Commonsense Care for California

California Commonsense Healthcare (CCH)

A ballot initiative to provide affordable, comprehensive healthcare for all Californians.

California Commonsense Healthcare (CCH) is a publicly administered model that delivers affordable, comprehensive care to all California residents—eliminating premiums and out-of-pocket costs while improving outcomes and equity.

CCH controls expenses through system efficiency and negotiated drug pricing; guarantees equal access and patient rights; and covers preventive, mental health, dental, vision, and long-term care. A four-year rollout includes the Smart Health Access System (SHAS) for seamless coordination, governance by an elected Board, and regulated supplemental private insurance. Funding combines progressive payroll taxes, existing state healthcare funds, and federal contributions to replace fragmentation with an integrated approach that reduces costs and strengthens care statewide.

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Comprehensive Coverage

Preventive, primary, specialty, hospitalization, dental, vision, mental health, prescriptions, and long-term care are included—delivered with evidence-based standards and coordinated care.

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Smart Health Access System (SHAS)

Digital credentials and statewide interoperability reduce duplicate tests, streamline billing, and enable faster, safer care—respecting privacy through HIPAA/CCPA-aligned governance.

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Fair Private Participation

Supplemental private plans may add optional services—but cannot cost more for core services or limit access. Oversight ensures equity, transparency, and patient rights.

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Strong Governance

An appointed-to-elected Board manages quality standards, rates, and contracts, with public reporting and accountability across providers and plans.

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Cost Controls & Savings

Administrative simplification and bulk drug negotiations drive savings—aiming to lower household costs and reduce friction for providers.

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Patient Bill of Rights

Equal treatment, transparent costs, grievance pathways, and clear coverage lists—so residents can access care confidently without financial hardship.

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Estimated Savings

Independent analysis projects household savings driven by streamlined administration, employer participation, federal contributions, and fraud reduction via SHAS.

$3,000+ average annual household savings
10% estimated system-wide cost reduction
SHAS reduces duplicate tests & billing errors
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