Money for Medi-Cal
About 200 people would pay a one-time tax of 5 percent of their net worth, and nine tenths of it would go to health care for people on low incomes. After departures and avoidance, about 70 billion dollars would arrive between 2027 and 2031.
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Value
The stream is money reaching the state of California, nine tenths of it earmarked for Medi-Cal and the hospitals and clinics that serve its patients, the rest for schools and food assistance [3]. Public money is priced at the middle of the scale and at the weight of a household at median income, as everywhere on this site. The measure forbids using the money to replace existing funding, but a state budget is one pot: whether a dollar keeps somebody insured, pays a hospital for care it would otherwise write off, or spares another programme a cut depends on what the state would have done without it. That is why the money is counted as public money rather than at the weight of the poorest households. California loses federal Medicaid funds under the 2025 federal budget law whatever the vote decides [21]: the state's analysts expect the first cuts in 2027 and larger ones from 2028 [33], and across the country three quarters of the reductions fall in 2030 to 2034 [34]; that loss belongs to the comparison without the measure, and the levy would make up part of it for some years. The measure sets no date by which the money must be spent, and the state may keep part of it in reserve [3]. A cross-check against this site's Medicaid evaluations comes out close to the public-money weight: a dollar that keeps a low-income adult covered buys deaths avoided, illness treated and protection against medical bills worth roughly a dollar when added up [19][20]. The people paying appear as the argument opposite. Nothing is counted for the view that the very rich should pay a larger share; that view is what the difference in weights between the two arguments expresses, and counting it again would count it twice. The value is the middle of the scale, because what reaches the state is money, whatever it is spent on.
Impact
The drafters count 213 California billionaires with 2,180 billion dollars of net worth on 1 January 2026, and five percent of that is 109 billion dollars [4]. Two things reduce it. Six billionaires, among them two of the richest people in the world, moved their residence out of the state before the cut-off date [7]; one critical study counts seven departures with 28.6 percent of the base [6], while among the four richest the drafters see only one who could plausibly show he left in time [5]; a quarter is taken off here, in a range from 5 to 30 percent. Then undervaluation, avoidance and tax paid through the deferral account only after the horizon: the drafters assume a tenth, because 72 percent of the wealth is listed stock whose value is public [4], while studies of annual wealth taxes find much larger responses where assets are not reported by banks or brokers [10][11]; 15 percent is used, in a range from 10 to 30. That leaves 69.5 billion dollars collected between 2027 and 2031. The drafters estimate about 100 billion [4]; the critical study arrives at 59 billion before it halves the figure for the risk of losing in court, a risk this evaluation carries in the Plausibility instead [6]; the official analysis says tens of billions [1]. Two smaller receipts come on top. Whoever pays in five annual instalments owes a charge of 7.5 percent a year on the unpaid rest, 15 percent over all five years [3]; a credit line against a large securities account costs only a few points above the reference rate, about 5 to 6 percent in 2026 [32], so instalments pay mainly for those who cannot borrow. How many will choose them has not been measured; a tenth of the tax is used, in a range from none to three tenths, 1.0 billion dollars, and across that whole range the result moves by less than one point. And a third of the tax is expected to be paid by selling shares, most of whose value is untaxed gain [5]; the state income tax on those sales would be 2.5 billion dollars, but owners will sell what costs them least tax, and part of these shares would have been sold within the decade anyway. Studies of state taxes on capital gains find that most of a change in sales persists rather than only shifting in time [35], but no study measures sales forced by a one-time tax; a fifth is counted as additional, in a range from 5 to 40 percent, 0.5 billion dollars, and the whole range moves the result by a quarter of a point at most. Together that is 71.0 billion dollars, spread over the ten years of this evaluation 7.1 billion dollars a year, in a range from 5.7 to 8.5 billion. The Impact is the largest here because it is the tax itself, counted at the weight of public money.
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Plausibility
The amount is arithmetic: a statutory rate applied to wealth valued on a fixed date, most of it at a market price, so the payment follows from the law wherever the tax stands. The counterfactual is the measure rejected, under which nothing is collected. What holds the Plausibility a little above the middle is whether the tax stands at all. It amends the state constitution, but critics argue that a residency date ten months before the vote, the taxation of people who left during 2026 and the attribution of a resident's entire worldwide wealth to California breach the federal constitution, and that the tax could fall entirely [15]; the drafters reply that no tax has been struck down as retroactive since 1928 and that the apportionment is fair [16]. No neutral assessment puts a number on the outcome, and a challenge is expected in any case, which could delay collection. A remaining risk that the tax is struck down therefore stays with this evaluation. Two competing measures on the same ballot could also stop it from taking effect [1][23]; this evaluation scores the measure as if it takes effect. The confounder for the amount is the valuation of private companies, which the measure sets by formula and which either side can rebut with an appraisal; that is carried in the range. Reverse causation does not arise from a statutory rate. The Plausibility is a little above the middle: the arithmetic is certain where the tax applies, and whether it survives the courts is open.