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cellspacing=0 cellpadding=0 width=600 style='width:6.25in;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 1.5pt 1.5pt 1.5pt 1.5pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width="100%" style='width:100.0%;padding:1.5pt 1.5pt 1.5pt 1.5pt'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp;<o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:1'> <td valign=top style='background:#003366;padding:1.5pt 1.5pt 1.5pt 1.5pt'> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:0in;mso-yfti-tbllook: 1184;mso-padding-alt:0in 0in 0in 0in' tabindex=0 id="content_LETTER.BLOCK1"> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width="100%" valign=top style='width:100.0%;background:#336699; padding:0in 0in 0in 0in'> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:0in;background:white; mso-yfti-tbllook:1184;mso-padding-alt:3.75pt 3.75pt 3.75pt 3.75pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td style='padding:3.75pt 3.75pt 3.75pt 3.75pt'> <div> <p class=MsoNormal align=center style='text-align:center'><span style='font-size:24.0pt;font-family:"Georgia","serif";mso-fareast-font-family: "Times New Roman";color:white;mso-no-proof:yes'><img width=300 height=243 id="_x0000_i1030" src="http://ih.constantcontact.com/fs096/1102667450577/img/177.jpg" alt="CAHU Logo New"></span><span style='font-size:24.0pt;font-family: "Georgia","serif";mso-fareast-font-family:"Times New Roman";color:white'><br style='mso-special-character:line-break'> <![if !supportLineBreakNewLine]><br style='mso-special-character:line-break'> <![endif]><o:p></o:p></span></p> </div> <div> <div> <p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:48.0pt;font-family:"Calibri","sans-serif";mso-fareast-font-family: "Times New Roman";color:#004DB4'></img>FORUM<o:p></o:p></span></b></p> </div> </div> </td> </tr> </table> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"; display:none;mso-hide:all'><o:p>&nbsp;</o:p></span></p> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:0in;mso-yfti-tbllook: 1184;mso-padding-alt:3.75pt 3.75pt 3.75pt 3.75pt' tabindex=0 id="content_LETTER.BLOCK2"> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td width="50%" style='width:50.0%;padding:3.75pt 3.75pt 3.75pt 3.75pt'> <p class=MsoNormal><strong><span style='font-family:"Arial Narrow","sans-serif"; mso-fareast-font-family:"Times New Roman";color:white'>January 27, 2012</span></strong><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";mso-fareast-font-family: "Times New Roman";color:#003366'><o:p></o:p></span></p> </td> <td width="50%" style='width:50.0%;padding:3.75pt 3.75pt 3.75pt 3.75pt'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";mso-fareast-font-family: "Times New Roman";color:#003366'>&nbsp;<o:p></o:p></span></p> </td> </tr> </table> <p class=MsoNormal><span style='font-size:10.0pt;mso-fareast-font-family: "Times New Roman"'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:1;mso-yfti-lastrow:yes'> <td style='padding:0in 0in 0in 0in'> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=630 style='width:472.5pt;mso-cellspacing:0in;mso-yfti-tbllook: 1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td width=190 valign=top style='width:142.5pt;background:white; padding:7.5pt 0in 0in 0in'> <p class=MsoNormal align=center style='text-align:center'><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=618 style='width:463.5pt;mso-cellspacing:0in;mso-yfti-tbllook: 1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width="100%" style='width:100.0%;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp;&nbsp; <o:p></o:p></span></p> <div> <p class=MsoNormal><b><span style='font-size:20.0pt;font-family:"Calibri","sans-serif"; mso-fareast-font-family:"Times New Roman";color:maroon'>UNIVERSAL SINGLE PAYER BILL FAILS FIRST TRY TO PASS STATE SENATE </span></b><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </div> <div> <p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'>&nbsp;</span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </div> <div> <p><span style='font-size:13.5pt;font-family:"Calibri","sans-serif"; color:black'>On January 26, the California State Senate voted twice on SB 810 (Leno) the California Universal Health Care Act, but did not gather enough votes for passage.&nbsp;&nbsp; SB 810 ultimately failed on a 19-15 vote. Twenty-one (21) votes are needed to pass a majority vote bill in the state Senate. </span><span style='font-size:10.0pt; font-family:"Calibri","sans-serif";color:black'><o:p></o:p></span></p> <p><span style='font-size:13.5pt;font-family:"Calibri","sans-serif"; color:black'>All Republicans present voted against SB 810. Of critical importance to CAHU, several members of the Senate Democrat caucus refused to place any vote on the bill whatsoever. The key Senators who abstained were Alex Padilla (D-Pacoima) Michael Rubio (D-Bakersfield), Juan Vargas (D-San Diego) and Rod Wright (D-Los Angeles). </span><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; color:black'><o:p></o:p></span></p> <p><span style='font-size:13.5pt;font-family:"Calibri","sans-serif"; color:black'>SB 810 seeks to establish a state-run Single Payer Health Care program.&nbsp;&nbsp; CAHU has continued to urge policymakers to instead focus on the adoption of policies, regulations, and laws needed to assure the success of federal health care reform in California. </span><span style='font-size:10.0pt; font-family:"Calibri","sans-serif";color:black'><o:p></o:p></span></p> <p><span style='font-size:13.5pt;font-family:"Calibri","sans-serif"; color:black'>California is already hard at work implementing the recently enacted the federal Patient Protection and Affordable Care Act (PPACA). PPACA sets out an extensive access program through the establishment of state-run health care Exchanges. </span><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; color:black'><o:p></o:p></span></p> <p><span style='font-size:13.5pt;font-family:"Calibri","sans-serif"; color:black'>CAHU remains concerned that SB 810, while well-intentioned, is likely to have unintended consequences for California's health care marketplace and on consumers. SB 810 unnecessarily complicates the HBEX process by forcing the state health care system to move in an entirely different direction from the current implementation plan. This will only create confusion for all concerned. </span><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; color:black'><o:p></o:p></span></p> <p><span style='font-size:13.5pt;font-family:"Calibri","sans-serif"; color:black'>It is also important to note that the new Exchanges have been fully funded with federal dollars through 2014, while California has had, and continues to face, a multi-billion budget shortfall in a down economy. SB 810 will force California to fund an entirely new approach to health care with very limited California-only dollars.</span><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; color:black'><o:p></o:p></span></p> <p><span style='font-size:13.5pt;font-family:"Calibri","sans-serif"; color:red'>However, SB 810 was granted &quot;reconsideration&quot; which lets the proponents try one more time to pass the bill next Monday, January 30. Bills introduced last year that do not move into the second house of the Legislature by the end of January 2012 are considered &quot;dead.&quot;</span><span style='font-size:10.0pt; font-family:"Calibri","sans-serif";color:black'><o:p></o:p></span></p> <p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'>&nbsp; </span><span style='font-size:14.0pt;font-family:"Calibri","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><o:p></o:p></span></p> <p style='margin:0in;margin-bottom:.0001pt'><span style='font-size: 14.0pt;font-family:"Calibri","sans-serif";color:black'>&nbsp;<o:p></o:p></span></p> </div> </td> </tr> <tr style='mso-yfti-irow:1'> <td width="100%" valign=top style='width:100.0%;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <a name=LETTER.BLOCK18></a><a name=LETTER.BLOCK16></a><a name=LETTER.BLOCK14></a><o:p></o:p></span></p> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=613 style='width:459.75pt;mso-cellspacing:0in;background:white; mso-yfti-tbllook:1184;mso-padding-alt:3.75pt 3.75pt 3.75pt 3.75pt' tabindex=0 id="content_LETTER.BLOCK14"> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow: yes'> <td valign=top style='padding:3.75pt 3.75pt 3.75pt 3.75pt'> <div> <div> <div> <div> <div> <div> <div> <div> <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:14.0pt;font-family:"Calibri","sans-serif"; color:black'>CAHU Legislative Resources&nbsp;<o:p></o:p></span></b></p> <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-family:"Calibri","sans-serif";color:black'>To learn more about the legislation CAHU supports, opposes or watches, visit <a href="http://click.icptrack.com/icp/relay.php?r=20529895&amp;msgid=646456&amp;act=2TFW&amp;c=150263&amp;destination=http%3A%2F%2Fr20.rs6.net%2Ftn.jsp%3Fllr%3Drgcub5cab%26et%3D1109081956648%26s%3D5933%26e%3D001XnM8zELAgQ5Y1CwoBeTs1MNPfw6dBr-BS750hPHteVY5YKHXRUAMGYcBmq6YKhTKasoYgblTb8LbZACdz0XCRtyxxpTX_FbZUZIj09OS2bA%3D" target="_blank" shape=rect>www.cahu.org</a> and then:<o:p></o:p></span></b></p> <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-family:"Calibri","sans-serif";color:black'>&nbsp;<o:p></o:p></span></b></p> <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; color:black'>1. Click on &quot;Legislation&quot; (on the main menu)<o:p></o:p></span></b></p> <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; color:black'>2. Click on &quot;Bills &amp; Legislation&quot;<o:p></o:p></span></b></p> <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; color:black'>3. Click on <a href="http://click.icptrack.com/icp/relay.php?r=20529895&amp;msgid=646456&amp;act=2TFW&amp;c=150263&amp;destination=http%3A%2F%2Fr20.rs6.net%2Ftn.jsp%3Fllr%3Drgcub5cab%26et%3D1109081956648%26s%3D5933%26e%3D001XnM8zELAgQ4cVB7DvMzGPhVA805F5CxeT2XgD6ZUNNLpMd547ghX_ZAY5HZrZB98LmknugJmk9yiENpMJyHA1PXQa8w43-bHvgwzN9e1FEs_jtpFRzDMmiCLgR-MJz2RIJoD4SwsfW4BTiS716BCwaa2wy2jWyI6" target="_blank" shape=rect linktype=link track=on>CAHU 2011-2012 Healthcare Bill Tracking Reports</a><o:p></o:p></span></b></p> <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; color:black'>4. Click on &quot;Top&nbsp;10 Bills&quot; or &quot;CAHU Monday Morning Report&quot; or &quot;CAHU Assigned Bills&quot;<o:p></o:p></span></b></p> <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; color:black'>&nbsp;<o:p></o:p></span></b></p> <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:10.0pt;font-family:"Calibri","sans-serif"; color:black'>For questions regarding CAHU legislative activities, please contact: <span class=SpellE>Juli</span> Broyles <a href="mailto:jbroyles@calavocates.com" target="_blank" shape=rect>jbroyles@caladvocates.com</a> or Mike <span class=SpellE>Belote</span> <a href="mailto:mbelote@caladvocates.com" target="_blank" shape=rect>mbelote@caladvocates.com</a>.&nbsp;<o:p></o:p></span></b></p> </div> </div> </div> </div> </div> </div> </div> </div> </td> </tr> </table> </td> </tr> <tr style='mso-yfti-irow:2;mso-yfti-lastrow:yes'> <td width="100%" valign=top style='width:100.0%;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp;<o:p></o:p></span></p> </td> </tr> </table> </div> </td> <td width=410 valign=top style='width:307.5pt;background:white; 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