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In an extraordinary act of financial mismanagement, California Governor
Gavin Newsom, a prospective 2028 presidential candidate, is taking out
$6.2 billion in loans from the state’s general fund to meet a Medicaid funding shortfall – a direct consequence of his decision to add 1.6
million illegal aliens to the program.
While “borrowing” money might cover the gap in the short run, the true problem is that overloading welfare with millions of illegal aliens is financially unsustainable. Even worse, federal taxpayers are now on the
hook for California’s far-left excess thanks to a Biden-approved scheme that lets the state take in billions of extra dollars from the federal government to fund Medicaid expansion.
The problems began in 2022 when Newsom and the state legislature
celebrated becoming “the first state in the nation to provide universal access to affordable health coverage for lower-income individuals by providing coverage for Californians ages 26 to 49, regardless of
immigration status.” This followed a 2019 decision to expand the taxpayer-funded health insurance plan to all residents 26 years old and younger, even illegals.
“California is tackling the cost of health care head on,” Newsom said in 2022. “Doubling down on our actions to reduce costs for middle-class families and expand access to important services, this proposal is a transformative step towards strengthening the health care system for all Californians. Everyone is healthier when everyone has access to quality, affordable care.”
The changes officially took effect in 2024. Just over a year later, they
have led to an enormous, entirely predictable financial headache for the state. Unsurprisingly, providing free healthcare led to more people
taking advantage of it. The state originally predicted “an estimated 764,000 undocumented immigrants” would enroll. However, the actual
figure has been more than double that – and is growing by the day.
There are now “roughly 1.6 million immigrants without legal status,” enrolled in Medi-Cal, the state’s Medicaid program, according to Cal Matters. This has caused a surge in costs above even what many critics
of the program predicted, and Newsom now must keep going back to
taxpayers to make up the difference. He first asked for a $3.4 billion
loan last month, followed by another $2.8 billion in April.
The cost of the loans is almost exactly the same as the price tag for providing health insurance to 1.6 million illegal aliens as part of the state’s $157 billion annual Medi-Cal budget, according to California Healthline.
Additionally, describing the funding requests as “loans” seems dubious
at best – the Medi-Cal program will never truly “pay” those funds back into the state’s general fund. It’s a bailout, plain and simple – even as the state’s current debt stands at $273 billion. The $6.2 billion transfer merely keeps the program afloat temporarily until the next inevitable funding shortfall arises.
Republican leaders argue the expansion should be scaled back to put the program on stronger financial footing. “We must stop new enrollments of illegal immigrants and rein in this unsustainable program before it
collapses entirely,” California Republican state Senate Minority Leader Brian Jones said.
“Democrats and the governor are picking priorities, and they’re prioritizing people that have come into our country illegally over
people who immigrated here legally, people that are citizens,” Jones
added.
Republican Assembly Minority Leader James Gallagher has similarly
criticized Newsom’s mismanagement. “What has been the biggest driver of cost to the medical system?” Gallagher asked in March. “It’s been adding
illegal immigrants to those rolls.” With a Democrat supermajority in the California state legislature, however, Golden State Republicans can do
little besides look on in disgust.
But Republicans at the national level might be able to do something to
stop the rest of the country from funding California’s handouts for
illegal aliens – namely ending a Biden-era program that effectively
allows California Democrats to launder federal tax dollars for
unrestricted Medicaid expansion.
As the Paragon Health Institute, a conservative think tank, explained in
a blog post last month, in 2023 the Biden Centers for Medicare and
Medicaid Services (CMS) approved California’s plan to massively expand
its tax on insurers. (Thanks to a regulatory loophole, states are
allowed to tax Medicaid insurers to help pay for Medicaid.)
Under California law, the state must pay Medicaid providers the same
amount as the taxes it collects. In this case, California’s increased provider tax was expected to raise about $16.7 billion in additional
revenue – all of which would be paid back to providers at no cost to the state.
But the federal government pays a 60 percent match on all Medicaid
funds. This means that California can now take in an extra $9.5 billion
per year – all of which is paid for by taxpayers nationwide. Those funds then go toward programs like Medicaid for illegal aliens.
In other words, it’s a shell game designed to hide the fact that federal taxpayers are footing the bill for illegal aliens to receive government healthcare.
Even more concerningly, as Paragon has noted, other states such as New
York may now be looking to follow suit. Taxpayers in conservative
strongholds could soon be forced to pay for liberal Medicaid-for-all
schemes in the bluest states in the country.
California notably has sky-high taxes and by far the largest economy in
the nation – if the state were its own country, it would have the 5th largest economy in the world. Yet still, it can’t pay for left-wing priorities without raiding the pockets of American taxpayers nationwide.
That should be a warning sign to the rest of the country – and an
incentive for Republicans in Washington D.C. to end the ability of blue states to game the system and send Medicaid costs ever-higher.
https://amac.us/newsline/economy/california-put-illegal-aliens-on-medicai d-now-every-american-will-pay-for-it/