Democratic Senator Ricardo Lara’s bill is less comprehensive – and less expensive – than previous versions. But, he told senators, this would be a vote they would remember.

“I respectfully ask for your aye vote on behalf of the two million undocumented Californians that work, toil in our fields, clean your hotel rooms, take care of your babies and provide much-needed support for your families,” Lara said as he introduced his bill on the Senate floor.

The amended bill would extend Medi-Cal coverage to all income-eligible children – and as many adults as the state budget could afford. It would also ask the federal government to allow undocumented immigrants to enroll in Covered California if they can do it without taxpayer subsidies.

Most Republicans voted no – not because they’re anti-immigrant, they said, but because Medi-Cal doesn’t have enough doctors for its existing patients. Senator Janet Nguyen abstained from the vote but recalled her own experience on Medi-Cal:

“I was in that situation,“ she said. “And we’re wrong that we’re making promises we cannot keep for these children and families!”

Senator Andy Vidak was one of two Central Valley Republicans who joined all Democrats in supporting the measure. But he did so while echoing the access concern of many of his fellow Republicans.

“You can have all the insurance cards in the world, but if there are no doctors to see you, those cards are worthless,” Vidak said.

Many lawmakers want to increase Medi-Cal provider rates – but Governor Jerry Brown is worried about the cost. Cost is also why Brown has indicated he’ll likely veto health care for undocumented immigrants – even as the bill now moves from the Senate to the Assembly.