California pushes to expand immigrant health care
By By JUDY LIN (Associated Press)
Published : 11/30/2014 9:51 AM - The Sacramento Bee
SACRAMENTO, Calif. - President Barack Obama's executive order to spare some immigrants from
deportation has galvanized Democrats, immigration groups and health care
advocates in California to push for expanding health coverage to a segment of
the population that remains uninsured.
The president's action excludes immigrants who came to the country illegally
from qualifying for federal health benefits. But California has its own policy
of providing health coverage with state money to low-income immigrants with
so-called "deferred action" that allow them to avoid deportation. Immigrant and
health care advocates say that means Obama's executive order will enable
hundreds of thousands of low-income immigrants in California to apply for
Medi-Cal, California's version of Medicaid.
Anthony Wright, executive director of Health Access California, said allowing
this expanded group of immigrants to participate in the Medicaid program will
enable people to get primary and preventive care, "rather than just at the
emergency room."
The California Department of Health Care Services, however, has yet to
receive formal guidance. A state official said it's too early to tell how the
immigration program will impact the overall Medi-Cal program, which is consuming
an increasing share of state funds.
Medi-Cal is a health program for the poor paid for by the federal government
and the state. It has grown by about 3 million people in California under
federal health care reform and now covers more than 11 million Californians,
about 30 percent of the state's population. The federal government is paying for
the expansion, but the state will eventually pay 10 percent of additional costs
to cover low-income adults, many of whom are childless.
The state is expected to spend more than $17 billion of its own money on the
program this year, up 3.5 percent a year ago, according to the Legislative
Analyst's Office.
"We are assessing what some of the potential impacts could be, but it would
be premature for us to comment until we have more specific information
available," said Norman Williams, a spokesman for the Department of Health Care
Services.
The president's action has also emboldened a Democratic lawmaker to revive a
bill that would provide health coverage to all Californians, regardless of their
immigration status.
Sen. Ricardo Lara, D-Bell Gardens, plans to reintroduce his Health4All bill
on Monday to open Medi-Cal to immigrants, as well as extending subsidized health
benefits in a new insurance marketplace for those without legal status. The
proposal, which previously carried a cost as high as $1.3 billion a year,
stalled in a legislative committee last cycle and Republicans had criticized the
cost of the expansion.
"The president's action covers almost half of California's undocumented
population, but that still leaves over a million people with no access to health
care. We can do better. The bill will cover those remaining uninsured that will
not benefit from Obama's action," Lara said.
According to the Center for American Progress, a progressive think tank in
Washington, D.C., the president's action lifts the threat of deportation to as
many as 1.2 million immigrants living illegally in California. There are an
estimated 2.6 million people living illegally in the state.
The issue of benefits for immigrants who are illegally in the United States
is a sensitive one.
Joe Guzzardi a spokesman for Californians for Population Stabilization, a
Santa Barbara, California-based group that advocates for lower population, said
the state is already more generous toward immigrants than most states and adding
health coverage may attract more people to cross into California illegally.
"There are millions of Californians who don't have health care insurance or
have to pay for their health care insurance out of their own pockets. So it
seems unfair to have legislation that provides for people who came to the United
States unlawfully to be rewarded with a health care plan," Guzzardi said.
Gabrielle Lessard, a health policy attorney with the National Immigration Law
Center in Los Angeles, said it will be months before immigrants can apply for
the program and fewer will apply or qualify for Medi-Cal. She said it's also
unlikely that immigrants would overwhelm the Medi-Cal system because many would
be able to get health coverage through work or school.