Medical Professionals Make Their Mark on Reform
It was Kim Belshé, the Secretary of California Health and Human Services, who recently made an appeal for “not the politics of reform, but the policy of reform.”
What she meant is that working on the implementation of health care reform in California should be a grassroots affair — that politicians shouldn’t lead reform, but rather, health professionals should take the reins to revamp our health care system.
That’s the idea behind the town hall meeting, “Putting the Care in Obamacare,” that’s being held today (Monday) in Los Angeles, according to Leif Wellington Haase, director of the California program at New America Foundation, a nonprofit and nonpartisan group that’s putting on the conference.
Regulating Insurance Rate Hikes Could Be Costly
A funny thing happened on the way to passing a bill to regulate large health insurance rate hikes — it hit a wall of money.
The last hurdle in the state legislature for AB 2578 by Dave Jones (D-Sacramento) before getting its vote on the Senate floor was a quick stop in the Senate Committee for Appropriations. But on Thursday, the committee heard a cost analysis report presented by the Department of Managed Health Care that froze the legislation in committee — at least for now.
To implement the bill, the Department of Managed Health Care estimated the state would need to hire 110 high-priced actuaries, and an additional support staff of about 60 more people, at a cost of $23 million for the first year.
When Politics Becomes a Carnival
The annual California State Fair opened in Sacramento on Wednesday, and political activists from around the state gathered outside the Capitol Building to stage their own version of it.
They call it the Un-Fair.
Among the balloons and streamers on the South Lawn you could find the Wheel of Misfortune — where, no matter how hard you spin, the dial lands on a budget cut to a family service. There was the Pin the Tail on the Governor game, shell games for the kids and a fortune teller who apparently had a dark crystal ball and could only forecast bad outcomes.
California Put Center-Stage in National Debate
How much appetite do Californians have for ongoing talk about national health care reform? We are about to find out.
Two California members of Congress have recently proposed limiting or completely reversing the national health care reform law — which provoked an equal and opposite reaction among many state lawmakers. And it has become an issue in the race for a U.S. Senate seat in California, as well.
“I believe we should repeal the new health care law and replace it with real patient-centered reforms that reduce costs and improve access to quality care,” said Rep. Wally Herger (R-Chico).
Health Insurance Limited for Same-Sex Couples
Gay couples in California may have many of the rights of heterosexual married partners — but not when it comes to dependent health insurance coverage, according to a UCLA study released in the July issue of Health Affairs.
California is a state where registered domestic partnership laws extend marriage-like rights and responsibilities, where laws regulating health insurance and health plans require equal treatment of spouses and domestic partners.
But, according to the study, lesbian and gay couples have a difficult time collecting dependent coverage benefits outside of the public sector.
Hope Hits Streets to Get New Ideas
A new organization of health care leaders wants to talk through the problems of health care, but that doesn’t mean that’s all Hope Street Group wants to do.
“We are very much geared toward action,” Monique Nadeau said.
Nadeau, executive director of the new health-policy brainstorming organization, said Hope Street Group has tackled education issues in the past. The group now turns its attention to health care.
High-Risk Pool Gets Fast Track Treatment
California has been running its own high-risk insurance pool for the past 18 years. So the people running the Managed Risk Medical Insurance Board (MRMIB) are extremely familiar with the pressing need for the program throughout the state.
When the federal government offered up funds to significantly expand the number of people who could have access to a high-risk insurance pool, California officials jumped at it.
“There are a lot of people in California who really need this,” MRMIB’s Deputy Director of Legislative and External Affairs Jeanie Esajian said. “And it is something MRMIB has strived to do for a long time — 18 years. This gives us the opportunity to provide services for so many more people.”
Making the Most of State Mental Health Efforts
It would be tough to call it integrated medicine. According to public health experts, the state of mental health care in California is more like a crazy quilt of mixed treatments, limited funding and uncertain outcomes.
That’s precisely what the Mental Health Services Oversight and Accountability Commission hopes to change. The board was created by the Mental Health Services Act, passed by California voters in 2004. It convened Wednesday in Sacramento to iron out the details of how it hopes to evaluate the sprawling mental health system in California.
“This is a critical meeting for this commission,” said Larry Poaster, vice chair of commission.
Single Payer Bill Back in the Mix
The normally sedate audience at an Assembly health committee hearing broke into spontaneous applause last week as Senate member Mark Leno (D-San Francisco) stepped to the microphone. Leno was introducing SB 810, which would establish a single-payer health care system in California.
The burst of applause came from a busload of supporters in the hearing room. It has been a long, hard fight for single-payer advocates. Twice the idea has been approved by the state legislature, and twice it has been vetoed by the governor.
The single-payer system would bypass health insurance companies in California, handing the authority and responsibility of health care administration to the state. With passage of a national health care reform law, some expected the single-payer idea to wither on the vine. But at last week’s Assembly Health Committee hearing, it was alive and well.
Medi-Cal Waiver Gets Senate Committee Approval After Unusual Third Tier of Testimony
You know you’re in murky legislative territory when the format of a health committee meeting has to be changed to accommodate the complicated nature of the proposed bill.
In this case, it was AB 342 by John Perez (D-Los Angeles), which the Senate Health Committee eventually approved at its hearing last week. It is the companion Medi-Cal waiver bill to SB 208, which recently passed the Assembly Health Committee.
Usually, committees hear pro and con testimony, but for AB 342, Senate committee chair Elaine Alquist (D-Santa Clara) made a third category. “It’s a hybrid category just for this one bill,” Alquist said. “For those who are neither opposed nor support, but have concerns.”