San Francisco Chronicle
Crisis for poor as Medi-Cal funds endElizabeth Fernandez, Chronicle Staff Writer
Wednesday, August 1, 2007
In an emerging crisis for California's elderly and poor, all Medi-Cal funding will be halted this week to an estimated 500 hospitals throughout the state and 11,000 nursing homes, hospices and adult day care centers.
Medi-Cal funds have run out because of the state's monthlong budget impasse, forcing community programs and other facilities into a frantic scramble to cover their bills. Some care facilities for the aged are making plans to close.
California has nearly 6.8 million elderly, frail and chronically infirm Medi-Cal beneficiaries, and many would be forced to find help elsewhere, or make do on their own, without emergency funding from the state Legislature.
But help is unlikely because both the Senate and the Assembly would have to approve an emergency bailout, and the Assembly has gone on summer recess.
"We have not been cut off from Medi-Cal funding before so early in the fiscal year," said Lydia Missaelides, executive director of the California Association for Adult Day Services. "The magnitude of this crisis is overwhelming."
Medi-Cal coffers ran dry last week when the state was scheduled to issue $223 million to managed-care providers. Instead, checks for only $143 million were issued.
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Assemblywoman Noreen Evans, D-Santa Rosa, predicted that Medi-Cal recipients will begin flooding hospital emergency rooms, "making the health crisis even worse ... (as) emergency rooms are already stretched to the breaking point."
She called the Medi-Cal crisis "highly irresponsible."
"It's outrageous that in a state as rich as California, we could have people dying on the street for lack of medical care," she said. "This is going to affect the disabled, seniors, children and the poor ... people are going to start to get hurt."
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