By Michael B. Marois
	     Dec. 18 (Bloomberg) -- California moved a step closer to
	passing a $14 billion plan supported by Governor Arnold
	Schwarzenegger to expand health care to the state's uninsured by
	charging employers a fee and raising taxes on cigarettes.
	     The state Assembly, controlled by Democrats, passed the
	bill yesterday in a 45-31 vote. It would require businesses to
	spend as much as 6.5 percent of payroll costs on health care for
	workers or pay as much into a state program. It also would raise
	the tax on a pack of cigarettes by at least $1.50 from the
	current 87 cents and force all residents to buy insurance if
	they can afford it.
	     The measure now heads to the Senate. If passed there, it
	still needs approval by voters in November. Senate President Pro
	Tem Don Perata, once a supporter of the proposal, said he will
	wait to call a vote until next year so he can determine how it
	might affect state finances. Schwarzenegger said on Dec. 14 that
	California has a $14 billion deficit.
	     ``I'm very concerned about the projected $14 billion budget
	deficit, its impact on existing state health programs and how
	this relates to our efforts to improve health-care coverage for
	Californians,'' Perata said yesterday.
	     If the plan wins final approval, California would join
	Massachusetts, Maine and Vermont in passing laws to expand
	health care to the uninsured. Maryland in 2006 became the first
	state to require large companies of more than 10,000 workers to
	pay a set amount for employee health-care benefits. Employers
	successfully fought the law in federal court.
	
	                        One Step Closer
	
	     Schwarzenegger, a Republican, first proposed the plan in
	January. He and Democrats had been at odds over how to finance
	it. He had opposed raising taxes and didn't want businesses to
	pay any more than 4 percent of payroll.
	     ``This brings us one step closer to making health care a
	right afforded to everybody in this state, and not just a
	privilege afforded to those with deep pockets,'' Speaker of the
	Assembly Fabian Nunez, a Los Angeles Democrat, said yesterday.
	     The bill the Assembly passed also doesn't cover all of the
	estimated 5.4 million uninsured, something Schwarzenegger had
	wanted. Instead, it provides funding for about 70 percent of
	those without coverage.
	     Schwarzenegger and Nunez both said the plan would pay for
	itself and wouldn't require money from the state's general fund.
	     ``This reform is the best thing we could do right now for
	the California economy and our state budget, because it is self-
	financing,'' Schwarzenegger told reporters in the state capitol
	after the vote yesterday. ``It takes nothing from our general
	fund and it pumps billions into our economy.''
	
	                         Business Costs
	
	     The plan would require businesses -- depending upon their
	size -- to spend between 1 percent and 6.5 percent of payroll
	costs on health care or pay the same amount into a state
	insurance fund. Hospitals would pay 4 percent of their profits
	into the pool. The plan also counts on $4.6 billion a year in
	additional federal funds.
	     Under the plan, people who aren't offered insurance from
	their employers would be required to buy coverage through a
	state-run pool. If they can't afford the coverage, they would
	earn state subsidies and tax breaks.
	     Lawmakers must still draft the legislation putting the
	cigarette tax increase on the November ballot because that must
	be done through a separate bill.
	     California voters last year rejected a ballot measure
	calling for a $2.60 per-pack tax increase on cigarettes after
	tobacco companies such as Altria Group Inc., parent of Philip
	Morris and the biggest cigarette maker, and Reynolds American
	Inc., parent of the second-largest U.S. cigarette producer,
	financed an $80 million opposition campaign.