Last Phase of Transition: Rural Californians Move to Medi-Cal Managed Care
Low-income Parents Brace for End of 'Healthy Families'
Children's Advocates Divided on Healthy Families Transition
California Budget Proposal Would Move 880,000 Children Off Healthy Families
Governor's Budget: Health and Social Services Cuts
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height=\"465\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ben Ramirez/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn\u003c/strong>, \u003ca href=\"http://www.californiahealthline.org/insight/2013/as-healthy-families-shift-goes-so-goes-rural-expansion-of-medical-managed-care\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>Rural Californians already have challenges accessing health care and changes to Medi-Cal, the state's Medicaid program, could further complicate matters.\u003c/p>\n\u003cp>Rural areas have fewer physicians and facilities and services are spread out over greater distances than they are in urban and suburban areas. Rural areas also have a disproportionately high number of lower-income, Medi-Cal-eligible residents which creates a challenging situation for state health officials charged with providing medical coverage in rural settings.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The rollout has gone relatively smoothly, but the access to providers -- that's a real question still.\"\u003c/aside>\n\u003cp>On Nov. 1, the state launched an ambitious plan to transition Medi-Cal beneficiaries in rural areas from fee-for-service care arrangements to managed care plans. The move shifts 28 rural counties to the financial model the state is using throughout the rest of the state.\u003c/p>\n\u003cp>Also on Nov. 1, the state launched the last phase of its Healthy Families transition -- moving children in rural counties to Medi-Cal managed care. Healthy Families is California's Children's Health Insurance Program.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There have been scattered, anecdotal reports that parents can't find available physicians for their children because some doctors who had participated in Healthy Families won't be making the switch to the Medi-Cal managed care model, which pays lower rates.\u003c/p>\n\u003cp>\u003cstrong>Half the State's Children Eligible for Medi-Cal\u003c/strong>\u003c/p>\n\u003cp>Kelly Hardy has long been concerned about children. As director of health policy for Children Now, Hardy has kept a careful eye on the transition of 860,000 children from Healthy Families to Medi-Cal managed care.\u003c/p>\n\u003cp>\"I do think [state health officials] deserve some credit. The rollout has gone relatively smoothly,\" Hardy said. \"But the access to providers, especially in rural and underserved areas, that's a real question still.\"\u003c/p>\n\u003cp>Children are the proverbial canary in the coal mine of rural counties' shift to Medi-Cal managed care, she said. Healthy Families offered providers higher reimbursement rates than Medi-Cal, and physicians now stand to lose significant money by caring for Medi-Cal children.\u003c/p>\n\u003cp>And there are a lot of them.\u003c/p>\n\u003cp>State health officials estimate roughly 4.5 million children are in Medi-Cal. About half of all births in California are covered through Medi-Cal.\u003c/p>\n\u003cp>\"We're at a new point where about half of the kids in the state are Medi-Cal kids. It speaks to the stakes we're talking about, that we better get this right,\" Hardy said.\u003c/p>\n\u003cp>The potential for problems is greater in rural areas with a higher percentage of lower-income Californians, she said.\u003c/p>\n\u003cp>\"I am just amazed by the numbers we're talking about,\" Hardy said. \"That speaks to the dedication of the providers, that all of those children get care, and it speaks to the level of outreach by the Department of Health Care Services, as well,\" to make sure kids can get care.\u003c/p>\n\u003cp>\"But really, at the root, they just need to pay more for the care,\" Hardy said.\u003c/p>\n\u003cp>\u003cstrong>Access Issues in Some Rural Counties?\u003cstrong>\u003c/strong>\u003c/strong>\u003c/p>\n\u003cp>Hardy and other children's advocates say it's too early to provide big-picture statistics, but they've heard reports of provider network inadequacy in Lassen, Placer and Imperial counties so far.\u003c/p>\n\u003cp>\"In some counties, especially those served by Partnership HealthPlan, things seem to be going well,\" said Suzie Shupe, executive director of California Coverage and Health Initiatives, a not-for-profit children's advocacy group. Partnership HealthPlan, based in Fairfield, is one of six nonprofit, county-organized health systems in the state. It serves 14 counties in Northern California.\u003c/p>\n\u003cp>In other parts of the state, there have been reports of access issues, Shupe said. But it's impossible to know the extent of the problem \"because the information available to families about how to get help and how to report such problems has been so thin,\" she said.\u003c/p>\n\u003cp>\"I think what we're seeing now is a lack of providers,\" Hardy noted. \"It looks like few or no providers switched from Healthy Families over to Medi-Cal managed care. That's what we're hearing, rather than confusion.\u003c/p>\n\u003cp>People are saying there's a non-existent network here.\"\u003c/p>\n\u003cp>That is news to Jane Ogle, deputy director at DHCS. \"We haven't heard of any problems in Placer or Lassen [counties] at all.\"\u003c/p>\n\u003cp>DHCS officials are monitoring rural counties especially carefully right now, looking for complaints or trouble, and they haven't received many negative reports, Ogle said.\u003c/p>\n\u003cp>There was concern in Imperial County, Ogle said, where one plan's provider network wasn't up in time for the transition rollout.\u003c/p>\n\u003cp>\"In Imperial County we only had one plan, so Molina (Healthcare) agreed to be another provider for us,\" Ogle said. \"So for them it was a tight timeline to line up that provider network.\"\u003c/p>\n\u003cp>Once the provider network contracts were signed, Molina bought full-page advertisements in the local newspaper to alert residents, Ogle said.\u003c/p>\n\u003cp>\"From our point of view, it has gone very well,\" Ogle said.\u003c/p>\n\u003cp>\u003cstrong>Two Transition Efforts Are Linked\u003cstrong>\u003c/strong>\u003c/strong>\u003c/p>\n\u003cp>Ogle said both transitions -- the rural expansion into Medi-Cal managed care and the shift of Healthy Families children -- had to be done at the same time and be completed before January, when the Affordable Care Act will be fully implemented and the state's expands Medi-Cal eligibility.\u003c/p>\n\u003cp>\"We wanted to transition Healthy Families in the counties that have never had any managed care, and we wanted to open up managed care in rural counties at the same time,\" Ogle said. \"To allow for that expansion, we wanted to do it at the same time. If we only moved the relatively small population of Healthy Families children in rural areas, we would not have had the numbers to do it.\"\u003c/p>\n\u003cp>When you add in the rural expansion of the adult population, she said, \"then there are sufficient numbers to do it.\"\u003c/p>\n\u003cp>Under managed care, Californians should have access to more services, Ogle said. \"Making sure they get ... immunizations done, ... and having access standards, that kind of thing,\" she said, \"none of which is in fee-for-service.\"\u003c/p>\n\u003cp>Given the size and scope of the Healthy Families transition this year, the overall smoothness and success so far has been remarkable, Ogle said.\u003c/p>\n\u003cp>\"We know there will always be individual and anecdotal issues,\" Ogle said. \"But we transitioned 900,000 children, and by and large it's been a good, smooth transition for them, and they're now well-placed for the [ACA and Medi-Cal] expansion to occur.\"\u003c/p>\n\u003cp>Hardy agreed that the rollout has gone well, and she gives DHCS officials a lot of praise for that. The children in rural areas, though, may encounter problems in the months ahead, she said. Because children use medical services less often than adults, the effect on access might not be immediately clear, she added.\u003c/p>\n\u003cp>\"We haven't seen a big smoking gun, and we're really thankful we haven't seen a big smoking gun,\" Hardy said, \"but we're still concerned about sneaky issues like continuity of care and network adequacy.\"\u003c/p>\n\u003cp>In Lassen County, for instance, there's only one federally qualified health center in the entire county, she said, so the wiggle room for network inadequacy is razor-thin.\u003c/p>\n\u003cp>If a high percentage of children in the transition is able to maintain access to their preferred primary care physician, that's great, she said. However, that still leaves a group of children who did not get to remain with their physician.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"Access to care is still a huge concern,\" Hardy said. \"So if you think this is a great result for California's kids, your standards are way too low.\"\u003c/p>\n\n","blocks":[],"excerpt":"Rural Californians already have challenges accessing health care and changes to Medi-Cal, the state's Medicaid program, could further complicate matters.\r\n\r\nRural areas have fewer physicians and facilities and services are spread out over greater distances than they are in urban and suburban areas. Rural areas also have a disproportionately high number of lower-income, Medi-Cal-eligible residents which creates a challenging situation for state health officials charged with providing medical coverage in rural settings.","status":"publish","parent":0,"modified":1384287666,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":42,"wordCount":1289},"headData":{"title":"Last Phase of Transition: Rural Californians Move to Medi-Cal Managed Care | KQED","description":"Rural Californians already have challenges accessing health care and changes to Medi-Cal, the state's Medicaid program, could further complicate matters.\r\n\r\nRural areas have fewer physicians and facilities and services are spread out over greater distances than they are in urban and suburban areas. Rural areas also have a disproportionately high number of lower-income, Medi-Cal-eligible residents which creates a challenging situation for state health officials charged with providing medical coverage in rural settings.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Last Phase of Transition: Rural Californians Move to Medi-Cal Managed Care ","datePublished":"2013-11-08T19:10:36.000Z","dateModified":"2013-11-12T20:21:06.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"16149 http://blogs.kqed.org/stateofhealth/?p=16149","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/11/08/last-phase-of-transition-rural-californians-move-to-medi-cal-managed-care-healthy-families/","disqusTitle":"Last Phase of Transition: Rural Californians Move to Medi-Cal Managed Care ","path":"/stateofhealth/16149/last-phase-of-transition-rural-californians-move-to-medi-cal-managed-care-healthy-families","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5429\" class=\"wp-caption alignnone\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Redwoods_BenRamirez_Flickr_04262012-e1383937340166.jpg\">\u003cimg class=\"size-large wp-image-5429\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Redwoods_BenRamirez_Flickr_04262012-620x465.jpg\" alt=\"(Ben Ramirez: Flickr)\" width=\"620\" height=\"465\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ben Ramirez/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn\u003c/strong>, \u003ca href=\"http://www.californiahealthline.org/insight/2013/as-healthy-families-shift-goes-so-goes-rural-expansion-of-medical-managed-care\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>Rural Californians already have challenges accessing health care and changes to Medi-Cal, the state's Medicaid program, could further complicate matters.\u003c/p>\n\u003cp>Rural areas have fewer physicians and facilities and services are spread out over greater distances than they are in urban and suburban areas. Rural areas also have a disproportionately high number of lower-income, Medi-Cal-eligible residents which creates a challenging situation for state health officials charged with providing medical coverage in rural settings.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The rollout has gone relatively smoothly, but the access to providers -- that's a real question still.\"\u003c/aside>\n\u003cp>On Nov. 1, the state launched an ambitious plan to transition Medi-Cal beneficiaries in rural areas from fee-for-service care arrangements to managed care plans. The move shifts 28 rural counties to the financial model the state is using throughout the rest of the state.\u003c/p>\n\u003cp>Also on Nov. 1, the state launched the last phase of its Healthy Families transition -- moving children in rural counties to Medi-Cal managed care. Healthy Families is California's Children's Health Insurance Program.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There have been scattered, anecdotal reports that parents can't find available physicians for their children because some doctors who had participated in Healthy Families won't be making the switch to the Medi-Cal managed care model, which pays lower rates.\u003c/p>\n\u003cp>\u003cstrong>Half the State's Children Eligible for Medi-Cal\u003c/strong>\u003c/p>\n\u003cp>Kelly Hardy has long been concerned about children. As director of health policy for Children Now, Hardy has kept a careful eye on the transition of 860,000 children from Healthy Families to Medi-Cal managed care.\u003c/p>\n\u003cp>\"I do think [state health officials] deserve some credit. The rollout has gone relatively smoothly,\" Hardy said. \"But the access to providers, especially in rural and underserved areas, that's a real question still.\"\u003c/p>\n\u003cp>Children are the proverbial canary in the coal mine of rural counties' shift to Medi-Cal managed care, she said. Healthy Families offered providers higher reimbursement rates than Medi-Cal, and physicians now stand to lose significant money by caring for Medi-Cal children.\u003c/p>\n\u003cp>And there are a lot of them.\u003c/p>\n\u003cp>State health officials estimate roughly 4.5 million children are in Medi-Cal. About half of all births in California are covered through Medi-Cal.\u003c/p>\n\u003cp>\"We're at a new point where about half of the kids in the state are Medi-Cal kids. It speaks to the stakes we're talking about, that we better get this right,\" Hardy said.\u003c/p>\n\u003cp>The potential for problems is greater in rural areas with a higher percentage of lower-income Californians, she said.\u003c/p>\n\u003cp>\"I am just amazed by the numbers we're talking about,\" Hardy said. \"That speaks to the dedication of the providers, that all of those children get care, and it speaks to the level of outreach by the Department of Health Care Services, as well,\" to make sure kids can get care.\u003c/p>\n\u003cp>\"But really, at the root, they just need to pay more for the care,\" Hardy said.\u003c/p>\n\u003cp>\u003cstrong>Access Issues in Some Rural Counties?\u003cstrong>\u003c/strong>\u003c/strong>\u003c/p>\n\u003cp>Hardy and other children's advocates say it's too early to provide big-picture statistics, but they've heard reports of provider network inadequacy in Lassen, Placer and Imperial counties so far.\u003c/p>\n\u003cp>\"In some counties, especially those served by Partnership HealthPlan, things seem to be going well,\" said Suzie Shupe, executive director of California Coverage and Health Initiatives, a not-for-profit children's advocacy group. Partnership HealthPlan, based in Fairfield, is one of six nonprofit, county-organized health systems in the state. It serves 14 counties in Northern California.\u003c/p>\n\u003cp>In other parts of the state, there have been reports of access issues, Shupe said. But it's impossible to know the extent of the problem \"because the information available to families about how to get help and how to report such problems has been so thin,\" she said.\u003c/p>\n\u003cp>\"I think what we're seeing now is a lack of providers,\" Hardy noted. \"It looks like few or no providers switched from Healthy Families over to Medi-Cal managed care. That's what we're hearing, rather than confusion.\u003c/p>\n\u003cp>People are saying there's a non-existent network here.\"\u003c/p>\n\u003cp>That is news to Jane Ogle, deputy director at DHCS. \"We haven't heard of any problems in Placer or Lassen [counties] at all.\"\u003c/p>\n\u003cp>DHCS officials are monitoring rural counties especially carefully right now, looking for complaints or trouble, and they haven't received many negative reports, Ogle said.\u003c/p>\n\u003cp>There was concern in Imperial County, Ogle said, where one plan's provider network wasn't up in time for the transition rollout.\u003c/p>\n\u003cp>\"In Imperial County we only had one plan, so Molina (Healthcare) agreed to be another provider for us,\" Ogle said. \"So for them it was a tight timeline to line up that provider network.\"\u003c/p>\n\u003cp>Once the provider network contracts were signed, Molina bought full-page advertisements in the local newspaper to alert residents, Ogle said.\u003c/p>\n\u003cp>\"From our point of view, it has gone very well,\" Ogle said.\u003c/p>\n\u003cp>\u003cstrong>Two Transition Efforts Are Linked\u003cstrong>\u003c/strong>\u003c/strong>\u003c/p>\n\u003cp>Ogle said both transitions -- the rural expansion into Medi-Cal managed care and the shift of Healthy Families children -- had to be done at the same time and be completed before January, when the Affordable Care Act will be fully implemented and the state's expands Medi-Cal eligibility.\u003c/p>\n\u003cp>\"We wanted to transition Healthy Families in the counties that have never had any managed care, and we wanted to open up managed care in rural counties at the same time,\" Ogle said. \"To allow for that expansion, we wanted to do it at the same time. If we only moved the relatively small population of Healthy Families children in rural areas, we would not have had the numbers to do it.\"\u003c/p>\n\u003cp>When you add in the rural expansion of the adult population, she said, \"then there are sufficient numbers to do it.\"\u003c/p>\n\u003cp>Under managed care, Californians should have access to more services, Ogle said. \"Making sure they get ... immunizations done, ... and having access standards, that kind of thing,\" she said, \"none of which is in fee-for-service.\"\u003c/p>\n\u003cp>Given the size and scope of the Healthy Families transition this year, the overall smoothness and success so far has been remarkable, Ogle said.\u003c/p>\n\u003cp>\"We know there will always be individual and anecdotal issues,\" Ogle said. \"But we transitioned 900,000 children, and by and large it's been a good, smooth transition for them, and they're now well-placed for the [ACA and Medi-Cal] expansion to occur.\"\u003c/p>\n\u003cp>Hardy agreed that the rollout has gone well, and she gives DHCS officials a lot of praise for that. The children in rural areas, though, may encounter problems in the months ahead, she said. Because children use medical services less often than adults, the effect on access might not be immediately clear, she added.\u003c/p>\n\u003cp>\"We haven't seen a big smoking gun, and we're really thankful we haven't seen a big smoking gun,\" Hardy said, \"but we're still concerned about sneaky issues like continuity of care and network adequacy.\"\u003c/p>\n\u003cp>In Lassen County, for instance, there's only one federally qualified health center in the entire county, she said, so the wiggle room for network inadequacy is razor-thin.\u003c/p>\n\u003cp>If a high percentage of children in the transition is able to maintain access to their preferred primary care physician, that's great, she said. However, that still leaves a group of children who did not get to remain with their physician.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Access to care is still a huge concern,\" Hardy said. \"So if you think this is a great result for California's kids, your standards are way too low.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/16149/last-phase-of-transition-rural-californians-move-to-medi-cal-managed-care-healthy-families","authors":["8344"],"categories":["stateofhealth_11","stateofhealth_14"],"tags":["stateofhealth_96","stateofhealth_104"],"featImg":"stateofhealth_5429","label":"stateofhealth"},"stateofhealth_8467":{"type":"posts","id":"stateofhealth_8467","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"8467","score":null,"sort":[1347649758000]},"guestAuthors":[],"slug":"low-income-families-brace-for-end-of-healthy-families","title":"Low-income Parents Brace for End of 'Healthy Families'","publishDate":1347649758,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_8472\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/MinaPhoto.jpg\">\u003cimg class=\"size-medium wp-image-8472\" title=\"Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/MinaPhoto-300x225.jpg\" alt=\"Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Next January, the state will begin transferring hundreds of thousands of low-income kids from its popular \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> insurance plan to Medi-Cal -- which offers medical coverage to the state's poorest residents.\u003c/p>\n\u003cp>Ending Healthy Families was one of Governor Jerry Brown’s budget-balancing priorities and now families are feeling the weight of that decision.\u003c/p>\n\u003cp>At \u003ca title=\"http://www.napachi.org\" href=\"http://www.napachi.org\" target=\"_blank\">Children’s Health Initiative\u003c/a> in Napa, a nonprofit that helps get kids into affordable health plans, Maria Garibay has just gotten the news. Next year, her three girls will be moved from Healthy Families to Medi-Cal.\u003c/p>\n\u003cp>Speaking through an interpreter, Garibay says she's worried her monthly premium will go up. That's because last year Medi-Cal told her she'd need to start paying $1300 each month, per child, because of her income from a part-time restaurant job.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But then Garibay learned that she qualified for Healthy Families. The federally subsidized program is for families whose incomes are just above the federal poverty level. Under Healthy Families, Garibay pays a total premium of $14 a month. It's a godsend for Garibay whose oldest daughter has a heart condition.\u003c!--more-->\u003c/p>\n\u003cp>Garibay, through the interpreter, says \"My daughter's been seeing the same cardiologist since she was three years old. Will she be able to see her same cardiologist when she switches to Medi-Cal?\"\u003c/p>\n\u003cp>Children's Health Initiative manager Elba Gonzalez-Mares says she just doesn't know. Medi-Cal reimburses doctors at a lower rate than Healthy Families, so some doctors limit the number of Medi-Cal patients they take, or refuse to see them altogether.\u003c/p>\n\u003cp>Gonzales-Mares says she's been reassuring parents that their payments will be similar when the plan changes. But she hasn't been able to guarantee that their kids will be able to see the same doctors.\u003c/p>\n\u003cp>\"The reaction is very upsetting,\" Gonzales-Mares says of the families. \"They're concerned.\"\u003c/p>\n\u003cp>The state is ending Healthy Families as part of a budget deal between Governor Brown and Democratic lawmakers. It's designed to cut costs and save other health programs. Moving the nearly 900,000 kids in the Healthy Families program to Medi-Cal is expected to save $72 million a year by 2015.\u003c/p>\n\u003cp>Latino children make up nearly half the Healthy Families enrollees, and Gonzales-Mares worries they'll suffer the greatest disruptions in care. She says a survey of families the agency sees raises concerns about whether they'll understand that Healthy Families is ending.\u003c/p>\n\u003cp>\"The Latino family, yes, they speak Spanish. But their literacy levels are very low, a third grade level,\" she says, \"even in Spanish.\"\u003c/p>\n\u003cp>But Medi-Cal officials say the program is equipped to deal with the needs of Spanish speakers. \u003ca title=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" href=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" target=\"_blank\">Toby Douglas\u003c/a> leads the state's Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>\"Our proportion of individuals on the Medi-Cal program that are Spanish speaking or Latino descent are the same as those on Healthy Families,\" Douglas explains. \"So it’s an essential component of our Medi-Cal program today.\"\u003c/p>\n\u003cp>Douglas says his office is working hard to make sure there will be enough doctors and specialists to treat these kids. \"Close to 90 percent of the providers who participate in Healthy Families participate in the Medi-Cal program, and we believe that these providers will continue to see these children when they transition.\"\u003c/p>\n\u003cp>Douglas says under the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">federal health care overhaul\u003c/a>, Medi-Cal reimbursement rates will rise significantly for two years, beginning this January.\u003c/p>\n\u003cp>But some pediatricians, like Napa pediatrician Victoria Morgese, are skeptical the state will maintain the higher rates when those federal funds go away. \"The way I was raised, you can't get blood out of a turnip,\" she says. \"If the money's not there, the money's not there.\"\u003c/p>\n\u003cp>Morgese is one of thousands of California doctors now forced to decide whether to keep her Healthy Families patients once they switch over to Medi-Cal. \"My mentality is to take care of these people, to be a care provider,\" she says. \"And yet, I have to take everything into consideration because I have to run a business!\"\u003c/p>\n\u003cp>Morgese has more than 500 Healthy Families patients. She limits the number of Medi-Cal recipients to 10 percent of her patient load. Morgese says at current Medi-Cal reimbursement rates, she'd need to see three times the number of patients to keep the lights on.\u003c/p>\n\u003cp>\"That means that the model of practice that we have set up here,\" she explains, \"which is to spend a long time with our patients, to have a lower than average volume of patients per day in our office ... I wouldn't be able to do that.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Some children's health advocates are pushing for a delay to the transition. The four phase, year-long transfer is scheduled to begin in January.\u003c/p>\n\n","blocks":[],"excerpt":"Next January, the state will begin transferring hundreds of thousands of low-income kids from its popular Healthy Families insurance plan to Medi-Cal -- which offers medical coverage to the state's poorest residents.\r\n\r\nEnding Healthy Families was one of Governor Jerry Brown’s budget-balancing priorities and now families are feeling the weight of that decision.\r\n\r\nAt Children’s Health Initiative in Napa, a nonprofit that helps get kids into affordable health plans, Maria Garibay has just gotten the news. Next year, her three girls will be moved from Healthy Families to Medi-Cal.","status":"publish","parent":0,"modified":1347649911,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":851},"headData":{"title":"Low-income Parents Brace for End of 'Healthy Families' | KQED","description":"Next January, the state will begin transferring hundreds of thousands of low-income kids from its popular Healthy Families insurance plan to Medi-Cal -- which offers medical coverage to the state's poorest residents.\r\n\r\nEnding Healthy Families was one of Governor Jerry Brown’s budget-balancing priorities and now families are feeling the weight of that decision.\r\n\r\nAt Children’s Health Initiative in Napa, a nonprofit that helps get kids into affordable health plans, Maria Garibay has just gotten the news. Next year, her three girls will be moved from Healthy Families to Medi-Cal.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Low-income Parents Brace for End of 'Healthy Families'","datePublished":"2012-09-14T19:09:18.000Z","dateModified":"2012-09-14T19:11:51.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"8467 http://blogs.kqed.org/stateofhealth/?p=8467","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/09/14/low-income-families-brace-for-end-of-healthy-families/","disqusTitle":"Low-income Parents Brace for End of 'Healthy Families'","path":"/stateofhealth/8467/low-income-families-brace-for-end-of-healthy-families","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_8472\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/MinaPhoto.jpg\">\u003cimg class=\"size-medium wp-image-8472\" title=\"Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/MinaPhoto-300x225.jpg\" alt=\"Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Next January, the state will begin transferring hundreds of thousands of low-income kids from its popular \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> insurance plan to Medi-Cal -- which offers medical coverage to the state's poorest residents.\u003c/p>\n\u003cp>Ending Healthy Families was one of Governor Jerry Brown’s budget-balancing priorities and now families are feeling the weight of that decision.\u003c/p>\n\u003cp>At \u003ca title=\"http://www.napachi.org\" href=\"http://www.napachi.org\" target=\"_blank\">Children’s Health Initiative\u003c/a> in Napa, a nonprofit that helps get kids into affordable health plans, Maria Garibay has just gotten the news. Next year, her three girls will be moved from Healthy Families to Medi-Cal.\u003c/p>\n\u003cp>Speaking through an interpreter, Garibay says she's worried her monthly premium will go up. That's because last year Medi-Cal told her she'd need to start paying $1300 each month, per child, because of her income from a part-time restaurant job.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But then Garibay learned that she qualified for Healthy Families. The federally subsidized program is for families whose incomes are just above the federal poverty level. Under Healthy Families, Garibay pays a total premium of $14 a month. It's a godsend for Garibay whose oldest daughter has a heart condition.\u003c!--more-->\u003c/p>\n\u003cp>Garibay, through the interpreter, says \"My daughter's been seeing the same cardiologist since she was three years old. Will she be able to see her same cardiologist when she switches to Medi-Cal?\"\u003c/p>\n\u003cp>Children's Health Initiative manager Elba Gonzalez-Mares says she just doesn't know. Medi-Cal reimburses doctors at a lower rate than Healthy Families, so some doctors limit the number of Medi-Cal patients they take, or refuse to see them altogether.\u003c/p>\n\u003cp>Gonzales-Mares says she's been reassuring parents that their payments will be similar when the plan changes. But she hasn't been able to guarantee that their kids will be able to see the same doctors.\u003c/p>\n\u003cp>\"The reaction is very upsetting,\" Gonzales-Mares says of the families. \"They're concerned.\"\u003c/p>\n\u003cp>The state is ending Healthy Families as part of a budget deal between Governor Brown and Democratic lawmakers. It's designed to cut costs and save other health programs. Moving the nearly 900,000 kids in the Healthy Families program to Medi-Cal is expected to save $72 million a year by 2015.\u003c/p>\n\u003cp>Latino children make up nearly half the Healthy Families enrollees, and Gonzales-Mares worries they'll suffer the greatest disruptions in care. She says a survey of families the agency sees raises concerns about whether they'll understand that Healthy Families is ending.\u003c/p>\n\u003cp>\"The Latino family, yes, they speak Spanish. But their literacy levels are very low, a third grade level,\" she says, \"even in Spanish.\"\u003c/p>\n\u003cp>But Medi-Cal officials say the program is equipped to deal with the needs of Spanish speakers. \u003ca title=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" href=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" target=\"_blank\">Toby Douglas\u003c/a> leads the state's Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>\"Our proportion of individuals on the Medi-Cal program that are Spanish speaking or Latino descent are the same as those on Healthy Families,\" Douglas explains. \"So it’s an essential component of our Medi-Cal program today.\"\u003c/p>\n\u003cp>Douglas says his office is working hard to make sure there will be enough doctors and specialists to treat these kids. \"Close to 90 percent of the providers who participate in Healthy Families participate in the Medi-Cal program, and we believe that these providers will continue to see these children when they transition.\"\u003c/p>\n\u003cp>Douglas says under the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">federal health care overhaul\u003c/a>, Medi-Cal reimbursement rates will rise significantly for two years, beginning this January.\u003c/p>\n\u003cp>But some pediatricians, like Napa pediatrician Victoria Morgese, are skeptical the state will maintain the higher rates when those federal funds go away. \"The way I was raised, you can't get blood out of a turnip,\" she says. \"If the money's not there, the money's not there.\"\u003c/p>\n\u003cp>Morgese is one of thousands of California doctors now forced to decide whether to keep her Healthy Families patients once they switch over to Medi-Cal. \"My mentality is to take care of these people, to be a care provider,\" she says. \"And yet, I have to take everything into consideration because I have to run a business!\"\u003c/p>\n\u003cp>Morgese has more than 500 Healthy Families patients. She limits the number of Medi-Cal recipients to 10 percent of her patient load. Morgese says at current Medi-Cal reimbursement rates, she'd need to see three times the number of patients to keep the lights on.\u003c/p>\n\u003cp>\"That means that the model of practice that we have set up here,\" she explains, \"which is to spend a long time with our patients, to have a lower than average volume of patients per day in our office ... I wouldn't be able to do that.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Some children's health advocates are pushing for a delay to the transition. The four phase, year-long transfer is scheduled to begin in January.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/8467/low-income-families-brace-for-end-of-healthy-families","authors":["8344"],"categories":["stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_96","stateofhealth_104","stateofhealth_99"],"featImg":"stateofhealth_8472","label":"stateofhealth"},"stateofhealth_7179":{"type":"posts","id":"stateofhealth_7179","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"7179","score":null,"sort":[1341867990000]},"guestAuthors":[],"slug":"childrens-advocates-divided-on-healthy-families-transition","title":"Children's Advocates Divided on Healthy Families Transition","publishDate":1341867990,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cdiv>\n\u003cp>\u003cstrong>By Emily Bazar,\u003c/strong> \u003ca title=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" href=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7190\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012.jpg\">\u003cimg class=\"size-medium wp-image-7190\" title=\"(David Mason: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012-300x199.jpg\" alt=\"(David Mason: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David Mason: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> program into Medi-Cal next year, dozens of groups joined in opposition.\u003c/p>\n\u003cp>They ranged from the \u003ca title=\"http://www.cmanet.org/\" href=\"http://www.cmanet.org/\" target=\"_blank\">California Medical Association\u003c/a>, a professional organization that represents the state’s doctors, to the \u003ca title=\"http://www.cpca.org/\" href=\"http://www.cpca.org/\" target=\"_blank\">California Primary Care Association\u003c/a>, which represents community clinics.\u003c/p>\n\u003cp>Mostly, they were groups that focus on children and families, such as C\u003ca title=\"http://www.childrennow.org/index.php/\" href=\"http://www.childrennow.org/index.php/\" target=\"_blank\">hildren Now\u003c/a> and \u003ca title=\"http://www.unitedwaysca.org/\" href=\"http://www.unitedwaysca.org/\" target=\"_blank\">United Ways of California\u003c/a>.\u003c/p>\n\u003cp>They warned that the transition could disrupt care for thousands of children and ultimately lead to a lack of access to care, particularly in parts of California where doctors – especially those who accept Medi-Cal – are scarce.\u003c/p>\n\u003cp>But it turns out that opposition to the proposal was not unanimous, even among nonprofits that advocate for children and families.\u003c!--more-->\u003c/p>\n\u003cp>“We were supportive of what happened,” said Vanessa Cajina, a \u003ca title=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" href=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" target=\"_blank\">Western Center on Law & Poverty\u003c/a> lobbyist who focuses on health-related budget items.\u003c/p>\n\u003cp>First, a little background. Medi-Cal is a public health insurance program for the lowest-income Californians. Healthy Families covers children in families with incomes too high to qualify for Medi-Cal, up to 250 percent of the poverty level.\u003c/p>\n\u003cp>Under the transition plan that the Legislature agreed to, 415,000 Healthy Families children will move to Medi-Cal on Jan. 1, 2013, with the remainder making the move later in the year. (Check out this \u003ca title=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" href=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" target=\"_blank\">fact sheet \u003c/a>from the Legislature for more details on the transition.)\u003c/p>\n\u003cp>Cajina said her group supports the transition, in part, because Medi-Cal covers a broader array of medical services for children than Healthy Families, a point echoed by Lynn Kersey, executive director of \u003ca title=\"http://www.mchaccess.org/index.php\" href=\"http://www.mchaccess.org/index.php\" target=\"_blank\">Maternal and Child Health Access\u003c/a>.\u003c/p>\n\u003cp>Kersey pointed to a benefit under Medi-Cal called \u003ca title=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" href=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a>, which she said mandates that “any service a child needs that is medically necessary must be provided. If a plan doesn’t have that in its package, there are outside services that have to be included.”\u003c/p>\n\u003cp>As a result, she said, treatment options for certain medical issues, such as mental health and orthodontia, are better under Medi-Cal than Healthy Families.\u003c/p>\n\u003cp>Norman Williams, spokesman for the state Department of Health Care Services, which administers Medi-Cal, provided another example.\u003c/p>\n\u003cp>“Chiropractic treatments are limited under Healthy Families to a certain number,” he said. “Under Medi-Cal, children can go beyond the limit if there is a medical necessity identified.”\u003c/p>\n\u003cp>Cajina and Kersey also said that families will save money with the transition to Medi-Cal. Healthy Families children pay premiums on a sliding scale and children with Medi-Cal do not.\u003c/p>\n\u003cp>“For children in Medi-Cal under 150 percent of the federal poverty level, there won’t be any cost sharing or monthly premiums, which they had in Healthy Families,” Cajina said.\u003c/p>\n\u003cp>Cajina and Kersey noted other issues that bolster their support for the transition, such as increased efficiencies and more due process rights for participants. Both also agreed that access to care under Medi-Cal will be a continuing concern.\u003c/p>\n\u003cp>But “if everybody is in the same program, we’re all fighting for the same improvements,” Kersey said.\u003c/p>\n\u003cp>Mike Odeh, senior health policy associate for Children Now, said he agrees with the points that Cajina and Kersey make, but worries more about access to care.\u003c/p>\n\u003cp>“If kids don’t have access to care, then who cares if they’re paying a premium or not? … We’re concerned not just about the kids in Healthy Families who will move to Medi-Cal and their access to care. We’re also concerned about the kids who are already in Medi-Cal,” he said.\u003c/p>\n\u003cp>Odeh pointed out that under the transition, the rates that plans received to provide coverage under Healthy Families will drop to Medi-Cal levels, which may result in providers dropping out of the program.\u003c/p>\n\u003cp>“What happens when you add almost 900,000 more kids to a system that is in some ways fractured?” he asked. “We want to make sure we don’t do that and can strengthen the Medi-Cal program before we do this transition.”\u003c/p>\n\u003c/div>\n\u003cp> \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the Healthy Families program into Medi-Cal next year, dozens of groups joined in opposition.\r\n\r\nThey ranged from the California Medical Association, a professional organization that represents the state’s doctors, to the California Primary Care Association, which represents community clinics.\r\n\r\nMostly, they were groups that focus on children and families, such as Children Now and United Ways of California.","status":"publish","parent":0,"modified":1342030151,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":735},"headData":{"title":"Children's Advocates Divided on Healthy Families Transition | KQED","description":"As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the Healthy Families program into Medi-Cal next year, dozens of groups joined in opposition.\r\n\r\nThey ranged from the California Medical Association, a professional organization that represents the state’s doctors, to the California Primary Care Association, which represents community clinics.\r\n\r\nMostly, they were groups that focus on children and families, such as Children Now and United Ways of California.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Children's Advocates Divided on Healthy Families Transition","datePublished":"2012-07-09T21:06:30.000Z","dateModified":"2012-07-11T18:09:11.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"7179 http://blogs.kqed.org/stateofhealth/?p=7179","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/07/09/childrens-advocates-divided-on-healthy-families-transition/","disqusTitle":"Children's Advocates Divided on Healthy Families Transition","path":"/stateofhealth/7179/childrens-advocates-divided-on-healthy-families-transition","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cdiv>\n\u003cp>\u003cstrong>By Emily Bazar,\u003c/strong> \u003ca title=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" href=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7190\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012.jpg\">\u003cimg class=\"size-medium wp-image-7190\" title=\"(David Mason: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012-300x199.jpg\" alt=\"(David Mason: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David Mason: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> program into Medi-Cal next year, dozens of groups joined in opposition.\u003c/p>\n\u003cp>They ranged from the \u003ca title=\"http://www.cmanet.org/\" href=\"http://www.cmanet.org/\" target=\"_blank\">California Medical Association\u003c/a>, a professional organization that represents the state’s doctors, to the \u003ca title=\"http://www.cpca.org/\" href=\"http://www.cpca.org/\" target=\"_blank\">California Primary Care Association\u003c/a>, which represents community clinics.\u003c/p>\n\u003cp>Mostly, they were groups that focus on children and families, such as C\u003ca title=\"http://www.childrennow.org/index.php/\" href=\"http://www.childrennow.org/index.php/\" target=\"_blank\">hildren Now\u003c/a> and \u003ca title=\"http://www.unitedwaysca.org/\" href=\"http://www.unitedwaysca.org/\" target=\"_blank\">United Ways of California\u003c/a>.\u003c/p>\n\u003cp>They warned that the transition could disrupt care for thousands of children and ultimately lead to a lack of access to care, particularly in parts of California where doctors – especially those who accept Medi-Cal – are scarce.\u003c/p>\n\u003cp>But it turns out that opposition to the proposal was not unanimous, even among nonprofits that advocate for children and families.\u003c!--more-->\u003c/p>\n\u003cp>“We were supportive of what happened,” said Vanessa Cajina, a \u003ca title=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" href=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" target=\"_blank\">Western Center on Law & Poverty\u003c/a> lobbyist who focuses on health-related budget items.\u003c/p>\n\u003cp>First, a little background. Medi-Cal is a public health insurance program for the lowest-income Californians. Healthy Families covers children in families with incomes too high to qualify for Medi-Cal, up to 250 percent of the poverty level.\u003c/p>\n\u003cp>Under the transition plan that the Legislature agreed to, 415,000 Healthy Families children will move to Medi-Cal on Jan. 1, 2013, with the remainder making the move later in the year. (Check out this \u003ca title=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" href=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" target=\"_blank\">fact sheet \u003c/a>from the Legislature for more details on the transition.)\u003c/p>\n\u003cp>Cajina said her group supports the transition, in part, because Medi-Cal covers a broader array of medical services for children than Healthy Families, a point echoed by Lynn Kersey, executive director of \u003ca title=\"http://www.mchaccess.org/index.php\" href=\"http://www.mchaccess.org/index.php\" target=\"_blank\">Maternal and Child Health Access\u003c/a>.\u003c/p>\n\u003cp>Kersey pointed to a benefit under Medi-Cal called \u003ca title=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" href=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a>, which she said mandates that “any service a child needs that is medically necessary must be provided. If a plan doesn’t have that in its package, there are outside services that have to be included.”\u003c/p>\n\u003cp>As a result, she said, treatment options for certain medical issues, such as mental health and orthodontia, are better under Medi-Cal than Healthy Families.\u003c/p>\n\u003cp>Norman Williams, spokesman for the state Department of Health Care Services, which administers Medi-Cal, provided another example.\u003c/p>\n\u003cp>“Chiropractic treatments are limited under Healthy Families to a certain number,” he said. “Under Medi-Cal, children can go beyond the limit if there is a medical necessity identified.”\u003c/p>\n\u003cp>Cajina and Kersey also said that families will save money with the transition to Medi-Cal. Healthy Families children pay premiums on a sliding scale and children with Medi-Cal do not.\u003c/p>\n\u003cp>“For children in Medi-Cal under 150 percent of the federal poverty level, there won’t be any cost sharing or monthly premiums, which they had in Healthy Families,” Cajina said.\u003c/p>\n\u003cp>Cajina and Kersey noted other issues that bolster their support for the transition, such as increased efficiencies and more due process rights for participants. Both also agreed that access to care under Medi-Cal will be a continuing concern.\u003c/p>\n\u003cp>But “if everybody is in the same program, we’re all fighting for the same improvements,” Kersey said.\u003c/p>\n\u003cp>Mike Odeh, senior health policy associate for Children Now, said he agrees with the points that Cajina and Kersey make, but worries more about access to care.\u003c/p>\n\u003cp>“If kids don’t have access to care, then who cares if they’re paying a premium or not? … We’re concerned not just about the kids in Healthy Families who will move to Medi-Cal and their access to care. We’re also concerned about the kids who are already in Medi-Cal,” he said.\u003c/p>\n\u003cp>Odeh pointed out that under the transition, the rates that plans received to provide coverage under Healthy Families will drop to Medi-Cal levels, which may result in providers dropping out of the program.\u003c/p>\n\u003cp>“What happens when you add almost 900,000 more kids to a system that is in some ways fractured?” he asked. “We want to make sure we don’t do that and can strengthen the Medi-Cal program before we do this transition.”\u003c/p>\n\u003c/div>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/7179/childrens-advocates-divided-on-healthy-families-transition","authors":["240"],"categories":["stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_96","stateofhealth_104","stateofhealth_99"],"featImg":"stateofhealth_7190","label":"stateofhealth"},"stateofhealth_6720":{"type":"posts","id":"stateofhealth_6720","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"6720","score":null,"sort":[1340733537000]},"guestAuthors":[],"slug":"california-budget-proposal-would-move-880000-children-off-healthy-families","title":"California Budget Proposal Would Move 880,000 Children Off Healthy Families","publishDate":1340733537,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_6734\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Child-at-dentist.jpg\">\u003cimg class=\"size-medium wp-image-6734\" title=\"A kindergartner visits the dentist, one of the services parents and advocates are worried about accessing when they switch to Medi-Cal. (heraldpost/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Child-at-dentist-300x271.jpg\" alt=\"\" width=\"300\" height=\"271\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A kindergartner visits the dentist, one of the services parents and advocates are worried about accessing when they switch to Medi-Cal. (heraldpost/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Jacqueline Dandeneau understands why children's health advocates are so upset.\u003c/p>\n\u003cp>The Humboldt County resident, and mother of a 12-year-old and a 6-year-old, was a longtime subscriber to \u003ca href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a>. That's California's medical insurance program for kids whose parents make just too much to qualify for \u003ca href=\"http://www.medi-cal.ca.gov/\" target=\"_blank\">Medi-Cal\u003c/a>, but struggle to afford private health insurance payments.\u003c/p>\n\u003cp>\"We were a 'Healthy Families' family and very happy to be so. The paperwork was easy and we had great dental access,\" said Dandeneau.\u003c/p>\n\u003cp>Then, came the economic downturn, their fortunes changed for the worse and their coverage changed to Medi-Cal.\u003c/p>\n\u003cp>Dandeneau says in their county there are few providers and they are waiting up to a year for appointments.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We have to drive 3 hours to go to Redding,\" said Dandeneau, pointing out it's a challenging system for working parents struggling to juggle commitments. \"So I see right now the system is taxed as it is. We as a Medi-Cal family can’t get enough coverage as it is. Let alone if we have all the Healthy Families kids fall into that service.”\u003c/p>\n\u003cp>Wendy Lazarus with \u003ca href=\"http://www.childrenspartnership.org//AM/Template.cfm?Section=Homehttp://\" target=\"_blank\">Children’s Partnership \u003c/a>says the idea that all of the 880,000 children in Healthy Families would immediately be moved in Medi-Cal as part of the budget solution was a big surprise.\u003c!--more-->\u003c/p>\n\u003cp>She says advocates had been working with the legislature to approve a slower transition, initially moving just one-quarter of the kids from Healthy Families into Medi-Cal.\u003c/p>\n\u003cp>“Everyone assumed that that was what the budget decision would reflect,\" Lazarus said. \"And instead, after a meeting between the Governor and the head of the Senate and head of Assembly a deal was struck to do something very different. And to transition all 800,000 of the kids and that was not the budget that the legislature had sent to the governor.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I see right now the system is taxed as it is. We as a Medi-Cal family can’t get enough coverage as it is. Let alone if we have all the Healthy Families kids fall into that service.\"\u003c/aside>\n\u003cp>Lazarus says the slow transition would allow time to assess whether families had access to doctors, were able to continue with needed specialists, and didn't disrupt the strained Medi-Cal system.\u003c/p>\n\u003cp>Other advocates have expressed frustration about the change, citing the Healthy Family program's links to improved outcomes in schools. And Chad Silva with the Latino Coalition for a Healthy California says the sudden move would disproportionately affect Latino families.\u003c/p>\n\u003cp>\"Recent LAO [Legislative Analyst Office] data show that 46 percent of Healthy Families kids are Latino,\" Silva said. \"Eighty two percent of children enrolled in Healthy Families programs in Los Angeles are Latino, so this has a great impact on Latino kids.”\u003c/p>\n\u003cp>The Sacramento Bee reports that Governor Brown had been eyeing Healthy Family for cuts for a long time.\u003c/p>\n\u003cblockquote>\u003cp>Since taking office, Brown has sought to eliminate Healthy Families, which provides low-cost care to 880,000 children in working poor households that lack health insurance. Brown has argued that all publicly insured patients should be in Medi-Cal as matter of efficiency and to eliminate the challenges patients face when switching between Medi-Cal and Healthy Families as their family income fluctuates.\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca href=\"http://sd08.senate.ca.gov/\" target=\"_blank\">State Senator Leland Yee\u003c/a> said yesterday that legislators will make sure that the trailer bill approving the wholesale move will be worded so that \"kids are not going to be harmed, there will be services and there will a be a transition plan that needs to be approved. And if in fact the plan is insufficient then the transition will not in fact happen. We need to make sure that there is sufficient language in the transition bill to make sure that that happens.”\u003c/p>\n\u003cp>The Healthy Families program currently serves children whose families earn too much for Medi-Cal but might not otherwise access private insurance. \u003ca href=\"www.healthycal.org/archives/9193\" target=\"_blank\">HealthyCal.org lays out the details.\u003c/a>\u003c/p>\n\u003cblockquote>\u003cp>Medi-Cal serves adults and children from families at or below the poverty level. Some of those children get their care through managed care plans and others see doctors or go to hospitals that are reimbursed from a fee schedule set by the state. Families are not required to pay any premiums for their coverage.\u003c/p>\n\u003cp>Healthy Families is aimed at children up to 19 years old in families that don’t qualify for Medi-Cal and have incomes up to 250 percent of the poverty level, or about $46,000 for a family of three. Families are given private insurance and pay premiums on a sliding scale, according to their income.\u003c/p>\u003c/blockquote>\n\u003cp>Because the Medi-Cal program is cheaper, Brown's plan would save $73 million in 2013-2014 by shifting the children to that program. But advocates say this wouldn't be the case, because of a related tax that only gets political support because of the Healthy Families program. The \u003ca href=\"http://blogs.sacbee.com/capitolalertlatest/2012/06/could-healthy-families-shift-cost-the-state-more-money.html\" target=\"_blank\">Sacramento Bee reports \u003c/a>that it is a tax collected on managed care plans.\u003c/p>\n\u003cblockquote>\u003cp>Shifting those children to Healthy Families risks the loss of $183 million in taxes on managed care plans. The tax is set to expire at the end of this month, and managed care providers previously supported the tax because it came back to them through Healthy Families patients.\u003c/p>\n\u003cp>Democrats need a two-thirds supermajority vote with Republican support to keep the tax going. If the industry is opposed, it is difficult to see how Republicans will sign on to the tax this summer.\u003c/p>\u003c/blockquote>\n\u003cp>At a news conference announcing the budget framework last Wednesday night, though, \u003ca href=\"http://sd06.senate.ca.gov/\" target=\"_blank\">State Senate leader Darrell Steinberg\u003c/a> reiterated Governor Brown's position that \u003ca href=\"http://livewire.kcra.com/Event/Budget_deal_done/33307619\" target=\"_blank\">one program serving the state's children is more efficient than two\u003c/a>. The move has been blasted by at least one \u003ca href=\"http://cssrc.us/web/29/\" target=\"_blank\">Republican, Senate leader Bob Huff\u003c/a>.\u003c/p>\n\u003cblockquote>\u003cp>This transfer of children from a popular and successful program like Healthy Families to the problem plagued Medi-Cal system is a reckless move that unnecessarily puts the health of California children at risk.\u003c/p>\u003c/blockquote>\n\u003cp>The statement suggests that Huff and Republicans would prefer moving the children to a free market health insurance exchange that could be part of any federal health care law. \"If federal health care reform does moves forward,\" Huff wrote, \"these Healthy Families Program children will be much better served in the California Health Benefits Exchange as opposed the state Medi-Cal program, which has a poor history regarding access to care.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The legislature is holding hearings on the issue today and is expected to make a final vote on the issue tomorrow.\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1340738702,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1133},"headData":{"title":"California Budget Proposal Would Move 880,000 Children Off Healthy Families | KQED","description":"Jacqueline Dandeneau understands why children's health advocates are so upset. The Humboldt County resident, and mother of a 12-year-old and a 6-year-old, was a longtime subscriber to Healthy Families. That's California's medical insurance program for kids whose parents make just too much to qualify for Medi-Cal, but struggle to afford private health insurance payments. "We","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"California Budget Proposal Would Move 880,000 Children Off Healthy Families","datePublished":"2012-06-26T17:58:57.000Z","dateModified":"2012-06-26T19:25:02.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"6720 http://blogs.kqed.org/stateofhealth/?p=6720","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/06/26/california-budget-proposal-would-move-880000-children-off-healthy-families/","disqusTitle":"California Budget Proposal Would Move 880,000 Children Off Healthy Families","path":"/stateofhealth/6720/california-budget-proposal-would-move-880000-children-off-healthy-families","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6734\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Child-at-dentist.jpg\">\u003cimg class=\"size-medium wp-image-6734\" title=\"A kindergartner visits the dentist, one of the services parents and advocates are worried about accessing when they switch to Medi-Cal. (heraldpost/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Child-at-dentist-300x271.jpg\" alt=\"\" width=\"300\" height=\"271\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A kindergartner visits the dentist, one of the services parents and advocates are worried about accessing when they switch to Medi-Cal. (heraldpost/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Jacqueline Dandeneau understands why children's health advocates are so upset.\u003c/p>\n\u003cp>The Humboldt County resident, and mother of a 12-year-old and a 6-year-old, was a longtime subscriber to \u003ca href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a>. That's California's medical insurance program for kids whose parents make just too much to qualify for \u003ca href=\"http://www.medi-cal.ca.gov/\" target=\"_blank\">Medi-Cal\u003c/a>, but struggle to afford private health insurance payments.\u003c/p>\n\u003cp>\"We were a 'Healthy Families' family and very happy to be so. The paperwork was easy and we had great dental access,\" said Dandeneau.\u003c/p>\n\u003cp>Then, came the economic downturn, their fortunes changed for the worse and their coverage changed to Medi-Cal.\u003c/p>\n\u003cp>Dandeneau says in their county there are few providers and they are waiting up to a year for appointments.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We have to drive 3 hours to go to Redding,\" said Dandeneau, pointing out it's a challenging system for working parents struggling to juggle commitments. \"So I see right now the system is taxed as it is. We as a Medi-Cal family can’t get enough coverage as it is. Let alone if we have all the Healthy Families kids fall into that service.”\u003c/p>\n\u003cp>Wendy Lazarus with \u003ca href=\"http://www.childrenspartnership.org//AM/Template.cfm?Section=Homehttp://\" target=\"_blank\">Children’s Partnership \u003c/a>says the idea that all of the 880,000 children in Healthy Families would immediately be moved in Medi-Cal as part of the budget solution was a big surprise.\u003c!--more-->\u003c/p>\n\u003cp>She says advocates had been working with the legislature to approve a slower transition, initially moving just one-quarter of the kids from Healthy Families into Medi-Cal.\u003c/p>\n\u003cp>“Everyone assumed that that was what the budget decision would reflect,\" Lazarus said. \"And instead, after a meeting between the Governor and the head of the Senate and head of Assembly a deal was struck to do something very different. And to transition all 800,000 of the kids and that was not the budget that the legislature had sent to the governor.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I see right now the system is taxed as it is. We as a Medi-Cal family can’t get enough coverage as it is. Let alone if we have all the Healthy Families kids fall into that service.\"\u003c/aside>\n\u003cp>Lazarus says the slow transition would allow time to assess whether families had access to doctors, were able to continue with needed specialists, and didn't disrupt the strained Medi-Cal system.\u003c/p>\n\u003cp>Other advocates have expressed frustration about the change, citing the Healthy Family program's links to improved outcomes in schools. And Chad Silva with the Latino Coalition for a Healthy California says the sudden move would disproportionately affect Latino families.\u003c/p>\n\u003cp>\"Recent LAO [Legislative Analyst Office] data show that 46 percent of Healthy Families kids are Latino,\" Silva said. \"Eighty two percent of children enrolled in Healthy Families programs in Los Angeles are Latino, so this has a great impact on Latino kids.”\u003c/p>\n\u003cp>The Sacramento Bee reports that Governor Brown had been eyeing Healthy Family for cuts for a long time.\u003c/p>\n\u003cblockquote>\u003cp>Since taking office, Brown has sought to eliminate Healthy Families, which provides low-cost care to 880,000 children in working poor households that lack health insurance. Brown has argued that all publicly insured patients should be in Medi-Cal as matter of efficiency and to eliminate the challenges patients face when switching between Medi-Cal and Healthy Families as their family income fluctuates.\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca href=\"http://sd08.senate.ca.gov/\" target=\"_blank\">State Senator Leland Yee\u003c/a> said yesterday that legislators will make sure that the trailer bill approving the wholesale move will be worded so that \"kids are not going to be harmed, there will be services and there will a be a transition plan that needs to be approved. And if in fact the plan is insufficient then the transition will not in fact happen. We need to make sure that there is sufficient language in the transition bill to make sure that that happens.”\u003c/p>\n\u003cp>The Healthy Families program currently serves children whose families earn too much for Medi-Cal but might not otherwise access private insurance. \u003ca href=\"www.healthycal.org/archives/9193\" target=\"_blank\">HealthyCal.org lays out the details.\u003c/a>\u003c/p>\n\u003cblockquote>\u003cp>Medi-Cal serves adults and children from families at or below the poverty level. Some of those children get their care through managed care plans and others see doctors or go to hospitals that are reimbursed from a fee schedule set by the state. Families are not required to pay any premiums for their coverage.\u003c/p>\n\u003cp>Healthy Families is aimed at children up to 19 years old in families that don’t qualify for Medi-Cal and have incomes up to 250 percent of the poverty level, or about $46,000 for a family of three. Families are given private insurance and pay premiums on a sliding scale, according to their income.\u003c/p>\u003c/blockquote>\n\u003cp>Because the Medi-Cal program is cheaper, Brown's plan would save $73 million in 2013-2014 by shifting the children to that program. But advocates say this wouldn't be the case, because of a related tax that only gets political support because of the Healthy Families program. The \u003ca href=\"http://blogs.sacbee.com/capitolalertlatest/2012/06/could-healthy-families-shift-cost-the-state-more-money.html\" target=\"_blank\">Sacramento Bee reports \u003c/a>that it is a tax collected on managed care plans.\u003c/p>\n\u003cblockquote>\u003cp>Shifting those children to Healthy Families risks the loss of $183 million in taxes on managed care plans. The tax is set to expire at the end of this month, and managed care providers previously supported the tax because it came back to them through Healthy Families patients.\u003c/p>\n\u003cp>Democrats need a two-thirds supermajority vote with Republican support to keep the tax going. If the industry is opposed, it is difficult to see how Republicans will sign on to the tax this summer.\u003c/p>\u003c/blockquote>\n\u003cp>At a news conference announcing the budget framework last Wednesday night, though, \u003ca href=\"http://sd06.senate.ca.gov/\" target=\"_blank\">State Senate leader Darrell Steinberg\u003c/a> reiterated Governor Brown's position that \u003ca href=\"http://livewire.kcra.com/Event/Budget_deal_done/33307619\" target=\"_blank\">one program serving the state's children is more efficient than two\u003c/a>. The move has been blasted by at least one \u003ca href=\"http://cssrc.us/web/29/\" target=\"_blank\">Republican, Senate leader Bob Huff\u003c/a>.\u003c/p>\n\u003cblockquote>\u003cp>This transfer of children from a popular and successful program like Healthy Families to the problem plagued Medi-Cal system is a reckless move that unnecessarily puts the health of California children at risk.\u003c/p>\u003c/blockquote>\n\u003cp>The statement suggests that Huff and Republicans would prefer moving the children to a free market health insurance exchange that could be part of any federal health care law. \"If federal health care reform does moves forward,\" Huff wrote, \"these Healthy Families Program children will be much better served in the California Health Benefits Exchange as opposed the state Medi-Cal program, which has a poor history regarding access to care.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The legislature is holding hearings on the issue today and is expected to make a final vote on the issue tomorrow.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/6720/california-budget-proposal-would-move-880000-children-off-healthy-families","authors":["252"],"categories":["stateofhealth_14"],"tags":["stateofhealth_263","stateofhealth_104","stateofhealth_99"],"label":"stateofhealth"},"stateofhealth_1740":{"type":"posts","id":"stateofhealth_1740","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"1740","score":null,"sort":[1325814466000]},"guestAuthors":[],"slug":"governors-budget-and-its-health-and-social-services-cuts","title":"Governor's Budget: Health and Social Services Cuts","publishDate":1325814466,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_1744\" class=\"wp-caption alignleft\" style=\"max-width: 200px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty.jpg\">\u003cimg class=\"size-medium wp-image-1744 \" title=\"(Jupiterimages: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty-300x449.jpg\" alt=\"(Jupiterimages: Getty Images)\" width=\"200\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jupiterimages: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California's Governor Jerry Brown\u003ca title=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" href=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" target=\"_blank\"> released his budget for the 2012-13 fiscal year\u003c/a> today and it includes \"painful\" cuts in healthcare and social services.\u003c/p>\n\u003cp>Reaction has been swift from groups that work on behalf of the poor and disabled.\u003c/p>\n\u003cp>From the \u003ca title=\"http://www.hhsnetworkca.org/about-2/\" href=\"http://www.hhsnetworkca.org/about-2/\" target=\"_blank\">HHS Network of CA\u003c/a>, a coalition of organizations including the Western Poverty Law Center and Health Access:\u003c/p>\n\u003cblockquote>\u003cp>We are appalled that Governor Brown’s solution to California’s budget crisis is $2.5 billion cuts to essential health and human services. Since 2008, California’s health and human services have suffered an astounding $15 billion in cuts, and this budget only continues the gutting of the social safety net that so many Californian families depend on. From our quick analysis, the Governor is making a $946 million cut to CalWORKS, an $842 million cut to MediCal, a $163 million cut to In-Home Supportive Services, a $447 million cut to child care, and $87 million in cuts to various other HHS services.\u003c/p>\u003c/blockquote>\n\u003cp>From Darcel Lee, Executive Director of the \u003ca title=\"http://cablackhealthnetwork.org/\" href=\"http://cablackhealthnetwork.org/\" target=\"_blank\">California Black Health Network\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Once again, the proposed budget balances the deficit on the backs of our most vulnerable communities,” said B. Darcel Lee, (CBHN). “The number of uninsured in California grew to 7 million last year. At a time when so many families are struggling to make ends meet, we can’t afford to take away basic support programs for working families.\u003c/p>\u003c/blockquote>\n\u003cp>From the \u003ca title=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" href=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" target=\"_blank\">California Medical Association\u003c/a>, reacting to the planned transition of children and teenagers in the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families Program\u003c/a> to Medi-Cal:\u003c/p>\n\u003cblockquote>\u003cp>“On one hand, Governor Brown is advocating for a 10 percent cut in Medi-Cal. On the other hand, he wants to add just under a million more young people to the program, which data shows is already struggling to meet the needs of the existing patients,” said Dustin Corcoran, CMA CEO. “The Medi-Cal provider network will simply not be able to accommodate this large influx of kids and teens. It’s unclear how anybody wins in that scenario.”\u003c/p>\u003c/blockquote>\n\u003cp>The governor is also calling for new taxes to close the budget deficit. From Jean Ross, Executive Director of the \u003ca title=\"http://www.cbp.org/\" href=\"http://www.cbp.org/\" target=\"_blank\">California Budget Project\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The Proposed Budget includes major reductions in a number of critical areas, especially support for low- and middle-income Californians who need health coverage, child care, help in moving from welfare to work, or help financing a college education. Still, the governor should be commended for a balanced approach that calls for new revenue, instead of taking a cuts-only approach to addressing the state's fiscal challenges.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"border-collapse: collapse\">\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"California's Governor Jerry Brown released his budget for the 2012-13 fiscal year today and it includes \"painful\" cuts in healthcare and social services.\r\n\r\nReaction has been swift from groups that work on behalf of the poor and disabled.","status":"publish","parent":0,"modified":1325872596,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":445},"headData":{"title":"Governor's Budget: Health and Social Services Cuts | KQED","description":"California's Governor Jerry Brown released his budget for the 2012-13 fiscal year today and it includes "painful" cuts in healthcare and social services.\r\n\r\nReaction has been swift from groups that work on behalf of the poor and disabled.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Governor's Budget: Health and Social Services Cuts","datePublished":"2012-01-06T01:47:46.000Z","dateModified":"2012-01-06T17:56:36.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"1740 http://blogs.kqed.org/stateofhealth/?p=1740","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/01/05/governors-budget-and-its-health-and-social-services-cuts/","disqusTitle":"Governor's Budget: Health and Social Services Cuts","path":"/stateofhealth/1740/governors-budget-and-its-health-and-social-services-cuts","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1744\" class=\"wp-caption alignleft\" style=\"max-width: 200px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty.jpg\">\u003cimg class=\"size-medium wp-image-1744 \" title=\"(Jupiterimages: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty-300x449.jpg\" alt=\"(Jupiterimages: Getty Images)\" width=\"200\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jupiterimages: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California's Governor Jerry Brown\u003ca title=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" href=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" target=\"_blank\"> released his budget for the 2012-13 fiscal year\u003c/a> today and it includes \"painful\" cuts in healthcare and social services.\u003c/p>\n\u003cp>Reaction has been swift from groups that work on behalf of the poor and disabled.\u003c/p>\n\u003cp>From the \u003ca title=\"http://www.hhsnetworkca.org/about-2/\" href=\"http://www.hhsnetworkca.org/about-2/\" target=\"_blank\">HHS Network of CA\u003c/a>, a coalition of organizations including the Western Poverty Law Center and Health Access:\u003c/p>\n\u003cblockquote>\u003cp>We are appalled that Governor Brown’s solution to California’s budget crisis is $2.5 billion cuts to essential health and human services. Since 2008, California’s health and human services have suffered an astounding $15 billion in cuts, and this budget only continues the gutting of the social safety net that so many Californian families depend on. From our quick analysis, the Governor is making a $946 million cut to CalWORKS, an $842 million cut to MediCal, a $163 million cut to In-Home Supportive Services, a $447 million cut to child care, and $87 million in cuts to various other HHS services.\u003c/p>\u003c/blockquote>\n\u003cp>From Darcel Lee, Executive Director of the \u003ca title=\"http://cablackhealthnetwork.org/\" href=\"http://cablackhealthnetwork.org/\" target=\"_blank\">California Black Health Network\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Once again, the proposed budget balances the deficit on the backs of our most vulnerable communities,” said B. Darcel Lee, (CBHN). “The number of uninsured in California grew to 7 million last year. At a time when so many families are struggling to make ends meet, we can’t afford to take away basic support programs for working families.\u003c/p>\u003c/blockquote>\n\u003cp>From the \u003ca title=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" href=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" target=\"_blank\">California Medical Association\u003c/a>, reacting to the planned transition of children and teenagers in the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families Program\u003c/a> to Medi-Cal:\u003c/p>\n\u003cblockquote>\u003cp>“On one hand, Governor Brown is advocating for a 10 percent cut in Medi-Cal. On the other hand, he wants to add just under a million more young people to the program, which data shows is already struggling to meet the needs of the existing patients,” said Dustin Corcoran, CMA CEO. “The Medi-Cal provider network will simply not be able to accommodate this large influx of kids and teens. It’s unclear how anybody wins in that scenario.”\u003c/p>\u003c/blockquote>\n\u003cp>The governor is also calling for new taxes to close the budget deficit. From Jean Ross, Executive Director of the \u003ca title=\"http://www.cbp.org/\" href=\"http://www.cbp.org/\" target=\"_blank\">California Budget Project\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The Proposed Budget includes major reductions in a number of critical areas, especially support for low- and middle-income Californians who need health coverage, child care, help in moving from welfare to work, or help financing a college education. Still, the governor should be commended for a balanced approach that calls for new revenue, instead of taking a cuts-only approach to addressing the state's fiscal challenges.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"border-collapse: collapse\">\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/1740/governors-budget-and-its-health-and-social-services-cuts","authors":["240"],"categories":["stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_87","stateofhealth_104","stateofhealth_99"],"label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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