HomeMy WebLinkAboutMINUTES - 05221990 - 1.4 (2) • 1-04®
TO: BOARD OF SUPERVISORS SE L
f. Contra
FROM: •�� �
Phil Batchelor, County Administrator
Costa
County
DATE: May 11 , 1990
SUBJECT: LEGISLATION - AB 3223 (Campbell)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECONMENDATION
Indicate that the Board of Supervisors continues to be the
SPONSOR of AB 3223 by Assemblyman Campbell which would provide
guaranteed eligibility for a woman who is pregnant when she joins
the Contra Costa Health Plan (CCHP) or who becomes pregnant while
a member of the CCHP for the balance of her pregnancy and for six
months thereafter.
BACKGROUND:
on March 20 , 1990 the Board of Supervisors indicated that it was
the sponsor of AB 3223 . On April 16 , 1990 the bill was amended.
One of the major problems facing health care institutions today
is the fact that many low income women do not seek or have access
to prenatal medical care when they become pregnant. In far too
many cases the woman presents herself at a hospital emergency
room while in labor. This failure to seek proper prenatal care
tends to lead to more problem pregnancies, more low birth weight
babies and more babies with diseases which could have been
treated better if they had been discovered earlier.
The public frequently ends up paying for these cases for years
into the future as the children require more attention,
assistance and special services when they get into school,
CONTINUED ON ATTACHMENTyeS YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE S: 2&ya If
ACTION OF BOARD ON May 22, 1990
APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
M
CC: ATTESTED MAY 2 2 1990
PHIL BATCHELOR,CLERK OF THE BOARD OF
Please see Page 2. SUPERVISORS AND COUNTY ADMINISTRATOR
c
M382 (10/88)
BY DEPUTY
1
require more medical care than other children - which the parents
often cannot afford, and are denied the opportunity to: live up to
the potential he or she could have had.
In addition, there are cases where a woman joins the Contra Costa
Health Plan solely to cover the costs of delivery and then
disenrolls, leaving. the Health Plan with all of the delivery
costs and perhaps one or two months premiums from Medi-Cal to
cover all of the attendant costs.
In an effort to improve the health of the mother and child and
reduce the financial burden on the Contra Costa Health Plan,
Assemblyman Campbell has agreed to introduce AB 3223 which
provides a woman who becomes pregnant while a member of the CCHP
or who is pregnant at the time she joins the CCHP, continued
Medi-Cal eligibility through the balance of the pregnancy and for
a six month period thereafter. This will provide time to
establish a continuity of care, hopefully provide adequate
prenatal care and insure that the baby and mother have the best
start in life possible. It will also insure that the Health Plan
has more revenue with which to cover the costs of delivery,
thereby making the Health Plan more viable financially.
The April 16 , 1990 amendments provide an assurance that the woman
has a choice as to whether to be locked-in to membership in the
CCHP for a six month period by requiring that the woman be
advised in writing that if she joins the CCHP while pregnant or
if she becomes pregnant while a member of the CCHP she must
remain in the CCHP for the duration of her pregnancy and a
six-month period thereafter.
The concept of this legislation is included in the Board' s 1990
Legislative Program. In view of the fact that Assemblyman
Campbell has agreed to introduce AB 3223 on behalf of the Board
of Supervisors it is appropriate for the Board to indicate that
it continues to be the sponsor of AB 3223 .
cc: Assemblyman Robert Campbell
County Administrator
Health Services Director
Executive Director, CCHP
Les Spahnn, SRJ. Jackson, Barish & Associates