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California Taxes on Community Hospitals (2010)

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A California Taxes on Community Hospitals Initiative (09-0073, 09-0074, 09-0079, 09-0081, 09-0082, 09-0083 and 09-0084) did not qualify for the November 2, 2010 ballot in California as an initiated constitutional amendment.

Thomas W. Hiltachk has filed seven different versions of potential ballot language with the Office of the California Attorney General. The first request was filed on November 4, 2009 and the seventh request was filed on November 12. Hiltachk is calling the proposed amendment the Medi-Cal Hospital Rate Stabilization Fund.

All seven versions were cleared for petition circulation in early January 2010, with deadlines of June 4, 2010.

Goal

If (any one of) these measures succeed, it will:

  • Prohibit the Legislature from imposing a tax, fee, or assessment on community hospitals for the purpose of obtaining federal health care funds unless the money is used to reimburse community hospitals providing hospital services to low-income patients;
  • Require that all proceeds of the tax, fee, or assessment and the federal money obtained be placed in a Trust Fund, subject to state audit; and
  • Require that any amendment to these restrictions must be approved by a vote of the people.

09-0073

Ballot title: Prohibits State from Taxing Community Hospitals to Obtain Federal Funds for Medi-Cal Unless Certain Requirements Are Met. Initiative Constitutional Amendment.

Summary: Prohibits state from imposing tax on community hospitals to obtain federal Medi-Cal funds unless tax proceeds are used to obtain federal matching funds of a specified amount. Requires depositing proceeds into trust fund subject to audit. Requires using proceeds to reimburse state for Medi-Cal collection and administration costs, make payments to hospitals, provide health coverage for low-income children, and increase Medi-Cal reimbursements to hospitals. Prohibits using proceeds to replace specified existing funding.

Estimated fiscal impact: This measure could affect the ability of the state to impose and collect revenues related to hospital charges and additional federal reimbursements. This could have a further impact on local government finances, particularly counties. In some situations, this measure could result in greater pressures for additional state spending than would otherwise occur.

09-0074

Ballot title: Prohibits State from Taxing Community Hospitals to Obtain Federal Funds for Medi-Cal Unless Certain Requirements Are Met. Initiative Constitutional Amendment.

Summary: Prohibits state from imposing tax on community hospitals to obtain federal Medi-Cal funds unless tax proceeds are used to obtain federal matching funds of a specified amount. Requires depositing proceeds into trust fund subject to audit. Requires using proceeds to reimburse state for Medi-Cal collection and administration costs, make payments to hospitals, provide health coverage for low-income children, and increase Medi-Cal reimbursements to hospitals. Prohibits using proceeds to replace specified existing funding.

Estimated fiscal impact: This measure could affect the ability of the state to impose and collect revenues related to hospital charges and additional federal reimbursements. This could have a further impact on local government finances, particularly counties. In some situations, this measure could result in greater pressures for additional state spending than would otherwise occur.

09-0079

Ballot title: Prohibits State from Taxing Community Hospitals to Obtain Federal Funds for Medi-Cal Unless Certain Requirements Are Met. Initiative Constitutional Amendment.

Summary: Prohibits state from imposing tax on community hospitals to obtain federal Medi-Cal funds unless tax proceeds are used to obtain federal matching funds of a specified amount. Requires depositing proceeds into trust fund subject to audit. Requires using proceeds to reimburse state for Medi-Cal collection and administration costs, make payments to hospitals, provide health coverage for low-income children, and increase Medi-Cal reimbursements to hospitals. Prohibits using proceeds to replace specified existing funding.

Estimated fiscal impact: This measure could affect the ability of the state to impose and collect revenues related to hospital charges and additional federal reimbursements. This could have a further impact on local government finances, particularly counties. In some situations, this measure could result in greater pressures for additional state spending than would otherwise occur.

09-0081

Ballot title: Prohibits State from Taxing Community Hospitals to Obtain Federal Funds for Medi-Cal Unless Certain Requirements Are Met. Initiative Constitutional Amendment.

Summary: Prohibits state from imposing tax on community hospitals to obtain federal Medi-Cal funds unless tax proceeds are used to obtain federal matching funds of a specified amount. Requires depositing proceeds into trust fund subject to audit. Requires using proceeds to reimburse state for Medi-Cal collection and administration costs, make payments to hospitals, provide health coverage for low-income children, and increase Medi-Cal reimbursements to hospitals. Prohibits using proceeds to replace specified existing funding.

Estimated fiscal impact: This measure could affect the ability of the state to impose and collect revenues related to hospital charges and additional federal reimbursements. This could have a further impact on local government finances, particularly counties. In some situations, this measure could result in greater pressures for additional state spending than would otherwise occur.

09-0082

Ballot title: Prohibits State from Taxing Community Hospitals to Obtain Federal Funds for Medi-Cal Unless Certain Requirements Are Met. Initiative Constitutional Amendment.

Summary: Prohibits state from imposing tax on community hospitals to obtain federal Medi-Cal funds unless tax proceeds are used to obtain federal matching funds of a specified amount. Requires depositing proceeds into trust fund subject to audit. Requires using proceeds to reimburse state for Medi-Cal collection and administration costs, make payments to hospitals, provide health coverage for low-income children, and increase Medi-Cal reimbursements to hospitals. Prohibits using proceeds to replace specified existing funding.

Estimated fiscal impact: This measure could affect the ability of the state to impose and collect revenues related to hospital charges and additional federal reimbursements. This could have a further impact on local government finances, particularly counties. In some situations, this measure could result in greater pressures for additional state spending than would otherwise occur.

09-0083

Ballot title: Prohibits State from Taxing Community Hospitals to Obtain Federal Funds for Medi-Cal Unless Certain Requirements Are Met. Initiative Constitutional Amendment.

Summary: Prohibits state from imposing tax on community hospitals to obtain federal Medi-Cal funds unless tax proceeds are used to obtain federal matching funds of a specified amount. Requires depositing proceeds into trust fund subject to audit. Requires using proceeds to reimburse state for Medi-Cal collection and administration costs, make payments to hospitals, provide health coverage for low-income children, and increase Medi-Cal reimbursements to hospitals. Prohibits using proceeds to replace specified existing funding.

Estimated fiscal impact: This measure could affect the ability of the state to impose and collect revenues related to hospital charges and additional federal reimbursements. This could have a further impact on local government finances, particularly counties. In some situations, this measure could result in greater pressures for additional state spending than would otherwise occur.

09-0084

Ballot title: Prohibits State from Taxing Community Hospitals to Obtain Federal Funds for Medi-Cal Unless Certain Requirements Are Met. Initiative Constitutional Amendment.

Summary: Prohibits state from imposing tax on community hospitals to obtain federal Medi-Cal funds unless tax proceeds are used to obtain federal matching funds of a specified amount. Requires depositing proceeds into trust fund subject to audit. Requires using proceeds to reimburse state for Medi-Cal collection and administration costs, make payments to hospitals, provide health coverage for low-income children, and increase Medi-Cal reimbursements to hospitals. Prohibits using proceeds to replace specified existing funding.

Estimated fiscal impact: This measure could affect the ability of the state to impose and collect revenues related to hospital charges and additional federal reimbursements. This could have a further impact on local government finances, particularly counties. In some situations, this measure could result in greater pressures for additional state spending than would otherwise occur.

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