BILL ANALYSIS                                                                                                                                                                                                    




                   Senate Appropriations Committee Fiscal Summary
                           Senator Tom Torlakson, Chairman

                                           840 (Kuehl)
          
          Hearing Date:  5/14/07          Amended: 4/30/07
          Consultant:  John Miller        Policy Vote: Health 6 - 4
          _________________________________________________________________ 
          ____
          BILL SUMMARY:  SB 840 would establish the California Universal  
          Healthcare System under which all California residents would be  
          eligible for specified health care benefits. The universal  
          system would, on a single payer basis, negotiate for or set fees  
          for health care services provided through the system and pay all  
          claims for those services.  The bill would establish a new  
          administrative structure and provide for oversight of health  
          care operations statewide. 
          _________________________________________________________________ 
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2007-08      2008-09       2009-10     Fund
           State/county net savings                       
          ($1,000,000)($2,800,000)GF/county
          Transition loan                             $ 6,000
          _________________________________________________________________ 
          ____

          STAFF COMMENTS: This bill meets the criteria for referral to  
          Suspense.

          SB 840 fundamentally alters the financing of health care in  
          California shifting the current employer based/multi-payer  
          system to a single financing system. As proposed the bill will  
          provide comprehensive medical benefits to every California  
          resident, authorizes participation of all licensed medical  
          providers, incorporates federal and other public programs into  
          the universal system, prohibits the sale of private health  
          insurance and regulates health care costs. The program would be  
          financed with current government health care funding for  
          incorporated federal/county programs, a payroll tax to replace  
          employer benefit plans and other taxes to replace insurance  
          premiums. 

          The measure would be governed by an appointed commissioner  
          charged with establishing the universal system's budget and  










          setting rates, establishing expenditure limits, developing a  
          capital management plan, seeking all necessary waivers and  
          exemptions and establishing equitable distribution of services  
          and financing. This bill contains the structure and policy for a  
          universal single payer system, the financing provisions are in a  
          companion measure, SB 1014 (Kuehl).

          An actuarial analysis of a prior version of this legislation by  
          the Lewin Group found that the total health spending for  
          California residents under the current system to be about $184.2  
          billion for 2006, and that the single payer program would  
          achieve universal coverage while reducing total spending in the  
          state by a net $7.9 billion. This savings is realized by  
          reducing administrative costs within the current system and  
          savings from bulk purchasing of prescription drugs and durable  
          medical equipment. The Lewin analysis anticipates a substantial  
          increase in utilization as a result of universal coverage and  
          access but finds that this increased utilization is more than  
          offset by savings of roughly $20 billion in administrative  
          savings and $5.2 billion in bulk purchasing savings.

          SB 840 (Kuehl)
          Page 2

          SB 840 would constrain growth in future spending to match growth  
          in the state gross domestic product which is expected to be  
          about 5.14% annually through 2015. By 2015, health care spending  
          under the single payer program would be about $68.9 billion less  
          than currently projected ($343.6 billion). Total savings over  
          the 2006 through 2015 period would be $343.6 billion. Savings to  
          state and local governments over this ten year period would be  
          about $43.8 billion.

          The bill requires the universal system to be operational no  
          later than two years after it is determined there are sufficient  
          resources to implement the program. The bill provides authority  
          for a loan from the GF to finance transitional costs.  The  
          Committee estimated this cost to be $6,000,000 in the first year  
          and by the second year the transition should be self sustaining.