1. General Election Initiatives – November 2016 Anne McLeod
Senior Vice President/Health Policy and Innovation
California Hospital Association

2. Medi-Cal Under-Funding Crisis/Cost Shift,
Medi-Cal Under-Funding Crisis/Cost Shift
Medi-Cal uncompensated care in hospitals exceeds $8 billion a year
Private payer
Medicare
Medi-Cal
Cost of Providing Care and Services
The chronic and severe under funding of government programs creates a cost shift to the commercial market. Government funding will continue to worsen and the cost shift will grow.
2020

3. November 8, 2016, Ballot Initiative
Medi-Cal Funding and Accountability Act
Extends current law – Appx $4 billion a year for Medi-Cal patients
Locks in protections for hospitals and maintains the “delicate balance” of fee/payment formulas
Program “right-sizes” every year to fill gap of Medi-Cal losses
Prohibits Legislature from taking more than what has been agreed to (24%)
CHA SPONSORED - QUALIFED

4. November 8, 2016, Ballot Initiative
California Children’s Education and Health Care Protection Act
Extends current 2012 income tax provisions – High Wage Earners
Approximately $1 billion a year for Medi-Cal patients to see doctors and hospital care
Would continue provisions from 2019 through (12 years)
Significant funding for K-12, community colleges, and the General Fund
CHA CO-SPONSORED – Signature Gathering