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Press Coverage

Supervisors back a health proposal for uninsured children
Proponents hope it's just a start to universal coverage

Ventura County Star
October 5, 2005
By Kathleen Wilson

An effort aimed at providing health coverage for thousands of uninsured children--or where that's not possible, low-cost rates--won unanimous approval Tuesday from county supervisors.

The program stops short of universal health coverage, but supervisors said it would widen the net for uninsured youngsters.

"I think the strategy is super," Supervisor John Flynn said.

Rather than starting a universal insurance program at a cost of perhaps $5 million annually, county officials are proposing to cover as many children as possible through existing programs.

Estimates show that 27,000 of 32,000 uninsured children in Ventura County qualify for two government insurance programs: Medi-Cal and Healthy Families.

Starting Monday, county agencies are starting a pilot program in Santa Paula designed to simplify the process for enrolling in the two government programs.

Once kinks are worked out, it would be expanded to offices in Oxnard, Simi Valley and Ventura, said Curtis Updike, deputy director of the Human Services Agency.

Those who don't qualify would be informed about low-cost insurance offered by Kaiser Permanente, the well-known California HMO. While Medi-Cal and Healthy Families exclude undocumented children, Kaiser permits them as long as their parents make no more than 300 percent of the federal poverty level, about $58,000 for a family of four.

The Kaiser program also is open to legal residents and citizens whose incomes are too high for the government programs but too low to afford high-cost insurance.

For children who still don't qualify, the county hospital and its battery of clinics would offer discounted fees. Office visits would cost $10, prescription drugs $5 and an emergency room visit $25. The family income cannot exceed the 300 percent ceiling.

Health officials project spending $180,000 this year and $400,000 next year on the project, most of it from resources outside the county general fund.

No one spoke against the program, but leaders of an initiative to provide dental, vision, medical and mental health coverage for uninsured children said it's only part of the answer. The county system is set up to provide only medical and mental healthcare.

"We support the program as a starting point," said David Smith, the United Way chief executive officer who heads a steering committee of the Children's Health Initiative.