Tag Archives: Medi-Cal

Time To Play: You’re The New York Times Editor!

So, let’s see.  You’re the New York Times.  You’re a national paper, but you have a significant readership in California, so you want to cover the Left Coast every now and again.  You’re not on the ground in California, but you have a few reporters hither and yon, and press releases a go-go from the Governor’s office.  There’s a space in the paper for a California story, something that can show to the world the innovation and forward-thinking at work in the nation’s largest state.  So you look over what they’ve done for the last few days.

On the one hand, the Governor, just months from failing in a quest to massively expand health care to millions of uninsured Californians, has decided to go in the complete opposite direction and force Medi-Cal enrollees to fill out all kinds of paperwork in the hopes of knocking thousands off the rolls to save money.

Administration officials expect the rule will result in 122,000 people being dropped from the rolls next year, saving the state $92 million – money that the governor’s staff has already counted against the state’s deficit.

The plan calls for about 4.5 million of the 6.5 million enrollees of the Medi-Cal program to file eligibility forms with the state four times a year. Under existing law, children, some disabled people and pregnant women must reapply once a year, while parents are required to report twice annually.

The chore of filling out a form and sending it to regulators might sound simple enough, but for Medi-Cal recipients such as Ernie Campbell of Novato, who has hemophilia, the danger of losing coverage because of an unanticipated problem, such as a form being lost or delayed in the mail, is a serious one.

“The renewal process is already a lot of paperwork and they warn you if you don’t get everything in on time you could lose your coverage,” said Campbell, 31. “I think this could probably affect me pretty negatively.”

Sounds like something you’d want to cover.  You know, the story has an arc and some drama, with a callous Governor claiming the mantle of universal health care in public and trying to cast off the sick and the poor in private.  

On the other hand, there’s this somewhat meaningless move to create a cabinet-level position for volunteerism, an effort to outsource normal government functions, and let them rise and fall on volunteer efforts.  Seems like not much of a program at all, and certainly of less importance to everyday Californians than this plan to purge the Medi-Cal rolls.  Anyway there are plenty of volunteer organizations that perform these functions all the time.

Of course, The Times went ahead with the volunteer story.

Under the change, the governor’s commission for volunteerism, California Volunteers, will maintain its staffing and budget. But its executive director will gain expanded duties as a cabinet secretary, playing a role in disaster-related planning and response efforts and coordinating volunteers at disaster sites.

The office will also manage donations that flow into the state for disaster relief, a responsibility now held by the state’s Office of Emergency Response. It is the first time a governor’s commission overseeing federal money to manage volunteers – panels required by law since 1993 – has been elevated to a cabinet role.

Really no change at all, aside from a change in the faceplate on somebody’s office door.

But that fit the narrative of the “Governator is teh awesome” much, much better.  So off it goes to the front porches of all the Grey Lady’s readers.

And some people blame the 2006 election loss on Phil Angelides.  Ho-kay.

San Diego’s Medi-Cal Income Cap Ruled Illegal

Perhaps this should be a quickie, but oh well.  San Diego County's Medical Services Program had an income cap of 135% of the federal poverty level. For one person, the HHS declares poverty as $10,210, a family of four, 20, 650. Now, do you think Jerry Sanders or some of his cronies at the county level would be able to manage on 10 Grand a year.  Rent alone in San Diego would take well more than the standard 1/3 of salary test. But the good folks in power in San Diego didn't want to let people free-ride on the system if they were making big bucks, like $28,000 for a family of four.

Yesterday, the CA Supreme Court ruled that:

Counties “have no discretion to refuse to provide medical care to 'indigent persons' . . . who do not receive it from other sources,” the appellate justices wrote in their ruling. “Because the current income cap results in a denial of subsistence medical care to such individuals, it is void.” (SD U-T 8/24/07)

It's pretty pathetic that we even needed this decision.  But we did, and mad props to the Western Center for Law and Poverty for pushing this case and forcing San Diego County to do the right thing.  

Funding the health care safety net NOW

(crossposted at Speak Out California.org – promoted by Brian Leubitz)

by Ca. Former State Assembly member,Hannah-Beth Jackson

Sometimes in politics, the easiest solutions are the most elusive. That should not be the case with one part of the state budget discussions. When it comes to trying to leverage state tax dollars to maximize federal money at small state cost, there is no simpler discussion than putting in a meager $24 Million to increase the Medi-Cal reimbursement rates for our state’s safety net health care providers like Planned Parenthood and Neighborhood Health Clinics.

These providers are requesting the state increase their reimbursements for the first time in 20 years, although their work and responsibilities have expanded greatly over time and the costs to them have increased substantially as the sheer costs of delivering health care services—from staffing to pharmaceuticals, have shot through the ceiling during the past two decades.

But the common sense of it all should be the deal maker alone. For less than 1/10th of 1% of the state’s budget, we could see California get nine matching federal dollars for each state dollar spent, thus reducing the state’s financial burden, our healthcare safety net’s fraying edges and returning to Californians some of their hard-earned dollars. With Californians paying over $50 Billion more in taxes to the feds than we get back in services, this is one pretty inexpensive way to bring at least a few of those tax dollars home.

If you agree, it’s time to act. We urge you to go to our site at: http://ga4.org/campa… and sign a letter to our state’s leadership urging them to put these dollars to work. We’ve been working hard to get a $24 million dollar increase into the Medi-Cal reimbursement rate as part of the current budget negotiations. After 20 years of no increases at all, NOW IS THE TIME. We are at the critical point in these negotiations when we must TAKE ACTION and INSIST that our state leaders—from the Governor to the President Pro Tempore of the Senate, Don Perata and Speaker of the Assembly, Fabian Nunez,—listen to us and help the state’s healthcare safety net providers care for the hundreds of thousands of people they serve—and have to turn away because they don’t have the financial resources to provide clinical care to those seeking it.

This is a solution that works. It’s time to bring those tax dollars back to California. The need is great and the opportunity is NOW. Easy solutions are hard to come by these days. Let’s not let them drop the ball on this one.
Help us help them make it happen.
http://ga4.org/campaign/Fundingthehealthcaresafetynetnow