SACRAMENTO (AP) — California, flush with cash from an expanding economy, would eventually spend $1 billion a year to provide health care to immigrants living in the state illegally under a proposal announced Wednesday by Assembly Democrats.
The proposal would eliminate legal residency requirements in the state Medicaid program, known as Medi-Cal, as the state has already done for young people up to age 19.
It’s part of $4.3 billion in proposed new spending outlined by Assemblyman Phil Ting, a San Francisco Democrat who leads the budget committee. Assembly Democrats also want to expand a tax credit for the working poor, boost preschool and child care, and increase college scholarships to reduce reliance on student loans. It also would commit $3.2 billion more than required to state budget reserves.
The proposal marks the Assembly’s opening volley in six months of budget negotiations with the Senate and Democratic Gov. Jerry Brown, who has been reluctant to commit to new ongoing spending on social services.
California has significantly reduced its uninsured rate since President Barack Obama’s health care law took effect, but about 7 percent of residents still lack coverage. Many are people living in the country illegally, who are ineligible for federally funded health care assistance.
While federal funds cover at least half — and as much 95 percent — of the cost for citizens and legal U.S. residents on Medi-Cal, the state would have to pick up the cost on its own for people living here illegally.
Expanding access to health care has been a contentious issue for California lawmakers, who were the target of protests last year from liberal activists who want the Legislature to provide state-funded coverage to everyone, regardless of immigration status. A bill promoting that principle was sidelined when Assembly Speaker Anthony Rendon said it lacked specifics, including a plan for the $400 billion it would cost.
The Assembly’s latest proposal is narrower, only extending the Medi-Cal program to all low-income adults.
Brown, who is often more conservative in his own revenue forecast, will release his budget proposal next month.
H.D. Palmer, spokesman for the Department of Finance, said Brown wants to boost state reserves and avoid committing to unsustainable spending.
“We want to be able to provide as much budgetary protection as we can to protect or insulate the state from the potential effects of a downturn in the state’s fiscal fortunes,” Palmer said.
Ting said lawmakers are exploring ways to restructure the state tax code if Congress approves a proposed federal tax overhaul. California leaders have warned that the tax bill could harm California taxpayers by restricting a federal tax deduction for state and local taxes, which is especially lucrative in high-tax states like California.
“I’m very concerned that this tax cut is a tax increase for middle class and working class Californians,” Ting said. “So we are looking at ways that we can help mitigate that. But we’re not coming out with that proposal today.”