California Health Care Bills Combined

So, as expected, the leadership in the state legislature has agreed to combine their bills on health care reform.  The significant number is that the bill would require businesses to spent a minimum of 7.5% of payroll on health care.  But this newest proposal doesn't come close to being universal.

Most significantly, they agreed to drop the Senate plan to require that Californians with more than modest incomes get insurance. That was intended to be the middle ground between Schwarzenegger's insistence on universal coverage and the Assembly's rejection of any requirement that people have insurance.

Senate President Pro Tem Don Perata (D-Oakland) and Assembly Speaker Fabian Nunez (D-Los Angeles) also agreed to apply the business requirement to every enterprise except the self-employed. The Assembly plan had carved out large exemptions for businesses with only one employee, those with payrolls of less than $100,000 and those that had been in operation for three or fewer years.

The Governor held a press conference today as well, and pretty much said that you need an individual mandate, and that nothing the Legislature passes matters, that he'll work it all out in secret.  Now THAT'S transparency in government!

I do think that somewhere down the line, an individual mandate does make some sense because it spreads the risk pool.  And I think this new bill strengthens the tying of health care to employment, when that really should be severed.  But putting in an individual mandate without regulating the insurance companies to any major degree, or setting any ceiling on affordability or floor on coverage, seems like nothing more than shoveling billions of dollars to the for-profit healthcare industry.  So I'm not particularly jazzed by any of these proposals outside of SB 840, which of course will be vetoed.  The Perata/Nunez plan looks to me to be insufficient, though I'll wait for the release of details.