SB 562 Page 11  Total annual costs of about $400 billion per year, including all covered health care services and administrative costs, at full enrollment.  Existing federal, state, and local funding of about $200 billion could be available to offset a portion of the total program cost.  About $200 billion in additional tax revenues would be needed to pay for the remainder of the total program cost. Assuming that this cost was raised through a new payroll tax (with no cap on wages subject to the tax), the additional payroll tax rate would be about 15% of earned income.  It is important to note that the overall cost of those new tax revenues would be offset to a large degree by reduced spending on health care coverage by employers and employees. Although precise estimates of total spending for employer sponsored health insurance are not available, the best available information indicates that existing spending is between $100 and $150 billion per year. Therefore, total new spending required under the bill would be between $50 and $100 billion per year. SUPPORT: (Verified 5/24/17) California Nurses Association/National Nurses United (source) California Insurance Commissioner Dave Jones 13 Pages Progressive Alliance for Government Ethics and Sanity 28ers 9to5 Working Women A New Path Alameda Progressives Albany City Council Albany Democratic Club Alliance of Californians for Community Empowerment Institute Alliance San Diego AM Green Construction American Association of Community Psychiatrists American Civil Liberties Union American Federation of Musicians Local 47 AFSCME Council 57 AFSCME Retirees Chapter 36 Americans for Democratic Action, Southern California Arbeter Ring/Workmen's Circle Arlington Community Church Art Between Us SB 562 Page 12 Asian Pacific American Labor Alliance Asian Pacific Environmental Network Bagg Lady Handbags Bay Area Chapter of Resource Generation Bay Area Veterans of the Civil Rights Movement Bay Rising Bell Everman, Inc. Bend the Arc Berniecrats Labor Alliance Chartered Democratic Club of Yolo County Biomech Incorporated Breast Cancer Action Business Alliance for a Healthy California Butte County Health Care Coalition Cabrillo College Federation of Teachers, AFT 4400 California Alliance for Retired Americans California Association of Marriage and Family Therapists East Bay Chapter California Capital Chapter of Physicians for a National Health Program California Center for Rural Policy California Council of Churches IMPACT California Democratic Party State Central Committee San Gabriel Valley California Domestic Workers Coalition California Faculty Association - San Francisco State University Chapter California Federation of Teachers, AFT, AFL-CIO California Foundation for Independent Living Centers California Health Professionals Student Alliance California Healthy Nail Salon Collaborative California Labor Federation, AFL-CIO California National Organization for Women California One Care California Partnership California Physicians Alliance California Public Health Association-North California School Employees Association California Teachers Association California Youth Empowerment Network Californians United for a Responsible Budget Campaign for a Healthy California Caring Across Generations Catalina’s List Central Valley Indivisible SB 562 Page 13 Central Valley-Sierra Progressives CEO to CEO Chinese Progressive Association City and County of San Francisco City Designworks City of Berkeley City of El Cerrito City of Emeryville City of Los Angeles City of Oakland City of Richmond City of Richmond- Laurel Park Neighborhood Council City of West Hollywood Clergy & Laity United for Economic Justice Clinica Romero Code Pink Communications Workers of American District 9 Community Health Councils Concilio Latino of West Contra Costa County Congresswoman Karen Bass Consider the Homeless Consumer Federation of California Contra Costa AFL-CIO Labor Council County of Marin Board of Supervisors County of Nevada Board of Supervisors County of San Clara Board of Supervisors County of San Francisco Board of Supervisors Courage Campaign Courageous Resistance of Humboldt CREDO Action Cutting Edge Capital Decus Biomedical Dell Arte International Democracy for America-Marin Democratic Action Club of Chico Democratic Club of Carlsbad-Oceanside Democratic Club of Santa Maria Valley Democratic Club of Southern Sonoma County Democratic Party of Contra Costa Democratic Party of Orange County SB 562 Page 14 Democratic Socialists of America – Los Angeles Democratic Socialists of America, Orange County Chapter Democratic Socialists of America, San Francisco Democratic Socialists of America, Ventura County Chapter Democratic Women’s Club of San Diego County Democratic Women's Coalition of Tuolumne County Disability Action Center Divine Feminine Yoga Douglas L. Applegate Law Office East Bay Democratic Socialists of America East Bay Single Payer Coalition East Contra Costa Democratic Club Easter Hill United Methodist Church Eastlake Bonita Center for Human Rights Ecological Farming Association El Cerrito Progressives Elder Care Providers' Coalition Elsdon Organizational Renewal Empowered Investments Encore Far Leaves Tea First They Came for the Homeless For Grace Forward Together Fresno Economic Opportunities Commission Friends Committee on Legislation Giraud Photography, Inc. Give Something Back Office Supplies Glenview Area Groups for Action Gray Panthers of San Francisco Green Party of Alameda County Green Party of Contra Costa County Green Party of San Bernardino County Green Party of Santa Clara County Green Party of Yolo County Haight Ashbury Neighborhood Council Haiks German Autohaus Hand in Hand Harvey Milk LGBT Democratic Club Health Care for All - Alameda County SB 562 Page 15 Health Care for All - California 15 Chapters Health Care for All - Contra Costa County Health Care for All - Los Angeles Chapter Health Care for All - Marin Health Care for All - Nevada County Chapter Health Care for All - Sacramento Valley Chapter Health Care for All - San Fernando Valley Chapter Health Care for All - San Gabriel Valley County Health Care for All - Santa Barbara County Chapter Health Care for All - Santa Clara County Chapter Healthy California Human Agenda Humanist Society of Santa Barbara Hunger Action Los Angeles Independent Living Resource Center San Francisco Indivisible Claremont Indivisible East Contra Costa County Indivisible Ladera Indivisible Mader Indivisible Orange County Inland Coalition for Immigrant Justice Inland Empire Immigrant Youth Collective Inland Greens International Longshore & Warehouse Union Southern California J. Glynn & Company Jane Thomas Press Jobs with Justice San Francisco Justice for All Ventura County Justice for Palestinians Kate Harris Consulting KNA Copy Centre Korean Community Center of the East Bay Kramer Translations La Jolla Democratic Club Labor United for Universal Healthcare Laguna Woods Democratic Club Lake County Democratic Central Committee Lamorinda Peace and Justice Group Latina/Latino Roundtable Latino Coalition for a Healthy California SB 562 Page 16 Law & Mediation Office of Leslie A. Levy Law Offices of Douglas L. Applegate Lawyers for Good Government League of Women Voters of California Legal Services for Children Lonely Liberals Indivisible of San Luis Obispo County Long Beach Gray Panthers Loving Way Midwifery Low-Income Self Help Center Lucille Design Maddala Music March and Rally Los Angeles Martin Luther King Coalition of Greater Los Angeles McGee-Spaulding Neighbors in Action Media Alliance Merced Collective Action Network Mi Familia Vota Mini-Vacation Massage Mobilize the Immigrant Vote Monkey Out, Voters In Monkey Wrench Brigade Mountain Bears Democratic Club Mt. Diablo Peace and Justice Center Multi-Faith ACTION Coalition Musicians Union Local 6 National Association of Retired and Veteran Railway Employees National Association of Social Workers National Association of Social Workers-Fresno County National Economic and Social Rights Initiative National Union of Health Care Workers Nevada County Democratic Women's Club Nevada County Green Party No Coal in Oakland North Bay Jobs with Justice Oakland Livable Wage Assembly Oakley, California Mayor Sue Higgins Occupy Torrance One Page Plan Organizacion en California de Lideres Campesinas, Inc. Otis Chiropractic Neurology, Inc. SB 562 Page 17 Our Developing World Our Revolution Our Revolution, Long Beach Our Revolution, West San Fernando Valley Pacific Palisades Democratic Club Pacifica Social Justice Painters & Allied Trades District Council 36 Peace and Freedom Party of California People Power of Marina Del Ray Peralta Retirees Organization Physicians for a National Health Program CA Pilipino Workers Center of Southern California Pomona Valley Democratic Club Poverty Matters ProData Solutions Progressive Action for Glendale Progressive Asian Network for Action Progressive Asset Management Progressive Democrats of America - California Progressive Democrats of America - Greater Palm Springs Area Progressive Democrats of America - Lake County Chapter Progressive Democrats of America - Orange County Chapter Progressive Democrats of America - San Francisco Chapter Progressive Democrats of America - Santa Monica Chapter Progressive Democrats of America - Ventura County Chapter Project Inform Rancho Penasquitos Democratic Club Resource Generation Richmond Progressive Alliance Riverside All of Us or None Riverside County Young Democrats Riverside Temple Beth El San Francisco Berniecrats San Francisco Green Party San Francisco Labor Council San Francisco Latino Democratic Club San Joaquin Valley Democratic Club San Jose Peace and Justice Center San Mateo Central Labor Council Santa Barbara Women's Political Committee SB 562 Page 18 Santa Clara County Board of Supervisors Santa Clara County Green Party San Francisco Berniecrats Santa Cruz for Bernie Santa Cruz Indivisible Santa Rosa Democratic Club School of the America Watch Los Angeles Senior and Disability Action Sierra Foothills Democratic Club Sign Display and Allied Crafts Local Union No. 510 Silicon Valley Independent Living Center SoCal 350 Climate Action Social and Economic Justice Coalition Social Justice Alliance of the Interfaith Council of Contra Costa Sol2Economics South Bay Labor Council Steve Giraud Photography Strike Debt Sue's Hair Salon Sunflower Alliance TDA Investment Group Tenants Together The Democracy Project The Latina/Latino Roundtable The Refill Shop Therapists for Single Payer Together to End Solidarity Santa Cruz Trout in Hand Productions Tuolumne County Democratic Central Community Tuolumne County Democratic Club UFCW, Local 5 Unitarian Universalist Justice Ministry of California United Democrats of El Dorado County United Electrical, Radio, and Machine Workers of America Western Region United Steelworkers, Local 2801 United Steelworkers, Local 675 UNITE-HERE, AFL-CIO University Council American Federation of Teachers Local 1474 University Professional and Technical Employees, Local 9119 Uprise Campaigns Veterans Democratic Club of LA County SB 562 Page 19 Veterans for Peace, South Bay Chapter Vision y Compromiso Voices for Mothers and Others Wellstone Democratic Renewal Club Word Spark Writing & Editing Yes We Can Democratic Club Yolo MoveOn Numerous individuals OPPOSITION: (Verified 5/24/17) America’s Health Insurance Plans Anthem Blue Cross Association of California Insurance Companies Association of California Life & Health Insurance Companies Bay Area Council BizFed, Los Angeles County Business Federation Blue Shield of California California Association of Health Plans California Association of Health Underwriters California Business Roundtable California Chamber of Commerce California Farm Bureau Federation California Framing Contractors Association California League of Food Processors California Manufacturers & Technology Association California Medical Association California Professional Association of Specialty Contractors California Retailers Association California Taxpayers Association California Trucking Association Camarillo Chamber of Commerce El Centro Chamber of Commerce and Tourist Bureau Fresno Chamber of Commerce Greater Riverside Chambers of Commerce Greater San Fernando Valley Chamber of Commerce Health Net Howard Jarvis Taxpayers Association Independent Insurance Agents and Brokers of California Kaiser Permanente Long Beach Chamber of Commerce SB 562 Page 20 Molina Healthcare Murrieta Chamber of Commerce National Association of Insurance and Financial Advisors of California National Federation of Independent Business North Orange County Chamber of Commerce Oceanside Chamber of Commerce Orange County Business Council Oxnard Chamber of Commerce Redondo Beach Chamber of Commerce and Tourist Bureau Santa Maria Valley Chamber of Commerce South Bay Association of Chambers of Commerce Southwest California Legislative Council Torrance Chamber of Commerce Valley Industry and Commerce Association Western Growers Association Yuba-Sutter Chamber of Commerce ARGUMENTS IN SUPPORT: This bill is sponsored by the California Nurses Association/National Nurses United and supported by numerous labor organizations, faith-based and consumer groups, certain businesses, and Democratic Party groups, who argue this bill provides publicly funded and progressively financed health care coverage for all California residents regardless of age, income, or immigration status, with no network restrictions, deductibles, co-pays, or other limitations on necessary care. Supporters argue health care is a human right, and the United States continually outspends other wealthy nations on per capita health care costs—some by more than double—while the quality of care and national health outcomes continue to fall behind. Californians as individuals, workers, families, businesses, and taxpayers are driven past their breaking point because of soaring health costs and lack of access. Supporters argue the experience of Medicare and of nearly every other industrialized country shows a single payer system is the most cost-effective and equitable way to provide quality health care as all residents are covered, and the system can eliminate wasteful spending and rein in skyrocketing prices. Supporters argue the Healthy California Act would provide the comprehensive and quality health care coverage that all Californians deserve and would ensure that insurance companies and the corporate ledger no longer determines the health and well-being of our state. ARGUMENTS IN OPPOSITION: This bill is opposed by business and health insurance groups who argue this bill creates a single-payer government bureaucracy which would control and finance the state’s health care system and SB 562 Page 21 ultimately result in significant job loss to the state. Opponents argue California employers cannot sustain an added tax burden after the most recently enacted transportation tax package, that significant job loss will result from this bill, that California voters in 1996 previously rejected a single payer health measure, that single payer costs are unsustainable, and government-run health care is less efficient and effective. Other opponents argue the state has made important progress in implementation of the ACA, but this progress is in a precarious position due to Congressional “repeal and replace” proposals, and this is not an appropriate time to divide the health care and policy community against itself with a symbolic measure that could not be implemented even if it were passed. Prepared by: Scott Bain / HEALTH / (916) 651-4111 6/1/17 9:12:25 **** END ****