Makes permanent the existing tax on managed health care insurance plans, which, if approved by the federal government, provides revenues to pay for Medi-Cal health care services. Fiscal Impact: Short-term state costs between roughly $1 billion and $2 billion annually to increase funding for certain health programs. Total funding increase between roughly $2 billion to $5 billion annually. Unknown long-term fiscal effects. Supporters: Planned Parenthood Affiliates of CA; American College of Obstetricians & Gynecologists; American Academy of Pediatrics, CA Opponents: None submitted

A "yes" vote supports permanently authorizing a tax on managed care organizations based on monthly enrollees, which is set to expire in 2026, and requiring revenues to be used for increased Medi-Cal programs.

A "no" vote opposes permanently authorizing a tax on managed care organizations based on monthly enrollees, thereby allowing it to expire in 2026.