until they are legal citizens they have no claim to our social
services

On Aug 15, 12:33 pm, dick thompson <[email protected]> wrote:
> http://www.boston.com/news/local/massachusetts/articles/2009/08/15/30...
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>
>   Immigrants to soon lose state health insurance
>
>     Interim plan will cover ER and limited services
>
> By Kay Lazar
> <http://search.boston.com/local/Search.do?s.sm.query=Kay+Lazar&camp=lo...>
> Globe Staff / August 15, 2009
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> Thirty thousand legal immigrants have begun receiving letters informing
> them that their state-subsidized health insurance is ending Aug. 31 and
> will be replaced by a patchwork system of care until Massachusetts
> officials can piece together a more comprehensive plan for the most
> critically ill.
>
> <http://www.boston.com/news/local/massachusetts/articles/2009/08/15/30...>
>         Discuss
> COMMENTS (106)
> <http://www.boston.com/news/local/massachusetts/articles/2009/08/15/30...>
>
> "We know that this may be a hard time for you,'' states an accompanying
> note from Dr. JudyAnn Bigby, secretary of Health and Human Services. "We
> are committed to finding some way of covering at least some of the costs
> of your medical needs.''
>
> Left unanswered is what sort of coverage this group will receive and
> ultimately what it will cost taxpayers.
>
> The state's interim plan only covers emergencies and other limited
> services, leaving advocates worried about the welfare of these
> immigrants. Under the plan, immigrants will be receiving emergency care
> in hospitals and a limited number of other services through community
> centers under two state programs, the Health Safety Net and MassHealth
> Limited.
>
> * *It is unlikely that they will be able to continue receiving coverage
> for routine or preventive care from their current doctors.
>
> Advocates working with the administration said yesterday that state
> officials are concentrating on a longer-term plan that will use
> available funds to provide care for those who are the most seriously ill
> with cancer and chronic conditions such as diabetes and heart disease.
>
> "Other people who need treatment or need to be diagnosed or get tests,
> we don't know what type of coverage they may be able to have,'' said Eva
> A. Millona, executive director of the Massachusetts Immigrant and
> Refugee Advocacy Coalition.
>
> The federal government does not help pay for treating these 30,000
> "special status'' immigrants, typically people who have been here less
> than five years and are not yet citizens, and thus they are more
> expensive for the state to insure. Many states have dropped coverage for
> this class of immigrants, but until now, Massachusetts had continued to
> provide comprehensive care.
>
> Facing huge budget gaps, lawmakers and Governor Deval Patrick's
> administration battled much of the spring over coverage for immigrants,
> with Patrick insisting that these tax-paying residents were entitled to
> full care. Last month, the Legislature approved $40 million for
> immigrants' care, $90 million less than the governor requested in his
> original proposal. The administration then said that $40 million was not
> "sufficient to maintain meaningful coverage or to develop a scaled-back
> program.''
>
> Yesterday, Patrick administration spokeswoman Cyndi Roy said in an
> e-mailed statement that the administration is "still determining how
> best to use the $40 million.'' She declined to elaborate.
>
> When state lawmakers approved the $40 million, they required state
> officials to come up with a plan for using it. If they were unable to,
> the bill said, the money could be transferred to the Health Safety Net
> program, which reimburses hospitals and community centers for care given
> to the uninsured poor.* *The Legislature also stipulated that the
> Patrick administration could not spend any more than $40 million for the
> entire group of immigrants through next June.
>
> Brian Rosman, research director for the consumer group Health Care for
> All, said yesterday that $40 million is not nearly enough to pay for the
> coverage outlined in the letters to immigrants, and that the
> administration will probably need to seek additional money from the
> Legislature by the spring.
>
> Analysts have warned that next year's state budget may need to be even
> tighter than the current spending plan, because the current budget
> relies on one-time federal stimulus money and state reserves.
>
> Part of the state's interim coverage plan for this group relies on
> emergency care delivered through hospitals under the Health Safety Net
> program. Under law, hospitals cannot turn away patients seeking
> emergency care, and Rosman said the hospitals' tab could grow hefty.
>
> "If demand for services exceeds money available, the law provides for
> making proportional cuts to all hospitals,'' he said. "For hospitals on
> the front line, that means being underpaid for their services, and that
> gets made up in the long run by higher insurance costs for everyone else.''
>
> /Kay Lazar can be reached at [email protected] <mailto:[email protected]>. /
>
> © Copyright 2009 Globe Newspaper Company.
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