| Cap on Enrollment in the Healthy Families Program |
| Capping HFP enrollment at the January 1, 2004 level results in a $31.5 million General Fund savings. Children would be placed on a waiting list and would not be allowed to enroll in HFP until attrition occurs. Estimates indicate that over 100,000 children, many with chronic conditions, will be waiting for HFP coverage by the end of FY 2005-06. |
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| Two-Tiered Benefit Packages in Healthy Families |
Restructure HFP into a two-tier benefit system in 2005-06. This approach would require families with incomes between 200-250% of FPL to contribute a greater share of cost for their children's continued coverage beyond basic services. Subscribers would be offered two types of benefit packages:
- A basic benefit package at current premium levels; and
- A comprehensive package would include health, dental, and vision coverage and require subscribers to pay higher monthly premiums. Details on the higher premiums have not been outlined.
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| Block Grant to Counties for Immigrants in Healthy Families |
The Administration proposes including HFP for Legal Immigrants in a block grant to counties to provide safety net services. This block grant would shift to individual counties the responsibility to provide health care to 20,000 low-income immigrant children.
With many counties lack the complex infrastructure needed to provide the health care needs of these children, it is unlikely that these children will continue to receive the same level of care as those that remain in the HFP.
Furthermore, the Administration provides no safeguards to ensure an appropriate level of services will continue to be available. A static block grant cannot keep pace with the rising costs of health care — as costs continue to rise, counties will be forced to reduce services to these children. |
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