Title
a. Receive an update on Monterey County's, Esperanza Care Pilot Project for the Remaining Uninsured; and
b. Provide direction to staff concerning the enrollment cap.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Receive an update on Monterey County's, Esperanza Care Pilot Project for the Remaining Uninsured; and
b. Provide direction to staff concerning the enrollment cap.
SUMMARY/DISCUSSION:
The Affordable Care Act (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 response to this need, the Board of Supervisors approved an allocation of $500,000 of General Fund dollars establishing the County's Pilot Project for the Remaining Uninsured to provide limited scope pharmaceuticals, laboratory tests and radiology services as presented by staff in collaboration with COPA (Communities Organized for Relational Power and Action). The services were provided by Natividad Medical Center (NMC) and the Health Department's Federally Qualified look-alike health clinics which are mandated by HRSA (Health Resources and Services Administration), to provide medical care to all patients regardless of ability to pay. The Pilot Project was in effect from November 2015 through September 2017 and served over 2,000 individuals.
In May 2017, the Board of Supervisors directed staff to expand the program to full scope primary care and ambulatory specialty services, including laboratory, diagnostic imaging and limited generic drugs with a budget of $1.8 million for 2,500 individua...
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