{"id":9538,"date":"2009-07-31T01:08:09","date_gmt":"2009-07-31T01:08:09","guid":{"rendered":""},"modified":"2009-07-31T01:08:09","modified_gmt":"2009-07-31T01:08:09","slug":"the-fate-of-healthy-families","status":"publish","type":"post","link":"https:\/\/calitics.com\/index.php\/2009\/07\/31\/the-fate-of-healthy-families\/","title":{"rendered":"The Fate Of Healthy Families"},"content":{"rendered":"<p>One of the better tangible policy changes during the first 6 months of the Obama Administration is the expansion of SCHIP, the State Children&#8217;s Health Insurance Program. &nbsp;Starting from the premise that all children deserve access to health insurance, SCHIP is a state\/federal partnership that seeks to cover children who fall between the gaps, whose families make too much money to qualify for Medicaid, but not enough money to afford health insurance. &nbsp;The program has been wildly successful since its introduction under the Clinton Administration, and virtually every state has expanded their state-based SCHIP budgets to cover the maximum amounts of children.<\/p>\n<p>Every state except California, that is. &nbsp;As part of the budget revision, the Legislature cut Healthy Families, causing between a $128 and $144 million shortfall in the program&#8217;s current budget. &nbsp;With his veto pen, the Governor (illegally?) <a href=\"http:\/\/www.sacbee.com\/static\/weblogs\/capitolalertlatest\/024255.html?mi_rss=Capitol%20Alert\">slashed $50 million more<\/a>. &nbsp;The total, as much as a $194 million shortfall, is over 50% of its budget. &nbsp;This has led to the only waitlisting in the country for an SCHIP program.<\/p>\n<blockquote><p>The program already froze enrollment earlier this month, quickly amassing a waiting list of some 22,000 kids in need of health care, and swapped its application payment assistance program for $4.6 million in savings. Now, to cope with the cuts, it&#8217;s expecting to disenroll hundreds of thousands of participants starting later this fall [&#8230;]<\/p>\n<p>No talk of preserving a safety net for the neediest here. Disenrollment will be based on when participants entered the program. Children who hit their one-year coverage anniversary will not be eligible to renew their enrollment, and will instead be moved to that growing waiting list.<\/p>\n<p>&#8220;At this point, it is strictly based on eligibility renewal dates,&#8221; Puddefoot said. &#8220;Those children who were enrolled in July or August, and those children who were first enrolled in September will be the first to be disenrolled.<\/p><\/blockquote>\n<p>This could impact as many as 900,000 children.<\/p>\n<p>Officials with the Managed Risk Medical Insurance Board <a href=\"http:\/\/californiabudgetbites.org\/2009\/07\/29\/state-officials-to-discuss-healthy-families-enrollment-freeze-tomorrow\/\">met in Sacramento today<\/a> to figure out the policy for waitlisting or disenrollment, and to explore additional avenues of support to fill the program gap. &nbsp;Many have speculated that First Five, the successful voter-approved program to support young children, could provide some funding, but they cannot cover a $194 million dollar hole, and their mandate allows them only to support children between 0-5. &nbsp;At the meeting, the board <a href=\"http:\/\/www.sacbee.com\/topstories\/story\/2070229.html\">basically punted<\/a>.<\/p>\n<blockquote><p>The task of shedding hundreds of thousands of children from the public Healthy Families health insurance program &#8211; or finding ways to keep some enrolled &#8211; was put off Thursday until Aug. 13 by the board managing the program.<\/p>\n<p>The Managed Risk Medical Insurance Board must come up with a plan to respond to deep cuts in California&#8217;s budget, including Healthy Families [&#8230;]<\/p>\n<p>Disenrolling children from Healthy Families &#8220;is something we do not relish doing,&#8221; said Cliff Allenby, the board&#8217;s chairman, as members listened to a number of speakers anticipating harm that will come from cutting so many children from insurance. Allenby said the board &#8220;may have no choice,&#8221; but is looking at ways to restructure the program to reduce costs and raise money for premiums from other sources.<\/p><\/blockquote>\n<p>Among the options under consideration: eliminating vision benefits, increasing co-pays and changing reimbursement schedules.<\/p>\n<p>First Five committed to help with some money, but failed to delineate the amount.<\/p>\n<p>I know one way to instantly restore $50 million in funding for poor children &#8211; by <a href=\"https:\/\/calitics.com\/diary\/9526\/multiple-paths-to-block-arnolds-budget-vetoes\">overriding Arnold&#8217;s possibly illegal vetoes<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>One of the better tangible policy changes during the first 6 months of the Obama Administration is the expansion of SCHIP, the State Children&#8217;s Health Insurance Program. &nbsp;Starting from the premise that all children deserve access to health insurance, SCHIP is a state\/federal partnership that seeks to cover children who fall between the gaps, whose families make too much money to qualify for Medicaid, but not enough money to afford health insurance. &nbsp;The program has been wildly successful since its introduction under the Clinton Administration, and virtually every state has expanded their state-based SCHIP budgets to cover the maximum amounts of children.<\/p>\n<p>Every state except California, that is. &nbsp;As part of the budget revision, the Legislature cut Healthy Families, causing between a $128 and $144 million shortfall in the program&#8217;s current budget. &nbsp;With his veto pen, the Governor (illegally?) <a href=\"http:\/\/www.sacbee.com\/static\/weblogs\/capitolalertlatest\/024255.html?mi_rss=Capitol%20Alert\">slashed $50 million more<\/a>. &nbsp;The total, as much as a $194 million shortfall, is over 50% of its budget. &nbsp;This has led to the only waitlisting in the country for an SCHIP program.<\/p>\n<blockquote><p>The program already froze enrollment earlier this month, quickly amassing a waiting list of some 22,000 kids in need of health care, and swapped its application payment assistance program for $4.6 million in savings. Now, to cope with the cuts, it&#8217;s expecting to disenroll hundreds of thousands of participants starting later this fall [&#8230;]<\/p>\n<p>No talk of preserving a safety net for the neediest here. Disenrollment will be based on when participants entered the program. Children who hit their one-year coverage anniversary will not be eligible to renew their enrollment, and will instead be moved to that growing waiting list.<\/p>\n<p>&#8220;At this point, it is strictly based on eligibility renewal dates,&#8221; Puddefoot said. &#8220;Those children who were enrolled in July or August, and those children who were first enrolled in September will be the first to be disenrolled.<\/p><\/blockquote>\n<p>This could impact as many as 900,000 children.<\/p>\n<p>Officials with the Managed Risk Medical Insurance Board <a href=\"http:\/\/californiabudgetbites.org\/2009\/07\/29\/state-officials-to-discuss-healthy-families-enrollment-freeze-tomorrow\/\">met in Sacramento today<\/a> to figure out the policy for waitlisting or disenrollment, and to explore additional avenues of support to fill the program gap. &nbsp;Many have speculated that First Five, the successful voter-approved program to support young children, could provide some funding, but they cannot cover a $194 million dollar hole, and their mandate allows them only to support children between 0-5. &nbsp;At the meeting, the board <a href=\"http:\/\/www.sacbee.com\/topstories\/story\/2070229.html\">basically punted<\/a>.<\/p>\n<blockquote><p>The task of shedding hundreds of thousands of children from the public Healthy Families health insurance program &#8211; or finding ways to keep some enrolled &#8211; was put off Thursday until Aug. 13 by the board managing the program.<\/p>\n<p>The Managed Risk Medical Insurance Board must come up with a plan to respond to deep cuts in California&#8217;s budget, including Healthy Families [&#8230;]<\/p>\n<p>Disenrolling children from Healthy Families &#8220;is something we do not relish doing,&#8221; said Cliff Allenby, the board&#8217;s chairman, as members listened to a number of speakers anticipating harm that will come from cutting so many children from insurance. Allenby said the board &#8220;may have no choice,&#8221; but is looking at ways to restructure the program to reduce costs and raise money for premiums from other sources.<\/p><\/blockquote>\n<p>Among the options under consideration: eliminating vision benefits, increasing co-pays and changing reimbursement schedules.<\/p>\n<p>First Five committed to help with some money, but failed to delineate the amount.<\/p>\n<p>I know one way to instantly restore $50 million in funding for poor children &#8211; by <a href=\"https:\/\/calitics.com\/diary\/9526\/multiple-paths-to-block-arnolds-budget-vetoes\">overriding Arnold&#8217;s possibly illegal vetoes<\/a>.<\/p>\n","protected":false},"author":54,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[32,117],"tags":[7153,7658,6172,3357,6073],"class_list":["post-9538","post","type-post","status-publish","format-standard","hentry","category-32","category-117","tag-7153","tag-7658","tag-6172","tag-3357","tag-6073"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack-related-posts":[],"jetpack_shortlink":"https:\/\/wp.me\/p6Pvhz-2tQ","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/posts\/9538","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/users\/54"}],"replies":[{"embeddable":true,"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/comments?post=9538"}],"version-history":[{"count":0,"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/posts\/9538\/revisions"}],"wp:attachment":[{"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/media?parent=9538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/categories?post=9538"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/calitics.com\/index.php\/wp-json\/wp\/v2\/tags?post=9538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}