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90-2035 0 R i G I N A L ;��� Council File # �' �,3J� � Green Sheet # 6114 RESOLUTION CITY OF SAINT PAUL, MINN SOTA Presented By Referred To Committ e: Date HEALTH CARE ACCESS WHEREAS, over 50,000 St. Paul residents are estimated to be without health care insurance; and WHEREAS, over $4 million in City and County tax levy funds are currently used to provide health care services for the uninsured; and WHEREAS, the Minn�sota Health Care Access Commission is currently reviewing a proposal to provide h�alth care coverage/services to all Minnesotans. RESOLVED, that thl� City of St. Paul supports legislative efforts to provide preventive health services to the working poor and other Minnesotans. Yeas Navs Absent Requested by Department of: �mon �aitZ �' COMMUNIT ERVICES on �. „_ acca ee e man — un e �_ B ,�j �r..�-� i son Y� O � Adopted by Council: Date NOV 2 7 199Q Form ved by ity ttorney Adoption Certified by Council Secretary gy: �� �� - �Q �. By� Approved by Mayor for Submission to Approved by Mayor: Date �( �7f9C'j Council �� . 2 7 �99Q C���ze,����l:/ By: /Z/ By' PUBLISNED ��-� 81990 RECEIVED DEPARTM[NT�FFiCEIOWNGL DATE INITIATEO OCT � �� �a�� COMMUNITY SERVICE - P lic Hea�thi�cR GREEN SHEET 7 �990NO. �i q l. 1 ! �� INRIAIJ�YII'1 i 0��� INITIAUDATE CONTACT PERSON 8 PFIONE DEPApTMENT DIRECTOR Cynthia Seelhamme �298- 736 �� GTY ATTORNEY �CI1Y CLERK MU8T BE ON COUNGI AdENDA BY T� IqUTIDKi UDQET DIRECT�i �FIN.6 MOT.SERVICEB DIR. �MAYOR(�i ASSISTAN'n ❑ TOTAL�OF SIONATURE QES (CLIP ALL LOCATIONS FOR SIGNATUi�) ACTION REWE3TED: Request for Saint aul ity Council approval of re�lution to support legislative efforts to ensure access to alth care for all Minnesotans. RECOMMENDATIONB:ADD►ow W o► (Fq COINrCIL COMM N REPdiT OPTIONAL _PLANNINO OOMMI8810N pNIL RVI�OOMMI8810N ANAlY8T ��E ry _pB COMMNTiEE L•� —�� �� OCT 16 1990 —������ ���,��,���� � C�TY `°�,rs«� ��an�nNO r�M,�e. rim .wnn,when,wn.�..wnr): An estimated 50,00 Sai t Paul residents are without health insurance. St. Paul and Ramsey County cont ibut almost $4 million of tax dollars annually to provide subsidized health care for un nsur d and underinsured people. This resolution supports efforts to provide preventive heal h services to the working poor and other Minnesotans vho are not eligible for enrol ment in existing low cost health insurance programs. ADVANTAOES IF APPROVED: - Minnesotans will have access to needed health care. - Health care cost wil decrease as preventive care will decrease the need for responding to high cost ser ous ilments. - Minnesotans will be a healthier population. - City financial s ppor of health care for uninsured and underinsured could be reduced or eliminated D1811DVANTA(�ES IF APPHOVED: None �cC�.i v'�i� � 0 C T" 11 1990 � � M�4Y��'S G��lCE DISADVMITAOES IF NOT APPROVED: - t�iinnesotans will ot h ve increased .access to health care - Health care costs will continue to increase to co�er expenses for care which would have been unnecessary f pr ventive health care measures were taken. C;ounci� E'��;;�- RECEtVED � �r�i� �4��t^�' ��: 1 � i:��U �����0 r*�•� �.,. ,. CITY CLERK � TOTAL AMOUNT OF TRAN�CT = 0 C08T/REVENUE S!!D�#LTED(CIRCL.E ONE) YES NO FUNDING SOURCE ACTIVITY NUMOER FlWANCIAL INFOR�AIITION:(EXPLAIN) tJ�W ' , ' �V�p"°1D3.S Health Care Access Analysis of Issu�: An estimated 400,000 Minnesotans are without health insurance in Minnesota. A conservative estimate of 50,000 uninsured adults and children live in St. Paul and suburban Ramsey County. A key fact is that St. Paul and Ramsey County contribute almost $4 million of tax dollars annually to provide subsidized health care for uninsured/underinsured people without access to low cost services. Access to basic preventive health care is essential to reducing the costly impact of serious health problems. For example, the $110,000 bill for health care of two respirator-dependent children resulting from two cases of measles could ha�e provided measles vaccine to 3,142 children. Back rg ound ; Several different proposals on this topic are expected in the 1991 legislature session with the most visible proposal being that of the elected governor. The Minnesota He�lth Care Access Commission will also have a proposal in December 1990 for dealing with this issue. St. Paul tax levy dollars and federal CDBG funds are currently contributing over $500,000 annually to the operation of community clinics. With the passage of this state legislation, the City would be able to reduce or eliminate its expenditure in this area. Advantages /Disa�ivantages . City tax levy could be used for other purposes . Uninsured St. Paul residents would have access to health care Alternatives , . Federal natibnal health insurance legislation (unlikely at this time) Political Context A large number o!E supporters from statewide organizations support this effort. Minnesota Health Care Access Commission and/or the Governor would take the lead. Prioritv: Five . Contact Person: Katherine Cairns St. Paul Division of Public Health � 9/10/90 � . ` �"YD ��o3s' Members: Bob Long, Chair Tan Dimond Paula Maccabee COMMITTEE REPORT , INfiERGOVERNMENTAL RELATIONS COMMITTEE SEPTEMBER 28, 7990 � - 1. GO Bonds for housing rehabilitation SENT TO COUNCIL W'ITHOUT RECOMMENDATION. 2. Receivership law. SENT TO COUNCIL WITHOUT RECOMMENDATION. 3. Vacant/Hazardous building law. SENT TO COUNCIL pS AMENDED WITHOUT RECOMMENDATION. 4. Replacement Housi�ng. SENT TO COUNCIL WITHOUT RECOMMERDATION. 5. Dislocated worker�s. SENT TO COUNCIL pS AMENDED WITHOUT RECOMMENDATION. 6. STRIDE/daycare. SENT TO COUNCIL AS AMENDED WITHOUT RECOMMENDATION. 7. Funding for stormwater requirements. SENT TO COUNCIL AS AMENDED WITHOUT RECOMMENDATION. 8. Funding for EIS for AYD Mill Road SENT TO COUNCIL AS AMENDED WITHOUT RECOMMENDATION. 9. Health care access. SENT TO COUNCIL 14S AMENDED WITHOUT RECOMMENDATION. 10. Funding for STD IClinics. SENT TO COUNCIL VIS AMENDED WITHOUT RECOMMENDATION.