Optometrist Hunter Morgan poses in his offices on Friday, March 1, 2024, in Encinitas, Calif. When Morgan bought an optometry practice in San Diego three years ago, one of the first things he did was start accepting patients who were enrolled in Medicaid the government-funded health insurance program for the poor and the disabled. Just five months later, Morgan said, he had to stop treating Medicaid patients because of the paltry pay.
Health care providers have been clamoring for California’s Medicaid program, known as Medi-Cal, to pay them more. But California doesn’t have extra money thanks to back-to-back multibillion-dollar. To pay doctors more, Newsom and the state Legislature chose to raise taxes — but not in the way you might think.
Last year Newsom signed a law that greatly increased this tax. It means the state will get $19.4 billion through 2026. On Thursday the Legislature is scheduled to vote to increase it again, generating an estimated $1.5 billion more. How much, and who will get it, will be fully decided this year. The first increases last year went to primary care doctors, maternity care and some mental health services. This year’s increases, which have not yet been approved by the Legislature, would include things like obstetric, vaccine and abortion services — and optometry.
“If things really did get bad, I think, they could use the money for other purposes," said Kristine Schultz, executive director of the California Optometric Association. “It’s a real concern,” said Stuart Thompson, senior vice president for governmental affairs for the California Medical Association, during a recent public hearing before lawmakers. “We don’t want to create a scenario in which we have a program that goes for four years and then we reach the cliff.”
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