BILL ANALYSIS                                                                                                                                                                                                    



                                                                       


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          |SENATE RULES COMMITTEE            |                   SB 921|
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                                 THIRD READING


          Bill No:  SB 921
          Author:   Kuehl (D)
          Amended:  6/3/03
          Vote:     21

           
           SENATE INSURANCE COMMITTEE  :  5-3, 4/30/03
          AYES:  Speier, Escutia, Figueroa, Perata, Soto
          NOES:  Johnson, Morrow, Oller

           SENATE HEALTH & HUMAN SERV. COMMITTEE  :  8-3, 5/7/03
          AYES:  Ortiz, Alarcon, Chesbro, Figueroa, Florez, Kuehl,  
            Romero, Vincent
          NOES:  Aanestad, Ashburn, Battin

           SENATE APPROPRIATIONS COMMITTEE  :  8-5, 5/29/03
          AYES:  Alpert, Bowen, Burton, Escutia, Karnette, Machado,  
            Murray, Speier
          NOES:  Battin, Aanestad, Ashburn, Johnson, Poochigian


           SUBJECT  :    Single payer health care coverage

           SOURCE  :     Author


           DIGEST  :    This bill states the intent of the Legislature  
          to implement a single payer universal health care delivery  
          system in California.

          ANALYSIS  :    Existing law does not provide a system of  
          universal health care coverage for California residents.  
          Existing law provides for the creation of various programs  
          to provide health care services to persons who have limited  
                                                           CONTINUED





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          incomes and meet various eligibility requirements.  These  
          programs include the Healthy Families Program administered  
          by the Managed Risk Medical Insurance Board, and the  
          Medi-Cal program administered by the State Department of  
          Health Services. Existing law provides for the regulation  
          of health care service plans by the Department of Managed  
          Health Care and health insurers by the Department of  
          Insurance.

          The issue of universal health insurance has been around  
          since 1945 when Governor Earl Warren's proposal was  
          introduced as AB 800 (Wollenberg), which died in the policy  
          committee after a motion to withdraw from committee failed.

           Related legislation
           
          SB 2123 (Lee and Watson), introduced in 1998, would have  
          established a short, modified framework for a California  
          single payer system, but the bill failed in the Health and  
          Human Services Committee.  SB 480 (Solis - Chapter,  
          Statutes of 1999) required the secretary of the California  
          Health and Human Services Agency to report to the  
          Legislature concerning options for achieving universal  
          health care coverage and to establish a process to develop  
          those options.   SB 1414 (Speier), introduced in 2002,  
          would have created Healthy California to provide universal  
          coverage by expanding and consolidating public health  
          programs and requiring employers to provide health  
          insurance using a "pay or play" approach, but failed in  
          Senate Appropriations.  SB 2 (Burton and Speier), 2003,  
          would create an approach to universal health coverage by  
          mandating all employers provide health insurance using a  
          "pay or play" approach.  AB 30 (Richman) 2003, would expand  
          Healthy Families to include working adults without  
          children.   AB 1527 (Frommer) 2003, would mandate employers  
          with more than 50 employees to provide health insurance  
          using a "pay or play" approach.  AB 1528 (Cohn) 2003, would  
          mandate all employers to provide health insurance using a  
          "pay or play" approach, require individuals without  
          employer provided health insurance to obtain health  
          insurance, and would create the California Essential Health  
          Benefits Program.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No    







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          Local:  No

          Note:  Because of the length of the analysis, the list of  
          SUPPORT/ OPPOSITION will come after the arguments in  
          support/opposition.
          
           ARGUMENTS IN SUPPORT  :    The author states there are no  
          uniform regulations and statutes governing the health care  
          system leading to a highly fragmented health insurance and  
          delivery system that is administratively complex and  
          annually diverts billions of dollars in health care  
          spending from direct health care services to administrative  
          costs.  The author adds that it provides care based on  
          income and insurance status rather than medical need, with  
          intricate interactions with public and private health  
          insurance programs, providers, and regulatory agencies that  
          are confusing and time-consuming for consumers and  
          providers alike.

          The author believes existing law provides no mechanism for  
          stabilizing the growth in health care spending that is  
          quickly outpacing growth in GDP, and that absent budgeting  
          capabilities, growth in health care spending is rapidly  
          surpassing the ability to afford current levels of benefits  
          or to add new benefits related to technological  
          improvements.  International comparisons demonstrate the  
          ability of single payer health care systems stabilize the  
          growth in health care spending.

          The author points out that health care providers spend  
          increasing amounts of time navigating the porous network of  
          public and private health insurance programs. For example,  
          UCSF Children's Hospital works with nearly 80 different  
          health insurance policies and public programs each with its  
          own benefits package, formulary schedule, and rate of  
          co-payments and deductibles.  One peninsula group practice  
          serving 70,000 patients works with 6,000 different health  
          insurance plans.

          The author states between 20-30 percent of the health care  
          dollar is spent on administration (excluding profit). A  
          quantitative analysis performed by the Lewin Group that a  
          single payer system, California could reduce administrative  
          costs to 1.8 percent of health care spending, allowing the  







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          system to divert $14 billion dollars annually to direct  
          health care services. 

          The author states the United States leads the world in  
          health care spending at about $5,000 per person per year on  
          average - more than twice the average in other  
          industrialized countries, and that despite our high level  
          of spending, the U.S. ranks 37th in population-based health  
          outcome measurements according to the World Health  
          Organization, well below the rankings of all other  
          industrialized nations.  This is true because a large  
          portion of the $5,000 is not going to health services and  
          because nearly 20 percent of the population has no health  
          insurance. 

          The author states the bill has as its purpose, establishing  
          universal health insurance for all California residents,  
          stabilizing growth in health care spending, including costs  
          to employers, and improving health outcomes and consumer  
          and provider satisfaction.

           ARGUMENTS IN OPPOSITION  :    The Association of California  
          Life and Health Insurance Companies (ACLHIC) disagrees with  
          the two major premises of the bill: that government systems  
          are more efficient than private business, and that a single  
          payer system would cost less than the current private  
          system.  ACLHIC points out that patients in Canada or  
          England face lengthy waiting times for services and their  
          medical outcomes are very poor compared to the United  
          States, and California particular.  ACLHIC states that not  
          only are survival rates from cancer and other  
          life-threatening diseases abysmal in comparison, but the  
          services Californians take for granted are so rationed that  
          what should be routine treatment becomes life-threatening.

          The California Association of Health Plans (CAHP) states  
          proponents of single payer reforms believe that wiping out  
          competing health plans will generate enormous savings from  
          lowered administrative costs and the elimination of profit,  
          and that the savings will be so substantial than 7 million  
          uninsured Californians can be immediately afforded  
          health-care coverage with not a penny of additional  
          financing.  CAHP states that the bulk of the administrative  
          costs will not eliminated under a single-payer system.   







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          Claims payment, utilization review, disease and care  
          management programs, the development of drug formularies,  
          and customer service functions make up a lion's share of  
          what is commonly called "administration," and that none of  
          these functions are wasteful or inefficient and none can be  
          ignored under a single-payer system. 

           SUPPORT  :    (Verified 6/2/03)

          9 to 5, Bay Area Chapter, National Association of Working  
          Women
          A Window Between Worlds
          ACCESS, Empowering People with Disabilities
          Activist Arts
          ACT UP East Bay
          AFSCME, AFL-CIO
          AFSCME Retirees, Chapter 36
          Alameda County Advisory Commission on Aging
          Alameda County Board of Supervisors
          All American Home Center, medium sized business
          Almaden Hills United Methodist Church, San Jose, California
          Amalgamated Transit Union, Local 192
          American Association of University Women, California
          American Civil Liberties Union (ACLU), Southern California
          American Civil Liberties Union (ACLU), South Bay Chapter
          American Medical Student Association
          American Medical Women's Association, Inc.
          American Nurses Association, California
          Americans for Democratic Action
          Americans for Democratic Action, Southern California
          Asian and Pacific Islander American Health Forum (APIAHF)
          Asthma Education and Resource Council
          Berkeley Retired Teachers Association
          Beth Shir Sholom
          Breaking Barriers
          Breast Cancer Action
          Burma Forum, Los Angeles
          Butte County Health Care Coalition
          California Advocates for Nursing Home Reform
          California Association of Midwives
          California Church Impact
          California Coalition for Youth
          California Commission on Aging
          California Commission on the Status of Women







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          California Council of Community Mental Health Agencies
          California Democratic Council
          California Democratic Party, Disability Caucus
          California Dental Hygienist's Association
          California Disability Alliance
          California Federation of Teachers
          California Foundation for Independent Living Centers
          California Immigrant Welfare Collaborative
          California Independent Public Employees Legislative Council
          California Insurance Commissioner, John Garamendi
          California Nurses Association
          California Optometric Association
          California Part Time Faculty Association
          California Physical Therapy Association
          California Physicians Alliance
          California Public Health Association - North
          California Retired Teachers Association, East Bay
          California School Employees Association (CSEA)
          California Senior Legislature
          California Society for Clinical Social Work
          California Teachers Association (CTA)
          California Women's Law Center
          Carlton Designs
          Castro Valley Democratic Club
          Center for Independence of the Disabled, Inc
          Center for Independent Living, Fresno
          Central Coast Center for Independent Living
          Child Care Law Center
          The Citizenship Project
          City and County of San Francisco
          City of Berkeley
          City of Santa Cruz
          City of Santa Monica
          City of West Hollywood
          Claremont House Resident's Council
          Coalition for a Living Wage
          Coalition for Community Health
          Coalition for Quality Health Care
          Coast-to-Coast Community Campaigns
          Committee for Social Justice, Santa Barbara
          Community Action Board, Santa Cruz County, Inc.
          Community Clinic Association of Los Angeles County
          Community Homeless Alliance Ministry (CHAM)
          Community Leadership Development Council







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          Community Rehabilitation Services, Inc.
          Congress of California Seniors
          Congress of California Seniors, Region 3
          Consumer Federation of California (CFC)
          Consumers Union
          Contra Costa County Advisory Council on Aging
          Contra Costa County Senior Nutrition Program Advisory  
          Council
          Council on Wireless Technology Impacts
          Counseling and Consulting Association
          County of Sacramento, Department of Health and Human  
          Services
          Dayle McIntosh Center
          Death Penalty Focus, Santa Cruz Chapter
          Democratic Action Club of Chico
          Democratic Party of the San Fernando Valley
          Democratic Socialists of America, East Bay
          Democratic Women of Santa Barbara County
          Democrats for Change
          Demos Democratic Club of Hayward
          Disability Resource Agency for Independent Living (DRAIL)
          Drug Policy Alliance
          Dunham & Associates (small business)
          East Bakersfield Community Health Center
          East Bay Peace Action
          East Bay Women for Peace
          El Cerrito Democratic Club
          Elections Committee of the County of Orange (ECCO)
          English Learning Advisory Committee
          The Episcopal Church of Saint John-the-Baptist
          The Evergreen Democratic Club of San Jose
          Faculty Association of California Community Colleges, Inc  
          (FACCC)
          Family Counseling Center
          The Federation of Retired Union Members (FORUM), Santa  
          Clara and San Benito County
          Four Winds Inc.
          Fresno County Democratic Central Committee
          Fresno Stonewall Democrats
          Friends Committee on Legislation, California
          Funeral Consumers Alliance of Monterey Bay, Inc.
          Gardena Valley Democratic Club
          Garment Worker Center
          Globallinx Network, Inc.







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          Gray Panthers, California
          Gray Panthers, Berkeley
          Gray Panthers, Central Contra Costa County
          Gray Panthers, Long Beach
          Gray Panthers, Marin
          Gray Panthers, Sacramento
          Gray Panthers, San Francisco
          Gray Panthers, South Bay
          Gray Panthers, Southern Alameda County
          Green Party of Alameda County
          Green Party of Butte County
          Green Party of San Mateo County
          Green Party of Santa Barbara County
          Green Party of Santa Clara County
          Green Party of Santa Cruz County
          Hadassah Southern California Nurses Council of San Diego  
          County
          Health Access - California
          Health Care Council of Orange County
          Health Care for All - California
          Health Care for All - California, Central California
          Health Care for All - California, Marin
          Health Care for All - California, Los Angeles
          Health Care for All - California, Sacramento Valley
          Health Care for All - California, San Francisco
          Health Care for All - California, San Francisco Mid  
          Peninsula
          Health Care for All - California, Santa Barbara
          Health Care for All - California, Santa Cruz
          Health Care for All - California, Santa Clara County
          Health Care for All - California, Sonoma County
          Health Care for All - California, South Bay/Long Beach
          Health Care for All - California, Orange County
          Health Care for All - California, Tulare/Kings County
          Hermanson's Employment Services (small business)
          Humanist Society of Santa Barbara
          Homeless Health Care, Los Angeles
          Ideas in Motion (small business)
          Independent Living Resource Center
          Independent Living Resource Center, San Francisco
          Insure the Uninsured Project (ITUP)
          The Interfaith Council on Religions, Race, Economic and  
          Social Justice 
          The International Friendship Society







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          Jennings/Des Anges (small business)
          Jericho
          Judge Joseph G. Kennedy Democratic Club, San Francisco
          Kayline (small manufacturing company)
          Kennedy Club of San Joaquin Valley
          The Lambda Letters Project
          Latino Issues Forum
          Law Offices of Stewart, Green and McGowan
          Law Offices of Macdonald and Associates
          League of Women Voters, California
          League of Women Voters, Santa Barbara
          League of Women Voters, Whittier
          Lise Matthews and Associates
          Lifelong Medical Care
          Long Beach Greens
          Los Angeles Alliance for a New Economy
          Los Angeles Breast Cancer Alliance
          Los Angeles Coalition to End Hunger and Homelessness
          Los Angeles County Board of Supervisors
          Los Angeles County HIV Drug and Alcohol Task Force
          Los Angeles Free Clinic
          Los Angeles Gay and Lesbian Center
          Los Angeles Metropolitan Alliance and AGENDA
          Low Income Self Help Center - San Jose
          Marin County Pharmaceutical Association
          Marin Democratic Club
          Marin Family Action
          Marin Interfaith Council
          Marin Interfaith Youth Outreach
          Marin United Taxpayers Association
          Matthews De Turck, Architecture (small business)
          Mental Health Association, California
          Mental Health Association, Los Angeles County
          Metropolitan Community Church, Los Angeles
          Mexican American Legal Defense and Educational Fund  
          (MALDEF)
          Middle East Children's Alliance
          Minerva Consulting (small business)
          Musicians Union, Local 6
          Monterey Peninsula Monthly Meeting of Friends
          NAMI, California
          NAMI, Yuba-Sutter
          NAMI, San Gabriel Valley
          The Nation Group







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          National Association for the Advancement of Colored People  
          (NAACP), Pasadena Branch
          National Association of Social Workers - California
          National Association of Social Workers, Santa Barbara  
          County Unit
          National Council of Jewish Women, California
          National Council of Jewish Women, Los Angeles
          National Council of Jewish Women, Sacramento
          National Organization for Women (NOW), California
          National Organization for Women (NOW), Oakland/East Bay
          National Organization for Women (NOW), San Jose/South Bay
          National Women's Political Caucus, Alameda North
          National Women's Political Caucus, San Fernando Valley
          Neighbor to Neighbor, San Francisco
          Old Lesbians Organizing for Change
          Older Women's League - California
          Older Women's League - Inland Empire
          Older Women's League - Ohlone/East Bay Chapter
          Older Women's League - Sacramento Capitol Chapter
          Older Women's League - San Francisco
          Older Women's League - Santa Clara County
          Operation Access
          Orange County Friends Meeting
          p-conn-tie Hot Ties (small business)
          Pacific Pride Foundation
          Pacific Unitarian Church
          Palo Alto Friends Meeting (Quakers)
          Palos Verdes Peninsula Democratic Club
          Peace Action of San Mateo
          Peninsula Democratic Coalition
          Peninsula Peace and Justice Center 
          People for a National Health Program
          Peoples Democratic Club
          Performing and Media Arts
          Pharmacists Planning Service, Inc.
          Physicians for Social Responsibility, San Francisco Bay  
          Area
          The PICO California Project
          Planned Parenthood Affiliates of California (PPAC)
          Planning for Elders in the Central City (PECC)
          Pride At Work
          Professional Pharmaceutical Advocates
          Progressive Jewish Alliance
          Quincy Foundation for Medical Research Charitable Trust







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          Rainbow Coalition
          Resources for Independent Living
          Richmond Commission on Aging
          Richmond Greens
          Ritter House
          Rolling Start, Independent Living Center
          Saint John's Health Center
          San Benito County Health and Human Services Agency
          San Francisco AIDS Foundation
          San Francisco Department and Commission on the Status of  
          Women
          San Gabriel Valley Pharmacists Association
          San Mateo Community College Federation of Teachers
          Santa Barbara County Democratic Central Committee
          Santa Barbara Monthly Meeting of Friends, Society of  
          Friends
          Santa Barbara Religious Society of Friends
          Santa Barbara Women's Political Committee
          Santa Clara County Health Care Committee
          Santa Cruz Action Network
          Santa Cruz County Coalition for a Living Wage
          Screen Actors Guild
          Seal Press
          Senior Advocacy Council, Pasadena
          Senior Access Adult Day Health and Alzheimer's Care
          Seniors Council of Santa Cruz and San Benito Counties
          Service Employees International Union (SEIU), California  
          State Council
          SEIU, Local 616
          SEIU, Local 415
          SEIU, Local 535
          SEIU, Local 949
          The Shefa Fund
          The Sherman Oaks Democratic Club
          The South Hayward Parish
            Good Shepherd Lutheran Church
            Mt. Eden Presbyterian Church
            St. Clement Catholic Church
            Starr King Unitarian Universalist Church
            United Church of Hayward
            Wesley United Methodist Church
            Westminster Hills Presbyterian Church
          Social Wokers for Social and Economic Justice
          Southern California Library for Social Studies and Research







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          Southern California Public Health Association
          St. Anthony Foundation
          St. John the Baptist Episcopal Church
          St. John's Senior Center
          St. Mary's Center
          Statewide California Coalition for Battered Women
          Stinson Beach Medical Center
          Through the Looking Glass, National Resource Center for  
          Patients with Disabilities
          Town and Country Democratic Club
          Trinity United Methodist Church of Berkeley
          Unitarian Society of Santa Barbara, Social Justice  
          Committee
          Unitarian Universalist Church of Ventura
          United Electrical, Radio and Machine Workers of America, UE  
          District 10
          United Nurses Association of California/Union of Health  
          Care Professionals
          United Steelworkers of America
          United Union of Roofers, Waterproofers and Allied Trades,  
          Local No. 81
          U.S.A/Cuba InfoMed
          Valley Democrats United
          Valley Financial
          Van Dyke and Associates, Land Use Planning
          Venice Family Clinic
          Vote Health
                     Warehouse Union Local 6, ILWU
          West Contra Costa Healthcare District
          West County Toxics Coalition
          West Hollywood Democratic Club
          West Hollywood Disability Advisory Board
          Westside Family Health Center
          Women Democrats of Placer County
          Women's Cancer Resource Center
          The Women's Foundation
          Women's International League for Peace and Freedom,  
          Berkeley/East Bay
          Women's International League for Peace and Freedom,  
          Monterey County 
          Women's International League for Peace and Freedom,  
          Peninsula Branch
          Women's International League for Peace and Freedom, Santa  
          Cruz







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          The Workman's Circle/Arbeter Ring, Southern California  
          District
          Worksafe!

           OPPOSITION  :    (Verified 6/2/03)

          Association of California Life and Health Insurance  
          Companies
          Blue Cross of California
          California Association of Health Plans
          California Association of Health Underwriters
          California Beer and Beverage Distributors
          California Health Care Association
          Chamber of Commerce, Cerritos
          Chamber of Commerce, Chico
          Chamber of Commerce, Encinitas
          Chamber of Commerce, Irvine
          Chamber of Commerce, Sante Fe Springs
          Coalition of California Insurance Professionals
          Coors Brewing Company
          Health Net
          Logret Import and Export Company
          Orange County Business Council


          DLW:nl  6/2/03   Senate Floor Analyses 

                       SUPPORT/OPPOSITION:  NONE RECEIVED

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