https://www.siliconvalley.com/2024/10/04/proposition-35-would-raise-money-for-medi-cal-health-services-to-low-income-families-seniors-disabled-residents/

Statewide ballot initiative Proposition 35 would make permanent an existing tax that helps pay for Medi-Cal health care services, California’s version of the federally subsidized Medicaid program providing health care for the state’s poor.

The tax is imposed on managed care health insurance providers including Kaiser Permanente and Anthem Blue Cross, based on the number of people their plans serve, with the revenue unlocking matching federal funds. In place for close to 20 years, the tax, a mechanism for funding Medi-Cal, has been renewed and changed several times, and is set to expire in 2026.