Arnold Schwarzenegger wrote a letter to California’s Congressional leaders today about health care reform. Most of it is a long extended whine about the feds not offering enough money to states to provide for health care, since Arnold believes California should not be spending much money to help people get health care.

But there’s also an interesting proposal from our governor about the public option. Basically, he wants to use the “opt-out” as an opportunity for California to design its own public option, one that would benefit fewer people than the federal option:

In terms of state coverage options, I support the inclusion of language that will provide states the option of developing state-based insurance options for people with incomes above 133 percent of the federal poverty level but below 200 percent. I believe this provision can be strengthened and made more effective by allowing states, especially those with higher costs of living, to serve populations up to 300 percent FPL, providing states access to at least 95 percent of the tax credits and cost-sharing subsidies available for eligible individuals in the state and ensuring sufficient state flexibility to enable continuity of care between Medicaid and the state-based option. Providing states with the flexibility to set eligibility to 300 percent of the federal poverty level recognizes different cost structures across states and is more consistent with existing income eligibility thresholds allowed under the federal children’s health insurance program, which will help support the policy goal of keeping families together for health insurance purposes.

Finally, creating transparent and user-friendly health insurance exchanges at the state level can help facilitate the enrollment process. At the same time, I believe these state-based exchanges must be more than simple clearinghouses of information, but instead allow states to certify plans and negotiate within broadly established federal parameters to help promote competition among health plans. I also continue to believe that states must remain the primary regulator of health insurance in order to maintain the strongest consumer protections possible.

What this means is that Arnold Schwarzenegger would have California exercise the opt-out in order to design a “public option” much more restrictive in who it is available to, provided in state-based exchanges instead of through a national system. Alongside protecting the customer base of his insurance industry allies, this would also enable California to force the people who would want a public option to jump through a number of hoops designed to discourage them from actually getting the benefit, as California now does with things like IHSS, food stamps, and such.

Some may argue that California would never go for this kind of “Arnold option,” but let’s consider some things here. First, the Senate language regarding the opt-out has yet to materialize. Arnold may well be mainstreaming right-wing and corporate talking points that could be used by conservadems in the Senate to shape the opt-out in a way that would have the program more closely resemble the Nixonian “block grants” that have given states too much power to restrict federally-mandated benefits. In short, Arnold might be saying “hey, here’s how the opt-out should look!”

Arnold may also be setting up the language and framing that could be used by Republican gubernatorial candidates to deal with federal health care reform. In a state where the public option concept is popular, Arnold could be showing how the public option could be neutered in practice while preserved in name.

In a state that has gutted much of its public sector over the last two years, with bipartisan support the entire time, it’s a strategy worth watching closely. Especially since the outcome of the federal health care reform project now appears to be a shifting of the battleground to the states.

UPDATE by Robert: John Myers reports via Twitter that “Guv’s ofc says his health care letter should not be interpreted as support for opt-in/opt-out public option” and that, quoting a governor’s office spokesperson, Arnold “is calling for state-based insurance options to offer coverage for lower income populations not eligible for Medicaid.”

Which to me reinforces two things: one, that this may well be ammunition for those trying to weaken the public option in the Congress, and two, that anyone who thinks an opt-out battle would never come to California because the public option is so popular is missing some key realities about state politics.