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WHAT CAN WE DO? . BUDGET CUTS AND BILLS AFFECTING CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS June 2010. OUR MISSION: Secure, quality, affordable health care for all Californians. Statewide health consumer advocacy coalition. Support advocacy by health consumers

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budget cuts and bills affecting children and youth with special health care needs june 2010

WHAT CAN WE DO?

BUDGET CUTS AND BILLS

AFFECTING CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS

June 2010

slide2

OUR MISSION: Secure, quality, affordable health care for all Californians.

  • Statewide health consumer advocacy coalition.
  • Support advocacy by health consumers
  • Policy research, analysis & development
  • Public education
  • Media advocacy
  • Grassroots & legislative advocacy
steps forward national health reform
Steps Forward: National Health Reform
  • The national health reform law (PPACA) provides new opportunities for better & more affordable coverage for children and young adults with high health care needs.
    • Young people can stay on their parents coverage up to age 26 (9/23/10).
    • No more denials for pre-existing conditions (children now, adults in 2014, temp high risk pool for adults ‘til then)
    • Standards for insurance, preventive care must be covered
    • Subsidies for families under 400% FPL & small biz
    • Rate review and regulation
    • Income-based cap on out of pocket expenses, ban on lifetime and annual limits
    • No more rescissions
steps forward national health reform continued
Steps Forward: National Health Reform – continued
    • Expand Medi-Cal to non-disabled childless adults up to 133% FPL
  • Funds Healthy Families through 2015
  • Reduces Medi-Cal paperwork doing away with SARS for kids
  • Eliminates asset test for Medi-Cal
  • Raises the revenues needed to sustain and expand Medicaid & Healthy Families
  • Prevents states from cutting Medicaid and Healthy Families eligibility
steps backward state budget cuts
Steps Backward: State Budget Cuts

HEALTHY FAMILIES

Raise monthly premiums from $24 to $42 per child for families at 200-250% FPL ($36,600-45,800 for a family of 3)

Raise ER co-pays from $15 to $50

New hospital co-pay of $100/day with a $200 maximum

Eliminate coverage of eyeglasses & other vision care

IHSS

$750 million “cost containment” package tba

steps backward state budget cuts1
Steps Backward: State Budget Cuts

MEDI-CAL (Adults Only):

New copays for hospital stays ($100/day up to a maximum of $200), ER visits ($50), doctor visits ($5) and Rx ($5)

Limit doctor & clinic visits to 10/year;

Limit Rx to 6/month (except for life-saving drugs);

Eliminate OTC coverage;

New copays for hospital stays ($100/day up to a maximum of $200), ER visits ($50), doctor visits ($5) and Rx ($5)

- continued -

steps backward state budget cuts continued
Steps Backward: State Budget Cuts - continued

ADULT MEDI-CAL (21+) - continued

Annual cap on coverage of supplies & equipment including:

hearing aids ($1,510),

DME including wheelchairs, ambulation devices, bathroom equipment, hospital beds and accessories, communication devices, IV equipment, oxygen and respiratory equipment ($1,604)

incontinence supplies ($1,659)

Eliminate coverage for legal immigrants who have resided in the US for less than five years

the family recovery budget a better choice for california
The Family Recovery Budget: A Better Choice for California

Create jobs, preserve the jobs we have and invest in Californians

Maintain health and other vital services for children, families, seniors and people with disabilities.

Close corporate tax loopholes to protect vital services

legislators are responding
Legislators Are Responding

Assembly Jobs Budget (Perez & Blumenfield, 5/25)

No cuts to education or HHS

Raises $10b by closing corporate tax breaks, creating an oil severance tax and securitizing the recycling fund

Senate Revenues proposal (Steinberg & Ducheny, 5/24)

Fewer cuts to HHS

Raises $4.9b by closing corporate tax breaks and raising taxes on the middle class

Extend the personal income tax “surcharge” & reduced dependent tax credit

Raise VLF to 1.5%

Increase alcohol tax

this is crunch time
This is crunch time

CA has to pass state legislation to implement many of the national reforms.

CA can go further and create reform that better reflects the needs and values of California.

CA has to pass a balanced state budget by this summer.

CA can balance its budget without destroying health and other vital programs for kids & families

Your Voices Can Make the Difference!

what you can do
What You Can Do

POST your state legislators’ phone numbers on your refrigerator door: www.leginfo.ca.gov/yourleg.html

CALL your state legislators at least once a week

TELL them what you want & ASK them what they’re going to do

JOIN a group meeting with your state legislator in his/her local office: email jessicar@health-access.org for a schedule of upcoming meetings.

COLLECT postcards calling for a Family Recovery Budget from your friends, family, co-workers and other parents, & hand-deliver them to your local legislators. Customizable postcards are at www.hhsnetworkca.org/tools-and-resources.

connect with your local hhs network
Connect with your local HHS Network

Bay Area: Thurs 6/3 March for Budget Justice, 11.30am @ Powell BART. Contact jessicar@health-access.org.

Santa Barbara: Thurs 6/10 Central Coast planning mtg for July action, 3.30pm @ 1030 Southwood Dr, SLO. Contact jessicar@health-access.org.

LA: Tues 6/15 March for Budget Justice, 4:00 p.m. @ 300 S. Spring, St. Contact ngomez@health-access.org.

Redding: Fri 6/18 CA Commission on the Status of Women public hearing, 11am @ Redding Library. See www.women.ca.gov for more info.

Fresno: Contact jessicar@health-access.org for next mtg.

Bakersfield: Contact ngomez@health-access.org for next meeting.

San Diego: Contact awoods@health-access.org for next meeting.