Santa Clara County eyeing expansion of its health insurance program

Santa Clara County supervisors will vote Tuesday on a proposal that would open up up the county’s healthcare plan eligibility requirements for an further approximated 30,000 inhabitants in an energy to chip absent at the number of uninsured men and women in the region as properly as lessen costs for individuals on limited budgets in an place recognised for high living costs.

The county’s Principal Treatment Access Plan, or PCAP, at present serves 8,000 grownups and is offered for these with an earnings of a lot less than 200% of the federal poverty line, or $53,000 per year.

The proposal from Supervisors Otto Lee and Joe Simitian would double that profits cap to $106,000. Currently, the county’s median loved ones revenue is $151,300, 1 of the optimum in the total region.

“Maybe they are that ‘missing center,’” stated Simitian at a Tuesday press meeting about residents who could locate on their own suitable. “Folks who make what we imagined was a decent, center course wage back in the day but now uncover in our substantial-charge valley that with the superior price of health care and health insurance plan, they can’t access the aid they require.”

Although the growth only needs a person much more supervisor’s acceptance on the board to move, Simitian mentioned he’s self-confident he’ll get a unanimous vote.

Authorised in 2015 by the supervisors and started off in 2017, PCAP is an solution for people who aren’t suitable for state programs like Included California or federal ones like Medicare. The county method offers primary care protection, eyesight, dental, behavioral wellness expert services and specialized care at Valley Medical Heart in San Jose.

PCAP prices the county $5 million for each calendar year, a tiny slice of their $9.2 billion budget, and the enlargement of eligibility would most likely demand an added $10 million, in accordance to County Executive Jeffrey Smith. That amount, however, could be reduce, mentioned Smith, if people in search of PCAP find out they are qualified for state or federal applications.

He added that the county’s health care system could also conclusion up possibly conserving funds with the growth of PCAP if extra people are browsing their medical professionals fairly than relying on the county’s emergency rooms as their main way to get assist.