Obamacare Repeal Could Punch $15 Billion Hole in State Budget
Budget Deal Restores Some Health Programs -- While Slashing Others
Brown Backs State-Run Medi-Cal Expansion
Gov. Brown's State of the State -- on the Health Care Overhaul
State vs. County Showdown Over Funding the Medi-Cal Expansion?
Governor's Proposals for Medicaid Expansion
California Budget Proposal Would Move 880,000 Children Off Healthy Families
Governor's New Budget Slices -- Again -- Into Health Care
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Her work has been honored by the LA Press Club and the SF-Peninsula Press Club.\u003c/p>\r\n\r\nRachel has a BA with honors in anthropology from Rice University and did graduate work at NYU.","avatar":"https://secure.gravatar.com/avatar/7eee8d9bf9f919dcc4573841641db363?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["author"]},{"site":"stateofhealth","roles":["author"]},{"site":"quest","roles":["subscriber"]}],"headData":{"title":"Rachel Dornhelm | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/7eee8d9bf9f919dcc4573841641db363?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/7eee8d9bf9f919dcc4573841641db363?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/racheldornhelm"},"mlagos":{"type":"authors","id":"3239","meta":{"index":"authors_1591205172","id":"3239","found":true},"name":"Marisa Lagos","firstName":"Marisa","lastName":"Lagos","slug":"mlagos","email":"mlagos@kqed.org","display_author_email":false,"staff_mastheads":["news"],"title":"KQED Contributor","bio":"\u003cspan style=\"font-weight: 400;\">Marisa Lagos is a correspondent for KQED’s California Politics and Government Desk and co-hosts a weekly show and podcast, \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400;\">Political Breakdown.\u003c/span>\u003c/i> \u003cspan style=\"font-weight: 400;\">At KQED, Lagos conducts reporting, analysis and investigations into state, local and national politics for radio, TV and online. Every week, she and cohost Scott Shafer sit down with political insiders on \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400;\">Political Breakdown\u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400;\">, where they offer a peek into lives and personalities of those driving politics in California and beyond. \u003c/span>\r\n\r\n\u003cspan style=\"font-weight: 400;\">Previously, she worked for nine years at the San Francisco Chronicle covering San Francisco City Hall and state politics; and at the San Francisco Examiner and Los Angeles Time,. She has won awards for her work investigating the 2017 wildfires and her ongoing coverage of criminal justice issues in California. She lives in San Francisco with her two sons and husband.\u003c/span>","avatar":"https://secure.gravatar.com/avatar/a261a0d3696fc066871ef96b85b5e7d2?s=600&d=blank&r=g","twitter":"@mlagos","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["author"]}],"headData":{"title":"Marisa Lagos | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/a261a0d3696fc066871ef96b85b5e7d2?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/a261a0d3696fc066871ef96b85b5e7d2?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/mlagos"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11255428":{"type":"posts","id":"news_11255428","meta":{"index":"posts_1591205157","site":"news","id":"11255428","score":null,"sort":[1483949147000]},"guestAuthors":[],"slug":"obamacare-repeal-could-punch-15-billion-hole-in-state-budget","title":"Obamacare Repeal Could Punch $15 Billion Hole in State Budget","publishDate":1483949147,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>When Gov. Jerry Brown unveils his 2017-18 budget Tuesday, there will be one huge question mark hanging over the proposal: What will it cost California when congressional Republicans follow through on their promise to dismantle Obamacare?\u003c/p>\n\u003cp>GOP lawmakers, along with President-elect Donald Trump, have \u003ca href=\"https://ww2.kqed.org/news/2017/01/03/republicans-take-the-first-step-to-repeal-obamacare/\">vowed to repeal the landmark health care law\u003c/a> and replace it with something. But what that something will be is still unknown -- and since California wholeheartedly embraced the Affordable Care Act and insured millions of poor residents through its Medicaid program, Medi-Cal, any rollback is likely to punch a huge hole in the state budget.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/301686124\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Since 2014, Medi-Cal rolls have swelled from about 8 million Californians to about 14 million. One reason: the Affordable Care Act greatly expanded Medicaid eligibility for childless, low-income adults -- more than 3 million new Medi-Cal enrollees have qualified because of that change since 2014. Along with the expanded eligibility came expanded federal funding for Medi-Cal, to the tune of more than $15 billion this fiscal year alone.\u003c/p>\n\u003cp>Now, there are huge questions for both state leaders, who have depended on that federal funding, and the millions of Californians who have benefitted from the expansion of Medi-Cal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"(I'm) really worried,\" said UC Berkeley graduate student Rebecca Fritton, who enrolled in Medi-Cal last summer when she turned 26 and could no longer get coverage from her mother's insurance plan.\u003c/p>\n\u003caside class=\"pullquote alignright\">'If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water.'\u003ccite>State Sen. Ed Hernandez\u003c/cite>\u003c/aside>\n\u003cp>Fritton wouldn't have been eligible to join Medi-Cal before Obamacare. But after the health care law? Fritton said enrolling was a breeze -- she was even able to keep her primary care doctor at UCSF when she made the switch.\u003c/p>\n\u003cp>\"This has proven to be such a helpful resource for me ... so it’s just a little scary that it could be taken away.\"\u003c/p>\n\u003cp>But Fritton considers herself lucky -- she has another option.\u003c/p>\n\u003cp>\"We get offered health insurance through Berkeley, but it’s pretty expensive and I already have lots of student loans out,\" she said.\u003c/p>\n\u003cp>That's not the case for many other Medi-Cal recipients, said state Sen. Ed Hernandez, who is an optometrist and chairs the Senate's Health Committee. He said there's no way California could keep those millions of new people insured if federal funding disappeared.\u003c/p>\n\u003cp>\"If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water. That is my biggest concern,\" he said. \"I mean, we don't have the additional dollars, so if that money is not available, patients won't get access to health care. That's the bottom line.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"UgPaWX92hhGiw9hvTFk5GdsgL7J6tRrH\"]\u003c/p>\n\u003cp>The governor is well aware that funding could disappear, said H.D. Palmer, a spokesman for the Department of Finance. But since the Republican plan is still unclear, California can only budget based on current law, he said.\u003c/p>\n\u003cp>\"We don't know yet what changes are in the works specifically for the Affordable Care Act -- but we know there is a very high likelihood that they will happen, so we recognize it as a broad fiscal pressure on state government,\" Palmer said. \"Until and unless there is a change, however, the ACA constitutes the rules of the road -- those are the governing statutes that we budget by and abide by.\"\u003c/p>\n\u003cp>He said the governor's annual budget revision in May will offer the state an opportunity to tweak Brown's proposal if Republicans have made any concrete decisions by then. In general, he said, Brown's administration is trying to keep costs down because of a number of unknown factors, including potential Obamacare changes and whether California's economy will remain strong.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"One of the things that we are doing is make sure the state doesn't overcommit itself to ongoing levels of spending that may not be sustainable,\" he said.\u003c/p>\n\n","blocks":[],"excerpt":"Changes to the Affordable Care Act leave huge question mark over California budget.","status":"publish","parent":0,"modified":1483991298,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":720},"headData":{"title":"Obamacare Repeal Could Punch $15 Billion Hole in State Budget | KQED","description":"Changes to the Affordable Care Act leave huge question mark over California budget.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Obamacare Repeal Could Punch $15 Billion Hole in State Budget","datePublished":"2017-01-09T08:05:47.000Z","dateModified":"2017-01-09T19:48:18.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11255428 http://ww2.kqed.org/news/?p=11255428","disqusUrl":"https://ww2.kqed.org/news/2017/01/09/obamacare-repeal-could-punch-15-billion-hole-in-state-budget/","disqusTitle":"Obamacare Repeal Could Punch $15 Billion Hole in State Budget","path":"/news/11255428/obamacare-repeal-could-punch-15-billion-hole-in-state-budget","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Gov. Jerry Brown unveils his 2017-18 budget Tuesday, there will be one huge question mark hanging over the proposal: What will it cost California when congressional Republicans follow through on their promise to dismantle Obamacare?\u003c/p>\n\u003cp>GOP lawmakers, along with President-elect Donald Trump, have \u003ca href=\"https://ww2.kqed.org/news/2017/01/03/republicans-take-the-first-step-to-repeal-obamacare/\">vowed to repeal the landmark health care law\u003c/a> and replace it with something. But what that something will be is still unknown -- and since California wholeheartedly embraced the Affordable Care Act and insured millions of poor residents through its Medicaid program, Medi-Cal, any rollback is likely to punch a huge hole in the state budget.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/301686124&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/301686124'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Since 2014, Medi-Cal rolls have swelled from about 8 million Californians to about 14 million. One reason: the Affordable Care Act greatly expanded Medicaid eligibility for childless, low-income adults -- more than 3 million new Medi-Cal enrollees have qualified because of that change since 2014. Along with the expanded eligibility came expanded federal funding for Medi-Cal, to the tune of more than $15 billion this fiscal year alone.\u003c/p>\n\u003cp>Now, there are huge questions for both state leaders, who have depended on that federal funding, and the millions of Californians who have benefitted from the expansion of Medi-Cal.\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>\"(I'm) really worried,\" said UC Berkeley graduate student Rebecca Fritton, who enrolled in Medi-Cal last summer when she turned 26 and could no longer get coverage from her mother's insurance plan.\u003c/p>\n\u003caside class=\"pullquote alignright\">'If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water.'\u003ccite>State Sen. Ed Hernandez\u003c/cite>\u003c/aside>\n\u003cp>Fritton wouldn't have been eligible to join Medi-Cal before Obamacare. But after the health care law? Fritton said enrolling was a breeze -- she was even able to keep her primary care doctor at UCSF when she made the switch.\u003c/p>\n\u003cp>\"This has proven to be such a helpful resource for me ... so it’s just a little scary that it could be taken away.\"\u003c/p>\n\u003cp>But Fritton considers herself lucky -- she has another option.\u003c/p>\n\u003cp>\"We get offered health insurance through Berkeley, but it’s pretty expensive and I already have lots of student loans out,\" she said.\u003c/p>\n\u003cp>That's not the case for many other Medi-Cal recipients, said state Sen. Ed Hernandez, who is an optometrist and chairs the Senate's Health Committee. He said there's no way California could keep those millions of new people insured if federal funding disappeared.\u003c/p>\n\u003cp>\"If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water. That is my biggest concern,\" he said. \"I mean, we don't have the additional dollars, so if that money is not available, patients won't get access to health care. That's the bottom line.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The governor is well aware that funding could disappear, said H.D. Palmer, a spokesman for the Department of Finance. But since the Republican plan is still unclear, California can only budget based on current law, he said.\u003c/p>\n\u003cp>\"We don't know yet what changes are in the works specifically for the Affordable Care Act -- but we know there is a very high likelihood that they will happen, so we recognize it as a broad fiscal pressure on state government,\" Palmer said. \"Until and unless there is a change, however, the ACA constitutes the rules of the road -- those are the governing statutes that we budget by and abide by.\"\u003c/p>\n\u003cp>He said the governor's annual budget revision in May will offer the state an opportunity to tweak Brown's proposal if Republicans have made any concrete decisions by then. In general, he said, Brown's administration is trying to keep costs down because of a number of unknown factors, including potential Obamacare changes and whether California's economy will remain strong.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"One of the things that we are doing is make sure the state doesn't overcommit itself to ongoing levels of spending that may not be sustainable,\" he said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11255428/obamacare-repeal-could-punch-15-billion-hole-in-state-budget","authors":["3239"],"programs":["news_6944","news_72"],"categories":["news_457","news_8","news_13"],"tags":["news_2409","news_2605","news_3890","news_70","news_17286","news_17041"],"featImg":"news_11256930","label":"news_72"},"stateofhealth_13166":{"type":"posts","id":"stateofhealth_13166","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"13166","score":null,"sort":[1370984074000]},"guestAuthors":[],"slug":"budget-deal-restores-some-health-programs-while-slashing-others","title":"Budget Deal Restores Some Health Programs -- While Slashing Others","publishDate":1370984074,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_9250\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-medium wp-image-9250\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Sacramento_Capital_seliaymiwell_flickr-300x200.jpg\" alt=\"(seliaymiwell/flickr)\" width=\"300\" height=\"200\">\u003cfigcaption class=\"wp-caption-text\">(seliaymiwell/flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>After years of devastating cuts to the health and human services budget, this year's \u003ca href=\"http://ww2.kqed.org/news/2013/06/11/California_budget\" target=\"_blank\">small surplus \u003c/a>brought restoration of some programs.\u003c/p>\n\u003cp>Mental health programs will get a one-time boost of $140 million. The adult dental program, Denti-Cal, cut back in 2009 and leaving tooth extraction as just about the only service being covered, has been restored, albeit partially. Benefits won't start until next May.\u003c/p>\n\u003cp>But lost in the deal was a proposal to provide some therapies to 500 children with autism. Those children had lost some services when the state moved them from Healthy Families and to Medi-Cal.\u003c/p>\n\u003cp>Then there's the issue of funding to county health programs. Counties bear the cost for providing health care to the uninsured. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/\" target=\"_blank\">Gov. Brown has been arguing\u003c/a> since he introduced his budget in January that counties will gain federal money in January under the full implementation of the Affordable Care Act and so the state could reduce its own health funding to counties. But counties have fought that idea, saying that there would still be plenty of uninsured people after Jan. 1 -- and that now is not the time to cut the safety net.\u003c!--more-->\u003c/p>\n\u003cp>While we're still waiting for final language, the legislature seems to have agreed with the governor's numbers, and it appears $300 million in \u003ca href=\"http://www.icontact-archive.com/C0nDqAgSsbNcyiNcayrpmhiipuXa1F1o?w=3\" target=\"_blank\">county health funding cuts \u003c/a>are coming.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Alex Briscoe, Director of Alameda County’s Health Care Services Agency, called it a \"money grab\" that will \"threaten the stability of local safety nets.\"\u003c/p>\n\u003cp>Briscoe says the cuts presume that safety net providers are adequately funded right now, a presumption he called \"offensive.\"\u003c/p>\n\u003cp>\"The state has overestimated savings it will achieve, underestimated the burden of the residually uninsured and put forward a proposal that is divorced form the reality of local safety nets,\" he said.\u003c/p>\n\u003cp>The budget deal also leaves in place a 10 percent cut in Medi-Cal provider rates -- cuts that were approved by the legislature in 2011 and then held up in a long court challenge.\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/25/appeal-denied-medi-cal-rate-cuts-poised-to-move-forward/\" target=\"_blank\"> The appeals process\u003c/a> was exhausted last month, and the cuts will likely move forward this summer.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California has some of the lowest Medicaid reimbursement rates in the nation, advocates say.\u003c/p>\n\n","blocks":[],"excerpt":"After years of devastating cuts to the health and human services budget, this year's small surplus brought restoration of some programs.\r\n\r\nMental health programs will get a one-time boost of $140 million. The adult dental program, Denti-Cal, cut back in 2009 and leaving tooth extraction as just about the only service being covered, has been restored, albeit partially. Benefits won't start until next May.","status":"publish","parent":0,"modified":1371102195,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":375},"headData":{"title":"Budget Deal Restores Some Health Programs -- While Slashing Others | KQED","description":"After years of devastating cuts to the health and human services budget, this year's small surplus brought restoration of some programs.\r\n\r\nMental health programs will get a one-time boost of $140 million. The adult dental program, Denti-Cal, cut back in 2009 and leaving tooth extraction as just about the only service being covered, has been restored, albeit partially. Benefits won't start until next May.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Budget Deal Restores Some Health Programs -- While Slashing Others","datePublished":"2013-06-11T20:54:34.000Z","dateModified":"2013-06-13T05:43:15.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"13166 http://blogs.kqed.org/stateofhealth/?p=13166","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/06/11/budget-deal-restores-some-health-programs-while-slashing-others/","disqusTitle":"Budget Deal Restores Some Health Programs -- While Slashing Others","WpOldSlug":"budget-deal-both-cuts-and-restores-health-programs","path":"/stateofhealth/13166/budget-deal-restores-some-health-programs-while-slashing-others","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9250\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-medium wp-image-9250\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Sacramento_Capital_seliaymiwell_flickr-300x200.jpg\" alt=\"(seliaymiwell/flickr)\" width=\"300\" height=\"200\">\u003cfigcaption class=\"wp-caption-text\">(seliaymiwell/flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>After years of devastating cuts to the health and human services budget, this year's \u003ca href=\"http://ww2.kqed.org/news/2013/06/11/California_budget\" target=\"_blank\">small surplus \u003c/a>brought restoration of some programs.\u003c/p>\n\u003cp>Mental health programs will get a one-time boost of $140 million. The adult dental program, Denti-Cal, cut back in 2009 and leaving tooth extraction as just about the only service being covered, has been restored, albeit partially. Benefits won't start until next May.\u003c/p>\n\u003cp>But lost in the deal was a proposal to provide some therapies to 500 children with autism. Those children had lost some services when the state moved them from Healthy Families and to Medi-Cal.\u003c/p>\n\u003cp>Then there's the issue of funding to county health programs. Counties bear the cost for providing health care to the uninsured. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/\" target=\"_blank\">Gov. Brown has been arguing\u003c/a> since he introduced his budget in January that counties will gain federal money in January under the full implementation of the Affordable Care Act and so the state could reduce its own health funding to counties. But counties have fought that idea, saying that there would still be plenty of uninsured people after Jan. 1 -- and that now is not the time to cut the safety net.\u003c!--more-->\u003c/p>\n\u003cp>While we're still waiting for final language, the legislature seems to have agreed with the governor's numbers, and it appears $300 million in \u003ca href=\"http://www.icontact-archive.com/C0nDqAgSsbNcyiNcayrpmhiipuXa1F1o?w=3\" target=\"_blank\">county health funding cuts \u003c/a>are coming.\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>Alex Briscoe, Director of Alameda County’s Health Care Services Agency, called it a \"money grab\" that will \"threaten the stability of local safety nets.\"\u003c/p>\n\u003cp>Briscoe says the cuts presume that safety net providers are adequately funded right now, a presumption he called \"offensive.\"\u003c/p>\n\u003cp>\"The state has overestimated savings it will achieve, underestimated the burden of the residually uninsured and put forward a proposal that is divorced form the reality of local safety nets,\" he said.\u003c/p>\n\u003cp>The budget deal also leaves in place a 10 percent cut in Medi-Cal provider rates -- cuts that were approved by the legislature in 2011 and then held up in a long court challenge.\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/25/appeal-denied-medi-cal-rate-cuts-poised-to-move-forward/\" target=\"_blank\"> The appeals process\u003c/a> was exhausted last month, and the cuts will likely move forward this summer.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California has some of the lowest Medicaid reimbursement rates in the nation, advocates say.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/13166/budget-deal-restores-some-health-programs-while-slashing-others","authors":["240"],"categories":["stateofhealth_14"],"tags":["stateofhealth_263"],"featImg":"stateofhealth_9250","label":"stateofhealth"},"stateofhealth_12745":{"type":"posts","id":"stateofhealth_12745","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"12745","score":null,"sort":[1368619228000]},"guestAuthors":[],"slug":"brown-now-backs-state-run-medi-cal-expansion","title":"Brown Backs State-Run Medi-Cal Expansion","publishDate":1368619228,"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_9899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-medium wp-image-9899\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110-300x214.jpg\" alt=\"(Justin Sullivan/Getty Images)\" width=\"300\" height=\"214\">\u003cfigcaption class=\"wp-caption-text\">(Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown's revised budget plan is a mixed bag for health advocates and some county officials.\u003c/p>\n\u003cp>Brown said the state would take the lead on a key provision of the federal health law -- expanding Medi-Cal to more than one million Californians. Brown scrapped earlier plans to consider a more complicated, county-based system.\u003c/p>\n\u003cp>But Brown anticipates recouping more than $300 million from the counties next fiscal year -- money that pays for public health programs and care for the uninsured. Brown's rationale? With the full implementation of federal health reform next year, more people will enroll in Medi-Cal and fewer people will show up to county emergency rooms.\u003c/p>\n\u003cp>Farrah McDaid Ting with the California State Association of Counties says Brown's proposal makes no sense. She says plenty of people will still rely on county services in 2014.\u003cstrong>\u003cem>\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>They are \"people who qualify for Medi-Cal but don't sign up, people who have a hard time signing up or staying on programs, the undocumented in our communities and those who are in between private health plans,” McDaid Ting said. “We need to retain enough funds to serve those people.”\u003c!--more-->\u003c/p>\n\u003cp>That could be 3 to 4 million Californians who remain uninsured even after federal health reform is fully implemented, according to projections from UC Berkeley and UCLA. Brown and state health officials say they are developing a \"mechanism\" that will determine county savings based on real data.\u003c/p>\n\u003cp>Advocates fanned out across California Tuesday holding five statewide rallies, including one in front of state offices in Oakland, where they called for a rollback of cuts to adult dental care, children's nutrition programs and other social services.\u003cstrong>\u003cem> \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>“I think the most important number to remember is that one in four children in California are in poverty now,” Jamila Edwards Harris with the Children's Defense Fund said. “And that number has only risen since budget cuts over the last five years.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Brown's budget also continues pending cuts to Medi-Cal providers, a plan that has been \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/26/obama-administration-files-brief-in-support-of-medi-cal-provider-cuts/\" target=\"_blank\">tied up in federal court\u003c/a> since it passed in 2011.\u003c/p>\n\n","blocks":[],"excerpt":"Gov. Jerry Brown's revised budget plan is a mixed bag for health advocates and some county officials.\r\n\r\nBrown said the state would take the lead on a key provision of the federal health law -- expanding Medi-Cal to more than one million Californians. Brown scrapped earlier plans to consider a more complicated, county-based system.","status":"publish","parent":0,"modified":1371246818,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":373},"headData":{"title":"Brown Backs State-Run Medi-Cal Expansion | KQED","description":"Gov. Jerry Brown's revised budget plan is a mixed bag for health advocates and some county officials.\r\n\r\nBrown said the state would take the lead on a key provision of the federal health law -- expanding Medi-Cal to more than one million Californians. Brown scrapped earlier plans to consider a more complicated, county-based system.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Brown Backs State-Run Medi-Cal Expansion","datePublished":"2013-05-15T12:00:28.000Z","dateModified":"2013-06-14T21:53:38.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"12745 http://blogs.kqed.org/stateofhealth/?p=12745","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/05/15/brown-now-backs-state-run-medi-cal-expansion/","disqusTitle":"Brown Backs State-Run Medi-Cal Expansion","path":"/stateofhealth/12745/brown-now-backs-state-run-medi-cal-expansion","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_9899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-medium wp-image-9899\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110-300x214.jpg\" alt=\"(Justin Sullivan/Getty Images)\" width=\"300\" height=\"214\">\u003cfigcaption class=\"wp-caption-text\">(Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown's revised budget plan is a mixed bag for health advocates and some county officials.\u003c/p>\n\u003cp>Brown said the state would take the lead on a key provision of the federal health law -- expanding Medi-Cal to more than one million Californians. Brown scrapped earlier plans to consider a more complicated, county-based system.\u003c/p>\n\u003cp>But Brown anticipates recouping more than $300 million from the counties next fiscal year -- money that pays for public health programs and care for the uninsured. Brown's rationale? With the full implementation of federal health reform next year, more people will enroll in Medi-Cal and fewer people will show up to county emergency rooms.\u003c/p>\n\u003cp>Farrah McDaid Ting with the California State Association of Counties says Brown's proposal makes no sense. She says plenty of people will still rely on county services in 2014.\u003cstrong>\u003cem>\u003c/em>\u003c/strong>\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>They are \"people who qualify for Medi-Cal but don't sign up, people who have a hard time signing up or staying on programs, the undocumented in our communities and those who are in between private health plans,” McDaid Ting said. “We need to retain enough funds to serve those people.”\u003c!--more-->\u003c/p>\n\u003cp>That could be 3 to 4 million Californians who remain uninsured even after federal health reform is fully implemented, according to projections from UC Berkeley and UCLA. Brown and state health officials say they are developing a \"mechanism\" that will determine county savings based on real data.\u003c/p>\n\u003cp>Advocates fanned out across California Tuesday holding five statewide rallies, including one in front of state offices in Oakland, where they called for a rollback of cuts to adult dental care, children's nutrition programs and other social services.\u003cstrong>\u003cem> \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>“I think the most important number to remember is that one in four children in California are in poverty now,” Jamila Edwards Harris with the Children's Defense Fund said. “And that number has only risen since budget cuts over the last five years.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Brown's budget also continues pending cuts to Medi-Cal providers, a plan that has been \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/26/obama-administration-files-brief-in-support-of-medi-cal-provider-cuts/\" target=\"_blank\">tied up in federal court\u003c/a> since it passed in 2011.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/12745/brown-now-backs-state-run-medi-cal-expansion","authors":["240"],"categories":["stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_38","stateofhealth_263","stateofhealth_99"],"featImg":"stateofhealth_9899","label":"stateofhealth"},"stateofhealth_10129":{"type":"posts","id":"stateofhealth_10129","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"10129","score":null,"sort":[1359054161000]},"guestAuthors":[],"slug":"gov-browns-state-of-the-state-on-the-health-care-overhaul","title":"Gov. Brown's State of the State -- on the Health Care Overhaul","publishDate":1359054161,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_9899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/gov-brown-signs-legislation-at-google-hq-that-allows-testing-of-autonomous-vehicles/\" rel=\"attachment wp-att-9899\">\u003cimg class=\"size-medium wp-image-9899 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110-300x214.jpg\" alt=\"(Justin Sullivan/Getty Images)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In Thursday's State of the State speech, Gov. Brown called for a special legislative session to address the Affordable Care Act. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>In his \u003ca href=\"http://ww2.kqed.org/news/2013/01/24/california-governor-jerry-brown-live-online-state-of-the-state/\" target=\"_blank\">State of the State speech\u003c/a> Thursday morning, Gov. Brown spent about 60 seconds addressing health and human services -- and all those seconds were devoted to the rollout of the Affordable Care Act.\u003c/p>\n\u003cp>Early in his speech, Brown reiterated his theme of fiscal discipline and seemed to urge caution in implementing the Affordable Care Act, stating, \"The ultimate costs of expanding our health care system under the Affordable Care Act are unknown. Ignoring such known unknowns would be folly.\"\u003c/p>\n\u003cp>Later in the speech came the bulk of his comments about the ACA. Here's the transcript:\u003c/p>\n\u003cp>\u003cem>\"California was the first in the nation to pass laws to implement President Obama’s historic Affordable Care Act. Our health benefit exchange, called\u003ca href=\"http://www.cahba.com/exchange/covered-california.htm\" target=\"_blank\"> Covered California\u003c/a>, will begin next year providing insurance to nearly one million Californians. Over the rest of this decade, California will steadily reduce the number of the uninsured. Today I’m calling for a special session to deal with those issues that must be decided quickly if California is to get the Affordable Care Act started by next January.\u003c!--more-->\u003c/em>\u003c/p>\n\u003cp>\u003cem>\"The broader expansion of Medi-Cal that the Act calls for is incredibly complex. It will take more time. Working out the right relationship with the counties will test our ingenuity and will not be achieved overnight. Given the costs involved, great prudence should guide every step of the way.\"\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Let's take these two items one at a time, starting with the health benefit exchange. Brown is calling for a special legislative session so that new laws necessary to implement the exchange can take effect more quickly. That speed is necessary since the exchange must open for people to enroll on October 1. Health insurance purchased in the exchange will start on January 1, 2014.\u003c/p>\n\u003cp>Regarding Medi-Cal, the governor's comment of \"working out the right relationship with the counties\" is an allusion to money, a topic he addressed when he \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/10/governors-proposals-for-medicaid-expansion/\" target=\"_blank\">released his budget \u003c/a>earlier this month.\u003c/p>\n\u003cp>Right now, California counties receive billions in state dollars to care for the uninsured. Under the Affordable Care Act, most of the uninsured will have access to coverage. That access will largely be paid for in federal dollars. Gov. Brown believes that since the counties will benefit from this new federal money, they should pick up the tab for other things the state has traditionally funded. Childcare subsidies is one idea that has been tossed out. Determining the \"right relationship with the counties\" could shape up to be one of the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/\" target=\"_blank\">political battles to watch\u003c/a> in the coming months.\u003c/p>\n\u003cp>The \"unknown\" of the ultimate cost is, in part, because no one can be sure exactly how many people will sign up for coverage. In addition, the mass marketing that is expected to happen this summer to encourage people to enroll is expected to bring in many people currently eligible for Medi-Cal but not currently enrolled. The state will be on the hook for half the costs of these people -- not the 100 percent federal dollars for the newly eligible.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Listen to Jerry Brown's comments on health care reform:\u003cbr>\n\u003ciframe src=\"http://w.soundcloud.com/player/?url=http%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F76308030&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n","blocks":[],"excerpt":"In his State of the State speech Thursday morning, Gov. Brown spent about 60 seconds addressing health and human services -- and off the time was devoted to the rollout of the Affordable Care Act.\r\n\r\nHere's the transcript from that part of his speech:","status":"publish","parent":0,"modified":1359231358,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["http://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":549},"headData":{"title":"Gov. Brown's State of the State -- on the Health Care Overhaul | KQED","description":"In his State of the State speech Thursday morning, Gov. Brown spent about 60 seconds addressing health and human services -- and off the time was devoted to the rollout of the Affordable Care Act.\r\n\r\nHere's the transcript from that part of his speech:","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Gov. Brown's State of the State -- on the Health Care Overhaul","datePublished":"2013-01-24T19:02:41.000Z","dateModified":"2013-01-26T20:15:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"10129 http://blogs.kqed.org/stateofhealth/?p=10129","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/01/24/gov-browns-state-of-the-state-on-the-health-care-overhaul/","disqusTitle":"Gov. Brown's State of the State -- on the Health Care Overhaul","path":"/stateofhealth/10129/gov-browns-state-of-the-state-on-the-health-care-overhaul","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/gov-brown-signs-legislation-at-google-hq-that-allows-testing-of-autonomous-vehicles/\" rel=\"attachment wp-att-9899\">\u003cimg class=\"size-medium wp-image-9899 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110-300x214.jpg\" alt=\"(Justin Sullivan/Getty Images)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In Thursday's State of the State speech, Gov. Brown called for a special legislative session to address the Affordable Care Act. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>In his \u003ca href=\"http://ww2.kqed.org/news/2013/01/24/california-governor-jerry-brown-live-online-state-of-the-state/\" target=\"_blank\">State of the State speech\u003c/a> Thursday morning, Gov. Brown spent about 60 seconds addressing health and human services -- and all those seconds were devoted to the rollout of the Affordable Care Act.\u003c/p>\n\u003cp>Early in his speech, Brown reiterated his theme of fiscal discipline and seemed to urge caution in implementing the Affordable Care Act, stating, \"The ultimate costs of expanding our health care system under the Affordable Care Act are unknown. Ignoring such known unknowns would be folly.\"\u003c/p>\n\u003cp>Later in the speech came the bulk of his comments about the ACA. Here's the transcript:\u003c/p>\n\u003cp>\u003cem>\"California was the first in the nation to pass laws to implement President Obama’s historic Affordable Care Act. Our health benefit exchange, called\u003ca href=\"http://www.cahba.com/exchange/covered-california.htm\" target=\"_blank\"> Covered California\u003c/a>, will begin next year providing insurance to nearly one million Californians. Over the rest of this decade, California will steadily reduce the number of the uninsured. Today I’m calling for a special session to deal with those issues that must be decided quickly if California is to get the Affordable Care Act started by next January.\u003c!--more-->\u003c/em>\u003c/p>\n\u003cp>\u003cem>\"The broader expansion of Medi-Cal that the Act calls for is incredibly complex. It will take more time. Working out the right relationship with the counties will test our ingenuity and will not be achieved overnight. Given the costs involved, great prudence should guide every step of the way.\"\u003c/em>\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>Let's take these two items one at a time, starting with the health benefit exchange. Brown is calling for a special legislative session so that new laws necessary to implement the exchange can take effect more quickly. That speed is necessary since the exchange must open for people to enroll on October 1. Health insurance purchased in the exchange will start on January 1, 2014.\u003c/p>\n\u003cp>Regarding Medi-Cal, the governor's comment of \"working out the right relationship with the counties\" is an allusion to money, a topic he addressed when he \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/10/governors-proposals-for-medicaid-expansion/\" target=\"_blank\">released his budget \u003c/a>earlier this month.\u003c/p>\n\u003cp>Right now, California counties receive billions in state dollars to care for the uninsured. Under the Affordable Care Act, most of the uninsured will have access to coverage. That access will largely be paid for in federal dollars. Gov. Brown believes that since the counties will benefit from this new federal money, they should pick up the tab for other things the state has traditionally funded. Childcare subsidies is one idea that has been tossed out. Determining the \"right relationship with the counties\" could shape up to be one of the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/\" target=\"_blank\">political battles to watch\u003c/a> in the coming months.\u003c/p>\n\u003cp>The \"unknown\" of the ultimate cost is, in part, because no one can be sure exactly how many people will sign up for coverage. In addition, the mass marketing that is expected to happen this summer to encourage people to enroll is expected to bring in many people currently eligible for Medi-Cal but not currently enrolled. The state will be on the hook for half the costs of these people -- not the 100 percent federal dollars for the newly eligible.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Listen to Jerry Brown's comments on health care reform:\u003cbr>\n\u003ciframe src=\"http://w.soundcloud.com/player/?url=http%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F76308030&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/10129/gov-browns-state-of-the-state-on-the-health-care-overhaul","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_294","stateofhealth_38","stateofhealth_263"],"featImg":"stateofhealth_9899","label":"stateofhealth"},"stateofhealth_9891":{"type":"posts","id":"stateofhealth_9891","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"9891","score":null,"sort":[1357939801000]},"guestAuthors":[],"slug":"state-vs-county-showdown-over-funding-the-medi-cal-expansion","title":"State vs. County Showdown Over Funding the Medi-Cal Expansion?","publishDate":1357939801,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_9899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110.jpg\">\u003cimg class=\"size-medium wp-image-9899\" title=\"(Justin Sullivan/Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110-300x214.jpg\" alt=\"(Justin Sullivan/Getty Images)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Brown is proposing California's counties relinquish some of their state health funding once the Affordable Care Act is in place. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>We're now 354 days from the rollout of the Affordable Care Act next Jan. 1. While the governor declared the state's participation in the Medicaid expansion at his budget unveiling yesterday, he also proposed \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/10/governors-proposals-for-medicaid-expansion/\" target=\"_blank\">two ways\u003c/a> to handle that expansion.\u003c/p>\n\u003cp>Under one scenario, the state will continue to administer the program. Under the other, each of California's 58 counties will oversee running Medi-Cal, California's version of Medicaid, for its own residents.\u003c/p>\n\u003cp>The Affordable Care Act dictates that the federal government will pay 100 percent of the cost for those people newly eligible for Medicaid, and in both proposals, the state's position is that California counties will get some fiscal relief once those federal dollars start flowing.\u003c/p>\n\u003cp>But don't get too excited, counties.\u003c/p>\n\u003cp>California Secretary of Health and Human Services Diana Dooley yesterday referred to a \"conversation\" around \"appropriate sharing\" that needs to happen between the state and its counties around financial responsibilities.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"There's an assumption we've been fully funded. That is simply not accurate.\"\u003c/aside>\n\u003cp>\"Conversation\" might prove to be a euphemism for what could become a vocal debate between the state and the counties. And maybe between counties themselves.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Alex Briscoe, Director of Alameda County's Health Care Services Agency, told me this morning that \"sharing\" presumes that current state funding is sufficient to meet the needs of the indigent poor, an idea he called \"simply preposterous.\"\u003c!--more-->\u003c/p>\n\u003cp>\"There's an assumption we've been fully funded,\" he said. \"That is simply not accurate.\"\u003c/p>\n\u003cp>Counties bear the responsibility for caring for poor uninsured adults, and Alameda is one of 55 California counties that has moved forward with implementing a Low Income Health Plan (LIHP), a bridge to the 2014 Medi-Cal expansion. About a half-million Californians are currently enrolled.\u003c/p>\n\u003cp>Bill Walker, Contra Costa County's Health Director, says he would support having county-level responsibility for overseeing the Medi-Cal expansion. \"The devil is alwyas in the details win terms of agreements between the state and the county,\" he told KQED's Mina Kim yesterday. \"And obviously at the end of the day, the question is what are the rates, what is the cost sharing, and how do the dollars flow?\"\u003c/p>\n\u003cp>But whether the state or counties handle the Medi-Cal expansion, there will still be at least two million people who lack insurance, as Sarah Varney explained at \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2013/01/is-california-headed-for-state-vs-counties-health-budget-battle/\" target=\"_blank\">Kaiser Health News\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Those residents, many of whom are undocumented and barred from buying their own insurance coverage through “Covered California,” the state’s online marketplace, and are ineligible for any public insurance programs, will continue to rely on county-run facilities and safety-net clinics.\u003c/p>\n\u003cp>If the state drains the counties of health care funding, says Anthony Wright, executive director of Health Access, an advocacy group, “You run the risk of losing public hospitals and clinics at exactly the moment we need all the capacity we can get.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Later this month, the governor is expected to call for a special legislative session on health care issues.\u003c/p>\n\n","blocks":[],"excerpt":"We're now 354 days until the Affordable Care Act rolls out next January 1st. While the governor committed in his budget unveiling yesterday that the state will participate in the Medicaid expansion -- health insurance for the poor and disabled -- he also proposed two ways to handle that expansion.\r\n\r\nUnder one scenario, the state will continue to administer the program. Under the other idea, each of California's 58 counties will oversee running Medi-Cal for its own residents.","status":"publish","parent":0,"modified":1357948400,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":540},"headData":{"title":"State vs. County Showdown Over Funding the Medi-Cal Expansion? | KQED","description":"We're now 354 days until the Affordable Care Act rolls out next January 1st. While the governor committed in his budget unveiling yesterday that the state will participate in the Medicaid expansion -- health insurance for the poor and disabled -- he also proposed two ways to handle that expansion.\r\n\r\nUnder one scenario, the state will continue to administer the program. Under the other idea, each of California's 58 counties will oversee running Medi-Cal for its own residents.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"State vs. County Showdown Over Funding the Medi-Cal Expansion?","datePublished":"2013-01-11T21:30:01.000Z","dateModified":"2013-01-11T23:53:20.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"9891 http://blogs.kqed.org/stateofhealth/?p=9891","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/","disqusTitle":"State vs. County Showdown Over Funding the Medi-Cal Expansion?","path":"/stateofhealth/9891/state-vs-county-showdown-over-funding-the-medi-cal-expansion","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110.jpg\">\u003cimg class=\"size-medium wp-image-9899\" title=\"(Justin Sullivan/Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110-300x214.jpg\" alt=\"(Justin Sullivan/Getty Images)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Brown is proposing California's counties relinquish some of their state health funding once the Affordable Care Act is in place. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>We're now 354 days from the rollout of the Affordable Care Act next Jan. 1. While the governor declared the state's participation in the Medicaid expansion at his budget unveiling yesterday, he also proposed \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/10/governors-proposals-for-medicaid-expansion/\" target=\"_blank\">two ways\u003c/a> to handle that expansion.\u003c/p>\n\u003cp>Under one scenario, the state will continue to administer the program. Under the other, each of California's 58 counties will oversee running Medi-Cal, California's version of Medicaid, for its own residents.\u003c/p>\n\u003cp>The Affordable Care Act dictates that the federal government will pay 100 percent of the cost for those people newly eligible for Medicaid, and in both proposals, the state's position is that California counties will get some fiscal relief once those federal dollars start flowing.\u003c/p>\n\u003cp>But don't get too excited, counties.\u003c/p>\n\u003cp>California Secretary of Health and Human Services Diana Dooley yesterday referred to a \"conversation\" around \"appropriate sharing\" that needs to happen between the state and its counties around financial responsibilities.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"There's an assumption we've been fully funded. That is simply not accurate.\"\u003c/aside>\n\u003cp>\"Conversation\" might prove to be a euphemism for what could become a vocal debate between the state and the counties. And maybe between counties themselves.\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>Alex Briscoe, Director of Alameda County's Health Care Services Agency, told me this morning that \"sharing\" presumes that current state funding is sufficient to meet the needs of the indigent poor, an idea he called \"simply preposterous.\"\u003c!--more-->\u003c/p>\n\u003cp>\"There's an assumption we've been fully funded,\" he said. \"That is simply not accurate.\"\u003c/p>\n\u003cp>Counties bear the responsibility for caring for poor uninsured adults, and Alameda is one of 55 California counties that has moved forward with implementing a Low Income Health Plan (LIHP), a bridge to the 2014 Medi-Cal expansion. About a half-million Californians are currently enrolled.\u003c/p>\n\u003cp>Bill Walker, Contra Costa County's Health Director, says he would support having county-level responsibility for overseeing the Medi-Cal expansion. \"The devil is alwyas in the details win terms of agreements between the state and the county,\" he told KQED's Mina Kim yesterday. \"And obviously at the end of the day, the question is what are the rates, what is the cost sharing, and how do the dollars flow?\"\u003c/p>\n\u003cp>But whether the state or counties handle the Medi-Cal expansion, there will still be at least two million people who lack insurance, as Sarah Varney explained at \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2013/01/is-california-headed-for-state-vs-counties-health-budget-battle/\" target=\"_blank\">Kaiser Health News\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Those residents, many of whom are undocumented and barred from buying their own insurance coverage through “Covered California,” the state’s online marketplace, and are ineligible for any public insurance programs, will continue to rely on county-run facilities and safety-net clinics.\u003c/p>\n\u003cp>If the state drains the counties of health care funding, says Anthony Wright, executive director of Health Access, an advocacy group, “You run the risk of losing public hospitals and clinics at exactly the moment we need all the capacity we can get.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Later this month, the governor is expected to call for a special legislative session on health care issues.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/9891/state-vs-county-showdown-over-funding-the-medi-cal-expansion","authors":["240"],"categories":["stateofhealth_15","stateofhealth_13"],"tags":["stateofhealth_38","stateofhealth_263","stateofhealth_99","stateofhealth_402"],"featImg":"stateofhealth_9899","label":"stateofhealth"},"stateofhealth_9875":{"type":"posts","id":"stateofhealth_9875","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"9875","score":null,"sort":[1357845304000]},"guestAuthors":[],"slug":"governors-proposals-for-medicaid-expansion","title":"Governor's Proposals for Medicaid Expansion","publishDate":1357845304,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_9886\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PatientMoved_05252012_MilitaryHealth_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-9886\" title=\"(Military Health/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PatientMoved_05252012_MilitaryHealth_Flickr-300x232.jpg\" alt=\"(Military Health/Flickr)\" width=\"300\" height=\"232\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Military Health/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown has released his \u003ca href=\"http://ww2.kqed.org/news/2013/01/10/governor-to-propose-budget-more-money-for-schools-expected/\" target=\"_blank\">new state budget\u003c/a>, including plans for implementing the Affordable Care Act in California. In a press conference this morning, the governor said he plans to handle that implementation \"cautiously.\"\u003c/p>\n\u003cp>\"We are committed to expanding Medi-Cal, we’re committed to bringing more people into the healthcare system, but we recognize there are big costs out there,\" the governor told reporters. \"There are big unknowns so we’re going to move carefully, but we’re going to move with commitment, because I believe people do need decent healthcare, and I believe what Pres. Obama did was historic. It was heroic, and I’m going to do everything I can to be a good partner to make sure his plan works.\"\u003c/p>\n\u003cp>The ACA calls for an expansion of the Medicaid program, known as Medi-Cal in California. The federal government will pay 100 percent of the costs of the new enrollees through 2016. After that, the federal contribution will decline to 90 percent by 2020.\u003c/p>\n\u003cp>The governor is proposing two ways to handle the expansion.\u003c!--more-->\u003c/p>\n\u003cp>The first option would be a pretty straightforward expansion of the existing program, which would cover people earning up to 138 percent of poverty as described in the federal law. But the governor is proposing that this expansion would cover only health care costs, not long term care costs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The governor's second option would be a county-based expansion. Counties would build on the Low Income Health Program, also called the \"Bridge to Reform,\" currently in place in 55 of 58 California counties. In a press call with reporters, California's Secretary of Health and Human Services Diana Dooley pointed out the counties stand to benefit financially from the influx of federal dollars when new enrollees enter the system. Both proposals acknowledge that counties benefit.\u003c/p>\n\u003cp>\"It is a recognition they will have costs reduced,\" Dooley said, referring to counties. \"The relief to the system is a relief to the counties whether we do it at the counties or whether we do it at the state. The counties have the obligation to provide care to this population and that obligation will be satisfied with new federal funds. So the conversation has to be what is an appropriate sharing of that new relationship with the availability of new federal funds.\"\u003c/p>\n\u003cp>Dooley did not put a timetable on reaching a decision of which path to take, but said \"the conversation starts today.\"\u003c/p>\n\u003cp>While those newly eligible for Medi-Cal under the Affordable Care Act will be funded 100 percent by the federal government, many tens of thousands of people currently eligible but not enrolled are also expected to sign up for Medi-Cal. That's because of several factors. The individual mandate requires everyone to have health insurance, and the Affordable Care Act requires more streamlined enrollment into state run Medicaid programs. The Health Insurance Exchange, Covered California, is expected to launch a major marketing effort to bring people in to purchase insurance. Many people eligible for Medi-Cal will likely respond.\u003c/p>\n\u003cp>The federal government is not picking up the whole tab of this currently-eligible-but-not-enrolled population. The state has put $350 million in the budget as a \"placeholder,\" Dooley said. It's hard to be sure if that's enough or too much money. Dooley discussed the difficulty of determining true numbers because estimates of how many people will enroll vary widely. \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/medi-cal_expansion.shtml\" target=\"_blank\">One recent report\u003c/a> showed that between 240,000 and 510,000 currently eligible people are expected to be enrolled between 2014 and 2019. That's a big differential.\u003c/p>\n\u003cp>At a rally by health advocates in San Francisco today, Linda Lew of Health Access chided the state for being so careful. \"It's good to be cautious,\" she told KQED's Mina Kim, \"but in some ways it's needlessly cautious. The Medicaid expansion is one good example. The first two years are 100 percent federally funded and subsequent years are 90 percent funded, so it's not going to be a huge lift on the state.\"\u003c/p>\n\u003cp>In \u003ca href=\"http://www.csac.counties.org/post/csac-issues-statement-regarding-governors-budget-proposal\" target=\"_blank\">a statement on its website\u003c/a>, the California State Association of Counties said it was \"pleased\" that the governor is moving ahead with implementing the Affordable Care Act. But the group echoed the Administration in discussing the challenges.\u003c/p>\n\u003cp>\"Counties recognize that a number of short- and long-term questions about health reform remain unanswered and the uncertainty makes implementation challenging. These proposals carry risks for counties, too. Counties want to be sure that all options for Medicaid expansion are discussed and that the critical role of counties in delivering health services, including hospital and safety net services, is maintained.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's note: This post has been updated with details from California's Secretary of Health and Human Services and other reactions to the governor's budget.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Gov. Jerry Brown has released his new state budget, including plans for implementing the Affordable Care Act in California. In a press conference this morning, the governor said he plans to handle that implementation \"cautiously.\"\r\n\r\n\"We are committed to expanding Medi-Cal, we’re committed to bringing more people into the healthcare system, but we recognize there are big costs out there,\" the governor told reporters.","status":"publish","parent":0,"modified":1361909677,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":816},"headData":{"title":"Governor's Proposals for Medicaid Expansion | KQED","description":"Gov. Jerry Brown has released his new state budget, including plans for implementing the Affordable Care Act in California. In a press conference this morning, the governor said he plans to handle that implementation "cautiously."\r\n\r\n"We are committed to expanding Medi-Cal, we’re committed to bringing more people into the healthcare system, but we recognize there are big costs out there," the governor told reporters.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Governor's Proposals for Medicaid Expansion","datePublished":"2013-01-10T19:15:04.000Z","dateModified":"2013-02-26T20:14:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"9875 http://blogs.kqed.org/stateofhealth/?p=9875","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/01/10/governors-proposals-for-medicaid-expansion/","disqusTitle":"Governor's Proposals for Medicaid Expansion","path":"/stateofhealth/9875/governors-proposals-for-medicaid-expansion","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9886\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PatientMoved_05252012_MilitaryHealth_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-9886\" title=\"(Military Health/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PatientMoved_05252012_MilitaryHealth_Flickr-300x232.jpg\" alt=\"(Military Health/Flickr)\" width=\"300\" height=\"232\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Military Health/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown has released his \u003ca href=\"http://ww2.kqed.org/news/2013/01/10/governor-to-propose-budget-more-money-for-schools-expected/\" target=\"_blank\">new state budget\u003c/a>, including plans for implementing the Affordable Care Act in California. In a press conference this morning, the governor said he plans to handle that implementation \"cautiously.\"\u003c/p>\n\u003cp>\"We are committed to expanding Medi-Cal, we’re committed to bringing more people into the healthcare system, but we recognize there are big costs out there,\" the governor told reporters. \"There are big unknowns so we’re going to move carefully, but we’re going to move with commitment, because I believe people do need decent healthcare, and I believe what Pres. Obama did was historic. It was heroic, and I’m going to do everything I can to be a good partner to make sure his plan works.\"\u003c/p>\n\u003cp>The ACA calls for an expansion of the Medicaid program, known as Medi-Cal in California. The federal government will pay 100 percent of the costs of the new enrollees through 2016. After that, the federal contribution will decline to 90 percent by 2020.\u003c/p>\n\u003cp>The governor is proposing two ways to handle the expansion.\u003c!--more-->\u003c/p>\n\u003cp>The first option would be a pretty straightforward expansion of the existing program, which would cover people earning up to 138 percent of poverty as described in the federal law. But the governor is proposing that this expansion would cover only health care costs, not long term care costs.\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>The governor's second option would be a county-based expansion. Counties would build on the Low Income Health Program, also called the \"Bridge to Reform,\" currently in place in 55 of 58 California counties. In a press call with reporters, California's Secretary of Health and Human Services Diana Dooley pointed out the counties stand to benefit financially from the influx of federal dollars when new enrollees enter the system. Both proposals acknowledge that counties benefit.\u003c/p>\n\u003cp>\"It is a recognition they will have costs reduced,\" Dooley said, referring to counties. \"The relief to the system is a relief to the counties whether we do it at the counties or whether we do it at the state. The counties have the obligation to provide care to this population and that obligation will be satisfied with new federal funds. So the conversation has to be what is an appropriate sharing of that new relationship with the availability of new federal funds.\"\u003c/p>\n\u003cp>Dooley did not put a timetable on reaching a decision of which path to take, but said \"the conversation starts today.\"\u003c/p>\n\u003cp>While those newly eligible for Medi-Cal under the Affordable Care Act will be funded 100 percent by the federal government, many tens of thousands of people currently eligible but not enrolled are also expected to sign up for Medi-Cal. That's because of several factors. The individual mandate requires everyone to have health insurance, and the Affordable Care Act requires more streamlined enrollment into state run Medicaid programs. The Health Insurance Exchange, Covered California, is expected to launch a major marketing effort to bring people in to purchase insurance. Many people eligible for Medi-Cal will likely respond.\u003c/p>\n\u003cp>The federal government is not picking up the whole tab of this currently-eligible-but-not-enrolled population. The state has put $350 million in the budget as a \"placeholder,\" Dooley said. It's hard to be sure if that's enough or too much money. Dooley discussed the difficulty of determining true numbers because estimates of how many people will enroll vary widely. \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/medi-cal_expansion.shtml\" target=\"_blank\">One recent report\u003c/a> showed that between 240,000 and 510,000 currently eligible people are expected to be enrolled between 2014 and 2019. That's a big differential.\u003c/p>\n\u003cp>At a rally by health advocates in San Francisco today, Linda Lew of Health Access chided the state for being so careful. \"It's good to be cautious,\" she told KQED's Mina Kim, \"but in some ways it's needlessly cautious. The Medicaid expansion is one good example. The first two years are 100 percent federally funded and subsequent years are 90 percent funded, so it's not going to be a huge lift on the state.\"\u003c/p>\n\u003cp>In \u003ca href=\"http://www.csac.counties.org/post/csac-issues-statement-regarding-governors-budget-proposal\" target=\"_blank\">a statement on its website\u003c/a>, the California State Association of Counties said it was \"pleased\" that the governor is moving ahead with implementing the Affordable Care Act. But the group echoed the Administration in discussing the challenges.\u003c/p>\n\u003cp>\"Counties recognize that a number of short- and long-term questions about health reform remain unanswered and the uncertainty makes implementation challenging. These proposals carry risks for counties, too. Counties want to be sure that all options for Medicaid expansion are discussed and that the critical role of counties in delivering health services, including hospital and safety net services, is maintained.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's note: This post has been updated with details from California's Secretary of Health and Human Services and other reactions to the governor's budget.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/9875/governors-proposals-for-medicaid-expansion","authors":["240"],"categories":["stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_38","stateofhealth_263"],"featImg":"stateofhealth_9886","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_5792":{"type":"posts","id":"stateofhealth_5792","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"5792","score":null,"sort":[1337038957000]},"guestAuthors":[],"slug":"governors-new-budget-slices-again-into-health-care","title":"Governor's New Budget Slices -- Again -- Into Health Care","publishDate":1337038957,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_5798\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/JerryBrownPensionOverhaul102811.jpg\">\u003cimg class=\"size-medium wp-image-5798\" title=\"(Max Whittaker: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/JerryBrownPensionOverhaul102811-300x200.jpg\" alt=\"(Max Whittaker: Getty Images)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Max Whittaker: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Governor Jerry Brown released his \u003ca title=\"http://www.kqed.org/news/story/2012/05/14/93966/gov_brown_revises_budget_proposal?category=politics\" href=\"http://www.kqed.org/news/story/2012/05/14/93966/gov_brown_revises_budget_proposal?category=politics\" target=\"_blank\">revised budget\u003c/a> this morning and the cuts to health and human services are significant. Since the economy soured in 2007, state cuts to health and services programs have exceeded $15 billion .\u003c/p>\n\u003cp>Today the governor announced:\u003c/p>\n\u003cul>\n\u003cli>An additional $400 million in cuts to Medi-Cal, mostly to hospitals and nursing homes\u003c/li>\n\u003cli>Reductions to the \"Healthy Families\" program which covers children, effecting their access to health care. Potential savings are $48 million\u003c/li>\n\u003cli>Reducing In-Home Support Services hours by seven percent for a savings of $99 million\u003c/li>\n\u003c/ul>\n\u003cdiv>Anthony Wright of \u003ca title=\"http://www.health-access.org/\" href=\"http://www.health-access.org/\" target=\"_blank\">Health Access\u003c/a>, a statewide advocacy group said these cuts would effect virtually all Californians. \"These ugly cuts are a body blow to the health system on which we all rely,\" Wright said in a statement. \"These are the wrong cuts at the wrong time, during an economic downturn when Californians need this help the most, and when we need to get ready for health reform to maximize the benefit for our families and our state.\"\n\u003cp>In a conference call with reporters today, Secretary of Health and Human Services \u003ca title=\"http://www.chhs.ca.gov/Documents/SecretaryDooleyBioPDF.pdf\" href=\"http://www.chhs.ca.gov/Documents/SecretaryDooleyBioPDF.pdf\" target=\"_blank\">Diana Dooley\u003c/a> said the cuts to her agency were inevitable. \"The problem we have and always have in health and human services is this is where most of the spending is. The spending is in education and health and human services to a very large degree, and the only place you can cut back are the places where you are spending.\"\u003c/p>\n\u003cp>The governor's revised budget depends on voters passing his tax increase proposals expected to land on the November ballot. A poll last month by the Public Policy Institute of California showed 54 percent support for the governor's plans -- but tax increases require a two-thirds majority to pass. If his tax proposals do not pass, more cuts will be necessary to balance the state's budget.\u003c/p>\n\u003c/div>\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Governor Jerry Brown released his revised budget this morning and the cuts to health and human services are significant. Since the economy soured in 2007, state cuts to health and services programs have exceeded $15 billion .\r\n\r\nToday the governor announced:\r\n\r\nAn additional $400 million in cuts to Medi-Cal, mostly to hospitals and nursing homes\r\nReductions to the \"Healthy Families\" program which covers children, effecting their access to health care. Potential savings are $48 million","status":"publish","parent":0,"modified":1337368498,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":6,"wordCount":317},"headData":{"title":"Governor's New Budget Slices -- Again -- Into Health Care | KQED","description":"Governor Jerry Brown released his revised budget this morning and the cuts to health and human services are significant. Since the economy soured in 2007, state cuts to health and services programs have exceeded $15 billion .\r\n\r\nToday the governor announced:\r\n\r\nAn additional $400 million in cuts to Medi-Cal, mostly to hospitals and nursing homes\r\nReductions to the "Healthy Families" program which covers children, effecting their access to health care. Potential savings are $48 million","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Governor's New Budget Slices -- Again -- Into Health Care","datePublished":"2012-05-14T23:42:37.000Z","dateModified":"2012-05-18T19:14:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"5792 http://blogs.kqed.org/stateofhealth/?p=5792","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/05/14/governors-new-budget-slices-again-into-health-care/","disqusTitle":"Governor's New Budget Slices -- Again -- Into Health Care","path":"/stateofhealth/5792/governors-new-budget-slices-again-into-health-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5798\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/JerryBrownPensionOverhaul102811.jpg\">\u003cimg class=\"size-medium wp-image-5798\" title=\"(Max Whittaker: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/JerryBrownPensionOverhaul102811-300x200.jpg\" alt=\"(Max Whittaker: Getty Images)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Max Whittaker: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Governor Jerry Brown released his \u003ca title=\"http://www.kqed.org/news/story/2012/05/14/93966/gov_brown_revises_budget_proposal?category=politics\" href=\"http://www.kqed.org/news/story/2012/05/14/93966/gov_brown_revises_budget_proposal?category=politics\" target=\"_blank\">revised budget\u003c/a> this morning and the cuts to health and human services are significant. Since the economy soured in 2007, state cuts to health and services programs have exceeded $15 billion .\u003c/p>\n\u003cp>Today the governor announced:\u003c/p>\n\u003cul>\n\u003cli>An additional $400 million in cuts to Medi-Cal, mostly to hospitals and nursing homes\u003c/li>\n\u003cli>Reductions to the \"Healthy Families\" program which covers children, effecting their access to health care. Potential savings are $48 million\u003c/li>\n\u003cli>Reducing In-Home Support Services hours by seven percent for a savings of $99 million\u003c/li>\n\u003c/ul>\n\u003cdiv>Anthony Wright of \u003ca title=\"http://www.health-access.org/\" href=\"http://www.health-access.org/\" target=\"_blank\">Health Access\u003c/a>, a statewide advocacy group said these cuts would effect virtually all Californians. \"These ugly cuts are a body blow to the health system on which we all rely,\" Wright said in a statement. \"These are the wrong cuts at the wrong time, during an economic downturn when Californians need this help the most, and when we need to get ready for health reform to maximize the benefit for our families and our state.\"\n\u003cp>In a conference call with reporters today, Secretary of Health and Human Services \u003ca title=\"http://www.chhs.ca.gov/Documents/SecretaryDooleyBioPDF.pdf\" href=\"http://www.chhs.ca.gov/Documents/SecretaryDooleyBioPDF.pdf\" target=\"_blank\">Diana Dooley\u003c/a> said the cuts to her agency were inevitable. \"The problem we have and always have in health and human services is this is where most of the spending is. The spending is in education and health and human services to a very large degree, and the only place you can cut back are the places where you are spending.\"\u003c/p>\n\u003cp>The governor's revised budget depends on voters passing his tax increase proposals expected to land on the November ballot. A poll last month by the Public Policy Institute of California showed 54 percent support for the governor's plans -- but tax increases require a two-thirds majority to pass. If his tax proposals do not pass, more cuts will be necessary to balance the state's budget.\u003c/p>\n\u003c/div>\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/5792/governors-new-budget-slices-again-into-health-care","authors":["240"],"categories":["stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_263"],"featImg":"stateofhealth_5798","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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