Title
a. Receive an update on Monterey County's Pilot Project for the Remaining Uninsured; and
b. Receive a proposal for providing expanded full scope primary care and ambulatory specialty services which would provide services including laboratory, diagnostic imaging, and limited generic drugs for $1.8 million for 2,500 individuals; and
c. Provide direction to staff whether to seek funding from Natividad Medical Center or redirect financing from General Fund operations to implement this program. (ADDED VIA ADDENDUM)
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Receive an update on Monterey County's Pilot Project for the Remaining Uninsured; and
b. Receive a proposal for providing expanded full scope primary care and ambulatory specialty services which would provide services including laboratory, diagnostic imaging, and limited generic drugs for $1.8 million for 2,500 individuals; and
c. Provide direction to staff whether to seek funding from Natividad Medical Center or redirect financing from General Fund operations to implement this program.
SUMMARY/DISCUSSION:
The Affordable Care (ACA) was enacted to provide Medicaid (Medi-Cal) and other coverage options through the exchange to many low-income individuals with the goal of decreasing the number of uninsured individuals. However, many Monterey County residents remain uninsured and unable to pay for costly medical care, procedures and prescription medications. Of those uninsured, it is estimated that there are approximately 30,000 to 50,000 residents without any medical insurance living in Monterey County due to their documentation status. In order to address similar uninsured gaps state-wide, the Governor and the State Legislature agreed upon a budget that funds full scope Medi-Cal coverage for eligible undocumented California residents from age 0 - 19 which took effect May 2016. In Monterey County about 6,000 children were enrolled in managed Medi-Cal at that time still le...
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