTS: While speculation around the budget was wide-ranging and even contradictory, there are a couple of key pieces of note:
* There is clearly a desire between Assembly Republicans and the Assembly leadership to agree to a budget deal before the end of the Saturday session. If not, the Legislature would have to return, most likely after Labor Day, for the express purpose of discussing a budget and related items.
* Any deal in the works will probably involve additional budget cuts, including in health care. Whether it is an across-the-board cut, or a specific amount of list of cuts, it is unclear how much would be cut in health care or any specific area, and what specific cuts would be made.

Health advocates should be concerned about proposed budget cuts--which were restored in earlier deliberations--resurfacing in a final budget deal.

"Not Just a Budget, A Just Budget."

--
Anthony E. Wright
Health Access
1127 11th St., #234, Sacramento, CA 95814
Ph: 916-442-2308, Fx: 916-497-0921
awright@health-access.org

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posted by Kristin | Permalink | 9:55 AM


 
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Anthony Wright is the executive director,
with a background as a consumer advocate and community organizer on many issues, including health issues for the last ten years in California and New Jersey.


 
Hanh Kim Quach is the policy coordinator; previously serving as
a newspaper reporter covering the Capitol for the Orange County Register and other papers for eight years