Florida

Gov. Ron DeSantisAge: 45Florida inhabitants: 22.2 million

California

Gov. Gavin NewsomAge: 56California inhabitants: 39 million

Republican presidential candidate Ron DeSantis and Democratic Gov. Gavin Newsom — political rivals from reverse coasts and proxies for purple and blue America — are set to sq. off for a first-of-its-kind debate Nov. 30 in Georgia.

Newsom, a liberal firebrand in his second time period as governor of California, isn’t working for president in 2024. However he goaded DeSantis, in his second time period as governor of Florida, to go mano a mano. “I’ll carry my hair gel. You carry your hairspray,” he taunted on social media.

The matchup guarantees to be a heated brawl between rising political stars who lead two of the nation’s most populous and numerous states. And it’ll mark the primary time the politicians meet in particular person at the same time as they’ve very publicly traded barbs and insults, in current weeks attacking one another in fundraising movies and marketing campaign advertisements.

Entrance and heart will likely be homelessness and well being care, high priorities for voters — and points which have largely outlined the governors’ insurance policies and management types. From abortion to covid-19 vaccines, Newsom and DeSantis couldn’t be additional aside.

Earlier this yr, DeSantis blasted California for being too beneficiant with public profit applications, comparable to Medicaid, which the Golden State has expanded to all eligible residents no matter immigration standing. That sweeping coverage takes impact in January and goes effectively past the elective enlargement of Medicaid that the Reasonably priced Care Act supplied states. In Florida, one in every of 10 states which have refused to develop Medicaid underneath Obamacare, DeSantis wears the state’s 11% charge of uninsured residents as a badge of honor.

“We’re not going to be like California and have huge numbers of individuals on authorities applications with out work necessities,” DeSantis mentioned at a presidential major debate in Southern California earlier this yr.

DeSantis has led his state to limit abortion and gender-affirming care and to ban covid-related masks and vaccine mandates.

Newsom, a slick and brash surrogate for Democratic President Joe Biden, has slammed DeSantis for placing Floridians at risk and stripping them of their rights.

“Be a part of us in California, the place we nonetheless consider in freedom,” Newsom mentioned in a political advert earlier this yr.

Newsom has earned the moniker of “well being care governor” by catapulting the problem to the highest of his coverage priorities. He made California an abortion sanctuary and is dramatically increasing well being care advantages. He had promised to carry single-payer well being care to the nation’s most populous state whereas campaigning for his first time period, however that concept hit stiff political opposition early in his tenure. And now Newsom boasts about bringing the state’s uninsured charge to an all-time low of 6.5% by increasing protection in different methods.

These points are anticipated to take heart stage through the nationally televised 90-minute debate on Fox Information, which might have main reverberations for the presidential contest subsequent yr and will even assist form the 2028 area of White Home contenders.

Prematurely of the showdown, KFF Well being Information analyzed 10 of the governors’ high well being care positions and the way their insurance policies have improved — or hindered — the well being of the residents they symbolize.

Obamacare

Florida

DeSantis has refused to develop Medicaid eligibility to extra individuals underneath the Reasonably priced Care Act. Partly because of this, greater than 3 million Floridians had protection via the federal Obamacare alternate as of February, greater than some other state. Florida doesn’t have a state-based alternate or supply state-sponsored subsidies.

California

The state has enthusiastically embraced the Reasonably priced Care Act, increasing Medicaid whereas organising its personal insurance coverage alternate, Coated California. Beneath Newsom, it has additionally gone effectively past the provisions of Obamacare and created a state requirement for Californians to have medical health insurance after the federal mandate was eradicated.

Abortion

Florida

DeSantis permitted laws in April banning abortions after six weeks of being pregnant. Nonetheless, the Florida Supreme Courtroom has taken up a problem to the 15-week ban launched in 2022, which is able to decide if the six-week ban can take impact.

California

Newsom spearheaded the hassle in 2022 to amend the state structure to enshrine the correct to abortion and contraception. He additionally permitted $60 million to assist uninsured sufferers and other people from out of state pay for abortions in California, and signed reproductive well being care legal guidelines, together with one defending medical doctors who mail abortion tablets to different states.

Transgender Care

Florida

Beneath DeSantis, Florida handed a legislation this yr banning gender-affirming well being care for trans minors and mandating that grownup sufferers signal knowledgeable consent varieties earlier than beginning or persevering with hormone remedy. The legislation additionally restricts who can order hormone remedy to physicians and prohibits the usage of telehealth for brand new prescriptions. A federal lawsuit difficult the legislation is about to go to trial in mid-December.

California

Newsom and different state leaders have amended state legislation to make sure all California adults and youngsters are entitled to gender-affirming well being care providers. And insurance coverage firms doing enterprise in California should embody info on in-network suppliers for gender-affirming providers by 2025. State well being care companies are designing “enforceable high quality requirements” to make sure trans sufferers have entry to complete care.

Homelessness

Florida

DeSantis has not declared homelessness a precedence. In a video filmed on the streets of San Francisco and posted to social media in June, DeSantis used the subject as a marketing campaign cudgel to criticize what he known as “leftist insurance policies” in California. Florida is experimenting with utilizing Medicaid funds to deal with homelessness, however this system is restricted. Almost 26,000 individuals are homeless in Florida, or 12 of each 10,000 residents.

California

Newsom has plowed greater than $20 billion into the homelessness disaster, with billions extra for well being and social providers. For instance, some homeless Californians can get social providers via the state’s Medicaid program, comparable to cash for rental safety deposits, utility funds, and first and final month’s lease. Newsom additionally led a brand new state initiative that would drive some homeless individuals into psychological well being or dependancy remedy. Greater than 171,000 individuals are homeless in California, or 44 of each 10,000 residents.

Psychological Well being

Florida

DeSantis has saved his pledge to advocate for psychological well being remedy applications as governor, though Florida nonetheless ranks forty third nationally in entry to psychological well being care and has the fourth-highest charge of adults with psychological sickness who’re uninsured, in line with the Miami Heart for Psychological Well being and Restoration. Beneath DeSantis, Florida has elevated state funding for psychological well being applications in colleges and peer-to-peer psychological well being providers for first responders, and directed funding to suicide prevention.

California

Newsom in 2020 signed one of many nation’s strongest psychological well being parity legal guidelines, which requires insurance coverage firms to cowl psychological well being and substance use problems simply as they might bodily well being circumstances. He’s funding a $4.7 billion initiative to supply psychological well being remedy in colleges. Newsom can also be main the marketing campaign for a statewide, $6.4 billion bond measure in 2024 to revamp and develop community-based behavioral well being applications, together with hundreds of recent remedy beds.

Dependancy

Florida

Florida’s drug overdose loss of life charge was 37.5 per 100,000 individuals in 2021. In August, DeSantis introduced a brand new statewide dependancy restoration program billed as a “first of its type” in the USA, utilizing peer counselors, medication-assisted remedy, and a coordinated community of help providers. DeSantis additionally licensed Florida counties to undertake needle alternate applications in 2019 to cut back the unfold of blood-borne illnesses and encourage dependancy remedy.

California

California’s drug overdose charge was 26.6 per 100,000 individuals in 2021. Newsom is sending the state Freeway Patrol and Nationwide Guard into San Francisco to fight the open-air fentanyl commerce and is boosting dependancy restoration applications statewide. However he vetoed laws final yr that will have allowed Los Angeles, San Francisco, and Oakland to ascertain protected injection websites.

Prescription Medication

Florida

A DeSantis proposal submitted to the FDA in 2020 consists of permitting imported drugs from Canada. A brand new state legislation additionally units value limits for pharmacy profit managers — intermediaries between insurers, pharmacies, and producers — and creates new guidelines for them round pricing transparency. The legislation additionally requires pharmaceutical firms to reveal vital value hikes.

California

Newsom is spearheading a $100 million, first-in-the-nation initiative that places California within the generic drugmaking enterprise, starting with insulin and the opioid reversal drug naloxone. California already had a pricing transparency legislation when Newsom took workplace. This yr, he signed a legislation that tightens state laws for pharmacy profit managers.

Well being Care Affordability

Florida

In 2019, DeSantis signed the Affected person Financial savings Act, which permits well being insurers to share value financial savings with enrollees who store for well being care providers, comparable to imaging and diagnostic checks. Beneath his management, Florida lawmakers have additionally allowed short-term well being plans lasting lower than a yr and direct well being care agreements between a affected person and a well being care supplier that aren’t thought-about insurance coverage and usually are not topic to Florida’s insurance coverage code.

California

Certainly one of Newsom’s first well being care initiatives was to fund state-financed medical health insurance subsidies for low- and middle-income residents who buy insurance coverage via Coated California. Newsom this yr additionally agreed to decrease copays and eliminate some deductibles for plans bought via the alternate. California’s newly created Workplace of Well being Care Affordability is capping business value will increase and will doubtlessly regulate well being business consolidation. California bans short-term well being plans.

Public Well being

Florida

DeSantis signed laws in 2021 banning authorities, colleges, and personal employers from requiring covid vaccinations. In 2023, he pushed legislators to undertake legal guidelines prohibiting sure vaccine and masks necessities. He additionally shaped a Public Well being Integrity Committee led by his hand-picked surgeon basic, Joseph Ladapo, whose official steering on covid vaccines contradicts the CDC’s suggestions. The Sunshine State’s covid-19 vaccine booster charge for residents age 5 and older is 12.4%.

California

Newsom grew to become the primary U.S. governor to subject a statewide stay-at-home order at first of the covid-19 pandemic. He pushed robust vaccination and masks mandates and accused DeSantis of being weak on public well being. Newsom has additionally signed legal guidelines strengthening childhood vaccination mandates, together with a measure that cracks down on bogus medical exemptions granted by medical doctors. The Golden State’s covid-19 vaccine booster charge for residents ages 5 and older is 21.9%.

Immigrant Well being Care

Florida

With DeSantis making immigration a precedence, legislators handed a state legislation requiring all Florida hospitals to ask on their admission varieties whether or not a affected person is a U.S. citizen or lawfully current within the nation. Docs, nurses, and well being coverage specialists say the legislation targets marginalized individuals who have already got problem navigating the well being care system and can additional deter them from in search of care.

California

Starting in January, all immigrants who meet revenue {qualifications} will likely be eligible for the state’s Medicaid program. Earlier than Newsom took workplace, California had already expanded eligibility to immigrant youngsters via age 18 dwelling within the state with out authorization. Newsom then signed legal guidelines increasing this system to younger adults as much as age 26, adults 50 and older, and, later, immigrants of any age who in any other case meet eligibility necessities.

This text was produced by KFF Well being Information, which publishes California Healthline, an editorially impartial service of the California Well being Care Basis.