这个不太可能结成的联盟认为，加州州长的医疗补助缺口补偿计划将使每人保费上涨100美元
2026年10月11日 美国东部时间凌晨5:00 / 福克斯新闻
作者：罗伯特·施马德 福克斯新闻
健康政策专家警告：加州医疗补助支出危机可能推高家庭保险成本
帕拉贡健康研究所主席布莱恩·布莱斯讨论了加州的医疗补助支出、资格担忧以及加税对参保私人保险家庭的潜在影响。
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随着加州努力应对飙升的医疗补助成本——其中包括为无合法身份移民支付的数十亿美元医疗费用——州长加文·纽瑟姆和民主党议员支持了一项修订后的健康计划税，以应对新的联邦限制，批评人士警告此举可能将更多成本转嫁给参保私人保险的加州民众。
这项税项联合了医生和健康保险公司这一不太可能结成的联盟来反对他，批评人士警告这可能让加州的生活成本更加高昂。
为了在华盛顿收紧用于获取联邦匹配资金的健康计划税相关规定后保住数十亿美元的医疗补助融资，纽瑟姆支持一项重新设计的税收方案，如果获得联邦批准，该方案将从2027年开始提高私人健康计划的征税额度，这可能会提高参保客户的保费。据美联社报道，2025年，为非法移民提供医疗服务让加州花费了约124亿美元。
当被问及扩大对非法移民的医保覆盖是否导致加州需要加税时，右翼倾向的帕拉贡健康研究所主席布莱恩·布莱斯给出了肯定的答复。
【新闻快讯】奥兹医生公布医疗补助改革方案，削减20亿美元非法移民医保开支并要求健全劳动力参与工作
2025年3月26日，加文·纽瑟姆州长在洛杉矶发表讲话。（弗雷泽·哈里森/盖蒂图片社）
他在接受福克斯新闻数字频道采访时表示：“《One Big Beautiful Bill法案》限制了加州仅对医疗补助保险公司征税的能力，因此加州正提议对拥有私人保险的人群提高健康保险税……据估算，这将使每个家庭的保险费用每年增加400美元。”“这仅仅是因为加州不愿应对其不可持续的支出……该项目中有许多人不符合资格，这甚至还没有算上加州已经将医疗补助扩展到该州所有未获得授权的移民这一事实。”
加州试图支撑医疗补助的收支平衡，此前联邦出台新规，禁止该州在2026年后继续使用现有的健康计划税收结构，迫使该州重新设计一种已经为该项目带来数十亿美元收入的融资机制。
加州医学协会和加州健康计划协会正提起诉讼，试图阻止这项加税举措，他们的理由并非该举措惠及非法移民，而是指控该法案违反了选民批准的健康计划税限制以及所得收入使用限制。医生和保险公司经常在医疗辩论中站在对立面，此次联手挑战税收法案实属罕见。
此次争议的提案35号提案限制了加州对商业健康计划参保人数的征税额度，这限制了该州在试图遵守此前针对医疗补助参保人数征收的更高额税收的新联邦规则时的选择空间。该提案以压倒性的支持率获得加州选民通过。
【新闻快讯】纽瑟姆恳求加州民众否决亿万富翁税，同时面临人口大规模外流，并提议在全国范围内加税
2024年8月21日制作的插图中展示了美国加利福尼亚州州旗。（路透社）
加州医学协会首席执行官达斯汀·科科伦在一份声明中表示：“加州选民通过了35号提案并将其定为法律。州政府不能仅仅因为遵守法律不方便就无视这项法律。”
健康保险公司警告称，修订后的税收成本可能会通过提高保费直接转嫁给消费者，据估算每人每年保费将上涨约100美元。例如，一个四口之家在正常费率上涨的基础上，每年可能还要额外支付400美元。
纽瑟姆的发言人塔拉·加列戈斯表示，州长认为他的加税方案并未违反该提案。
“州政府不认同他们的主张，我们相信法院也会如此，”她在谈到这起诉讼时告诉福克斯新闻数字频道。
加州财政部对外事务副主任H·D·帕尔默向福克斯新闻数字频道解释称，新的税收措施旨在遵守《One Big Beautiful Bill法案》。帕尔默表示，该州当前的健康税收制度可能与该法案冲突，该州正在提交一项双轨提案——一种类似于当前的税收计划，但可能违反联邦法律；另一种则通过将成本转嫁给私人保险计划来符合《One Big Beautiful Bill法案》的要求。
【新闻快讯】数据显示：迁往红色州的加州民众正在推高新定居城市的房价和租金
加州州长加文·纽瑟姆接受媒体采访。（路透社/弗雷德·格里夫斯）
他补充道：“如果联邦政府拒绝批准与现有[健康计划税]结构类似的税收方案，那么根据现行法律，35号提案可能会失效。”
在过去十年中，加州面临着人口和企业大规模外流的问题，生活成本是民众提及的离开这个“金州”的主要原因之一。一项分析发现，2010年至2024年间，近1000万人从加州迁往其他州，而同期仅有超过700万人从美国其他地区迁入加州。
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该州的人口外流引发了人们对其财政前景的担忧，高收入居民的离开可能会减少这个严重依赖所得税的州的税收收入。
California faces unlikely tax revolt amid billions in illegal immigrant healthcare costs
The unlikely coalition argues the California governor’s plan to offset Medi-Cal gaps would raise premiums $100 per person
October 11, 2026 5:00am EDT / Fox News
By Robert Schmad Fox News
Health policy expert warns California’s Medi-Cal spending crisis could drive up insurance costs for families
Paragon Health Institute President Brian Blase discusses California’s Medicaid spending, eligibility concerns and the potential impact of higher taxes on privately insured families.
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As California grapples with soaring Medi-Cal costs — including billions spent on healthcare for immigrants without legal status — Gov. Gavin Newsom and Democratic lawmakers have backed a revised health-plan tax in response to new federal restrictions, a move critics warn could shift more costs onto privately insured Californians.
The tax has united an unlikely coalition of doctors and health insurers against him, with critics warning it could make California even more expensive.
To preserve billions in Medi-Cal financing after Washington tightened the rules governing health-plan taxes used to draw federal matching funds, Newsom backed a redesigned tax that would raise the levy on private health plans beginning in 2027 if federally approved, potentially increasing premiums for their customers. Providing healthcare to illegal immigrants cost California an estimated $12.4 billion in 2025, the Associated Press reported.
When asked if expanding coverage to illegal immigrants created a need for California to raise taxes, Brian Blase, president of the right-of-center Paragon Health Institute, answered with a strong “yes.”
DR. OZ UNVEILS MEDICAID OVERHAUL, CLAMPS DOWN ON $2B FOR ILLEGAL IMMIGRANTS AND MANDATES WORK FOR ABLE-BODIED
Gov. Gavin Newsom speaks on March 26, 2025, in Los Angeles.(Frazer Harrison/WireImage)
“The One Big Beautiful Bill Act limited California’s ability to target the tax just on Medicaid insurers, so California is proposing to raise the health insurance tax on people that have private coverage … the estimates are that would increase insurance for families by $400 a year,” he told Fox News Digital. “That is just because California doesn’t want to deal with its unsustainable spending … there are many people on the program who are not eligible for the program, and that is not even accounting for the fact that California has expanded Medicaid to all unauthorized immigrants in the state.”
California’s attempt to shore up Medi-Cal’s bottom line follows federal changes that will prevent the state from continuing its existing health-plan tax structure after 2026, forcing a redesign of a financing mechanism that has generated billions of dollars for the program.
The California Medical Association and California Association of Health Plans are suing to block the tax increase, not on the grounds that it benefits illegal immigrants, but over allegations that the measure violates voter-approved limits on health-plan taxes and restrictions on how the resulting revenue can be spent. The duo uniting to challenge the tax is notable because doctors and insurance companies often find themselves on opposite sides of healthcare debates.
Proposition 35, the initiative in question, limits how much California can tax commercial health-plan enrollment, constraining the state’s options as it tries to comply with new federal rules governing the much higher tax previously imposed on Medi-Cal enrollment. The proposition was passed with overwhelming support from Californian voters.
NEWSOM BEGS CALIFORNIANS TO VOTE ‘NO’ ON BILLIONAIRE’S TAX IN FACE OF MASS EXODUS, PITCHES NATIONWIDE TAX HIKE
The flag of the U.S. state California is seen in this illustration created on August 21, 2024.(Reuters)
“California voters passed Proposition 35 and made it law. The state does not get to ignore that law simply because following the law is inconvenient,” California Medical Association CEO Dustin Corcoran said in a statement.
Health insurers warn the cost of the revised tax could be passed directly on to consumers through higher premiums, estimating an increase of about $100 per person per year. A family of four, for example, could face an additional $400 annually on top of normal rate increases.
Newsom spokeswoman Tara Gallegos said that the governor maintains that his tax increase is not rendered illegal by the proposition.
“The state disagrees with their claims, and we believe the courts will too,” she told Fox News Digital of the lawsuit.
H.D. Palmer, deputy director for external affairs at the California Department of Finance, explained to Fox News Digital that the new tax measure was designed to comply with the One Big Beautiful Bill Act. According to Palmer, the state’s current health tax regime may conflict with the bill and that the state is submitting a proposal with two tracks — one that is similar to the current taxing scheme but might run afoul of federal law and another that conforms to the One Big Beautiful Bill Act by shifting costs toward private plans.
CALIFORNIANS FLEEING TO RED STATES ARE DRIVING UP HOME PRICES AND RENTS IN THEIR NEW CITIES, DATA SHOWS
California Gov. Gavin Newsom takes questions from the media.(REUTERS/Fred Greaves)
“If the federal government declines to approve the tax that is structured similar to the existing [health plan tax], Proposition 35 may then sunset per current law,” he added.
California has faced a mass exodus of people and businesses over the past decade, with the cost of living being one of the chief reasons individuals cite for leaving the Golden State. One analysis found that almost 10 million people moved from California to other states between 2010 and 2024, while just over 7 million moved to California from elsewhere in the country during the same period.
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The state’s exodus has raised concerns about its financial outlook, with the departure of higher-income residents potentially reducing tax revenue for a state heavily dependent on income taxes.
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