Some of the specific cuts…

From the write-up of the Governor’s proposal for a 2009-10 budget.

The major General Fund policy adjustments include:

* A decrease of $275 million through elimination of the California Children and Families Commission and redirection of all state funds and 50 percent of local funds to support children’s programs administered by the Department of Social Services. This reduction would target resources to high-priority state programs that would otherwise require General Fund support, while also allowing some funding to be retained by counties to continue to fund local priorities. This proposal does not impact local fund reserves.

* A decrease of $24.7 million for suspending the statutory COLA for County Administration in the Medi-Cal Program.

* A decrease of $50.8 million in 2008-09 and $668.7 million in 2009-10 for various eligibility and benefit changes in the Medi-Cal Program, including:

* $39.4 million ($19.7 million General Fund) in 2008-09 and $258.8 million ($129.4 million General Fund) in 2009-10 by eliminating certain Medi-Cal optional benefits for adults, including dental, optometry, and psychology.

* $4.4 million ($9.4 million General Fund and increased federal funds of $5 million due to diminished recoupments) in 2008-09 and $64.6 million ($139.9 million General Fund and increased federal funds of $75.3 million) in 2009-10 by providing “limited-scope” benefits to newly qualified immigrants and immigrants who permanently reside under the color of law.

* $9.6 million ($4.8 million General Fund) in 2008-09 and $142.4 million ($71.2 million General Fund) in 2009‑10 by implementing month-to-month eligibility for undocumented immigrants unless a subsequent emergency ensues.

* $5.2 million ($2.6 million General Fund) in 2008‑09 and $176.4 million ($88.6 million General Fund) by reducing income eligibility for the Medi‑Cal 1931(b) program and modifying eligibility for two parent families by redefining under‑employment.

* $54.2 million General Fund and an increase of $54.2 million in federal funds in 2009-10 by reducing reimbursement rates for public hospitals and instead using the federal funds for particular public health programs.

* $28.6 million ($14.3 million General Fund) in 2008-09 and $371.6 million ($185.8 million General Fund) in 2009-10 by increasing the Medi‑Cal share of cost requirement to the 2001 eligibility level for the Aged, Blind, and Disabled program.

* A shift of $85.5 million from 2008-09 to 2009-10 to reflect a one‑month delay in checkwrite payments to Medi‑Cal fee-for-service providers. This proposal is in addition to a previously authorized two-week delay under current law.

Some of these numbers don’t look big at first, but these are policy changes, and the full impact of these cuts are not fully seen until a year or two out. In other words, for many of these cuts, the impact is much more severe.

Health Access California promotes quality, affordable health care for all Californians.

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