Re: Maryland Plans Medicaid Benefits Reduction for Pregnant Legal Immigrants, Children
From: Joanne Bulley, MD (islesannie@yahoo.com)
Thu Jun 23 22:09:40 2005
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Anna - I absolutely agree with you -- this is not even "penny wise and
pound foolish" - it is all around foolish - to deny prenatal care
"because they have been in the USA for 5 or fewer years" ... is to
sepnd lots more on what happens due to no prenatal care than it would
have to provide prenatal care and intrapartum care in the first place.
I think we really are a country of rich idiots these days!
Joanne
At Wed, 22 Jun 2005, Anna Meenan, MD wrote:
>
>So, adjoining states will experience an influx of pregnant legal
>immigrants, or the local ER's and L&D's will experience an influx of
>pregnant legal immigrants who have not had prenatal care. What a plan.
>In Illinois they've determined that it's cost-effective to provide
>prenatal care even for illegal immigrants, since they are carrying
>future US citizens, whose future medical care gets much more expensive
>if mom doesn't get prenatal care.
>
>--
> Anna Meenan, MD
>
>At Wed, 22 Jun 2005, φΉ@?wR. Daniel Braun wrote:
>>
>>.
>>
>>Maryland Plans Medicaid Benefits Reduction for Pregnant Legal Immigrants,
>>Children; Legislature Proposes Maintaining Coverage
>>
>>Access this story and related links online:
>>http://www.kaisernetwork.org/daily_reports/rep_index.cfm?DR_ID=30917
>>
>>Beginning July 1, Maryland no longer will provide Medicaid benefits for pregnant
>>women and children who have been classified as permanent legal residents for
>>fewer than five years, the Washington Post reports. To bring Maryland law in
>>line with federal law, Gov. Robert Ehrlich (R) in January proposed cutting the
>>$7 million state Medicaid program that provides health care coverage --
>>including prenatal care -- for about 4,000 legal immigrants in the state. Since
>>1996, when the federal government changed its rules for welfare, it has not
>>provided any Medicaid funding for individuals who have been classified as
>>permanent legal residents for fewer than five years (Wagner, Washington Post,
>>6/22). Earlier this year, state lawmakers, in an attempt to restore some
>>funding for the pregnant women who will lose coverage, earmarked $1.5 million
>>in the state's budget to be used to pay for prenatal care services for
>>permanent legal residents. However, Ehrlich spokesperson Henry Fawell on
>>Tuesday said the administration had not decided whether to approve the budget
>>as written. Under Maryland's constitution, the state Assembly has the power to
>>cut funding from the governor's budget proposal but cannot add or transfer
>>money from one program to another, according to the Baltimore Sun (Green,
>>Baltimore Sun, 6/22). According to Fawell, permanent legal residents who are
>>pregnant but will lose Medicaid coverage for prenatal care under Ehrlich's plan
>>still will be covered under Medicaid for emergency department care and labor
>>and
>>delivery.
>>
>>Letter
>>
>>Montgomery County, Md., Executive Douglas Duncan (D) and County Council members
>>Tom Perez (D) and George Leventhal (D) on Tuesday sent Ehrlich a letter saying
>>that 300 pregnant women and 1,300 children in the county stand to lose their
>>health coverage under the plan (Washington Post, 6/22). "It is unconscionable
>>that you would even consider ending state support for pregnant women and
>>children," the letter said, adding, "In a state as prosperous as ours, surely
>>your administration can find the resources to help those who need help the
>>most." Duncan is an "all-but-declared" candidate for governor in 2006,
>>according to the Sun (Baltimore Sun, 6/22).
>>
>>Dean Huffman
>
--
Joanne Bulley, MD
Keene, NH, USA
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