California, flush with cash from an expanding economy, would eventually spend $1 billion a year to provide healthcare to immigrants living in the state illegally under a proposal announced Wednesday by Democratic lawmakers.
The proposal would eliminate legal residency requirements in California's 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 new spending proposed 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.
They 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 rate of uninsured people since former President Barack Obama's healthcare law took effect, but about 7% of residents still lack coverage. Many are people living in the country illegally, who are ineligible for U.S.-funded healthcare assistance.
While federal funds cover at least half — and as much 95% — 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 healthcare has been a contentious issue for California lawmakers, who targeted last year by protests from liberal activists who want the Legislature to provide state-funded coverage to everyone, regardless of immigration status.
A measure 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 state Medicaid 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, the head of the Assembly budget committee, said lawmakers were exploring ways to restructure the state tax code if Congress approves a proposed U.S. tax overhaul. California leaders have warned that the measure could harm taxpayers by restricting a federal 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."