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Thread: California Democrats plan to extend Medicaid [Medi-Cal] to illegal immigrants

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    California Democrats plan to extend Medicaid [Medi-Cal] to illegal immigrants 
    #1
    Professor Emeritus TheLoveBandit's Avatar
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    California Democrats plan to extend Medicaid to illegal immigrants

    A California lawmaker has pledged to re-introduce a bill that would allow adults who live in the state illegally to receive medical care paid for by the government.

    State Assembly member Joaquin Arambula, a Democrat and a doctor, announced the plans Monday as the legislature convened at the state capitol, according to the Los Angeles Times.

    Should the bill advance, California would become the first state to extend Medicaid coverage regardless of immigration status. State projections for last year's bill found that 1.8 million people in California are uninsured and reside there illegally; roughly 1.2 million would qualify for Medi-Cal, the name of the state's Medicaid program.

    The legislation is being introduced ahead of a new governor entering office. Gov.-elect Gavin Newsom initially had vowed to seek a single-payer healthcare system for the state, but tamped down his rhetoric later in the campaign, focusing instead on extending coverage to the uninsured. Single-payer systems refer to one source of payment for all medical services, usually the government.

    Arambula introduced a similar bill last session alongside state Sen. Ricardo Lara, but the final versions would have covered fewer people than they had both originally envisioned. They were narrowed to young adults, between the ages of 19 and 26, and to immigrants over the age of 65. Outgoing Democratic Gov. Jerry Brown refused to fund the provisions in the state budget.

    The latest plan would carry an estimated price tag of $3 billion a year, according to California's Legislative Analyst's Office, which would be paid for by the state's general fund. Medicaid is otherwise jointly funded by the state and federal governments.

    Critics have questioned whether people in the U.S. illegally would move to California to receive healthcare benefits, which would increase state spending.

    Under a Medicaid provision in Obamacare, anyone making less than roughly $17,000 a year qualifies for coverage. That provision, however, doesn't apply to people who are in the U.S. illegally. Emergency departments provide medical care for people regardless of immigration status.

    California has already extended Medicaid to people younger than 19 who are in the state illegally.
    A lot of the squawk I'm hearing has to do with Americans outside Cali being concerned for federal funds being used to support this. I didn't read that in the article, but sometimes my reading comprehension fails when it comes to things like this.

    Still, it does sound like it would make other illegals want to come to Cali for coverage, which will only exacerbate the budget issue. So how do you balance illegals without the rights of an American for coverage, against who pays for it.

    Not surprised at all to see Cali leading this initiative.
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    #2
    Bluelight Crew alasdairm's Avatar
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    how very christian of california...

    alasdair
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    #3
    ^ ^^ is that because...

    1. they allow illegals to roam free while giving them a heads up when I.C.E. is coming to town

    2. they have one of the most popular border crossings

    3. they need more hands to dig a canal for a new water supply cause the colorado river is almost dried up? (i got family out there, i've heard the stories)
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    #4
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    California, The Sanctuary State

    Edit: I think the state's general fund would supposedly to cover it. That's what I'm seeing in this probably highly biased article.

    Edit II: This legislation is unlikely to pass even in California.

    Although it probably reflects the reality that Emergency Departments are treating people without regard for immigration status (oh, of course they care) and being bankrupted in the process. It's possibly a hospital lobby pushing this piece of legislation.
    Last edited by cduggles; 06-12-2018 at 22:21.
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    It’s unfair to call medical our Medicare equivalent. My understanding is that federal Medicare is WAY better.

    Can we correct the title to “Medi-Cal” please. Slightly misleading.
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    #6
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    Interesting.

    Background: Covered California is federal Medicaid program (it's also the program to sort appplicants out, which is confusing), whereas Medi-Cal is both federally and state-funded.

    Medi-Cal is funded equally by state and federal funding.
    https://www.dhcs.ca.gov/services/Med...s/default.aspx

    Immigrants who are not lawfully present can apply through Covered California to see if they are eligible for health plan options through Medi-Cal, although the benefits may be limited.
    https://www.coveredca.com/individual...ed/immigrants/

    What is the difference in coverage between Medi-Cal and Covered California?

    Medi-Cal is health coverage, just like the coverage offered through Covered California. Medi-Cal provides benefits similar to the coverage options available through Covered California, but often at lower or no cost to you or your family. All of the health plans offered through Covered California or by Medi-Cal include the same comprehensive set of benefits known as "essential health benefits.” Essential health benefits consist of:

    • Outpatient (Ambulatory) services
    • Emergency services
    • Hospitalization
    • Maternity and Newborn care
    • Mental Health and Substance Use Disorder Services, including Behavioral Health Treatment
    • Prescription Drugs
    • Programs such as physical and occupational therapy (known as Rehabilitative & Habilitative Services) and devices
    • Laboratory services
    • Preventive and wellness services & chronic disease management
    • Children’s (Pediatric) services, including oral and vision care.


    A recent survey of Medi-Cal members by the California Healthcare Foundation (CHCF) found that 90% of respondents rate Medi-Cal as a good or very good program. Medi-Cal emphasizes prevention-oriented health care that promotes health and well-being and works to ensure members receive the right care at the right time.
    https://www.coveredca.com/medi-cal/


    Medi-Cal will be the mechanism by which the coverage offered to illegal immigrants is expanded.

    Therefore, I'll add a parenthetical to the thread title as the current thread title reflects the article name.

    OP, please let me know if this is problematic.
    Last edited by cduggles; 09-12-2018 at 23:42. Reason: I'm sure they used Medicaid because no one outside of CA knows these programs.
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    #7
    Professor Emeritus TheLoveBandit's Avatar
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    Nope, I appreciate the elucidation of distinction between the two.
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    It doesn't cover expensive brand-name only or expensive generic drugs. It seems like the most they'll cover is like $50. If it goes over they expect you to cover it out of pocket 100%.

    It's not like an Obamacare policy where I have subsidized health care where I only pay a copay for rx's; this is significantly better, especially if you have expensive rx's.
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