Kamala Harris and Donald Trump have starkly different platforms on abortion. They also have different ideas about how to bring down health care costs that could directly affect Califorians. (Adriana Heldiz/CalMatters; iStock)
Donald Trump and Kamala Harris stand far apart on most issues, and health care is no exception. The November election carries major implications for Californians’ access to health care and the cost they pay for it.
While neither candidate has put forth a comprehensive health care agenda, both have track records from their respective time in the White House or previous posts that offer a glimpse on where they might stand on key health issues.
The cost of health care is a top concern for Californians and voters across the nation, millions of whom are saddled with medical debt or take less medication than prescribed because of the cost. While both candidates have acknowledged that health costs are a major burden to Americans, the difference will be in how they go about providing relief.
How the next president goes about strengthening — or chipping away — at the Affordable Care Act and abortion rights will also directly affect voters’ lives. Below are examples of both candidates’ records on key health issues and what they’ve promised to voters so far.
The future of the Affordable Care Act
TRUMP. Trump, as president, tried and failed to repeal the Affordable Care Act, the signature legislative achievement of his predecessor, Barack Obama. As recently as last year, Trump vowed to try again if he’s reelected.
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The idea of overhauling the health law would be a much harder sell today than in Trump’s presidency, some experts say, because the law is generally more popular. Some Republicans who opposed the law in the past have come to accept that it is here to stay or have moved on to other issues.
Nowadays, Trump says he wants to “improve” the Affordable Care Act and make it “less expensive.” He hasn’t offered any details as to what that would entail, but experts say any changes would likely come in the form of chipping away at certain provisions of the law.
Trump, as president, made one major change to the Affordable Care Act: He signed a tax cut law that also eliminated a penalty levied on people without health insurance. The idea behind this provision of the Affordable Care Act was that a penalty, charged when people filed their income taxes, would encourage people to sign up for health insurance. And getting more people insured, especially the young and healthy, drives down the cost of coverage for everyone. Today, uninsured Californians still pay a penalty of up to $850 per adult because Gov. Gavin Newsom enacted a state version of this mandate.
HARRIS. During her 2019 presidential campaign, Harris promoted a version of Medicare for All, a government-run single-payer system. Today, health policy experts expect Harris to continue the current administration’s efforts to promote and build on the Affordable Care Act rather than move the country toward a new system.
Some California lawmakers are still interested in exploring a single-payer-like health care system. Last year, Newsom signed a law directing the state to map out the next steps in creating a “unified financing” system that would cover all Californians. Getting anywhere near this goal will require federal permission and resources, which are more likely to happen under a Harris administration, experts involved in these discussions say.
“A Harris presidency, I think, is going to view a waiver application from the state of California favorably,” said Gerald Kominski, a senior fellow at the UCLA Center for Health Policy Research, who has served as a consultant to a state commission exploring this issue. “It’s not to say that it will sail through…getting a waiver to pool federal and state funding is still going to be a challenge, but I think her administration is going to find a way to work with California to make it happen.”
More people than ever, 21 million, signed up for health insurance under Affordable Care Act exchanges in 2024. Marketplace officials across the country say that’s in part because of the increased premium subsidies made available under the COVID-19 relief laws known as the American Rescue Plan and later the Inflation Reduction Act. That enhanced financial aid is currently set to expire at the end of 2025. About 90% of enrollees in Covered California receive financial assistance. The odds of continuing that enhanced aid are better under a Harris administration, experts say.
The cost of health care
HARRIS. As attorney general of California, Harris went after large health companies by moving to restrict mergers and investigate anti-competitive behaviors that research shows can drive up the cost of care.
She launched an investigation into several California health systems, examining their market power and their influence on prices. That investigation led her successor, Attorney General Xavier Becerra, to file a lawsuit against Sutter Health, a nonprofit hospital and clinic system in Northern California. In the lawsuit, Becerra accused Sutter of using its market power to drive up prices in Northern California. In 2019, Sutter settled the case for $575 million, although it did not admit wrongdoing.
Harris has also taken a leading role in the current administration’s efforts to address the medical debt that burdens millions of families. In June, she proposed rules to remove medical debt from credit reports. California lawmakers have a similar proposal currently sitting on Newsom’s desk. About 4 in 10 Californians report having some type of medical debt, according to the California Health Care Foundation.
Among Harris’ campaign promises: “Work with states to cancel medical debt for millions of Americans.” While she hasn’t said how exactly she plans to do this, her work with North Carolina Gov. Roy Cooper may offer a preview: Starting next year, North Carolina will roll out a program that incentivizes hospitals to forgive patients’ medical debt in exchange for additional Medicaid dollars.
TRUMP. Perhaps some of Trump’s most significant contributions to reining in health care costs came in the form of price transparency rules. He signed an executive order that led to requirements for hospitals to disclose prices for common services on their websites. And in 2020, Trump signed the No Surprises Act, a law designed to protect consumers against surprise medical bills when receiving care from out-of-network providers. This often happens when people receive emergency care and are not in a position to choose their providers. Surprise medical bills tend to rank among the public’s top concerns.
The Trump administration greenlit some major health care mergers, but it did so with certain conditions signaling some caution in approving such deals. One example — CVS Health’s $69 billion acquisition of insurance giant Aetna, one of the biggest health mergers of all time. Aetna and CVS Health were competitors in the sale of Medicare drug plans. As a condition to approve the merger, Trump’s Department of Justice required that Aetna sell part of its Medicare drug business to another company as a way to preserve competition.
“That one was really contentious, and it took a long time, but we definitely didn’t see a rubber stamp,” said Rachel Nuzum, senior vice president of policy at The Commonwealth Fund. “There was an acknowledgment that the size and scope of these mergers could be problematic for consumers.”
Abortion in the 2024 election
Pro-abortion rights supporters marched in protest of a Supreme Court ruling that overturned Roe vs. Wade in Sacramento on June 25, 2022. (Miguel Gutierrez Jr./CalMatters)
TRUMP. No other health issue has received as much attention this election cycle as abortion and reproductive health. In California, Democrats have tried to cement abortion rights into state law, and this is often the first issue they use to go after Trump. That’s because the Supreme Court justices he appointed made the difference in overturning the 1973 ruling that had protected abortion rights, Roe v. Wade.
Trump has given inconsistent messages about abortion rights. Earlier this year, Trump made headlines for suggesting that if he were reelected, he’d support a national ban on abortion at 15 weeks of pregnancy. A few weeks later, he changed his tune, saying abortion should be left up to the states. He has indicated that he would not ban mail delivery of medication abortion pills and has said he wants insurance to cover the cost of in vitro fertilization treatment, or IVF, “because we want more babies.”
HARRIS. Harris has leaned heavily into abortion and reproductive rights, an issue she has remained consistent on throughout her career. She is often the voice and face for reproductive health in Biden’s administration and has expressed support for restoring abortion access through federal law.
As vice president, she launched a nationwide tour to promote reproductive rights with events across the country. It included a visit to a Planned Parenthood clinic, reportedly the first ever such visit by a sitting VP or president.
As attorney general in California, Harris sponsored state law that aimed to regulate crisis pregnancy centers. These are often religiously affiliated and known for trying to prevent women from getting abortions. The law required these centers to display a notice letting people know that comprehensive family planning services, including contraception and abortion, were available through state programs. The U.S. Supreme Court eventually overturned that law.
How they’d curb prescription drug prices
Shelves full of prescription medication at La Clinic pharmacy in Oakland on Sept. 26, 2019. (Anne Wernikoff/CalMatters)
TRUMP. Trump often takes credit for lowering the price of insulin for millions of Americans — but that’s not totally accurate. What his administration did was establish a temporary program known as the Part D Senior Savings Model. This program reduced copayments for insulin to $35 a month for about 800,000 seniors on certain Medicare plans. It lasted two years, expiring at the end of 2023. The Biden administration went further in the Inflation Reduction Act, which included a provision that capped insulin copay prices at $35 a month for about 3.3 million Medicare beneficiaries.
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Trump also took the first steps to allow states to import prescription drugs from Canada as a way to increase competition and lower drug prices. The pharmaceutical industry and the Canadian government heavily opposed this move. This idea came to fruition earlier this year when the FDA approved Florida’s plan to import prescription drugs to treat HIV/AIDS, mental illness and prostate cancer. Florida Gov. Ron DeSantis said that importing medications from Canada will save the state about $180 million in year one.
HARRIS. In addition to expanding insulin copay caps to more seniors, Biden-Harris’ Inflation Reduction Act also directed the agency to negotiate drug prices with manufacturers for certain high-cost drugs covered under Medicare. The 10 drugs in the first round of negotiations included medications to treat diabetes, heart failure, blood clots and rheumatoid arthritis. The negotiations resulted in discounts between 38% to 79%. The new negotiated prices are set to go into effect in 2026.
The Inflation Reduction Act — for which Harris likes to remind voters she cast the tie-breaking vote — also caps the total annual out-of-pocket drug spending for people on Medicare. This means that starting in 2025, seniors will pay no more than $2,000 a year for all their medications. About 3.2 million Medicare beneficiaries are expected to reach this limit in 2025, including 271,000 in California, according to recent estimates from the AARP.
Harris has said she wants to expand these cost-saving efforts to everyone, not just seniors. She has also pledged to go after drug companies and pharmaceutical middlemen that thwart competition and drive up costs.
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Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.
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They also have different ideas about how to bring down health care costs that could directly affect Califorians. ","credit":"Adriana Heldiz/CalMatters; iStock","altTag":"An illustration showing the medicine logo with cut outs of a woman and man wearing suits.","description":null,"imgSizes":{"medium":{"file":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01-800x533.jpg","width":800,"height":533,"mimeType":"image/jpeg"},"large":{"file":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01-1020x680.jpg","width":1020,"height":680,"mimeType":"image/jpeg"},"thumbnail":{"file":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01-160x107.jpg","width":160,"height":107,"mimeType":"image/jpeg"},"1536x1536":{"file":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01-1536x1024.jpg","width":1536,"height":1024,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"full-width":{"file":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01-1920x1280.jpg","width":1920,"height":1280,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01.jpg","width":2000,"height":1333}},"fetchFailed":false,"isLoading":false}},"audioPlayerReducer":{"postId":"stream_live"},"authorsReducer":{"byline_news_12003006":{"type":"authors","id":"byline_news_12003006","meta":{"override":true},"slug":"byline_news_12003006","name":"\u003ca href=\"https://calmatters.org/author/anaibarra\">Ana B. Ibarra, \u003c/a>CalMatters","isLoading":false}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_12003006":{"type":"posts","id":"news_12003006","meta":{"index":"posts_1716263798","site":"news","id":"12003006","found":true},"guestAuthors":[],"slug":"how-will-california-health-care-change-under-trump-or-harris-heres-what-their-records-show","title":"How Will California Health Care Change Under Trump or Harris? Here’s What Their Records Show","publishDate":1725546628,"format":"standard","headTitle":"How Will California Health Care Change Under Trump or Harris? Here’s What Their Records Show | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>Donald Trump and \u003ca href=\"https://calmatters.org/tag/Kamala-Harris/\" target=\"_blank\" rel=\"noreferrer noopener\">Kamala Harris\u003c/a> stand far apart on most issues, and health care is no exception. The \u003ca href=\"https://calmatters.org/tag/election-2024/\" target=\"_blank\" rel=\"noreferrer noopener\">November election\u003c/a> carries major implications for Californians’ access to health care and the cost they pay for it.\u003c/p>\n\u003cp>While neither candidate has put forth a comprehensive \u003ca href=\"https://calmatters.org/tag/health-care/\" target=\"_blank\" rel=\"noreferrer noopener\">health care\u003c/a> agenda, both have track records from their respective time in the White House or previous posts that offer a glimpse on where they might stand on key health issues.\u003c/p>\n\u003cp>The cost of health care is a top concern for Californians and voters across the nation, millions of whom are saddled with medical debt or take less medication than prescribed because of the cost. While both candidates have acknowledged that health costs are a major burden to Americans, the difference will be in how they go about providing relief.\u003c/p>\n\u003cp>How the next president goes about strengthening — or chipping away — at the Affordable Care Act and abortion rights will also directly affect voters’ lives. Below are examples of both candidates’ records on key health issues and what they’ve promised to voters so far.\u003c/p>\n\u003ch3>The future of the Affordable Care Act\u003c/h3>\n\u003cp>\u003cstrong>TRUMP.\u003c/strong> Trump, as president, tried and failed to repeal the Affordable Care Act, the signature legislative achievement of his predecessor, Barack Obama. As recently as last year, Trump \u003ca href=\"https://www.nbcnews.com/politics/congress/trump-doubles-saying-obamacare-sucks-must-replaced-rcna126978\" target=\"_blank\" rel=\"noreferrer noopener\">vowed to try again if he’s reelected\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The idea of overhauling the health law would be a much harder sell today than in Trump’s presidency, some experts say, because the law is generally more popular. Some Republicans who opposed the law in the past have come to accept that it is here to stay or have moved on to other issues.\u003c/p>\n\u003cp>Nowadays, Trump says he \u003ca href=\"https://www.nytimes.com/2024/04/11/us/politics/trump-biden-affordable-care-act.html\" target=\"_blank\" rel=\"noreferrer noopener\">wants to “improve” the Affordable Care Act\u003c/a> and make it “less expensive.” He hasn’t offered any details as to what that would entail, but experts say any changes would likely come in the form of chipping away at certain provisions of the law.\u003c/p>\n\u003cp>Trump, as president, made one major change to the Affordable Care Act: He signed a tax cut law that also eliminated a penalty levied on people without health insurance. The idea behind this provision of the Affordable Care Act was that a penalty, charged when people filed their income taxes, would encourage people to sign up for health insurance. And getting more people insured, especially the young and healthy, drives down the cost of coverage for everyone. Today, uninsured \u003ca href=\"https://calmatters.org/health/2024/03/california-health-insurance-penalty/\">Californians still pay a penalty\u003c/a> of up to $850 per adult because Gov. Gavin Newsom enacted a state version of this mandate.\u003c/p>\n\u003cp>\u003cstrong>HARRIS.\u003c/strong> During \u003ca href=\"https://kamalaharris.medium.com/my-plan-for-medicare-for-all-7730370dd421\">her 2019 presidential campaign\u003c/a>, Harris promoted a version of Medicare for All, a government-run single-payer system. Today, health policy experts expect Harris to continue the current administration’s efforts to promote and build on the Affordable Care Act rather than move the country toward a new system.\u003c/p>\n\u003cp>Some California lawmakers are still interested in exploring a single-payer-like health care system. Last year, \u003ca href=\"https://digitaldemocracy.calmatters.org/bills/ca_202320240sb770\">Newsom signed a law\u003c/a> directing the state to map out the next \u003ca href=\"https://calmatters.org/health/2023/07/single-payer-health-care/\">steps in creating a “unified financing” system\u003c/a> that would cover all Californians. Getting anywhere near this goal will require federal permission and resources, which are more likely to happen under a Harris administration, experts involved in these discussions say.\u003c/p>\n\u003cp>“A Harris presidency, I think, is going to view a waiver application from the state of California favorably,” said Gerald Kominski, a senior fellow at the UCLA Center for Health Policy Research, who has served as a consultant to a state commission exploring this issue. “It’s not to say that it will sail through…getting a waiver to pool federal and state funding is still going to be a challenge, but I think her administration is going to find a way to work with California to make it happen.”\u003c/p>\n\u003cp>More people than ever, \u003ca href=\"https://www.kff.org/policy-watch/where-aca-marketplace-enrollment-is-growing-the-fastest-and-why/\">21 million\u003c/a>, signed up for health insurance under \u003ca href=\"https://calmatters.org/tag/affordable-care-act/\">Affordable Care Act \u003c/a>exchanges in 2024. Marketplace officials across the country say that’s in part because of the increased premium subsidies made available under the COVID-19 relief laws known as the American Rescue Plan and later the Inflation Reduction Act. That enhanced financial aid is currently set to expire at the end of 2025. About 90% of enrollees in Covered California receive financial assistance. The odds of continuing that enhanced aid are better under a Harris administration, experts say.\u003c/p>\n\u003ch3>The cost of health care\u003c/h3>\n\u003cp>\u003cstrong>HARRIS.\u003c/strong> As attorney general of California, Harris went after large health companies by moving to restrict mergers and investigate anti-competitive behaviors that research shows can drive up the cost of care.\u003c/p>\n\u003cp>She launched an investigation into several California health systems, examining their market power and their influence on prices. That investigation led her successor, Attorney General Xavier Becerra, to file a lawsuit against Sutter Health, a nonprofit hospital and clinic system in Northern California. In the lawsuit, Becerra accused Sutter of using its market power to drive up prices in Northern California. In 2019, \u003ca href=\"https://californiahealthline.org/news/california-ag-details-historic-settlement-agreement-in-sutter-health-antitrust-case/\" target=\"_blank\" rel=\"noreferrer noopener\">Sutter settled the case for $575 million\u003c/a>, although it did not admit wrongdoing.\u003c/p>\n\u003cp>Harris has also taken a leading role in the current administration’s efforts to address the medical debt that burdens millions of families. In June, she proposed rules to remove medical debt from credit reports. California lawmakers \u003ca href=\"https://calmatters.org/health/2024/08/medical-debt-credit-score/\" target=\"_blank\" rel=\"noreferrer noopener\">have a similar proposal\u003c/a> currently sitting on Newsom’s desk. About 4 in 10 Californians report having some type of medical debt, according to the California Health Care Foundation.\u003c/p>\n\u003cp>Among Harris’ campaign promises: “Work with states to cancel medical debt for millions of Americans.” While she hasn’t said how exactly she plans to do this, her work with North Carolina Gov. Roy Cooper may offer a preview: Starting next year, North Carolina will roll out a program that incentivizes hospitals to forgive patients’ medical debt in exchange for additional Medicaid dollars.\u003c/p>\n\u003cp>\u003cstrong>TRUMP.\u003c/strong> Perhaps some of Trump’s most significant contributions to reining in health care costs came in the form of price transparency rules. He signed an executive order that led to requirements for hospitals to disclose prices for common services on their websites. And in 2020, Trump signed the \u003ca href=\"https://www.cms.gov/newsroom/fact-sheets/no-surprises-understand-your-rights-against-surprise-medical-bills\">No Surprises Act\u003c/a>, a law designed to protect consumers against surprise medical bills when receiving care from out-of-network providers. This often happens when people receive emergency care and are not in a position to choose their providers. Surprise medical bills\u003ca href=\"https://www.kff.org/health-costs/press-release/a-polling-surprise-americans-rank-unexpected-medical-bills-at-top-of-family-budget-worries/\" target=\"_blank\" rel=\"noreferrer noopener\"> tend to rank among the public’s top concerns\u003c/a>.\u003c/p>\n\u003cp>The Trump administration greenlit some major health care mergers, but it did so with certain conditions signaling some caution in approving such deals. One example — CVS Health’s $69 billion acquisition of insurance giant Aetna, one of the biggest health mergers of all time. Aetna and CVS Health were competitors in the sale of Medicare drug plans. As a condition to approve the merger, Trump’s Department of Justice required that Aetna sell part of its Medicare drug business to another company as a way to preserve competition.\u003c/p>\n\u003cp>“That one was really contentious, and it took a long time, but we definitely didn’t see a rubber stamp,” said Rachel Nuzum, senior vice president of policy at The Commonwealth Fund. “There was an acknowledgment that the size and scope of these mergers could be problematic for consumers.”\u003c/p>\n\u003ch3>Abortion in the 2024 election\u003c/h3>\n\u003cfigure id=\"attachment_12003015\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12003015\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2.jpg\" alt=\"A crowd of people on the street march holding pink signs above their heads.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pro-abortion rights supporters marched in protest of a Supreme Court ruling that overturned Roe vs. Wade in Sacramento on June 25, 2022. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>TRUMP.\u003c/strong> No other health issue has received as much attention this election cycle as \u003ca href=\"https://calmatters.org/tag/abortion\">abortion and reproductive health\u003c/a>. In California, Democrats have tried to cement abortion rights into state law, and this is often the first issue they use to go after Trump. That’s because the Supreme Court justices he appointed made the difference in overturning the 1973 ruling that had protected abortion rights, Roe v. Wade.\u003c/p>\n\u003cp>Trump has given inconsistent messages about abortion rights. Earlier this year, Trump made headlines for suggesting that if he were reelected, he’d support \u003ca href=\"https://apnews.com/article/trump-abortion-ban-15-weeks-91a9e0ce87d11dff0fa761f327bd0566\">a national ban on abortion\u003c/a> at 15 weeks of pregnancy. A few weeks later, he changed his tune, saying abortion \u003ca href=\"https://www.politico.com/news/2024/04/08/trump-says-abortion-is-up-to-the-states-declines-to-endorse-national-limit-00151022\">should be left up to the states\u003c/a>. He has indicated that he would not ban mail delivery of medication abortion pills and has said he wants insurance \u003ca href=\"https://www.latimes.com/politics/story/2024-08-29/trump-calls-for-universal-coverage-of-ivf-treatment-with-no-specifics-on-how-his-plan-would-work\">to cover the cost of in vitro fertilization treatment, or IVF\u003c/a>, “because we want more babies.”\u003c/p>\n\u003cp>\u003cstrong>HARRIS. \u003c/strong>Harris has leaned heavily into\u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\"> abortion and reproductive rights\u003c/a>, an issue she has remained consistent on throughout her career. She is often the voice and face for reproductive health in Biden’s administration and has expressed support for restoring abortion access through federal law.\u003c/p>\n\u003cp>As vice president, she launched a nationwide tour to promote reproductive rights with events across the country. It included a visit to a Planned Parenthood clinic, reportedly\u003ca href=\"https://www.plannedparenthoodaction.org/tipsheets/the-quickie-kamala-harris-makes-history-as-first-vice-president-to-tour-a-planned-parenthood-health-center\"> the first ever such visit\u003c/a> by a sitting VP or president.\u003c/p>\n\u003cp>As attorney general in California, Harris sponsored state law that aimed to regulate crisis pregnancy centers. These are often religiously affiliated and known for trying to prevent women from getting abortions. The law required these centers to display a notice letting people know that comprehensive family planning services, including contraception and abortion, were available through state programs. The U.S. Supreme Court eventually overturned that law.\u003c/p>\n\u003ch3>How they’d curb prescription drug prices\u003c/h3>\n\u003cfigure id=\"attachment_12003013\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12003013\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05.jpg\" alt=\"A view of various medications in a pharmacy with a person wearing a lab coat in the background.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Shelves full of prescription medication at La Clinic pharmacy in Oakland on Sept. 26, 2019. \u003ccite>(Anne Wernikoff/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>TRUMP. \u003c/strong>Trump often takes credit for lowering the price of insulin for millions of Americans — \u003ca href=\"https://www.politifact.com/factchecks/2024/jul/12/donald-trump/trump-wrong-in-claiming-full-credit-for-lowering-i/\">but that’s not totally accurate\u003c/a>. What his administration did was establish a temporary program known as the \u003ca href=\"https://www.cms.gov/priorities/innovation/innovation-models/part-d-savings-model\">Part D Senior Savings Model\u003c/a>. This program reduced copayments for insulin to $35 a month for about 800,000 seniors on certain Medicare plans. It lasted two years, expiring at the end of 2023. \u003ca href=\"https://www.kff.org/policy-watch/the-facts-about-the-35-insulin-copay-cap-in-medicare/\">The Biden administration went further\u003c/a> in the Inflation Reduction Act, which included a provision that capped insulin copay prices at $35 a month for about 3.3 million Medicare beneficiaries.[aside postID=\"news_12001799,news_11997351,news_12002132\" label=\"Related Stories\"]\u003c/p>\n\u003cp>Trump also took the first steps to allow states \u003ca href=\"https://www.nytimes.com/2019/12/18/health/drug-prices-imports-canada.html\">to import prescription drugs from Canada\u003c/a> as a way to increase competition and lower drug prices. The pharmaceutical industry and \u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/canada-says-bulk-importation-not-an-effective-solution-high-drug-prices-us-2024-01-08/\">the Canadian government heavily opposed this move\u003c/a>. This idea came to fruition earlier this year when the FDA approved Florida’s plan to import prescription drugs to treat HIV/AIDS, mental illness and prostate cancer. Florida Gov. Ron DeSantis said that importing medications from Canada will \u003ca href=\"https://www.flgov.com/2024/01/05/florida-becomes-first-in-the-nation-to-have-canadian-drug-importation-program-approved-by-fda/\">save the state about $180 million\u003c/a> in year one.\u003c/p>\n\u003cp>\u003cstrong>HARRIS. \u003c/strong>In addition to expanding insulin copay caps to more seniors, Biden-Harris’ Inflation Reduction Act also directed the agency to negotiate drug prices with manufacturers for certain high-cost drugs covered under Medicare. The \u003ca href=\"https://www.cms.gov/files/document/fact-sheet-medicare-selected-drug-negotiation-list-ipay-2026.pdf\">10 drugs in the first round of negotiations\u003c/a> included medications to treat diabetes, heart failure, blood clots and rheumatoid arthritis. The negotiations resulted in discounts between 38% to 79%. The new negotiated prices are set to go into effect in 2026.\u003c/p>\n\u003cp>The Inflation Reduction Act — for which Harris likes to remind voters she cast the tie-breaking vote — also caps the total annual out-of-pocket drug spending for people on Medicare. This means that starting in 2025, seniors will pay no more than $2,000 a year for all their medications. About 3.2 million Medicare beneficiaries are expected to reach this limit in 2025, \u003ca href=\"https://states.aarp.org/california/new-aarp-report-impact-of-historic-medicare-rx-out-of-pocket-spending-cap-on-california-seniors\">including 271,000 in California\u003c/a>, according to recent estimates from the AARP.\u003c/p>\n\u003cp>Harris has said she wants to expand these cost-saving efforts to everyone, not just seniors. \u003ca href=\"https://mailchi.mp/press.kamalaharris.com/vice-president-harris-lays-out-agenda-to-lower-costs-for-american-families\">She has also pledged\u003c/a> to go after drug companies and \u003ca href=\"https://calmatters.org/health/2024/08/pharmacy-benefit-manager/\">pharmaceutical middlemen\u003c/a> that thwart competition and drive up costs.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Kamala Harris investigated the market power of huge California health care companies. Donald Trump compelled hospitals to disclose prices. Here’s a look at their 2024 priorities on health.","status":"publish","parent":0,"modified":1725487282,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":2038},"headData":{"title":"How Will California Health Care Change Under Trump or Harris? Here’s What Their Records Show | KQED","description":"Kamala Harris investigated the market power of huge California health care companies. Donald Trump compelled hospitals to disclose prices. Here’s a look at their 2024 priorities on health.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"How Will California Health Care Change Under Trump or Harris? Here’s What Their Records Show","datePublished":"2024-09-05T07:30:28-07:00","dateModified":"2024-09-04T15:01:22-07:00","image":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01-1020x680.jpg","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"authorsData":[{"type":"authors","id":"byline_news_12003006","meta":{"override":true},"slug":"byline_news_12003006","name":"\u003ca href=\"https://calmatters.org/author/anaibarra\">Ana B. Ibarra, \u003c/a>CalMatters","isLoading":false}],"imageData":{"ogImageSize":{"file":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01-1020x680.jpg","width":1020,"height":680,"mimeType":"image/jpeg"},"ogImageWidth":"1020","ogImageHeight":"680","twitterImageUrl":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01-1020x680.jpg","twImageSize":{"file":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Harris-Trump-Health_AH_CM_01-1020x680.jpg","width":1020,"height":680,"mimeType":"image/jpeg"},"twitterCard":"summary_large_image"},"tagData":{"tags":["abortion rights","Donald Trump","health care","Kamala Harris","Medicare","pharmacy"]}},"sticky":false,"nprByline":"\u003ca href=\"https://calmatters.org/author/anaibarra\">Ana B. Ibarra, \u003c/a>CalMatters","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/12003006/how-will-california-health-care-change-under-trump-or-harris-heres-what-their-records-show","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Donald Trump and \u003ca href=\"https://calmatters.org/tag/Kamala-Harris/\" target=\"_blank\" rel=\"noreferrer noopener\">Kamala Harris\u003c/a> stand far apart on most issues, and health care is no exception. The \u003ca href=\"https://calmatters.org/tag/election-2024/\" target=\"_blank\" rel=\"noreferrer noopener\">November election\u003c/a> carries major implications for Californians’ access to health care and the cost they pay for it.\u003c/p>\n\u003cp>While neither candidate has put forth a comprehensive \u003ca href=\"https://calmatters.org/tag/health-care/\" target=\"_blank\" rel=\"noreferrer noopener\">health care\u003c/a> agenda, both have track records from their respective time in the White House or previous posts that offer a glimpse on where they might stand on key health issues.\u003c/p>\n\u003cp>The cost of health care is a top concern for Californians and voters across the nation, millions of whom are saddled with medical debt or take less medication than prescribed because of the cost. While both candidates have acknowledged that health costs are a major burden to Americans, the difference will be in how they go about providing relief.\u003c/p>\n\u003cp>How the next president goes about strengthening — or chipping away — at the Affordable Care Act and abortion rights will also directly affect voters’ lives. Below are examples of both candidates’ records on key health issues and what they’ve promised to voters so far.\u003c/p>\n\u003ch3>The future of the Affordable Care Act\u003c/h3>\n\u003cp>\u003cstrong>TRUMP.\u003c/strong> Trump, as president, tried and failed to repeal the Affordable Care Act, the signature legislative achievement of his predecessor, Barack Obama. As recently as last year, Trump \u003ca href=\"https://www.nbcnews.com/politics/congress/trump-doubles-saying-obamacare-sucks-must-replaced-rcna126978\" target=\"_blank\" rel=\"noreferrer noopener\">vowed to try again if he’s reelected\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The idea of overhauling the health law would be a much harder sell today than in Trump’s presidency, some experts say, because the law is generally more popular. Some Republicans who opposed the law in the past have come to accept that it is here to stay or have moved on to other issues.\u003c/p>\n\u003cp>Nowadays, Trump says he \u003ca href=\"https://www.nytimes.com/2024/04/11/us/politics/trump-biden-affordable-care-act.html\" target=\"_blank\" rel=\"noreferrer noopener\">wants to “improve” the Affordable Care Act\u003c/a> and make it “less expensive.” He hasn’t offered any details as to what that would entail, but experts say any changes would likely come in the form of chipping away at certain provisions of the law.\u003c/p>\n\u003cp>Trump, as president, made one major change to the Affordable Care Act: He signed a tax cut law that also eliminated a penalty levied on people without health insurance. The idea behind this provision of the Affordable Care Act was that a penalty, charged when people filed their income taxes, would encourage people to sign up for health insurance. And getting more people insured, especially the young and healthy, drives down the cost of coverage for everyone. Today, uninsured \u003ca href=\"https://calmatters.org/health/2024/03/california-health-insurance-penalty/\">Californians still pay a penalty\u003c/a> of up to $850 per adult because Gov. Gavin Newsom enacted a state version of this mandate.\u003c/p>\n\u003cp>\u003cstrong>HARRIS.\u003c/strong> During \u003ca href=\"https://kamalaharris.medium.com/my-plan-for-medicare-for-all-7730370dd421\">her 2019 presidential campaign\u003c/a>, Harris promoted a version of Medicare for All, a government-run single-payer system. Today, health policy experts expect Harris to continue the current administration’s efforts to promote and build on the Affordable Care Act rather than move the country toward a new system.\u003c/p>\n\u003cp>Some California lawmakers are still interested in exploring a single-payer-like health care system. Last year, \u003ca href=\"https://digitaldemocracy.calmatters.org/bills/ca_202320240sb770\">Newsom signed a law\u003c/a> directing the state to map out the next \u003ca href=\"https://calmatters.org/health/2023/07/single-payer-health-care/\">steps in creating a “unified financing” system\u003c/a> that would cover all Californians. Getting anywhere near this goal will require federal permission and resources, which are more likely to happen under a Harris administration, experts involved in these discussions say.\u003c/p>\n\u003cp>“A Harris presidency, I think, is going to view a waiver application from the state of California favorably,” said Gerald Kominski, a senior fellow at the UCLA Center for Health Policy Research, who has served as a consultant to a state commission exploring this issue. “It’s not to say that it will sail through…getting a waiver to pool federal and state funding is still going to be a challenge, but I think her administration is going to find a way to work with California to make it happen.”\u003c/p>\n\u003cp>More people than ever, \u003ca href=\"https://www.kff.org/policy-watch/where-aca-marketplace-enrollment-is-growing-the-fastest-and-why/\">21 million\u003c/a>, signed up for health insurance under \u003ca href=\"https://calmatters.org/tag/affordable-care-act/\">Affordable Care Act \u003c/a>exchanges in 2024. Marketplace officials across the country say that’s in part because of the increased premium subsidies made available under the COVID-19 relief laws known as the American Rescue Plan and later the Inflation Reduction Act. That enhanced financial aid is currently set to expire at the end of 2025. About 90% of enrollees in Covered California receive financial assistance. The odds of continuing that enhanced aid are better under a Harris administration, experts say.\u003c/p>\n\u003ch3>The cost of health care\u003c/h3>\n\u003cp>\u003cstrong>HARRIS.\u003c/strong> As attorney general of California, Harris went after large health companies by moving to restrict mergers and investigate anti-competitive behaviors that research shows can drive up the cost of care.\u003c/p>\n\u003cp>She launched an investigation into several California health systems, examining their market power and their influence on prices. That investigation led her successor, Attorney General Xavier Becerra, to file a lawsuit against Sutter Health, a nonprofit hospital and clinic system in Northern California. In the lawsuit, Becerra accused Sutter of using its market power to drive up prices in Northern California. In 2019, \u003ca href=\"https://californiahealthline.org/news/california-ag-details-historic-settlement-agreement-in-sutter-health-antitrust-case/\" target=\"_blank\" rel=\"noreferrer noopener\">Sutter settled the case for $575 million\u003c/a>, although it did not admit wrongdoing.\u003c/p>\n\u003cp>Harris has also taken a leading role in the current administration’s efforts to address the medical debt that burdens millions of families. In June, she proposed rules to remove medical debt from credit reports. California lawmakers \u003ca href=\"https://calmatters.org/health/2024/08/medical-debt-credit-score/\" target=\"_blank\" rel=\"noreferrer noopener\">have a similar proposal\u003c/a> currently sitting on Newsom’s desk. About 4 in 10 Californians report having some type of medical debt, according to the California Health Care Foundation.\u003c/p>\n\u003cp>Among Harris’ campaign promises: “Work with states to cancel medical debt for millions of Americans.” While she hasn’t said how exactly she plans to do this, her work with North Carolina Gov. Roy Cooper may offer a preview: Starting next year, North Carolina will roll out a program that incentivizes hospitals to forgive patients’ medical debt in exchange for additional Medicaid dollars.\u003c/p>\n\u003cp>\u003cstrong>TRUMP.\u003c/strong> Perhaps some of Trump’s most significant contributions to reining in health care costs came in the form of price transparency rules. He signed an executive order that led to requirements for hospitals to disclose prices for common services on their websites. And in 2020, Trump signed the \u003ca href=\"https://www.cms.gov/newsroom/fact-sheets/no-surprises-understand-your-rights-against-surprise-medical-bills\">No Surprises Act\u003c/a>, a law designed to protect consumers against surprise medical bills when receiving care from out-of-network providers. This often happens when people receive emergency care and are not in a position to choose their providers. Surprise medical bills\u003ca href=\"https://www.kff.org/health-costs/press-release/a-polling-surprise-americans-rank-unexpected-medical-bills-at-top-of-family-budget-worries/\" target=\"_blank\" rel=\"noreferrer noopener\"> tend to rank among the public’s top concerns\u003c/a>.\u003c/p>\n\u003cp>The Trump administration greenlit some major health care mergers, but it did so with certain conditions signaling some caution in approving such deals. One example — CVS Health’s $69 billion acquisition of insurance giant Aetna, one of the biggest health mergers of all time. Aetna and CVS Health were competitors in the sale of Medicare drug plans. As a condition to approve the merger, Trump’s Department of Justice required that Aetna sell part of its Medicare drug business to another company as a way to preserve competition.\u003c/p>\n\u003cp>“That one was really contentious, and it took a long time, but we definitely didn’t see a rubber stamp,” said Rachel Nuzum, senior vice president of policy at The Commonwealth Fund. “There was an acknowledgment that the size and scope of these mergers could be problematic for consumers.”\u003c/p>\n\u003ch3>Abortion in the 2024 election\u003c/h3>\n\u003cfigure id=\"attachment_12003015\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12003015\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2.jpg\" alt=\"A crowd of people on the street march holding pink signs above their heads.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/Roe-Wade-Abortion-Protest-MG-07-CM-2-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pro-abortion rights supporters marched in protest of a Supreme Court ruling that overturned Roe vs. Wade in Sacramento on June 25, 2022. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>TRUMP.\u003c/strong> No other health issue has received as much attention this election cycle as \u003ca href=\"https://calmatters.org/tag/abortion\">abortion and reproductive health\u003c/a>. In California, Democrats have tried to cement abortion rights into state law, and this is often the first issue they use to go after Trump. That’s because the Supreme Court justices he appointed made the difference in overturning the 1973 ruling that had protected abortion rights, Roe v. Wade.\u003c/p>\n\u003cp>Trump has given inconsistent messages about abortion rights. Earlier this year, Trump made headlines for suggesting that if he were reelected, he’d support \u003ca href=\"https://apnews.com/article/trump-abortion-ban-15-weeks-91a9e0ce87d11dff0fa761f327bd0566\">a national ban on abortion\u003c/a> at 15 weeks of pregnancy. A few weeks later, he changed his tune, saying abortion \u003ca href=\"https://www.politico.com/news/2024/04/08/trump-says-abortion-is-up-to-the-states-declines-to-endorse-national-limit-00151022\">should be left up to the states\u003c/a>. He has indicated that he would not ban mail delivery of medication abortion pills and has said he wants insurance \u003ca href=\"https://www.latimes.com/politics/story/2024-08-29/trump-calls-for-universal-coverage-of-ivf-treatment-with-no-specifics-on-how-his-plan-would-work\">to cover the cost of in vitro fertilization treatment, or IVF\u003c/a>, “because we want more babies.”\u003c/p>\n\u003cp>\u003cstrong>HARRIS. \u003c/strong>Harris has leaned heavily into\u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\"> abortion and reproductive rights\u003c/a>, an issue she has remained consistent on throughout her career. She is often the voice and face for reproductive health in Biden’s administration and has expressed support for restoring abortion access through federal law.\u003c/p>\n\u003cp>As vice president, she launched a nationwide tour to promote reproductive rights with events across the country. It included a visit to a Planned Parenthood clinic, reportedly\u003ca href=\"https://www.plannedparenthoodaction.org/tipsheets/the-quickie-kamala-harris-makes-history-as-first-vice-president-to-tour-a-planned-parenthood-health-center\"> the first ever such visit\u003c/a> by a sitting VP or president.\u003c/p>\n\u003cp>As attorney general in California, Harris sponsored state law that aimed to regulate crisis pregnancy centers. These are often religiously affiliated and known for trying to prevent women from getting abortions. The law required these centers to display a notice letting people know that comprehensive family planning services, including contraception and abortion, were available through state programs. The U.S. Supreme Court eventually overturned that law.\u003c/p>\n\u003ch3>How they’d curb prescription drug prices\u003c/h3>\n\u003cfigure id=\"attachment_12003013\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12003013\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05.jpg\" alt=\"A view of various medications in a pharmacy with a person wearing a lab coat in the background.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/092619_laclinica_AW_CM_05-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Shelves full of prescription medication at La Clinic pharmacy in Oakland on Sept. 26, 2019. \u003ccite>(Anne Wernikoff/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>TRUMP. \u003c/strong>Trump often takes credit for lowering the price of insulin for millions of Americans — \u003ca href=\"https://www.politifact.com/factchecks/2024/jul/12/donald-trump/trump-wrong-in-claiming-full-credit-for-lowering-i/\">but that’s not totally accurate\u003c/a>. What his administration did was establish a temporary program known as the \u003ca href=\"https://www.cms.gov/priorities/innovation/innovation-models/part-d-savings-model\">Part D Senior Savings Model\u003c/a>. This program reduced copayments for insulin to $35 a month for about 800,000 seniors on certain Medicare plans. It lasted two years, expiring at the end of 2023. \u003ca href=\"https://www.kff.org/policy-watch/the-facts-about-the-35-insulin-copay-cap-in-medicare/\">The Biden administration went further\u003c/a> in the Inflation Reduction Act, which included a provision that capped insulin copay prices at $35 a month for about 3.3 million Medicare beneficiaries.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_12001799,news_11997351,news_12002132","label":"Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Trump also took the first steps to allow states \u003ca href=\"https://www.nytimes.com/2019/12/18/health/drug-prices-imports-canada.html\">to import prescription drugs from Canada\u003c/a> as a way to increase competition and lower drug prices. The pharmaceutical industry and \u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/canada-says-bulk-importation-not-an-effective-solution-high-drug-prices-us-2024-01-08/\">the Canadian government heavily opposed this move\u003c/a>. This idea came to fruition earlier this year when the FDA approved Florida’s plan to import prescription drugs to treat HIV/AIDS, mental illness and prostate cancer. Florida Gov. Ron DeSantis said that importing medications from Canada will \u003ca href=\"https://www.flgov.com/2024/01/05/florida-becomes-first-in-the-nation-to-have-canadian-drug-importation-program-approved-by-fda/\">save the state about $180 million\u003c/a> in year one.\u003c/p>\n\u003cp>\u003cstrong>HARRIS. \u003c/strong>In addition to expanding insulin copay caps to more seniors, Biden-Harris’ Inflation Reduction Act also directed the agency to negotiate drug prices with manufacturers for certain high-cost drugs covered under Medicare. The \u003ca href=\"https://www.cms.gov/files/document/fact-sheet-medicare-selected-drug-negotiation-list-ipay-2026.pdf\">10 drugs in the first round of negotiations\u003c/a> included medications to treat diabetes, heart failure, blood clots and rheumatoid arthritis. The negotiations resulted in discounts between 38% to 79%. The new negotiated prices are set to go into effect in 2026.\u003c/p>\n\u003cp>The Inflation Reduction Act — for which Harris likes to remind voters she cast the tie-breaking vote — also caps the total annual out-of-pocket drug spending for people on Medicare. This means that starting in 2025, seniors will pay no more than $2,000 a year for all their medications. About 3.2 million Medicare beneficiaries are expected to reach this limit in 2025, \u003ca href=\"https://states.aarp.org/california/new-aarp-report-impact-of-historic-medicare-rx-out-of-pocket-spending-cap-on-california-seniors\">including 271,000 in California\u003c/a>, according to recent estimates from the AARP.\u003c/p>\n\u003cp>Harris has said she wants to expand these cost-saving efforts to everyone, not just seniors. \u003ca href=\"https://mailchi.mp/press.kamalaharris.com/vice-president-harris-lays-out-agenda-to-lower-costs-for-american-families\">She has also pledged\u003c/a> to go after drug companies and \u003ca href=\"https://calmatters.org/health/2024/08/pharmacy-benefit-manager/\">pharmaceutical middlemen\u003c/a> that thwart competition and drive up costs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/12003006/how-will-california-health-care-change-under-trump-or-harris-heres-what-their-records-show","authors":["byline_news_12003006"],"categories":["news_457","news_8","news_13"],"tags":["news_22880","news_1323","news_683","news_61","news_26763","news_32610"],"affiliates":["news_18481"],"featImg":"news_12003014","label":"news_18481","isLoading":false,"hasAllInfo":true}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. 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It is produced in partnership with WNYC.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png","officialWebsiteLink":"http://freakonomics.com/","airtime":"SUN 1am-2am, SAT 3pm-4pm","meta":{"site":"radio","source":"WNYC"},"link":"/radio/program/freakonomics-radio","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519","tuneIn":"https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/","rss":"https://feeds.feedburner.com/freakonomicsradio"}},"fresh-air":{"id":"fresh-air","title":"Fresh Air","info":"Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. 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