Election 2018: Proposition 4 – Children's Hospitals Bonds

Allows the state to issue $1.5 billion in bonds for construction, expansion and renovation projects as well as equipping for eligible children’s hospitals.

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What this proposition does: This proposition allows the state to issue $1.5 billion in bonds for construction, expansion and renovation projects as well as equipping for eligible children’s hospitals. From the bond money raised, 72 percent would be allocated to eight non-profit hospitals that provide care to large numbers of children; 18 percent would go to children’s hospitals affiliated with the University of California; and 10 percent would go to public and private hospitals that provide pediatric services to eligible children. What supporters say: Proponents claim the money is needed because there is a high demand for pediatric and child medical services, and while the money would be repaid by the taxpayers through the general fund, proponents argue that the cost is less than $40 per patient that is seen by a doctor at eligible facilities. Proponents point to previous voter-approved initiatives on this matter, which they say resulted in positive developments at hospitals and clinics where additional services were made available, beds were expanded and more children were seen and treated for a number of issues. Some supporters say the money is needed to cover the capital expenses of hospitals because the state has low Medi-Cal reimbursement rates for children’s medical services. What opponents say: Opponents claim that private hospitals stand to benefit the most from the bonds, and that those pushing for more money gathered signatures for the initiative because they likely would not have been able to convince state lawmakers to put it on the ballot, as lawmakers did with other bond initiatives. Opponents argue that eight private hospitals would receive 72 percent of the money, and that those organizations mounted an extensive lobbying campaign to try to sway voters to approve the bond rather than going through the legislative process. What a YES vote means: A YES vote means a voter wants to authorize the state to sell $1.5 billion in bonds and disburse that money to different health institutions that serve the medical needs of children. What a NOTE vote means: A NO vote means a voter does not want the state to sell $1.5 billion in bonds intended for hospitals that serve the medical needs of children. Official ballot title: “Authorizes Bonds Funding Construction at Hospitals Providing Children’s Health Care. Initiative Statute.”]]>

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