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There are no best friends on budget day

There are no best friends on budget day

Politico15-05-2025

MEDICAL DEBT: For a man who came into office calling himself the 'health care governor,' filled his office with health industry insiders and enjoyed massive financial and campaign support from the health care sector, Gavin Newsom made some surprising moves to close the state's budget shortfall.
The budget plan Newsom unveiled yesterday not only includes deep cuts to Medi-Cal and Planned Parenthood — it also sweeps billions of dollars from a health care ballot measure championed by a who's who of health care interests into the state's general fund, sparking intense and personal backlash.
Newsom has had an exceedingly close relationship with prominent players in health care, especially organizations like the California Medical Association and Planned Parenthood. Leaders from Planned Parenthood, a major force in Democratic politics, handed out 'WE LOVE GAVIN + JEN' T-shirts on election night in 2018, and helped Newsom fend off a recall attempt in 2021.
The governor's inner circle is full of people who have notched time in the industry — either in-house or as consultants — like Jim DeBoo, Erin Mellon, Stuart Thompson, Anthony York, Brandon Richards, Dana Williamson, Dustin Corcoran and Jason Kinney. The ties are personal, not just political.
For those who don't remember: Proposition 35 was an effort from the most powerful health care interests in the state to lock up the proceeds of a tax on some health insurance plans. Instead of letting the governor move all of it into the general fund (as all previous governors had done), the doctors, hospitals, health plans and others hammered out a statewide ballot measure that directed the money to specific pay increases for Medi-Cal providers.
The measure passed with an overwhelming 68 percent of the vote back in November, designating rate hikes for certain medical specialties to strengthen the Medi-Cal safety net.
But, but, but: Newsom hated Prop 35. He complained that it tied his hands budgetarily, overly prescribing the funds and not giving him enough flexibility to spend. The governor never formally opposed it but made his feelings known whenever he was asked. The rift between Newsom and his longtime allies only deepened after the election, when they bemoaned that he was dragging his feet implementing the measure. Now, it's clear he wants to go back on it entirely.
The rage-filled backlash to Newsom's budget announcement was almost instant.
'We believe the Administration's proposal to swipe Proposition 35 funds in order to backfill the state's budget is not only a direct violation of state law, but also a snub to the millions of California voters — 68% — who supported this ballot measure last fall,' said California Hospital Association President Carmela Coyle in a statement excoriating the 'smoke and mirrors budget.'
California Medical Association President Shannon Udovic-Constant said Newsom was breaking promises in order to fill a budget hole of his own making.
Meanwhile, the governor's office is still blaming Prop 35 for the state's budget woes. A spokesperson pointed to it as the reason why the latest budget proposal cut over $500 million from Planned Parenthood's budget, saying the ballot measure left the state with an 'unfunded mandate' to contend with.
Planned Parenthood Affiliates of California President Jodi Hicks — who glowingly live-tweeted Newsom's 2023 debate performance against Florida Gov. Ron DeSantis on Fox — delivered one of the most blistering critiques.
'With this May Budget Revision, Governor Newsom is effectively defunding Planned Parenthood in the state of California,' Hicks said. 'Make no mistake: this crushing proposal — the same morning Congress debated whether or not to defund Planned Parenthood nationwide — would immensely harm patients in California.'
These funding decisions are not yet final and must be negotiated with Democratic lawmakers. But if nothing changes, there's a chance some of Newsom's longtime friends and allies take him to court. A statement from Molly Weedn of the Prop 35 coalition said the proposal 'raises serious legal concerns and disregards the will of California voters.'
IT'S THURSDAY AFTERNOON. This is California Playbook PM, a POLITICO newsletter that serves as an afternoon temperature check on California politics and a look at what our policy reporters are watching. Got tips or suggestions? Shoot an email to lholden@politico.com.
WHAT YOU NEED TO KNOW TODAY
MILES TO GO: The Assembly's embattled sex trafficking bill advanced off the floor today — but author Nick Schultz's respite likely won't last for very long.
Schultz and Assembly Speaker Robert Rivas negotiated amendments to AB 379 that would make it easier for prosecutors to charge felonies for soliciting 16- and 17-year-olds for sex — with exceptions for those within three years of a victim's age. (That agreement only came after original author Maggy Krell, a Sacramento Democrat, dragged her caucus through an embarrassing debate over sex trafficking.)
Democrats mostly fell in line to move the bill out of the Assembly today, with the exception of Oakland Assemblymember Mia Bonta, who declined to vote on it.
LaShae Sharp-Collins, a San Diego Democrat, previewed a possible fight to come in the Senate over another portion of the bill that adds penalties for loitering with the intent to solicit sex workers.
'History has shown that these types of crimes are disproportionately used against people of color and those experiencing poverty,' she said on the Assembly floor. 'When laws are vague, they are ripe for profiling.'
Sharp-Collins said her future support for the bill would be contingent on amending that section of the legislation.
She's likely to get her wish. Schultz on Monday acknowledged the loitering provision 'is another piece that will change.'
IN OTHER NEWS
PROP 36 BUDGET WOES: Opponents and proponents of tough-on-crime ballot measure Proposition 36 aren't giving up on their push for state money — even after Newsom's revised budget largely hung them out to dry.
The Senate Public Safety Committee and Budget Subcommittee on Corrections, Public Safety, Judiciary, Labor and Transportation met today for an informational hearing on the initiative, which increased penalties for some theft and drug crimes.
In particular, local officials continue to lobby lawmakers for resources to implement a portion of the ballot measure that requires drug treatment in exchange for dropping felony penalties.
County behavioral health agencies will need $95 million to $213 million annually for evaluations, court-related activities and treatment, said Michelle Cabrera of the County Behavioral Health Directors Association of California.
'On the one hand, we're going to have our local courts and law enforcement partners telling us that we must address the treatment needs of individuals coming through this as a matter of justice and due process,' Cabrera said 'On the other hand, we're going to have Medi-Cal beneficiaries who are competing for those same scarce beds.'
OH SNAP: As Newsom and state lawmakers figure out how to close a $12 billion budget gap, federal lawmakers are actively worsening the situation.
The House Agriculture Committee on Wednesday night voted along party lines to advance legislation that could cut $300 billion in Supplemental Nutrition Assistance Program funding, kicking the cost down to states, our Grace Yarrow reported.
The GOP proposal would create the largest overhaul in decades to the SNAP program — which helps more than 42 million people in the U.S. pay for food — by forcing states to share the cost of food-stamp benefits.
The House Budget Committee plans to combine the legislation with other legislation to curb federal spending before a floor vote. But the GOP's plans for the so-called megabill may be hitting a roadblock, our Mia McCarthy and Meredith Lee Hill report today.
At least three hard-liners are now pledging to oppose the legislation, calling Speaker Mike Johnson's Memorial Day deadline for a floor vote into question.
WHAT WE'RE READING TODAY
— The Supreme Court today sounded inclined to rein in the use of national injunctions by judges to halt Trump's policies, including the president's order to end birthright citizenship. (POLITICO)
— Sacramento Democratic Rep. Doris Matsui says that a bill approved by the House Energy and Commerce Committee would 'rip massive holes in the states' budgets that are nearly impossible to fill.' (San Francisco Chronicle)
— FEMA cuts to the Building Resilient Infrastructure and Communities grants might cause Rancho Palos Verdes to spend nearly its entire annual budget on its worsening landslide zone. (Los Angeles Times)
AROUND THE STATE
— San Diego may dip into the city's reserves for the first time in years amid budget problems. (San Diego Union-Tribune)
— The average San Jose renter needs to make over $130,000 a year to comfortably afford payments. (San Jose Mercury News)
— Sacramento Mayor Kevin McCarty will receive a 12-percent raise, bringing his yearly salary to more than $180,000. (Sacramento Bee)
— compiled by Nicole Norman

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