Managed Care Organization Tax for Medi-Cal Funding
Sponsor: Citizen initiative; California Medical Association and managed care health plan industry
Fiscal impact
Increases Medi-Cal funding by approximately $2–5 billion annually (roughly half from MCO tax, half from federal matching funds).
Official ballot summary
Makes permanent the existing tax on managed care health insurance plans and locks the revenue exclusively into Medi-Cal services — primary care, specialty care, mental health, and prescription drugs.
Who's behind this measure?
Public positions and campaign money—not a recommendation for how to vote.
Supporting groups and campaigns
- California Democratic Party (opens in a new tab)Secondary reporting
- Republican Party of California (opens in a new tab)Secondary reporting
- California Dental Association (opens in a new tab)Secondary reporting
More groups (4)
- California Hospital Association (opens in a new tab)Secondary reporting
- California Medical Association (opens in a new tab)Secondary reporting
- California Primary Care Association (opens in a new tab)Secondary reporting
- Planned Parenthood Affiliates of California (opens in a new tab)Secondary reporting
- Yes on 35 - Protect our Healthcare
- Raised
- $53,526,642.53
- Spent
- $53,447,153.95
Snapshot retrieved Nov 6, 2026 · USDReports through Dec 31, 2024Donors & reporting details · Yes on 35 - Protect our Healthcare
Totals as compiled by Ballotpedia for reports covering through 2024-12-31; cash contributions $52,731,461.00, in-kind contributions $795,181.53, cash expenditures $52,651,972.42. Ballotpedia cites Cal-Access — Coalition to Protect Access to Healthcare (https://cal-access.sos.ca.gov/Campaign/Committees/Detail.aspx?id=1462573&view=electronic).
Reported donors are included in receipts, not additional money. This is not a complete donor list. Contributions do not establish influence over an outcome.
- California Primary Care Association Advocates Patient Access to Care Fund, Support Yes on Prop 35
- Raised
- $914,993.06
- Spent
- $1,190,365.07
Snapshot retrieved Nov 6, 2026 · USDReports through Dec 31, 2024Donors & reporting details · California Primary Care Association Advocates Patient Access to Care Fund, Support Yes on Prop 35
Totals as compiled by Ballotpedia for reports covering through 2024-12-31; cash contributions $914,543.06, in-kind contributions $450.00, cash expenditures $1,189,915.07. Ballotpedia cites Cal-Access — Coalition to Protect Access to Healthcare (https://cal-access.sos.ca.gov/Campaign/Committees/Detail.aspx?id=1462573&view=electronic).
Reported donors are included in receipts, not additional money. This is not a complete donor list. Contributions do not establish influence over an outcome.
Reported across this side’s campaigns; not assigned to an individual committee. See source for the reporting window.
More donors to this side
- Global Medical Response, Inc. (opens in a new tab) · $13,900,000.00Secondary reporting
- California Medical Association (opens in a new tab) · $11,400,991.60Secondary reporting
- California Primary Care Association (opens in a new tab) · $2,026,588.88Secondary reporting
- California Dental Association (opens in a new tab) · $1,100,000.00Secondary reporting
Reported donors are part of receipts, not additional money. This is not a complete donor list.
Opposing groups and campaigns
- California Alliance for Retired Americans (opens in a new tab)Secondary reporting
- California Pan-Ethnic Health Network (opens in a new tab)Secondary reporting
- League of Women Voters of California (opens in a new tab)Secondary reporting
Committee totals have not been collected. This does not mean $0.
Dated snapshots, not live totals. Missing amounts are not zero. Committees are shown separately.
About sources & coverage
Group positions come from the linked sources. Secondary reporting and first-party statements are distinct from official filings. Committee-wide totals may fund other measures; they are not allocations to this measure. Donor amounts are already part of receipts; neither donors nor overlapping snapshots are added together.
Groups as listed by Ballotpedia (secondary reporting), retrieved 2026-11-06: campaigns, parties, unions and organizations; elected officials and candidates omitted.
Figures compiled by Ballotpedia (secondary reporting) from Cal-Access — Coalition to Protect Access to Healthcare for reports covering through 2024-12-31; retrieved 2026-11-06. Donor lists are the top donors to all committees on that side; they are not allocated to individual committees.
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