"California’s Proposition 40 would tax roughly 200 billionaires to fund health care for millions. Google cofounder Sergey Brin and friends have responded by inventing a new kind of pressure group: a lobby whose only client is the billionaire class itself."

Some highlights from the article:
"California has revoked nearly 500 licenses since putting a moratorium on new hospices in 2021 and in June adopted long-awaited emergency regulations that set more stringent criteria for approving new licenses."

"In 2026, the state had about 2,100 hospice organizations, down from 2,800 four years prior. New York, which has far more stringent rules for registering a hospice, has just 39, according to its state health department.

A 2022 state audit found rampant fraud and abuse in the system, particularly in LA County. It found dozens of hospice agencies were often clustered in the same building as well as a rapid increase in the number of hospices being established and abnormally high rates of patients being discharged. Hospice is often provided at patients’ homes, meaning one registered hospice can serve patients in numerous locations."

"Some of the enhanced oversight began under the Biden administration, when the federal government said it would place newly Medicare-enrolled hospices in California, Arizona, Nevada and Texas under a period of enhanced oversight. The agency added Georgia and Ohio in December 2025, and CMS announced in May a nationwide six-month moratorium on all new Medicare enrollments by providers of hospice and home care.

The Trump administration's fraud crackdown has invited criticism for its focus on providers with immigrant backgrounds. In January, Dr. Mehmet Oz of the Centers for Medicare and Medicaid Services blasted rampant fraud in Los Angeles County while standing outside an Armenian bakery and alleging the “Russian Armenian mafia” was behind the scams. That prompted a civil rights complaint by Newsom. An investigation into daycare fraud in Minnesota centered on facilities run by immigrants from Somalia."