Fabio
142 lines
6.5 KiB
Markdown
142 lines
6.5 KiB
Markdown
---
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type: "Bill"
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title: "Relative to the Medicare Program."
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description: "This measure would request the President of the United States to immediately end the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model under the federal Medicare Program, with the stated goal of eliminating corporate profiteering and expanding consumer-directed access to care established through Traditional Medicare."
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jurisdiction: "us/states/ca"
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legislature: "California Legislature"
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session: "20232024"
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identifier: "AJR 4"
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citation: "California AJR 4 (20232024)"
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classification: ["joint resolution"]
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subjects: ["ACO REACH Model", "Medicare"]
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status: "enacted"
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primary_sponsors: ["Schiavo"]
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version_count: 5
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action_count: 17
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vote_count: 4
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first_action: "2023-04-12"
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last_action: "2023-09-14"
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source: "openstates"
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source_identifier: "ocd-bill/1b4d7ca6-ef8c-4017-a601-a5df5dd6a063"
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source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AJR4"
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source_hash: "bc2c7b20d57f3be3b9f094768c804322799ecacd763855d4d90f72905c660dee"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-ca"]
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---
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# California AJR 4 (20232024) — Relative to the Medicare Program.
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This measure would request the President of the United States to immediately end the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model under the federal Medicare Program, with the stated goal of eliminating corporate profiteering and expanding consumer-directed access to care established through Traditional Medicare.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **04/12/23 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AJR4&version=20230AJR499INT)
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2. **05/25/23 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AJR4&version=20230AJR498AMD)
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3. **09/14/23 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AJR4&version=20230AJR496CHP)
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4. **AJR4** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AJR4)
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5. **09/11/23 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AJR4&version=20230AJR497ENR)
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## Votes
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- 3rd Reading AJR4 Schiavo et al. By McGuire — **30–6** (pass) · upper
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- Be adopted and re-referred to the Committee on [Appropriations] — **12–3** (pass) · lower
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- AJR 4 Schiavo Assembly Third Reading — **63–15** (pass) · lower
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- Be adopted. Ordered to third reading — **10–0** (pass) · upper
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## Sponsors
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- Schiavo — primary (person)
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- Addis — coauthor (person)
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- Aguiar-Curry — coauthor (person)
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- Alvarez — coauthor (person)
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- Arambula — coauthor (person)
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- Bains — coauthor (person)
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- Bauer-Kahan — coauthor (person)
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- Bennett — coauthor (person)
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- Berman — coauthor (person)
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- Blanca Rubio — coauthor (person)
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- Bonta — coauthor (person)
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- Bryan — coauthor (person)
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- Calderon — coauthor (person)
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- Cervantes — coauthor (person)
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- Connolly — coauthor (person)
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- Friedman — coauthor (person)
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- Gabriel — coauthor (person)
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- Garcia — coauthor (person)
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- Gipson — coauthor (person)
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- Grayson — coauthor (person)
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- Haney — coauthor (person)
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- Hart — coauthor (person)
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- Holden — coauthor (person)
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- Irwin — coauthor (person)
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- Jackson — coauthor (person)
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- Jones-Sawyer — coauthor (person)
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- Juan Carrillo — coauthor (person)
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- Kalra — coauthor (person)
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- Lee — coauthor (person)
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- Low — coauthor (person)
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- Lowenthal — coauthor (person)
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- Luz Rivas — coauthor (person)
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- Maienschein — coauthor (person)
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- McCarty — coauthor (person)
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- McGuire — principal coauthor (person)
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- McKinnor — coauthor (person)
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- Mike Fong — coauthor (person)
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- Muratsuchi — coauthor (person)
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- Pacheco — coauthor (person)
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- Papan — coauthor (person)
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- Pellerin — coauthor (person)
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- Petrie-Norris — coauthor (person)
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- Quirk-Silva — coauthor (person)
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- Ramos — coauthor (person)
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- Rendon — coauthor (person)
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- Reyes — coauthor (person)
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- Robert Rivas — coauthor (person)
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- Rodriguez — coauthor (person)
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- Santiago — coauthor (person)
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- Soria — coauthor (person)
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- Stephanie Nguyen — coauthor (person)
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- Ting — coauthor (person)
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- Valencia — coauthor (person)
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- Villapudua — coauthor (person)
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- Waldron — coauthor (person)
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- Ward — coauthor (person)
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- Weber — coauthor (person)
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- Wendy Carrillo — coauthor (person)
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- Wicks — coauthor (person)
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- Wilson — coauthor (person)
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- Wood — coauthor (person)
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- Zbur — coauthor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2023-04-12** Introduced. To print. `introduction`
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- **2023-04-13** From printer.
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- **2023-04-20** Referred to Com. on HEALTH. `referral-committee`
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- **2023-04-26** From committee: Be adopted, and re-refer to Com. on APPR. Re-referred. (Ayes 12. Noes 3.) (April 25). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
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- **2023-04-27** Withdrawn from committee.
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- **2023-04-27** Ordered to second reading.
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- **2023-05-01** Read second time. Ordered to third reading. `reading-1, reading-2`
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- **2023-05-25** Amended. Ordered to third reading.
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- **2023-05-31** Coauthors revised.
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- **2023-05-31** Adopted and to Senate. (Ayes 63. Noes 15. Page 2002.) `amendment-passage, passage`
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- **2023-06-01** In Senate. To Com. on RLS.
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- **2023-06-14** Referred to Com. on HEALTH. `referral-committee`
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- **2023-07-13** From committee: Be adopted. Ordered to Third Reading. (Ayes 10. Noes 0.) (July 12). `committee-passage, committee-passage-favorable, reading-1`
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- **2023-09-07** Adopted and to Assembly. (Ayes 30. Noes 6. Page 2475.) `amendment-passage, passage`
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- **2023-09-07** In Assembly. Ordered to Engrossing and Enrolling. `committee-passage`
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- **2023-09-14** Enrolled and filed with the Secretary of State at 4 p.m.
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- **2023-09-14** Chaptered by Secretary of State - Res. Chapter 172, Statutes of 2023. `became-law`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1b4d7ca6-ef8c-4017-a601-a5df5dd6a063`. Confidence: reported (aggregated from official California legislature records).
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