Attorney General No.


Secretary of State No.



HEALTH SERVICES. TAXES. INITIATIVE CONSTITUTIONAL AMENDMENT AND STATUTE. Establishes health services system with defined medical, prescription drug, long-term, mental health, dental, emergency, other benefits, available to California residents. Establishes Health Security Fund. Elected Health Commissioner to administer Fund and system. Imposes tax upon employers, individuals, with stated exemptions; surtax upon cigarettes, tobacco products. Requires tax proceeds, existing federal, state, county health care funds, if authorized, be paid into Fund. Requires health benefit providers, authorized costs, be paid from Fund. Requires Commissioner coordinate with federal law. Limits annual expenditures to prior year expenditures, as adjusted. Creates advisory Policy Board, Consumer Council. Summary of estimate by Legislative Analyst and Director of Finance of fiscal impact on state and local governments. Additional revenues to the state in the range of $40 billion annually would result from new revenue sources to fund universal health care services. Expenditures, including those to replace existing employer and employee costs for health care services, could be higher or lower than new revenue amount, depending on a number of factors. Fiscal impact on state and local governments as providers of health care is unknown, but could result in long run savings, potentially in the hundreds of millions of dollars annually to the extent that expenditures for health care programs are limited to a specified rate of increase.


Krista Farey Vishwanath R. Lingappa, 626 Pacheco Street, San Francisco, California 94116



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