[ad_1]
Florida
Gov. Ron DeSantisAge: 45Florida inhabitants: 22.2 million
California
Gov. Gavin NewsomAge: 56California inhabitants: 39 million
Republican presidential candidate Ron DeSantis and Democratic Gov. Gavin Newsom — political rivals from reverse coasts and proxies for pink and blue America — are set to sq. off for a first-of-its-kind debate Nov. 30 in Georgia.
Newsom, a liberal firebrand in his second time period as governor of California, isn’t working for president in 2024. However he goaded DeSantis, in his second time period as governor of Florida, to go mano a mano. “I’ll deliver my hair gel. You deliver your hairspray,” he taunted on social media.
The matchup guarantees to be a heated brawl between rising political stars who lead two of the nation’s most populous and numerous states. And it’ll mark the primary time the politicians meet in individual at the same time as they’ve very publicly traded barbs and insults, in latest weeks attacking one another in fundraising videos and campaign ads.
Entrance and middle might be homelessness and well being care, high priorities for voters — and points which have largely outlined the governors’ insurance policies and management types. From abortion to covid-19 vaccines, Newsom and DeSantis couldn’t be additional aside.
Earlier this yr, DeSantis blasted California for being too beneficiant with public profit packages, reminiscent of Medicaid, which the Golden State has expanded to all eligible residents no matter immigration standing. That sweeping coverage takes impact in January and goes nicely past the non-obligatory growth of Medicaid that the Reasonably priced Care Act provided states. In Florida, certainly one of 10 states that have refused to develop Medicaid beneath Obamacare, DeSantis wears the state’s 11% rate of uninsured residents as a badge of honor.
“We’re not going to be like California and have large numbers of individuals on authorities packages with out work necessities,” DeSantis stated at a presidential primary debate in Southern California earlier this yr.
DeSantis has led his state to limit abortion and gender-affirming care and to ban covid-related masks and vaccine mandates.
Newsom, a slick and brash surrogate for Democratic President Joe Biden, has slammed DeSantis for placing Floridians at risk and stripping them of their rights.
“Be a part of us in California, the place we nonetheless consider in freedom,” Newsom stated in a political ad earlier this yr.
Newsom has earned the moniker of “well being care governor” by catapulting the problem to the highest of his coverage priorities. He made California an abortion sanctuary and is dramatically increasing well being care advantages. He had promised to deliver single-payer health care to the nation’s most populous state whereas campaigning for his first time period, however that concept hit stiff political opposition early in his tenure. And now Newsom boasts about bringing the state’s uninsured price to an all-time low of 6.5% by increasing protection in different methods.
These points are anticipated to take middle stage through the nationally televised 90-minute debate on Fox Information, which may have main reverberations for the presidential contest subsequent yr and will even assist form the 2028 area of White Home contenders.
Prematurely of the showdown, KFF Well being Information analyzed 10 of the governors’ high well being care positions and the way their insurance policies have improved — or hindered — the well being of the residents they symbolize.
Obamacare
Florida
DeSantis has refused to develop Medicaid eligibility to extra folks beneath the Reasonably priced Care Act. Partly in consequence, greater than 3 million Floridians had protection by means of the federal Obamacare trade as of February, greater than every other state. Florida doesn’t have a state-based trade or supply state-sponsored subsidies.
California
The state has enthusiastically embraced the Reasonably priced Care Act, increasing Medicaid whereas establishing its personal insurance coverage trade, Coated California. Below Newsom, it has additionally gone well beyond the provisions of Obamacare and created a state requirement for Californians to have medical health insurance after the federal mandate was eradicated.
Abortion
Florida
DeSantis approved legislation in April banning abortions after six weeks of being pregnant. Nevertheless, the Florida Supreme Courtroom has taken up a challenge to the 15-week ban launched in 2022, which is able to decide if the six-week ban can take impact.
California
Newsom spearheaded the trouble in 2022 to amend the state constitution to enshrine the correct to abortion and contraception. He additionally authorized $60 million to assist uninsured sufferers and folks from out of state pay for abortions in California, and signed reproductive well being care legal guidelines, together with one protecting doctors who mail abortion drugs to different states.
Transgender Care
Florida
Below DeSantis, Florida handed a regulation this yr banning gender-affirming health care for trans minors and mandating that grownup sufferers signal informed consent forms earlier than beginning or persevering with hormone remedy. The regulation additionally restricts who can order hormone remedy to physicians and prohibits the usage of telehealth for brand spanking new prescriptions. A federal lawsuit difficult the regulation is ready to go to trial in mid-December.
California
Newsom and different state leaders have amended state regulation to make sure all California adults and children are entitled to gender-affirming well being care providers. And insurance coverage corporations doing enterprise in California must include data on in-network suppliers for gender-affirming providers by 2025. State well being care companies are designing “enforceable high quality requirements” to make sure trans sufferers have entry to complete care.
Homelessness
Florida
DeSantis has not declared homelessness a precedence. In a video filmed on the streets of San Francisco and posted to social media in June, DeSantis used the subject as a campaign cudgel to criticize what he referred to as “leftist insurance policies” in California. Florida is experimenting with utilizing Medicaid funds to handle homelessness, however this system is proscribed. Practically 26,000 people are homeless in Florida, or 12 of every 10,000 residents.
California
Newsom has plowed greater than $20 billion into the homelessness disaster, with billions extra for well being and social providers. For instance, some homeless Californians can get social providers by means of the state’s Medicaid program, reminiscent of cash for rental safety deposits, utility funds, and first and final month’s lease. Newsom additionally led a brand new state initiative that would drive some homeless folks into psychological well being or habit remedy. Greater than 171,000 people are homeless in California, or 44 of each 10,000 residents.
Psychological Well being
Florida
DeSantis has stored his pledge to advocate for psychological well being remedy packages as governor, though Florida nonetheless ranks 43rd nationally in entry to psychological well being care and has the fourth-highest price of adults with psychological sickness who’re uninsured, in line with the Miami Heart for Psychological Well being and Restoration. Below DeSantis, Florida has elevated state funding for mental health programs in schools and peer-to-peer psychological well being services for first responders, and directed funding to suicide prevention.
California
Newsom in 2020 signed one of many nation’s strongest mental health parity legal guidelines, which requires insurance coverage corporations to cowl psychological well being and substance use problems simply as they’d bodily well being situations. He’s funding a $4.7 billion initiative to supply psychological well being remedy in colleges. Newsom can also be main the marketing campaign for a statewide, $6.4 billion bond measure in 2024 to revamp and develop community-based behavioral well being packages, together with hundreds of latest remedy beds.
Habit
Florida
Florida’s drug overdose demise price was 37.5 per 100,000 people in 2021. In August, DeSantis introduced a brand new statewide addiction recovery program billed as a “first of its sort” in the US, utilizing peer counselors, medication-assisted remedy, and a coordinated community of help providers. DeSantis additionally authorized Florida counties to undertake needle trade packages in 2019 to scale back the unfold of blood-borne illnesses and encourage habit remedy.
California
California’s drug overdose price was 26.6 per 100,000 folks in 2021. Newsom is sending the state Freeway Patrol and Nationwide Guard into San Francisco to fight the open-air fentanyl commerce and is boosting habit restoration packages statewide. However he vetoed legislation final yr that might have allowed Los Angeles, San Francisco, and Oakland to ascertain secure injection websites.
Prescription Medication
Florida
A DeSantis proposal submitted to the FDA in 2020 consists of permitting imported medications from Canada. A brand new state regulation additionally units price limits for pharmacy benefit managers — intermediaries between insurers, pharmacies, and producers — and creates new guidelines for them round pricing transparency. The regulation additionally requires pharmaceutical corporations to reveal important worth hikes.
California
Newsom is spearheading a $100 million, first-in-the-nation initiative that places California within the generic drugmaking business, starting with insulin and the opioid reversal drug naloxone. California already had a pricing transparency regulation when Newsom took workplace. This yr, he signed a regulation that tightens state regulations for pharmacy profit managers.
Well being Care Affordability
Florida
In 2019, DeSantis signed the Patient Savings Act, which permits well being insurers to share value financial savings with enrollees who store for well being care providers, reminiscent of imaging and diagnostic assessments. Below his management, Florida lawmakers have additionally allowed short-term health plans lasting lower than a yr and direct health care agreements between a affected person and a well being care supplier that aren’t thought of insurance coverage and usually are not topic to Florida’s insurance coverage code.
California
One in all Newsom’s first well being care initiatives was to fund state-financed medical health insurance subsidies for low- and middle-income residents who buy insurance coverage by means of Coated California. Newsom this yr also agreed to decrease copays and do away with some deductibles for plans bought by means of the trade. California’s newly created Office of Health Care Affordability is capping business value will increase and will probably regulate well being business consolidation. California bans short-term well being plans.
Public Well being
Florida
DeSantis signed legislation in 2021 banning authorities, colleges, and personal employers from requiring covid vaccinations. In 2023, he pushed legislators to adopt laws prohibiting sure vaccine and masks necessities. He additionally shaped a Public Health Integrity Committee led by his hand-picked surgeon normal, Joseph Ladapo, whose official steering on covid vaccines contradicts the CDC’s suggestions. The Sunshine State’s covid-19 vaccine booster rate for residents age 5 and older is 12.4%.
California
Newsom turned the primary U.S. governor to problem a statewide stay-at-home order at first of the covid-19 pandemic. He pushed sturdy vaccination and masks mandates and accused DeSantis of being weak on public well being. Newsom has additionally signed legal guidelines strengthening childhood vaccination mandates, together with a measure that cracks down on bogus medical exemptions granted by medical doctors. The Golden State’s covid-19 vaccine booster price for residents ages 5 and older is 21.9%.
Immigrant Well being Care
Florida
With DeSantis making immigration a precedence, legislators handed a state law requiring all Florida hospitals to ask on their admission varieties whether or not a affected person is a U.S. citizen or lawfully current within the nation. Medical doctors, nurses, and well being coverage consultants say the law targets marginalized people who have already got problem navigating the well being care system and can additional deter them from searching for care.
California
Starting in January, all immigrants who meet income qualifications might be eligible for the state’s Medicaid program. Earlier than Newsom took workplace, California had already expanded eligibility to immigrant kids by means of age 18 dwelling within the state with out authorization. Newsom then signed legal guidelines increasing this system to younger adults as much as age 26, adults 50 and older, and, later, immigrants of any age who in any other case meet eligibility necessities.
This text was produced by KFF Health News, which publishes California Healthline, an editorially unbiased service of the California Health Care Foundation.
[ad_2]
