By Michael B. Marois
Dec. 18 (Bloomberg) -- California moved a step closer to
passing a $14 billion plan supported by Governor Arnold
Schwarzenegger to expand health care to the state's uninsured by
charging employers a fee and raising taxes on cigarettes.
The state Assembly, controlled by Democrats, passed the
bill yesterday in a 45-31 vote. It would require businesses to
spend as much as 6.5 percent of payroll costs on health care for
workers or pay as much into a state program. It also would raise
the tax on a pack of cigarettes by at least $1.50 from the
current 87 cents and force all residents to buy insurance if
they can afford it.
The measure now heads to the Senate. If passed there, it
still needs approval by voters in November. Senate President Pro
Tem Don Perata, once a supporter of the proposal, said he will
wait to call a vote until next year so he can determine how it
might affect state finances. Schwarzenegger said on Dec. 14 that
California has a $14 billion deficit.
``I'm very concerned about the projected $14 billion budget
deficit, its impact on existing state health programs and how
this relates to our efforts to improve health-care coverage for
Californians,'' Perata said yesterday.
If the plan wins final approval, California would join
Massachusetts, Maine and Vermont in passing laws to expand
health care to the uninsured. Maryland in 2006 became the first
state to require large companies of more than 10,000 workers to
pay a set amount for employee health-care benefits. Employers
successfully fought the law in federal court.
One Step Closer
Schwarzenegger, a Republican, first proposed the plan in
January. He and Democrats had been at odds over how to finance
it. He had opposed raising taxes and didn't want businesses to
pay any more than 4 percent of payroll.
``This brings us one step closer to making health care a
right afforded to everybody in this state, and not just a
privilege afforded to those with deep pockets,'' Speaker of the
Assembly Fabian Nunez, a Los Angeles Democrat, said yesterday.
The bill the Assembly passed also doesn't cover all of the
estimated 5.4 million uninsured, something Schwarzenegger had
wanted. Instead, it provides funding for about 70 percent of
those without coverage.
Schwarzenegger and Nunez both said the plan would pay for
itself and wouldn't require money from the state's general fund.
``This reform is the best thing we could do right now for
the California economy and our state budget, because it is self-
financing,'' Schwarzenegger told reporters in the state capitol
after the vote yesterday. ``It takes nothing from our general
fund and it pumps billions into our economy.''
Business Costs
The plan would require businesses -- depending upon their
size -- to spend between 1 percent and 6.5 percent of payroll
costs on health care or pay the same amount into a state
insurance fund. Hospitals would pay 4 percent of their profits
into the pool. The plan also counts on $4.6 billion a year in
additional federal funds.
Under the plan, people who aren't offered insurance from
their employers would be required to buy coverage through a
state-run pool. If they can't afford the coverage, they would
earn state subsidies and tax breaks.
Lawmakers must still draft the legislation putting the
cigarette tax increase on the November ballot because that must
be done through a separate bill.
California voters last year rejected a ballot measure
calling for a $2.60 per-pack tax increase on cigarettes after
tobacco companies such as Altria Group Inc., parent of Philip
Morris and the biggest cigarette maker, and Reynolds American
Inc., parent of the second-largest U.S. cigarette producer,
financed an $80 million opposition campaign.