90-584 o � � G I �r'�l � Council File �` %�-'� O
Green Sheet # ��_
I RESOLUTION -- E.
ITY OF SAINT P , MIN SOT�� ' � , ,,
�J"=,'
Presented B
Referred To Co e
1 WHEREAS, estimated 5,600 Saint Paul cluldren have no health insurance
2 and an estimated 11,4 5 Saint Paul children under 19 years of age live in poverty; and
3
4 WHEREAS, w en children fail to get adequate routine and preventive health
5 care, they can suffer s rious illness requiring hospitalization and even permanent
6 physical injury, such a loss of hearing when there is no access to treatment for ear
7 infections; and
8
9 WHEREAS, r cent surveys through programs providing nutrition for low
10 income children in Sa nt Paul found that almost 20% of the children using those
11 programs came from amilies of working poor people who were not eligible for
12 Medical Assistance ( ); and
13
14 WHEREAS, i 1989, an estimated 18,100 working poor Saint Paul residents
15 received health care s rvices in an estimated 34,150 visits to the network of eight City
16 subsidized neighborh od health centers; and
17
18 WHEREAS, S int Paul and Ramsey County will provide more than $2.8
19 million to cover healt care for uninsured persons in 1990, including subsidies made
20 by the City of Saint P ul to neighborhood health centers, which subsidies could be
21 used more effectively if persons eligible for State programs were enrolled in such
22 programs so that the osts of their health services would be reimbursed; and
23
24 WHEREAS, t e State of Minnesota currently provides funding for the
25 Children's Health Pla� for outpatient and preventive health care services to cover
26 children from the age of one year to eight years old and effective January 1, 1991 will
27 provide coverage for hildren up to eighteen years old whose families have gross
28 family incomes of up o 185% of federal poverty guidelines; and
29
30 WHEREAS, t e State of Minnesota provides health care coverage under
31 Medical Assistance f prenatal care and children from birth to one years old where
32 families have gross fa 'ly incomes of up to 185% of federal poverty guidelines and
33 has extended Medica' Assistance coverage for one year after families leave AFDC;
34 and
35
36 WHEREAS, i is estimated that from 1,000 to 2,800 children in Ramsey
37 County who are eligi le for the Children's Health Plan are not enrolled in the Plan,
38 whether due to lack f information or due to entry barriers to the program, such as
39 the need to complete application forms or to pay a fee of $25 per child to be
40 enrolled; and
0 � lGINAL � � � �� - � ��-���
1 WHEREAS, m�.ny individuals, including members of the Southeast Asian
2 Community, are not a�pvare of health benefits available for working families; and
3
4 WHEREAS, th Community Services Department and the Division of Public
5 Health enter into con acts with community health centers and will receive funds
6 through the Communi Resource Program (CRP) process to provide services
7 targeted at groups wh may have uninsured or underinsured children, therefore be it
8
9 RESOLVED, t at in any City contracts with community health centers which
10 treat children in the e 'gible age range, including but not limited to yearly contracts
11 and contracts providinJg CRP funds, the Saint Paul City Council requests that the
12 Saint Paul Division of I Public Health require the following as a condition of receiving
13 funds:
14
15 a) t at the community health center have a program to provide
16 informa 'on and outreach to enroll children in the Children's Health
17 Plan;
18
19 b) t at the community health center report in its documentation, the
20 number of insured persons who are insured through the Children's
21 Health lan, the number of uninsured persons who are eligible for
22 Childre 's Health Plan, and of the latter whether such persons were
23 enrolled in and/or provided information regarding the Children's Health
24 Plan; a be it
25
26 FLJRTHER SOLVED, that the Division of Public Health be requested to
27 seek and apply for p�ate funds to subsidize and/or assist low income families in
28 paying the fees reqwr d for enrollment in the Children's Health Plan and work
29 cooperatively with ot er organizations providing similar services; and be it
30
31 FURTHER R SOLVED, the Saint Paul City Council requests that the funds
32 provided to the Saint Paul Division of Public Health this year through the CRP
33 program as a compo nt of the Health Care Services project 66-17-C be used for the
34 purpose of training d organizing outreach workers, including volunteers, to provide
35 information and assis people in obtaining access to the Children's Health Plan and
36 other health bene�its; and be it
37
38 FURTHER R SOLVED, the Saint Paul City Council requests that in any
39 contracts into which t e City enters providing CRP funds for the Thomas-Dale Family
40 Resource Center, the City include guidelines for the Family Resource Center to
41 provide outreach reg rding the Children's Health Plan and other benefits to families
42 and parents contacte by the Center; and be it
43
44 FURTHER R SOLVED, the Saint Paul City Council requests that in
45 connection with the RP project for Southeast Asian Access the Saint Paul
46 Department of Co unity Services include training and support for bilingual and
47 outreach workers so hat they may provide information to Southeast Asian families on
48 Children's Health Pl� and other benefits available to working families to facilitate
49 children's access to h alth services and the ability of families to seek self-suf�ciency;
50 and be it
i
ORPGIN,qL � � � � � � �� -�-��
1 FURTI-�R R OLVED, the Saint Paul City Council requests that the
2 Department of Commu�nity Services and Department of Planning and Economic
3 Development evaluati�n of CRP programs include an evaluation of the effectiveness
4 of programs to provid outreach and enrollment in the Children's Health Plan.
i
I
Y� Na s Absent Requested by Department of:
imon
Goswi z � �_
on �
acca ee �
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i son By�
Adopted by Council: Date APR i 7 1990 Form Approved by City Attorney
Adoption Certified by Coumcil Secretary gy:
By� ��-�� '�'���� Approved by Mayor for Submission to
Approved b Mayor: Date APR � � 1990 Council
By; .�-L/./�L���� By:
�1�{� AP R 2 81990
I
. . � ��-���
DEPARTMEN'qOFFICEICOUNCIL DATE INITIATED
City Council 3-30-90 GREEN SHEET No. 8 3 4 7
CONTACT PERSON 8 PHONE INITIAU DATE INITIAUDATE
�DEPARTMENT DIRECTOR �CRY COUNCII
Councilmember Maccabee XS 7H Nu�� ��Ty qnORNEY �qTY d.EpK
MUBT BE OW OOUNCIL AOENDA BY(DATE) ROUTINO �BUDOET DIRECTOR �flN.A MGT.SERVICES DIR.
�MAYOR(OR ASSI3TANT) �
TOTAL#�OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIQNATUR�
ACTION REfiUEBTED:
Increase outreach efforts i Saint Paul for the Children's Health Plan.
RECOMMENDATfONS:Approve py a R�j�ct (;QV�K (�PORT GpT10NAL
_PLANNINO COMMIS810N _pVIL SERVICS ISSION ANALY8T PHONE NO.
_p8 COMMITfEE _
_�� _ COMMENTS:
_DISTRICT COURT _
SUPPORT8 WNICN COUNqI OBJECTIVE9
INITIATINO PROBLEM.l88UE.OPPORNNRY(Who�What� .�Nhme�Nlh�:
The 9tate of Minnesota prov des medical coverage to children of income-eligible families
through the Children's Heal h Plan (CHP) . Ma.ny eligible Saint Paul children are not
currently enrolled due to 1 ck of information about CHP. As a result, many children are
not receiving adequ�te heal h care, and City funds are used to pay for medical care which
could be paid for with Stat funds.
ADVANTAOEB IF APPROVED:
Enrollment in CIiP will incr ase, allowing City-funded co�nunity clinics to serve more
people. Families staying o AFDC due to fear of losing medical benefits will receive
information concerning medi al coverage available for the children of working parents.
The health of Saint Paul's ildren will be enhanced.
DI8ADVANTAOEB IF APPROVEO:
None.
DIBADVANTACiES IF NOT APPROVED:
Children will continue witho t adequate medical care, families will remain uninformed
about CHP. City funds will ontinue to pay for health care for children who could be
enrolled in CHP.
TOTAL AMOIJNT OF TRANSACTION COST/REVENUE BUDOETED(CIRCLE ONE) YES NO
FUNDINO SOURCE ACTIVITY NUMBER
FlNANqAI INFORMATION:(EXPWN)
_ c������
�
GITY OF SAINT PAUL
°"�'�� OFFICE OF THE CITY COUNCIL
.
PAULA MACCABEE
Counc�7person
SUSAN ODE
I.egislative Aide Members:
Paula Maccabee, Chair
Bob Long, Vice-Chair
Janice Rettman
Date: March 28, 1990
COMMITTEE REPORT
HUMAN SERVICES, R GULATED INDUSTRIES, AND RULES AND POLICY COMMITTEE
1 . Approval of th Minutes of the March 14, 1990, Human Services, Regulated
Industries and Rules and Policy Committee
COMMITTEE RECO MENDED APPROVAL, 3-0
Children's Hea th Plan
l A. Children's Health Initiatives -- enrollment in Children's Health P
(Proposal for iscussion)
COMMIT tlTION , 3-0
B. Volunteers to Assist with Outreach for Children's Health Plan -- Report
NO COMMITTEE A TION REQUIRED
3. Health Care fo the Homeless -- Discussion of Alternatives with staff of
Ramsey Hospital
NO COMMITTEE AC ION REQUIRED
4. Child Care Gran� Program -- Staff Report and Discussion
COMMITTEE RECOM ENDED REVISIONS IN GUIDELINES TO CITY STAFF IN CONSIDERATION
OF ROUND 2 GRAN APPLICATIONS, 3-0
5. HRA Child Care �rant program -- Enhancements to the Child Care Financing
P gram
COMMITTEE RECOM ENDED APPROVAL WITH AMENDMENTS, 2-1
I
CTTY HALL SEVENTH LOOR SAINT PAUL,MINNESO'TA 55102 612/298-5378
S a�u 46
Printed on Recycled Paper
II
. - 4 . r� �o -���
COMMITTEE REPORT
HUMAN SERVICES, REGULAITED INDUSTRIES, AND RULES AND POLICY COMMITTEE
MARCH 28, 1990 I
PAGE TWO
6. 90-465 -- Bloc�C Party Ordinance (for Action)
COMMITTEE RECO�MENDED TWO-WEEK LAYOVER TO THE APRIL 11, 1990, HUMAN SERVICES,
REGULATED INDU TRIES AND RULES AND POLICY COMMITTEE MEETING, 3-0
7. 90-378 -- Cigalette Sale and Purchase Ordinance
COMMITTEE RECO MENDED TWO-WEEK LAYOVER TO THE APRIL 11, 1990, HUMAN SERVICES,
REGULATED INDU�TRIES AND RULES AND POLICY COMMITTEE MEETING, 3-0
8. Announcement - I To schedule a future Human Services, Regulated Industries and
Rules and Poli�y Committee meeting to discuss budget goals and policies within
the scope of t is committee.
COMMITTEE RECON�MENDED A MEETING BE SCHEDULED TO DISCUSS BUDGET POLICIES IN
MAY.
I