FROM THE FOUNDATION

Redefining the Safety Net

Should California establish a Basic Health Program for certain low-income residents? CHCF's Marian Mulkey captures a recent policy conversation in a Health Affairs blog.

Accountable Care in Action

A new post on the Health Affairs blog details how CalPERS kept costs down in Sacramento through a "virtual" ACO with insurers and providers.

Career Opportunity: Senior Program Officer

This position will play a major role in furthering the goals and objectives of the foundation's Better Chronic Disease Care program.

Health Care Costs

Tuesday, January 30, 2007

Governor Courting Business Support for Health Care Reforms

Gov. Arnold Schwarzenegger (R) on Monday held a meeting with top officials of 18 San Diego businesses to gather support for his health care reform proposal, the San Diego Union-Tribune reports.

The meeting was part of a series with business leaders throughout the state to discuss the details of his proposal (Marelius/Darcé, San Diego Union-Tribune, 1/30).

Under the plan, Medi-Cal and Healthy Families would be expanded to help provide coverage to low- and moderate-income state residents. Individuals who declined to carry insurance could face a reduction in state income tax refunds or have wages withheld.

The plan would require employers with at least 10 workers to contribute at least 4% of payroll into a state fund if they do not provide insurance coverage (California Healthline, 1/22).

Schwarzenegger told business leaders that his plan would eliminate $14.7 billion in higher health insurance premiums that businesses pay to subsidize the cost of treating uninsured patients (San Diego Union-Tribune, 1/30).

Coverage for Undocumented Immigrants

Legislators and policy groups are criticizing Schwarzenegger's proposal to provide insurance to undocumented immigrants and their children, but health care officials support the concept and say that it would resolve "a disorganized and inefficient matrix of government-subsidized programs," the San Diego Union-Tribune reports.

Ruth Liu, associate secretary of health policy for the Health and Human Services Agency, said San Diego County taxpayers are paying $56 million and most of it subsidizes emergency care for undocumented patients.

Officials of several organizations that receive funding from San Diego County's Health and Human Services Agency said they are prohibited from using the money to treat undocumented immigrants. As a result, officials said they do not ask patients for their legal status (Clark, San Diego Union-Tribune, 1/30).

Editorial

"When it comes to health care reform on the national or state level, coverage for uninsured children should be the first priority," a San Jose Mercury News editorial states. "Insuring all of California's children will help alleviate the 'hidden tax' of $1,186 the average California family pays" to subsidize hospital costs for the uninsured, according to the editorial.

"But it's not just the money," the editorial states, adding that insured children "do better in school and are much more likely to become productive members of society" (San Jose Mercury News, 1/30).



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