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California Might Kick 400,000 Kids Off Medicaid

Last year, legislators approved funding to fill a coverage gap. The law, however, was overridden by a ballot measure involving pay increases for doctors.

CalMattersm health care services
California voters passed Proposition 35 to increase Medi-Cal payments for various health care services. Here, a patient waits in line to pick up a prescription at La Clinica in Oakland on Sept. 26, 2019. Photo by Anne Wernikoff for CalMatters.
Each year nearly 400,000 children with Medi-Cal health insurance lose coverage for a period of time and then must re-enroll. Often they still qualify for publicly subsidized health care but get kicked off because of administrative errors or lost paperwork. Sometimes their families miss the income cutoff by a couple hundred dollars for a few months.

That’s a problem, advocates say, because early childhood comes with a host of vital health checks, vaccinations and developmental screenings. Without them, kids are at risk of falling behind on language development and social behaviors or missing early disease detection.

California tried to close that coverage gap in last year’s budget, but a November ballot initiative erased that investment even as it improved payments to doctors, clinics and hospitals that serve low-income households.

Now, children’s advocates are asking Gov. Gavin Newsom to try again and provide money for all low-income children to stay on Medi-Cal without renewal requirements until age 5 — but they concede it may already be too late.

The federal government must approve California spending Medi-Cal dollars this way, but the Trump administration’s executive order on federal spending and attempted funding freeze signaled an intent to make deep cuts to a variety of social safety net programs.

Still, advocates say they are moving forward with their request for Newsom.

“This is a clear opportunity to address systemic barriers that hinder Medi-Cal access,” said Mayra Alvarez, president of The Children’s Partnership, the organization leading the funding request.

Statewide, about 56% of all children rely on Medi-Cal insurance.

This story was first published in CalMatters. Read the original here.