FROM THE FOUNDATION

The Social Life of Health Information

A new Pew Internet/CHCF national survey finds the Internet has joined doctors and family members as one of the top three ways people search for answer to their health care questions.

Mapping Physician Supply in California

This report presents the first comprehensive study of the Medical Board of California survey data on practicing physicians in the state. It finds fewer M.D.s than previously estimated and a wide variation in supply among counties.

Restructuring Options for Community Clinics

Concerned about their long-term survival, some California community clinics are considering partnerships or mergers. This issue brief offers a roadmap for restructuring.

Medi-Cal

Friday, November 07, 2008

Steep Cuts for Health Care in Governor's New Spending Plan

The California Health and Human Services Agency faces a mid-year budget cut of $950 million and the prospect of a $3 billion cut for fiscal year 2009-2010 under a proposal that Gov. Arnold Schwarzenegger (R) presented on Thursday, according to the Eureka Reporter (Harrison, Eureka Reporter, 11/6).

The spending reductions came as part of Schwarzenegger's call for an emergency session of the Legislature to address the state's growing budget deficit, now projected to exceed $11 billion for the current fiscal year (Garcia, San Jose Mercury News, 11/6).

The governor's plan would eliminate Medi-Cal coverage of dental, podiatry and psychology services for adult beneficiaries (Yamamura, Sacramento Bee, 11/7). Vision benefits also would be eliminated for adult Medi-Cal beneficiaries.

In addition, the governor has resurrected a plan to require some adult Medi-Cal beneficiaries whose annual incomes are between 72% and 100% of the federal poverty level to "pay for a portion of their Medi-Cal coverage," according to the Los Angeles Times (Halper/Rau, Los Angeles Times, 11/7).

Part of a Larger Proposal

Along with more than $4.5 billion in spending cuts, the governor offered proposals to increase state revenue by $4.7 billion, in part by raising the state sales tax and broadening it to apply to some services and activities.

The governor also announced a series of plans aimed at stimulating California's economy (San Jose Mercury News, 11/6).

Among his economic stimulus proposals, Schwarzenegger called for modifying some environmental regulations to expedite some hospital construction and other public works projects (Wiegand, Sacramento Bee, 11/6). The changes would aim to streamline the permit and plan review process for non-structural hospital construction projects estimated to cost less than $2 million (Robertson, Sacramento Business Journal, 11/6).

Next Steps, Prospects

The Senate and Assembly met briefly on Thursday but did not act on the governor's proposals (Miller, Riverside Press-Enterprise, 11/6).

Democratic legislative leaders voiced doubts that lawmakers would reach an agreement before Dec. 1 when new legislators are sworn in, and some Republican leaders remain opposed to tax increases (Los Angeles Times, 11/7).

Assembly Speaker Karen Bass (D-Los Angeles) praised elements of the proposal but said the cuts to health and human services programs were "a non-starter" (Sacramento Bee, 11/7).

Meanwhile, health care advocates and other groups have begun mobilizing against elements of the proposal (Los Angeles Times, 11/7).



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