California Black Media

On Your November Ballot: Prop 35 Would Make an Existing Tax on Managed Health Care Plans Permanent

Prop 35 would make the state pay doctors more money for treating patients who are covered by Medi-Cal, California’s version of the federal program Medicaid, and fund other health care services, including community clinics, hospitals, ERs, family planning, and mental health providers. Managed care organizations contract with the state to provide these health benefits. The state taxes these organizations to help pay for the Medi-Cal program. This measure would require the state to use a portion of that tax money to increase how much Medi-Cal pays doctors.

Published

1 year ago

October 22, 2024

Oakland Post

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By Edward Henderson, California Black Media

Managed care organizations contract with the state to provide these health benefits. The state taxes these organizations to help pay for the Medi-Cal program. This measure would require the state to use a portion of that tax money to increase how much Medi-Cal pays doctors.

While Medi-Cal coverage has expanded significantly over the past 10 years, payments to doctors and other providers have not kept pace. According to a report by the Kaiser Family Foundation, California’s reimbursement rate is in the bottom third nationally. Because of this, many providers won’t treat Medi-Cal patients.

Supporters of the proposition argue that tax revenue from the Managed Care Organization Tax (which historically has offset fund spending on Medi-Cal) should be spent for new investments in Medi-Cal rather than the general fund to ensure providers are properly compensated for the expanded services they’re expected to cover. Over the next four years, this tax is projected to generate upwards of $35 billion.

California Black Media spoke with Francisco Silva, CEO of the California Primary Care Association, who has been an avid supporter of Prop 35.

“It’s a generational opportunity to make timely access to care reality in California. We’ve done a wonderful job of expanding coverage, expanding benefits, and we’re still having challenges in the state to make sure people can see a physician, a nurse, timely to care in the emergency room and it’s because the lack of stable funding. So, it’s an opportunity to secure access for funding for health care the way it was meant to be.”

More than 15 million Californians are enrolled in Medi-Cal, representing more than one third of the state’s population. However, the lack of funding for medical professionals creates a lack in service that can have devastating impacts on patients who need care immediately.

“In some areas of the state, wait times to get a mammogram for instance is six months a year. That’s the difference between life and death for many people,” Silva noted.

No official campaign to oppose Prop 35 has been organized and no argument against the measure has been submitted to the Secretary of State’s office. However, Gov. Gavin Newsom has said publicly that he opposes the proposition, arguing that funding from the Managed Care Organization Tax is pivotal for other needs within the California Budget.

“This initiative hamstrings our ability to have the kind of flexibility that’s required at the moment we’re living in,” said Newsom during a press conference in Sacramento. “I haven’t come out publicly against it. But I’m implying a point of view. Perhaps you can read between those many, many lines.”

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.

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2025 in Review: Seven Questions for Black Women’s Think Tank Founder Kellie Todd Griffin

As the president and CEO of the California Black Women’s Collective Empowerment Institute, Griffin is on a mission to shift the narrative and outcomes for Black women and girls. She founded the nation’s first Black Women’s Think Tank, securing $5 million in state funding to fuel policy change.

Published

1 day ago

December 14, 2025

Oakland Post

Kellie Todd Griffin. CBM file photo.

By Edward Henderson
California Black Media

With more than 25 years of experience spanning public affairs, community engagement, strategy, marketing, and communications, Kellie Todd Griffin is recognized across California as a leader who mobilizes people and policy around issues that matter.

Griffin spoke with California Black Media (CBM) about her successes and setbacks in 2025 and her hopes for 2026.

Looking back at 2025, what stands out to you as your most important achievement and why? 

Our greatest achievement in this year is we got an opportunity to honor the work of 35 Black women throughout California who are trailblazing the way for the next generation of leaders.

How did your leadership, efforts and investments as president and CEO California Black Women’s Collective Empowerment Institute contribute to improving the lives of Black Californians? 

We’re training the next leaders. We have been able to train 35 women over a two-year period, and we’re about to start a new cohort of another 30 women. We also have trained over 500 middle and high school girls in leadership, advocacy, and financial literacy.

What frustrated you the most over the last year?

Getting the question, “why.” Why advocate for Black women? Why invest in Black people, Black communities? It’s always constantly having to explain that, although we are aware that there are other populations that are in great need, the quality-of-life indices for Black Californians continue to decrease. Our life expectancies are decreasing. Our unhoused population is increasing. Our health outcomes remain the worst.

We’re not asking anyone to choose one group to prioritize. We are saying, though, in addition to your investments into our immigrant brothers and sisters – or our religious brothers and sisters – we are also asking you to uplift the needs of Black Californians. That way, all of us can move forward together.

What inspired you the most over the last year?

I’ve always been amazed by the joy of Black women in the midst of crisis.

That is really our secret sauce. We don’t let the current state of any issue take our joy from us. It may break us a little bit. We may get tired a little bit. But we find ways to express that – through the arts, through music, through poetry.

What is one lesson you learned in 2025 that will inform your decision-making next year?

Reset. It’s so important not to be sitting still. We have a new administration. We’re seeing data showing that Black women have the largest unemployment rate. We’ve lost so many jobs. We can have rest – we can be restful – but we have to continue the resistance.

In one word, what is the biggest challenge Black Californians faced in 2025?

Motivation.

I choose motivation because of the tiredness. What is going to motivate us to be involved in 2026?

What is the goal you want to achieve most in 2026?

I want to get Black Californians in spaces and places of power and influence – as well as opportunities to thrive economically, socially, and physically.