The Alan Katz Health Care Reform Blog

Health Care Reform From One Person's Perspective

Will Defeat of Term Limit Initiative Setback Health Care Reform?

Posted by Alan on February 4, 2008


Tomorrow, California voters will decide the fate of 42 legislators. Under the state’s current term limits law, these members of the Assembly and State Senate are scheduled to be in the job market at the end of this year. If Proposition 93 were to pass, however, they’d all be able to continue in their current positions — and most (but not all) have indicated they’d do so. If Proposition 93 fails — as it’s almost certain to do — they’ll need to seek out other offices or find something else to do.

There’s a lot of issues swirling around Proposition 93, but this post deals with only with its impact on health care reform. When I first started exploring this my presumption was that the defeat of the term limits initiative would make passing any health care reform measures this year more difficult. Now I’m not so sure.

If Proposition 93 were to pass, most of the lawmakers who had worked on health care reform in the past would be staying put for a few more years. Their accumulated expertise on the issue would, presumably, help them move proposals through the complicated and convoluted policy thicket that is health care reform more quickly than neophytes. They also would not be distracted by the need to campaign for a new office (running for reelection, thanks to the gerrymandered districts California endures, is pretty much a walk in the park for incumbents). This would free them up to deal with making policy.

In theory. In reality, another matter came up that will be a distraction for legislators whether they’re being termed out or not: the state’s ballooning deficit. At last count, the state was $14.5 billion in the hole, but that’s before the over $1.2 billion required to address unfunded retirement health care costs is factored in. And that’s just the start of additional spending and shortfalls that seem to be looming. Addressing this kind of financial disaster will take up most of lawmakers’ time, even if they don’t have to face tough elections.

Whether the current crop of lawmakers is the most capable of passing health care reform is also an open question. It’s similar to the point Senators Barack Obama made in their recent debate to Hillary Clinton’s experience: it’s not enough to be ready on day one, it’s important to be right from day one. An argument could be made that some fresh eyes looking at health care reform could be useful.

Then there’s the reality that nothing the state does on this issue may matter much. If the Democrats take the White House in November, health care reform will be near the top of their agenda. As I’ve written about before, federal reforms could preempt anything California develops. Which diminishes the importance of state lawmakers addressing the problem.

In the end, I think we’ll see a flurry of health care reform proposals being kicked around Sacramento. Most will be incremental reforms. Some would be beneficial to pass; others harmful. The budget deficit will slow their passage through the legislature and most will ultimately fail.

In other words, 2008 is likely to be a typical year as far as health care reform is concerned in California. That’s probably not a good thing, but it is the likely thing.

One Response to “Will Defeat of Term Limit Initiative Setback Health Care Reform?”

  1. LEON MOREHEAD said

    I have waited for 8 years for Sheila
    Kruel to be termed out , therefore I hope prop. 93 fails.

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