FTCR LETTER TO NUNEZ Monday, November 12, 2007
Assembly Speaker Fabian Nunez State Capitol Sacramento, CA 95816
RE: AB 1 X 1 - OPPOSE
We have reviewed your bill and it fails on the key indicators of universal coverage. Health care is not guaranteed to be affordable, not guaranteed to be available, and choices for consumers are reduced, not increased.
We realize that you are running out of time in the special session, and special interests are pushing you to deliver on their demands. Health care is too important, and the risk of making things worse in the ensuing haste is too great, to put getting it done ahead of getting it right.
We have identified several key areas in the bill that are either drafting errors driven by speed, or deliberate gaps in promised protections. These include:
-- Affordability -- where is middle-class tax credit? It was widely reported that middle-income individuals forced to buy coverage would receive a tax credit for the portion of premium costs that exceed 5% of their incomes, but the provision of that tax credit appears to be missing from the new bill. Where is it?
-- Affordability --- Funding contingency. If a middle-class tax credit is to be left to an ensuing ballot measure, and the ballot measure does not pass, it appears the individual mandate could still be put into effect with minimal state funding, a betrayal of your affordability promise.
-- Guaranteed issue -- but no real guarantee? Your bill calls for
guaranteed issue of private insurance to all comers. Yet Mr. Dymally's
AB1X3 appears to allow insurers the option of refusing to offer coverage to
whomever they choose. It seems likely that you anticipate joinin
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