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San Jose
Mercury News
June 11, 2004
Bolstering programs
for children
WAIVER TO INCREASE
HEALTH INSURANCE ACCESS
By Barbara Feder Ostrov
Mercury News
Santa Clara County will be able to virtually wipe out its 800-child
waiting list for its Healthy Kids insurance program, thanks to a
special waiver from the federal government announced this week.
San Francisco, San Mateo and Alameda counties also will be able
to expand similar programs that provide subsidized health insurance
for children who do not qualify for other government health programs
including Healthy Families or Medi-Cal.
As many as 5,000 California children in the four counties could
receive health insurance because of the expansion, according to
a news release issued Thursday by the U.S. Health and Human Services
Department.
"It's really good news for kids,'' said Leona Butler, CEO
of the Santa Clara Family Health Plan. "All those children
who aren't getting care are going to be able to get it.''
The federal government will pay 65 percent of the cost of expanding
the programs, while the counties will pay 35 percent, Butler said.
California, in the midst of a budget crisis, will not be involved
financially but state officials will help oversee the expansion,
she said.
Butler estimated that Santa Clara County's Healthy Kids program,
which serves about 13,000 children, could receive an additional
$746,000 in federal money each year.
Healthy Kids programs provide heavily subsidized medical, dental
and vision coverage for children whose families earn up to 300 percent
of the federal poverty line, now $18,850 a year for a family of
four.
Parents typically pay $4 to $12 a month in premiums -- a small
share of the estimated $85 monthly cost a child, Butler said. In
Santa Clara County, Healthy Kids costs about $13.5 million a year
and is financed by tobacco-tax and tobacco-lawsuit-settlement money,
as well as foundation grants.
Santa Clara, San Francisco, San Mateo and Alameda counties were
the first to start Healthy Kids-type programs, but other counties
have since followed suit.
The four county programs allow enrollment of undocumented children
who are not eligible for Healthy Families or Medi-Cal, Butler said.
They also enroll children from families who earn too much to qualify
for Healthy Families or Medi-Cal.
The new federal money can only be used to defray health insurance
costs for documented children in the Healthy Kids programs, Butler
said. But it will bolster local funds, expanding coverage for all
children, she said.
For more information about the Healthy Kids, Healthy Families and
Medi-Cal programs, call the Children's Health Initiative of Santa
Clara County at (888) CHI-5222.
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Contact Barbara Feder Ostrov at bfeder@mercurynews.com or (408)
920-5064.
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