A Comprehensive, publicly administered healthcare system guaranteeing comprehensive, high-quality care for all U.S. citizens and legal residents of California — with no premiums, co-pays, deductibles, or out-of-pocket costs for medically necessary services.

• Fragmented coverage: private plans, Medi-Cal, Medicare, and marketplace plans.
• High premiums, deductibles, and medical debt.
• Administrative waste and confusing billing systems.
• Unequal access by income, race, and region.

• Primary and specialty care
• Hospitalization and emergency services
• Dental and vision care
• Mental health and substance use treatment
• Prescription drugs
• Long-term care (home care, skilled nursing, hospice)
• Preventive and wellness services

• Comprehensive Coverage: every legal resident and U.S. citizen in California is automatically covered.
• No Financial Barriers: no premiums, deductibles, co-pays, or surprise bills for covered services.
• Provider Choice: patients can see any licensed provider participating in CCH.
• Central Malpractice Fund: state-run malpractice coverage for all CCH providers.

A statewide digital health identity and integrated record system called the California Health Access ID (CHAI).

• Digital + physical health ID.
• Encrypted medical history and prescriptions.
• Integrated with hospitals, clinics, pharmacies, labs.
• Reduces duplicate tests and admin friction.
• Supports real-time eligibility, billing, and emergency access.

• Supplemental plans: elective, luxury, or alternative services not covered by CCH.
• Parallel plans: may cover core services but cannot charge more than CCH or bypass queues.
• Regulated by an Insurance Utility Commission (IUC) with profit caps and strict oversight.

• Payroll tax on earnings above 250% of the Federal Poverty Level.
• Redirected state healthcare spending.
• Integrated Medi-Cal and Medicare funds.
• Grants and donations for specific programs.

• Comprehensive, equitable access to care.
• Protection from medical debt and financial hardship.
• Lower system-wide costs and reduced waste.
• Improved public health and long-term outcomes.
• Less paperwork and burnout for doctors; predictable payments and integrated records.