KPCC: California Counties and state lawmakers reach provisional plan for Medi-Cal expansion

Julie Small | June 13th, 2013, 6:00am
Thousands Attend Free Temporary Health Clinic In Los Angeles

Kevork Djansezian/Getty Images

Thousands of uninsured patients attend a free temporary health clinic In Los Angeles.

After months of wrangling over how to pay to expand Medi-Cal–California’s  health care program for low-income residents–counties and state lawmakers have sketched out a formula for splitting the costs.

California opted to expand Medi-Cal by more than a million people next year as part of federal health care reform.  

In exchange, the Brown Administration asked counties to relinquish hundreds of millions of dollars they get from the state each year to treat the poor at public hospitals and clinics.  The thinking was that counties costs would drop because many of those people would be eligible for Medi-Cal.

But local officials pushed back.

LA County lobbied for a cost-based formula for figuring out how much money, if any, counties should give back. 

“The most important thing for L.A. County was to have an agreement with the state where our costs are taken care of as it relates to the Medi-Cal expansion in addition to making sure that our safety net is sustained, ” county Assistant Chief Executive Officer Ryan Alsop said Wednesday.

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  • LAAAC is managed by St. Barnabas Senior Services; Funded, in part, by Archstone Foundation.
  • St. Barnabas Senior Services

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