4: Children's Hospital Bond
APPROVED
What it would do:
Give the state permission to borrow $1.5 billion to fund renovations, expansions, and upgrades at hospitals that treat children. Most of the funding is reserved for the state’s eight private non-profit children’s hospitals ($1.08 billion) and the five hospitals run through one of the University of California campuses ($270 million).
What it would cost the government:
According to the Legislative Analyst’s Office, the state’s nonpartisan budgetary scorekeeper, paying back the bond with interest will run the state government an extra $80 million annually for the next 35 years on average. This is roughly equivalent to six ten-thousandths of the state’s current general fund—or what the state Legislature spent on its legal department this year. The total cost of the bond is expected to be $2.9 billion.
Why it is on the ballot:
The California Children’s Hospital Association regularly turns to the taxpayer for help. In 2004, voters backed a $750-million bond to fund similar infrastructure investments. Four years later, they approved another $980-million in borrowing. This year’s proposal looks pretty similar—only bigger.
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Arguments
Arguments in Favor:
Kids deserve the best possible care. Medical technology is constantly changing, but because children’s hospitals are dependent on the low reimbursement rates from Medi-Cal, the state’s public insurance program for low-income residents, they often can’t afford to keep up. These bond funds would allow the state’s health care providers to make these necessary investments.
Arguments Against:
Why should the taxpayer throw more money at hospitals, many of which are privately-owned and operated? And if they insist on doing so, why borrow rather than make use of existing funds?
Supporters/Opponents
Supporters
California Children’s Hospital Association
California Teachers Association
California Democratic Party
California Chamber of Commerce
Opponents
California Republican Party
California Controller Betty Yee