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January 11, 2010
In this email:
Budget Update
National Human Trafficking Awareness Day
Letter to the Editor
Update on SB472
Citizens Redistricting Commission
RubixCube
Budget Update

The Governor's January Budget read much like the last one, complete with devastating cuts to health and human services and a "trigger" if more federal funds are not forthcoming. What the Governor has done is continue with last year's budget cycles assault on health and human services. The delivery and timing have been altered, but the essence is the same. The following summarizes the most significant cuts to health and human services. Look for LCHC's complete budget analysis to follow in the coming weeks.

 

The Governor's  Budget:

"You've got to be kidding me?"
-President Pro Tem Darrell Steinberg
 

The big picture frames a $19.9 billion budget gap. This includes a $6.6 current year shortfall, a $12.3 billion budget year shortfall and a $1 billion reserve. The particulars:
  •   $6.9 billion deficit projected from the 2009 budget
  •   $3.4 billion due to revenue decline
  •   $4.9 billion due to federal and state litigation
  •   $2.3 due to erosions of previously enacted solutions
  •   $1.4 due  to population and case load growth
  •   $1 billion to rebuild budget reserve

Spending Reductions to Health and Human Services

Medi-Cal
-$750 million in cuts to Medi-Cal that placing limits on services, higher copays and /or premiums and other programmatic changes. -$118 million cut resulting from the elimination of full scope Medi-Cal for Newly Qualified Immigrants (effective March 1, 2010). This is not including  $104 million resulting from the elimination of Adult Day Healthcare benefits, also taking effect March 1, 2010. Another $28.7 million by reducing the rate increase for family planning services, restoring them to 2007 levels.

Healthy Families
$10.5 million cut in 2009 and $63.9 million in 2010-11 by rolling back eligibility to Healthy Families from 250 to 200 percent of the federal poverty level (FPL). -$21 million decrease by eliminating vision benefits and increasing monthly premiums for families between 150 and 200% FPL-- by $14 per child or $42 maximum increase per family with 3 or more children.

In-Home Supportive Services
A reduction of $77.9 million on 2009-10 and $872.6 million in 2010-11 by limiting services to those with the highest level of need, reducing the amount the state contributes to the locally negotiated wages of IHSS workers to the state minimum wage of $8.00 hourly.

CalWORKS
$146 million cut by reducing monthly grant payments by 15.7%, reducing the level at which the state reimburses child care providers and eliminating the Recent Noncitizen Entrants program which provides CalWORKS benefits to legal immigrants in residence for less than five years.
 

Additional Health and Human Services Cuts

$306.9 million by reducing benefits for recipients of SSI/SSP;

$60 million by eliminating the California Food Assistance Program;

$200 million by reducing support for Regional Centers;

$18 million by eliminating the Substance Abuse Offender Treatment Program.
 

The Trigger Effect

All of the above cuts are the baseline cuts that will occur with or without an influx of federal funds.  In the event that the Governor is unable to procure additional federal funds, the following cuts will occur, some immediately, others will require voter approval.

Medi-Cal
Reduce Medi-Cal eligibility to the minimum allowed under current federal law (about 72% of the Federal Poverty Level for most adults and 133% FPL for children and pregnant women). It would eliminate coverage for 700,000 Californians after January 1, 2011, when ARRA restrictions to these cuts would no longer apply. 250,000 would lose coverage in the first six months. Elimination of many Medi-Cal programs such as the Family PACT program for family planning services, the CHDP Gateway for transitional children's coverage, Breast and Cervical Cancer Treatment Program, and the Medically Indigent long-term care program. Elimination of many of the remaining optional benefits such as those that cover medical necessities like diabetic test strips and prosthetic limbs.

Healthy Families
$126 million in cuts and total elimination.

CalWORKS
$1.044 million in cuts and total elimination.

IHSS
$495 million in cuts and total elimination.

 
Trigger cuts to other health services

Elimination of Proposition 63 programs (Mental Health Services Act), by shifting the $847 million to fund existing mental health services; Elimination of Proposition 99 funded health services such as Access for Infants and Mothers (AIM), Every Woman Counts, and others.
 
LCHC will continue to advocate for the needs and services of the Latino community in this year's budget. For more information, please contact LCHC staff.

RubixCube
January 11, 2010
National Human Trafficking Awareness Day


Estimates are that as many as 800,000 people caught in this modern day form of slavery every year -- up to 50,000 are believed to be moved annually into the United States.  In fact, human trafficking is the fastest growing crime in the world and is closely tied to the international arms trade.

Women and children are the most common victims -- many forced into the sex trade or attempting to work off "debt": which keeps growing so that the victims can never work it off.

It is not necessary for a victim to cross a border. Women and children, who are domestically trafficked for prostitution and/or forced labor within their own countries, are considered trafficked. Youth under 18, who are involved in prostitution, are also considered trafficked.

Human trafficking is the second largest criminal industry in the world after drug dealing, and is the fastest growing industry.

How might one identify a victim?
  •   Has inexplicable physical injuries.
  •   Shows a great deal of fear and/or signs of severe trauma.
  •   Is unable to speak English, but has a companion speak for her/him, despite the presence of neutral interpreters.
  •   Is unable to go out or move about freely or alone.
  •   Has moved housing locations frequently.
If you think or suspect that someone is a victim of human trafficking, call the Trafficking Information/Referral Hotline: 1-888-3737-888.

For more information on human trafficking visit www.acf.hhs.gov/trafficking.

Letter to the Editor

LCHC has been hard at work advocating and promoting Latino health.  Below is a recent submission to the Sacramento Bee in response to an article with a firm stance on personal responsibility.  Click here for a link the the article below.


Poverty's Role in Child Obesity
The Sacramento Bee, Letter to the Editor, Published: January 4, 2010

Re "Parents are the key to helping kids trim down" (Editorial, Dec. 27): As a major Latino health organization, we believe the Sunday editorial about obesity in children is cause for consternation among advocates of healthy weight in school age children.

That a major metropolitan newspaper could not see how the deck is stacked against parents is disappointing. After admitting or correctly pointing out that many poor neighborhoods are saturated with fast-food restaurants, in the very next sentence The Bee's editorial board conclusively declared, "But it's not poverty that makes kids fat."

While parents share the main bulk of responsibility, The Bee's editorial missed some key important points. It also failed to acknowledge the insidious role that poverty plays in severely limiting good choices and restricting access to recreational facilities and open space.

The reality is that many parents do not feel safe walking to the grocery store or allowing their children to ride their bicycles to school or walk alone, and that goes for middle class neighborhoods as well.

- Al Santana, Sacramento
Executive Director, Latino Coalition for a Healthy California


Update on SB472(Corbett) - Standardization of Labeling Requirements
of Prescription Drugs

 
On January 4, the Latino Coalition submitted comments on proposed regulations issued by the California State Board of Pharmacy to comply with SB 472 (Corbett), Ch. 470, Statutes of 2007. 

The bill, sponsored by LCHC two years ago, required the board to standardize prescription labels so that they are more patient-centered.  Designed as a consumer protection measure, the bill signed into law ensures that prescription labels will be designed and translated in languages that respond to the needs of Spanish-dominant speakers and other groups in California.  The implementing regulations would require the publication of translations of directions on the board's web site in "at least five languages other than English." 

LCHC recommended that translations should be available in all Medi-Cal threshold languages and to take into consideration regional differences in language diversity.  The LCHC letter also made several suggestions concerning font type, size and other issues affecting the readability and comprehension of printed labels.  Readability is of special concern to the visually impaired, especially those elderly patients with the added challenge of learning a new language. 

For LCHC to intervene in the regulatory process was important to reduce medical errors and promote language access, assuring that LCHC continues to exercise leadership in that area. This step comes at a time when the Board is mandated to report to the Legislature on the implementation of SB 472.  The Board of Pharmacy is the regulatory body that approves final regulations; it will hold an open hearing in Sacramento to hear additional public testimony on January 20, 2010. 

Meeting materials will be available on the board's Web site at www.pharmacy.ca.gov by January 15, 2010.  If you would like to see a copy of the LCHC letter submitted to the board, please click here.

WeDrawTheLines
Citizens Redistricting Commission

Real Power for Real People

 
California voters have given themselves a big new job - and the state is about to start looking for the right people to do it. Why not you?
 
Under Proposition 11 - the Voters First Act - the once-a-decade job of drawing new districts for the state Senate, Asembly and Board of Equalization will go to 14 voters chosen to serve on California's first Citizens Redistricting Commission.
 
The commission puts real power with real people - political candidates, lobbyists and big political donors can't serve. The commission will be made up of five Democrats, five Republicans, and four members from neither party - so every view will have a voice.
 
It's easy to apply. Go to www.WeDrawtheLines.ca.gov for details and more information.
Applications will be accepted on-line between December 15, 2009, and February 12, 2010.

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