PROPOSITION 52   State Fees on Hospitals, Federal Medi-Cal Matching Funds. Initiative Statutory and Constitutional Amendment.              YES

The state Legislature has routinely raised and maintained this fee, paid by private hospitals within the state, to be in compliance with federal regulations that qualify CA for Medi-Cal funding. This fee provides a net benefit to the hospital industry, public and private, by gaining more from Medi-Cal federal support ($3.5 billion 2015-16) than the fee costs.  This measure will require a 2/3 vote of the Legislature to create a fee cancellation or reduction. Medi-Cal expansion under the Affordable Care Act has generated enormous benefits to the homeless and families and children in poverty. Preserving the fee is a positive step in preserving the health of our population.

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