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<<   作成日時 : 2008/12/21 01:54   >>

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画像 First 5 California 協議会が、無保険の162,000人の子どもの差し迫った登録制限回避のため1680万ドルを提供することを可決し、貧困者用の州の健康保険プログラムは一時的救済をうけた。
 Healthy Families Programで子どもは来年6月まで登録継続可能となる。
 議会では2010年中頃には418億ドルもの予算不足をどうするか打開の道がないため、子どもへの支援はただの間に合わせにすぎない。問題の深刻さは、156億ドルという法律で許される最小レベルまで教育・医療・福祉予算を削減せざるを得ない状況にある。今後1年半で106億ドルの学校予算削減をし、州立大学とコミュニティ・カレッジでのクラスサイズの増加、福祉支援の10%カットが計画に含まれている。
 共和党案では、1998年にタバコ税を投入したFirst 5 からの21億ドルも含めて、子どもや精神障害者の医療支援のための予算から60億ドル削減を求めている。
 共和党案の総額221億ドル削減案は、州政府と民主党からの提案より額が大きく、予算不足額の半分以上にあたる。共和党は増税には反対し続けており、この削減計画が有効と主張している。
 共和党案には企業への税額控除、温室効果ガス排出制限の延期、農業産業に対する規制柔軟化、学校の搬送やカフェテリアに私的業者と契約する許可などが含まれている。
 民主党は具体化のできない幻想で、一見して危機に対しての深刻な反応に見えないとして、この案に反対している。
 Healthy Families に対する登録制限は、予算危機下での最初の効果を期待された。管理するManaged Risk Medical Insurance Boardは、連邦貧困レベルよりわずかに収入の多い家族の子ども900,000人に医療保険を提供しているプログラムの新たな登録の制限を水曜日の会合で決定する予定だった。First 5 からの予算は6才未満の子どもの登録に使われる。
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State's Healthy Families program gets a last-minute lifeline
http://www.latimes.com/features/health/la-me-budget16-2008dec16,0,7343533.story

A $16.8-million check from First 5 California would allow the children's health insurance program to keep enrollment open through June. GOP leaders suggest $15.6 billion in cuts to schools, healthcare
By Jordan Rau
December 16, 2008
Reporting from Sacramento -- The state's healthcare program for the working poor received a temporary reprieve Monday when First 5 California's board voted to provide $16.8 million to avert imminent enrollment restrictions that were expected to leave 162,000 children without medical coverage in the next six months.

The money will allow the Healthy Families Program to continue enrolling children through the end of the fiscal year in June instead of capping enrollment, as state officials planned to do Wednesday.

But the unexpected intervention, hailed by children's advocates, is only a stopgap measure as the Legislature remains deadlocked over how to erase a budget gap that is projected to reach $41.8 billion by mid-2010.

The severity of that problem was highlighted as Republican legislative leaders, who have been under attack for not offering their own solution, endorsed cutting $15.6 billion in funding for schools, healthcare for working-class families, and welfare, reducing many of these programs nearly to the minimum levels allowed by law.

The plan includes a $10.6-billion cut in school spending over the next 1 1/2 years, increases in class sizes at the state's universities and community colleges, and a 10% reduction in welfare grants.

The GOP plan would also seek voter approval to take $6 billion from pots of money the electorate set aside to bolster healthcare for children and the mentally ill -- including $2.1 billion from First 5, which voters created in 1998 and funded with a portion of the tobacco tax. Republicans want to divert that money to help pay for existing programs in those areas.

The $22.1 billion in combined savings from the GOP proposal, while larger than alternatives offered by either the governor or the Democrats who hold the majority in the Legislature, would still address only a little more than half of the anticipated budget gap.

Assemblyman Mike Villines of Clovis and Sen. Dave Cogdill of Modesto, the Republican leaders, said that they continue to oppose raising taxes, and that the plan would go a long way toward dealing with the state's long-term budget troubles. "If we had any of this in place, the problem wouldn't be as bad as it is today," Cogdill told reporters at an afternoon news conference.

The GOP plan also included some of their longtime priorities, including tax credits for businesses, but did not include the costs to the state's treasury. It listed other breaks for businesses, including delays in requirements for companies to meet new rules intended to limit greenhouse gas emissions, "regulatory flexibility" for the agriculture industry, and allowing schools to hire private contractors to handle transportation, cafeterias and other services.

The Republicans said they wanted to avoid future budget crises by limiting future state spending growth to inflation and population increases, which currently amount to about 5%, and expanding the state's reserve account to help the state in tough times.

Aaron McLear, the governor's press secretary, said the plan was "not a negotiated compromise" but a "rehash" of past GOP ideas.

Democratic leaders said they would hold hearings on the proposal, but made clear they found the GOP's ideas unsatisfactory. Senate President Pro Tem Darrell Steinberg (D-Sacramento) said the plan relied on "phantom revenues that may never materialize," and Assembly Speaker Karen Bass (D-Los Angeles) said that "at first glance it appears this proposal is not the serious response this crisis requires."

The enrollment restrictions for Healthy Families was expected to be one of the first concrete effects of the budget crunch. The Managed Risk Medical Insurance Board, which runs the program, had scheduled a meeting Wednesday to limit new enrollments in the program, which provides medical insurance for 900,000 children whose families are slightly above the federal poverty line.

The money from First 5, which is charged with improving healthcare for young children, will be used for enrollment of children under 6.

Kris Perry, executive director of First 5 California, said the idea came about after her group was approached by Healthy Families leaders looking for a way to avoid the cuts. The board is expected to accept the financing offer Wednesday.

"If this goes through, it would be a lifeline to tens of thousands of kids who wouldn't be able to see a doctor otherwise because they don't have health insurance," said Wendy Lazarus, co-president of Children's Partnership, a Los Angeles-based advocacy group. "It is just critical that we protect kids whose parents need to turn to our state's health insurance programs because they're losing their jobs or they can't pay."

Rau is a Times staff writer.

jordan.rau@latimes.com

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Dear Friend of First 5 California,

More than half a million children are born every year in California. In each life is an unlimited amount of potential -- to grow-up healthy, to do well in school and to succeed. First 5 California believes in tapping into that potential during a child’s earliest years and working to ensure that all children are given the opportunity to thrive.

That’s why we’re here. First 5 California and 58 County Commissions throughout the state work to improve the lives of children from the time they are in the womb until they enter kindergarten.

Research shows that a child's brain develops most dramatically during the early years of life. We’ve worked hard to educate parents and caregivers about the important role they play in their children’s first years. First 5 California’s programs are designed to meet its goal of ensuring more children are born healthy, raised in nurturing homes and ready to succeed in school.

We are moving mountains. From providing educational resources for expectant parents to expanding preschool opportunities throughout the state, at First 5 California we are successfully meeting our goal of serving all California’s children regardless of their ethnic, geographical, socio-economic, or immigration status, and including children with disabilities and other special needs. It is our duty to remain bold, committed and focused. And when we succeed, we succeed together. After all, our children depend on it.

We are proud of First 5 California’s accomplishments to date, but our job is certainly not done. We are confident that we will meet the new challenges that await us and that we will succeed in giving California's youngest children the futures they deserve.

Thank you,

David Kears
Vice Chair, First 5 California Children and Families Commission

Kris Perry
Executive Director, First 5 California

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