Vote button trans.png
April's Project of the Month
It's spring time. It's primary election season!
Click here to find all the information you'll need to cast your ballot.




California Medi-Cal Hospital Reimbursement Initiative (2014)

From Ballotpedia
Jump to: navigation, search
A California Medi-Cal Hospital Reimbursement Initiative (#13-0022) has been approved for circulation in California as a contender for the November 4, 2014 ballot as an initiated constitutional amendment.

The federal government's Medicaid program helps pay for health care services provided to low-income patients. In California, this program is called Medi-Cal. For a state to receive federal Medicaid funds, the state has to contribute a matching amount of its own money. In 2009, a new program was created such that California hospitals were required to pay a fee to help California obtain the available federal Medicaid funds. This program has resulted in the receipt of roughly $2 billion a year in additional federal money to Medi-Cal.

If the initiative qualifies for the ballot and is approved by the state's voters, it will add language to the California Constitution to require voter approval of changes to the hospital fee program to ensure that California uses these funds for the intended purpose of supporting hospital care to Medi-Cal patients and to help pay for health care for low-income children.

Text of measure

Ballot title:

State Fees on Hospitals. Federal Medi-Cal Matching Funds. Initiative Statutory and Constitutional Amendment.

Official summary:

"Increases required vote to two-thirds for the Legislature to amend a certain existing law that imposes fees on hospitals (for purpose of obtaining federal Medi-Cal matching funds) and that directs those fees and federal matching funds to hospital-provided Medi-Cal health care services, to uncompensated care provided by hospitals to uninsured patients, and to children's health coverage. Eliminates law's ending date. Declares that law's fee proceeds shall not be considered revenues for purposes of applying state spending limit or determining required education funding."

Fiscal impact statement:

(Note: The fiscal impact statement for a California ballot initiative authorized for circulation is jointly prepared by the state's Legislative Analyst and its Director of Finance.)

"State savings from increased revenues that offset state costs for children's health coverage of around $500 million beginning in 2016-17 (half-year savings) to over $1 billion annually by 2019-20, likely growing between 5 percent to 10 percent annually thereafter. Increased revenues to support state and local public hospitals of around $90 million beginning in 2016-17 (half-year) to $250 million annually by 2019-20, likely growing between 5 percent to 10 percent annually thereafter."

Path to the ballot

See also: Signature requirements for ballot measures in California
Note: April 18, 2014 is the deadline for initiative and referendum proponents to submit collected signatures to county election officials, as suggested by the California Secretary of State.[1] The deadline, however, has operated in the past as a date of assured consideration. Signatures for initiatives, such as 2012's Proposition 30 and Proposition 31, have been submitted upwards of eighteen days after the deadline and still qualified for the general election ballot for that year. Proponents of initiatives who submit their signatures after the April 18 deadline for 2014, but by their initiative's petition circulation deadline, and have their initiative qualified, will have their initiative placed on the 2016 ballot.
  • Thomas W. Hiltachk submitted a letter requesting a title and summary on October 9, 2013.
  • A title and summary were issued by the Attorney General of California's office on December 2, 2013.
  • 807,615 valid signatures are required for qualification purposes.
  • Supporters have until May 1, 2014 to collect the required signatures. Filing sufficient signatures by that date would not allow the initiative to compete on the November 4, 2014 ballot.
  • The Secretary of State’s suggested signature filing deadline for the November 4, 2014 ballot is April 18, 2014.

External links

BallotpediaAvatar bigger.png
Suggest a link

Flag of California.png

This article about a California ballot proposition is a stub. You can help people learn about California's ballot propositions by expanding it.


Cite error: <ref> tags exist, but no <references/> tag was found