Issue Briefs

Following are Community Health Councils issue briefs and comment letters for our four policy areas: Environmental Health, Health Coverage, Healthcare Systems, and Nutrition Resources.



Following are Community Health Councils issue briefs and comment letters for our four policy areas: Environmental Health, Health Coverage, Healthcare Systems, and Nutrition Resources. - See more at: http://chc-inc.org/-1-22#systems
Following are Community Health Councils issue briefs and comment letters for our four policy areas: Environmental Health, Health Coverage, Healthcare Systems, and Nutrition Resources. - See more at: http://chc-inc.org/-1-22#systems



Environmental Health
Comments on the expansion of the Murphy Drill Site
The expansion of oil drilling operations and any future projects that would expand the Murphy Drill Site’s footprint should be subject to a new Plan Approval review complete with a public hearing. (May 2014)
CSD Draft Report Comment Letter
Community Health Councils, Natural Resources Defense Council, The City Project, and Mujeres de la Tierra write to comment on the Baldwin Hills Community Standards District (CSD) Periodic Review Draft Report. (April 2014)
Letter on Inglewood Oil Field Communities Health Assessment and Inglewood Oil Field Communities’ Survey
This letter calls upon the LADPH to complete a supplemental community health assessment that clearly meets the Settlement Agreement and uses better methodology. (September 2013)
Letter on Baldwin Hills Community Standards District Periodic Review
This letter expresses CHC's assessment of the effectiveness of the Baldwin Hills Community Standards District (CSD) and provides recommendations for the five year review of the CSD. (September 2013)

Health Coverage
Recommendations for Development of New Medi-Cal Covered California Benefit Program
This letter provides feedback on specific materials related to the Full-Scope Medi-Cal and Affordability and Benefit Program for Low-Income Pregnant Women and Newly Qualified Immigrants as well as general policy recommendations. (August 2014)
Letter in Support of Medi-Cal Estate Recovery Bill SB 1124
This comment letter urges the chair of the California State Assembly Appropriations Committee to support SB 1124, a bill that would limit Medi-Cal estate recovery actions to the federal minimum (long term care services) and eliminate California’s current practice of using estate recovery to recoup funds spent on basic health care services. (August 2014)
Comments and Recommendations on Proposal to Modify Enrollment Programs
Joint Comments with California Coverage and Health Initiatives regarding the Covered CA Navigator Program draft proposal (June 2014)
Covering Kids and Families/LA Access O/E Consolidation Proposal
Community Health Councils (CHC), on behalf of Covering Kids and Families (CKF) and LA Access to Health Coverage Coalitions, provided input on the proposal to consolidate outreach, education and enrollment. (May 2014)
Comments on the Proposed Rules for the Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards
Read CHC's comments on the Proposed Rules for the Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond. (April 2014)
Letter on the Medi-Cal content of the Certified Enrollment Counselor (CEC) Curriculum (in collaboration with the California Primary Care Association)
This letter offers recommendations on how to enhance the amount of Medi-Cal information provided within the CEC Curriculum and how to disseminate this information to new and already trained CECs. (February 2014)
Letter on CEC program concerns related to the application (with CCHI, CPCA, Redwood Community Health Coalition and San Mateo County Health System)
This letter talks about an email from Covered California sent to Certified Enrollment Counselors (CEC) indicates additional work is needed to process paper applications. (December 2013)
Letter regarding CAA program closure and request for meeting with DHCS (CCHI & CWDA)
This letter is about making a request to meet with Toby Douglas and relevant DHCS staff, to discuss the Department's plans to end the Certified Application Assister (CAA) program. (November 2013)
Letter on providing a county coverage option that provides a medical home even to those who are not covered under the new Affordable Care Act expansions
In this letter CHC, Health Access California, California Partnership, Maternal and Child Health Access, and The Wall Las Memorias Project produce recommendations for reducing the number of uninsured in Los Angeles County. (November 2013)
Letter on California Health Insurance Affordability Program Statistics – with CPHEN, Western Center and other agencies
This letter expresses how data on enrollment trends are vital to measuring how effective Covered California and DHCS are in reaching all those eligible to enroll as well as in achieving Covered California's mission of eliminating health disparities.(November 2013)
Letter in Response to Navigator Webinar (with CCHI and CPCA)
This letter is a response to the proposed Navigator Grant program as laid out in Cover California's October 28th webinar. (November 2013)
Letter re Covered California Enrollment Assistance Program
This letter expresses concern regarding the development and implementation of the Enrollment Assistance Program (EAP). (September 2013)
Letter on Concerns with Outreach and Education Program (with a variety of other advocacy groups)
This letter from a variety of advocacy groups is about recommendations for how Covered California might strengthen its Outreach and Education program in order to maximize enrollment.(August 2013)
Letter re Communication and Outreach Strategy for Low Income Health Program Transition
This letter submits recommendations regarding the Low Income Health Program (LIHP) communication and outreach strategy as proposed by the California Department of Health Care Services. (June 2013)
Letter re Covered California Eligibility and Enrollment Policies
This letter provides recommendations on key eligibility and enrollment policies developed by Covered California. (May 2013)
Comments on proposed rules for Medicaid, Children’s Health Insurance Programs, and Exchanges
Comment Letter to HHS regarding the Notice of Proposed Rule Making CMS-2334-P on Medicaid, Children’s Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing. (February 2013)
Comments on Medi-Cal Expansion
This letter expresses concerns and reservations regarding the optional expansion of the Medi-Cal program outlined in Governor’s proposed FY 2013-2014 Budget. (February 2013)
Letter re Covered CA Assisters Program and Stakeholder Engagement Process
Covered CA is one of the most important public utilities to be established in decades. This letter from CHC partners recommends a subgroup be established to provide input on the training portion of the Assisters Program. (January 2013)
Comments to DHCS re HF Transition webinar for CAAs
Ensuring that the Healthy Families Transition to Medi-Cal does not disrupt care or cause harm to children and their families is a goal for CHC and its partners. DCHS should host a general webinar training to ensure that CAAs are well equipped to support the families they serve. (December 2012)
Recommendations for California's Health Benefits Exchange Outreach Grant Program
CHC's Covering Kids & Families and LA Access coalitions provide their recommendations for the Outreach and Education Grant Program that is part of the strategy to educate hard-to-reach populations on coverage available through the Affordable Care Act (ACA). (October 2012)
Comments on the Healthy Families Program Transition to Medi-Cal Program Strategic Plan
CHC and its partners identify information areas and data elements that should be included in the final plan for the transition from Healthy Families to Medi-Cal. These recommendations build on those submitted in June and August. (September 2012)
Recommendations for Healthy Families to Medi-Cal Transition
CHC provides recommendations to ensure that the transition from Healthy Families to Medi-Cal does not disrupt care or cause harm for children and their families. (August 2012)
Comments on California's LIHP Draft Transition Plan
Read CHC's comments on California's Low Income Health Program draft transition plan to move LIHP enrollees into Medi-Cal as part of its preparation for the Affordable Care Act. (July 2012)
Comments on California's Consumer-Centric Exchange Customer Service Center Options
California's Health Benefits Exchange Board released its Consumer-Centric Exchange Customer Service Center Options brief. Read CHC's comments on the options presented. (June 2012)
Comments on Transitioning Children from Healthy Families to Medi-Cal
CHC's Covering Kids & Families and LA Access coalitions' recommendations to ensure a transparent, seamless and smooth full or partial transition for consumer and providers. (June 2012)
Comments to California Health Benefit Exchange on Marketing & Outreach
This issue brief provides comments to the California Health Benefit Exchange on draft recommendations for marketing, outreach & education and Assisters program workplan options. The comments were developed with CHC's Covering Kids & Families and LA Access to Health Coverage coalitions. (May 2012)
Comments to California Health Benefit Exchange on Assister Program Options
This issue brief provides comments to the California Health Benefit Exchange on draft recommendations for Assister program options. The comments were developed with CHC's Covering Kids & Families and LA Access to Health Coverage coalitions. (May 2012)
Marketing & Outreach in California's Health Benefits Exchange
Marketing and outreach must be seen as an integral component of California's Health Benefit Exchange ongoing efforts. Read stakeholder comments on how best to assure maximum enrollment of eligible individuals in the Exchange, Medi-Cal and Healthy Families in 2014 and beyond. (February 2012)
Comments on the Establishment of Exchanges and Qualified Health Plans
CHC offers its recommendations on regulations related to Health Exchanges and Qualified Health Plans to improve the ability of Americans to enroll in and access coverage. (October 2011)
Healthy Way LA Expansion
Read CHC's comments and recommendations to the Los Angeles County Department of Health Services regarding the rollout of the County's Low Income Health Program Healthy Way LA. (October 2011)
Letter to the Joint Select Committee on Deficit Reduction
Nearly 30 California organizations urge the Committee to ensure racial and ethnic communities are not disproportionately impacted by the fiscal policies developed during their deliberations and provide four recommendations to meet this goal. (October 2011)
Jobs, Healthy Communities & Revenue: Keys to Deficit Reduction
The Budget Control Act of 2011 outlined key provisions to reduce the nation’s $14 trillion deficit. The Act calls for billions of dollars in cuts to defense and non-defense programs in FY 2011-2021. Read CHC's principles to guide deficit reduction discussions. (September 2011)
Comments on Legislation Impacting the ACA
Read CHC's comments on specific state legislation impacting the implementation of key Affordable Care Act (ACA) provisions. (July 2011)
Comments on Healthy Families Transition
Read CHC's letter to California Health & Human Services outlining a series of questions on the proposal to transition Healthy Families children into the Medi-Cal program and the capacity and effectiveness of the State’s public healthcare coverage system. (June 2011)
California 2011-12 State Budget: the May Revision
Governor Jerry Brown released his May Revision for the 2011-12 State Budget, an update of revenues and expenses that replaces the estimates in the original budget proposal. Learn the key Medi-Cal and Healthy Families program cuts. (May 2011)
Comments on SB 615: Health Insurance Exchange Navigator Program
Read CHC's letter recommending that the Navigator Program be built upon California's CAA infrastructure and remove a requirement to be a licensed insurance agent. (March 2011)
California 2011-12 State Budget: Six Additional Revenue Solutions for the State Budget
If the legislature adopted the six revenue solutions outlined in this issue brief, Californian could avoid the devastating impact of the Governor’s proposed program reductions to Health and Human Services. (February 2011)
California 2011-12 State Budget: Letter to Governor
Read CHC's Letter to the Governor re the cuts to health and human services proposed in the 2011-12 state budget. (February 2011)
Permitting and Regulation of Sidewalk Food Vending
Citywide regulations on street vendors are a separate consideration from school-proximal regulations, the HIA considers whether changes in the former may influence the presence of vendors near campuses at the end of the school day. (May 2014)
California 2010-11 State Budget: the May Revise
Governor Schwarzenegger has released the May Revise to the California 2010-11 state budget. This fact sheet looks at key changes and new reductions to health and human services programs. (May 2010)
California 2010-11 State Budget: Impact of Healthcare Cuts
This fact sheet examines the impact of the healthcare cuts in Governor Schwarzenegger's proposed 2010-11 budget on families, local communities and the state. (rev. June 2010)
Guiding Principles & Recommendations for Healthcare Reform
Congress took steps in November 2009 towards a broad overhaul of healthcare regulations that would provide stable and affordable coverage for millions of uninsured Americans. Read CHC's analysis and recommendations. (December 2009)

Healthcare Systems
Proposed Amendments to section 999.5 of Title 11, Division 1, Chapter 15, of the California Code of Regulations
Underserved communities suffer the most when non-profit health facilities are acquired by for-profit entities particularly because non-profit hospitals tend to provide more unprofitable yet much needed indigent care. (June 2014)
Letter with comments on the Proposed Rules for the Patient Protection and Affordable Care Act; Exchanges and Qualified Health Plans, Quality Rating System (QRS), Framework Measures and Methodology.
This letter provides comments on the Proposed Rules for the Patient Protection and Affordable Care Act; Exchanges and Qualified Health Plans, Quality Rating System (QRS), Framework Measures and Methodology. (January 2014)
The Need for a Neonatal Intensive Care Unit at Martin Luther King Jr. Community Hospital
With the opportunities presented by the construction and re-opening of MLK Hospital, this issue brief examines the effect of the NICU and hospital closures on infant mortality in South Los Angeles. (January 2012)
Comments on Community Health Needs Assessment Requirements for Tax-exempt Hospitals
The IRS has proposed initial guidelines for the Community Health Needs Assessment on tax-emempt hospitals. CHC provides recommendations to strengthen the guidelines. (September 2011)
California's Bridge to Reform: The Section 1115 Waiver Proposal
The Obama Administration approved a 1115 Waiver on November 2nd, 2010 that provides California with $2 billion annually in federal funding for the next five years to help prepare for health reform. This Fact Sheet describes the key elements of the waiver and a timeline for the Waiver terms and conditions. (November 2010)

Nutrition Resources
Health as a City of Los Angeles General Plan Policy
Read CHC's critique of the City of Los Angeles General Plan Policy and our exploration of opportunities to amend the General Plan to promote healthy communities. (February 2011)

Multiple Policy Areas
Letter on ABx1 1 (Pérez) and SBx1 1 (Hernandez) – Support
This letter supports ABx1 1 (Pérez) and SBx1 1 (Hernandez), which expand Medi-Cal eligibility to low-income, childless adults and simplify Medi-Cal eligibility rules as required by the Affordable Care Act (ACA). (June 2013)
Letter on Funding Priorities for FY 2013-2014 (Response to May Revise and Assembly and Senate Budget Committee Recommendations)
This letter provides input on key health components of the FY 2013-14 January and May Revise budget proposals as well as the Assembly and Senate recommendations. (June 2013)
November 2012 Ballot Guide
This guide provides a simple synopsis of the key revenue and health-related ballot initiatives in California's 2012 General Election. (October 2012)
7 Things California Can Do to Protect the Health of Children & Families and Put People Back to Work
If the legislature adopted the seven revenue solutions outlined here, California could avoid making 100% of the Governor's proposed health & human services program reductions. (June 2010)
California 2010-11 State Budget: Letter to Governor
Read CHC's letter to Governor Schwarzenegger expressing our opposition to the additional cuts to health and human services outlined in the May Revise. (June 2010)




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