Gov. Ron DeSantis
Age: forty five
Florida population: 22.two million
Gov. Gavin Newsom
California population: 39 million
Republican presidential applicant Ron DeSantis and Democratic Gov. Gavin Newsom — political rivals from opposite coasts and proxies for crimson and blue The us — are established to square off for a to start with-of-its-variety debate Nov. thirty in Ga.
Newsom, a liberal firebrand in his 2nd time period as governor of California, is not managing for president in 2024. But he goaded DeSantis, in his 2nd phrase as governor of Florida, to go mano a mano. “I’ll provide my hair gel. You carry your hairspray,” he taunted on social media.
The matchup promises to be a heated brawl among rising political stars who guide two of the nation’s most populous and assorted states. And it will mark the initially time the politicians satisfy in human being even as they have incredibly publicly traded barbs and insults, in the latest weeks attacking just about every other in fundraising films and campaign adverts.
Front and center will be homelessness and overall health care, major priorities for voters — and troubles that have largely described the governors’ insurance policies and leadership models. From abortion to covid-19 vaccines, Newsom and DeSantis could not be more aside.
Previously this yr, DeSantis blasted California for currently being as well generous with general public profit applications, this kind of as Medicaid, which the Golden Condition has expanded to all suitable residents irrespective of immigration standing. That sweeping coverage will take result in January and goes nicely further than the optional growth of Medicaid that the Affordable Treatment Act made available states. In Florida, 1 of 10 states that have refused to extend Medicaid beneath Obamacare, DeSantis wears the state’s eleven% level of uninsured inhabitants as a badge of honor.
“We’re not likely to be like California and have huge numbers of people on authorities packages devoid of get the job done necessities,” DeSantis said at a presidential major discussion in Southern California before this yr.
DeSantis has led his state to limit abortion and gender-affirming treatment and to ban covid-connected mask and vaccine mandates.
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Newsom, a slick and brash surrogate for Democratic President Joe Biden, has slammed DeSantis for putting Floridians in danger and stripping them of their legal rights.
“Join us in California, exactly where we still believe that in independence,” Newsom mentioned in a political advert previously this yr.
Newsom has gained the moniker of “health care governor” by catapulting the problem to the best of his policy priorities. He manufactured California an abortion sanctuary and is considerably growing health and fitness treatment gains. He experienced promised to carry solitary-payer wellbeing treatment to the nation’s most populous condition even though campaigning for his first expression, but that notion hit rigid political opposition early in his tenure. And now Newsom features about bringing the state’s uninsured charge to an all-time lower of 6.five% by expanding protection in other strategies.
These problems are predicted to acquire centre stage throughout the nationally televised 90-moment debate on Fox News, which could have important reverberations for the presidential contest future calendar year and could even enable shape the 2028 discipline of White Property contenders.
In progress of the showdown, KFF Health News analyzed ten of the governors’ leading overall health treatment positions and how their insurance policies have enhanced — or hindered — the health and fitness of the people they symbolize.
DeSantis has refused to increase Medicaid eligibility to more individuals under the Economical Care Act. Partly as a outcome, more than three million Floridians had coverage via the federal Obamacare exchange as of February, much more than any other condition. Florida does not have a condition-based exchange or provide condition-sponsored subsidies.
The condition has enthusiastically embraced the Very affordable Treatment Act, growing Medicaid while placing up its very own coverage exchange, Protected California. Underneath Newsom, it has also long gone effectively beyond the provisions of Obamacare and made a state prerequisite for Californians to have health insurance soon after the federal mandate was eradicated.
DeSantis authorized laws in April banning abortions immediately after 6 weeks of pregnancy. Nevertheless, the Florida Supreme Courtroom has taken up a challenge to the fifteen-7 days ban launched in 2022, which will establish if the 6-7 days ban can consider effect.
Newsom spearheaded the hard work in 2022 to amend the condition constitution to enshrine the correct to abortion and birth control. He also approved $60 million to aid uninsured clients and individuals from out of condition pay out for abortions in California, and signed reproductive overall health treatment laws, like one particular shielding medical practitioners who mail abortion capsules to other states.
Below DeSantis, Florida handed a regulation this 12 months banning gender-affirming well being treatment for trans minors and mandating that grownup patients indication educated consent forms before beginning or continuing hormone cure. The regulation also restricts who can buy hormone treatment to medical professionals and prohibits the use of telehealth for new prescriptions. A federal lawsuit tough the regulation is established to go to demo in mid-December.
Newsom and other state leaders have amended condition law to make sure all California grownups and children are entitled to gender-affirming overall health treatment products and services. And coverage corporations carrying out business in California ought to consist of facts on in-network providers for gender-affirming products and services by 2025. State health and fitness care agencies are planning “enforceable high-quality standards” to be certain trans sufferers have access to thorough treatment.
DeSantis has not declared homelessness a priority. In a video clip filmed on the streets of San Francisco and posted to social media in June, DeSantis made use of the matter as a campaign cudgel to criticize what he identified as “leftist policies” in California. Florida is experimenting with making use of Medicaid resources to handle homelessness, but the plan is limited. Almost 26,000 people are homeless in Florida, or twelve of each 10,000 people.
Newsom has plowed more than $twenty billion into the homelessness disaster, with billions a lot more for wellbeing and social providers. For illustration, some homeless Californians can get social expert services via the state’s Medicaid system, these types of as cash for rental protection deposits, utility payments, and 1st and final month’s rent. Newsom also led a new condition initiative that could pressure some homeless men and women into psychological wellbeing or habit treatment method. Extra than 171,000 folks are homeless in California, or 44 of each ten,000 people.
DeSantis has kept his pledge to advocate for psychological health therapy programs as governor, though Florida nevertheless ranks 43rd nationally in obtain to mental well being treatment and has the fourth-maximum amount of adults with mental disease who are uninsured, according to the Miami Center for Mental Overall health and Recovery. Underneath DeSantis, Florida has enhanced state funding for mental overall health programs in educational institutions and peer-to-peer psychological wellbeing solutions for initial respondersand directed funding to suicide avoidance.
Newsom in 2020 signed a person of the nation’s strongest mental overall health parity legal guidelines, which calls for insurance policies providers to include psychological overall health and compound use diseases just as they would bodily wellbeing circumstances. He is funding a $four.seven billion initiative to supply psychological well being treatment in universities. Newsom is also foremost the campaign for a statewide, $6.4 billion bond evaluate in 2024 to revamp and extend neighborhood-primarily based behavioral well being packages, which includes countless numbers of new treatment beds.
Florida’s drug overdose death rate was 37.5 for each a hundred,000 individuals in 2021. In August, DeSantis introduced a new statewide addiction recovery method billed as a “first of its kind” in the United States, applying peer counselors, medication-assisted procedure, and a coordinated community of help companies. DeSantis also licensed Florida counties to adopt needle trade systems in 2019 to lower the unfold of blood-borne conditions and encourage dependancy treatment method.
California’s drug overdose rate was 26.six for each a hundred,000 individuals in 2021. Newsom is sending the state Highway Patrol and Nationwide Guard into San Francisco to combat the open-air fentanyl trade and is boosting dependancy recovery courses statewide. But he vetoed laws very last yr that would have permitted Los Angeles, San Francisco, and Oakland to build harmless injection sites.
A DeSantis proposal submitted to the Fda in 2020 consists of allowing imported drugs from Canada. A new point out regulation also sets value boundaries for pharmacy profit managers — intermediaries among insurers, pharmacies, and producers — and creates new guidelines for them all over pricing transparency. The legislation also demands pharmaceutical businesses to disclose sizeable cost hikes.
Newsom is spearheading a $100 millioninitially-in-the-nation initiative that places California in the generic drugmaking small businesscommencing with insulin and the opioid reversal drug naloxone. California now experienced a pricing transparency legislation when Newsom took workplace. This calendar year, he signed a legislation that tightens point out restrictions for pharmacy gain professionals.
Health and fitness Care Affordability
In 2019, DeSantis signed the Patient Personal savings Actwhich makes it possible for wellbeing insurers to share charge price savings with enrollees who shop for well being treatment products and services, such as imaging and diagnostic checks. Less than his leadership, Florida lawmakers have also permitted limited-time period wellbeing programs lasting less than a calendar year and immediate health and fitness treatment agreements among a client and a wellness treatment company that are not regarded insurance plan and are not matter to Florida’s coverage code.
A single of Newsom’s initial well being treatment initiatives was to fund point out-financed health and fitness insurance policies subsidies for lower- and center-cash flow residents who invest in insurance plan via Coated California. Newsom this calendar year also agreed to lower copays and get rid of some deductibles for designs sold as a result of the trade. California’s newly created Place of work of Wellness Treatment Affordability is capping business expense boosts and could potentially control wellness marketplace consolidation. California bans brief-term wellbeing designs.
Public Well being
Newsom grew to become the 1st U.S. governor to issue a statewide continue to be-at-home buy at the begin of the covid-19 pandemic. He pushed sturdy vaccination and mask mandates and accused DeSantis of becoming weak on public overall health. Newsom has also signed guidelines strengthening childhood vaccination mandates, which includes a measure that cracks down on bogus professional medical exemptions granted by doctors. The Golden State’s covid-19 vaccine booster amount for residents ages five and older is 21.nine%.
Immigrant Well being Treatment
With DeSantis generating immigration a precedence, legislators handed a point out regulation demanding all Florida hospitals to question on their admission sorts irrespective of whether a individual is a U.S. citizen or lawfully existing in the country. Medical practitioners, nurses, and wellbeing coverage specialists say the law targets marginalized people who previously have issue navigating the wellness care system and will even further deter them from looking for care.
Commencing in January, all immigrants who satisfy income skills will be eligible for the state’s Medicaid software. Right before Newsom took place of work, California had currently expanded eligibility to immigrant small children by age 18 residing in the state with out authorization. Newsom then signed laws growing the method to youthful grown ups up to age 26, older people 50 and older, and, later on, immigrants of any age who in any other case meet eligibility prerequisites.