Health Coverage for Low Income Adults at Small Businesses: Three-Share Health Coverage Program
In 2006, Working Partnerships USA began developing a project which has the potential to make health coverage affordable to up to 40,000 low wage workers in Santa Clara County. Based on extensive research, Working Partnerships USA has worked closely with the Santa Clara Family Health Plan and the Santa Clara Valley Health and Hospital System to develop a voluntary health coverage model targeted at the uninsured working adult population employed in small businesses.
The cost of the small business health program will be shared among four contributors: workers, employers, state health care funding, and the county health and hospital system. The county’s contribution will be in the form of discounted health coverage, which would allow enrollees access to a broad base of providers at Valley Medical Center and participating community or county clinics and private providers that contract with the county.
Working Partnerships USA is currently working with our partners to complete the development of the program in order to secure approval from the Santa Clara County Board of Supervisors and prepare for initial enrollment in 2007.
Status of the Three-Share Health Coverage Program
Working Partnerships, the Santa Clara Family Health Plan, and the Santa Clara Valley Health and Hospital System presented the initial concept of the three-share program to the Santa Clara County Board of Supervisors’ Health and Hospital Committee in November 2006. If the Board of Supervisors approves the program in early 2007, enrollment will begin in fall of 2007.
For more information on the program, view _employer fact sheet_ [Download PDF]
Read our policy brief on working adults’ lack of access to health coverage
Assembly Member Jim Beall is also proposing a statewide bill, AB 12, which would allow other counties to develop three-share health programs. To learn more about AB 12, the Adult Health Coverage Expansion Program, see the California Legislative Information site.
Expanding the Children’s Health Initiative Statewide
Since the Children’s Health Initiative was implemented in 2001, Working Partnerships USA has been active in assisting other counties develop similar universal health insurance programs. The Santa Clara County Children’s Health Initiative has now enrolled more than 121,000 children and has been replicated in 17 other California counties.
The next step is to expand the Children’s Health Initiative statewide, ensuring that every California kid has health coverage. Working Partnerships USA is working closely with statewide organizations, children’s advocates, labor unions and state elected officials to make health insurance affordable for all children in California.
Health Care Clinics in Coyote Valley
Working Partnerships is breaking new ground with our plan for incorporating community health care needs into the planning process for a large-scale economic development project, Coyote Valley. As part of our efforts to make development accountable to communities, Working Partnerships USA is pioneering a model for incorporating health care access into the principles of smart growth.
When our analysis of the development’s projected population revealed a need for two new community health clinics, we made it a priority to include the construction and funding of those clinics in the Coyote Valley Specific Plan. In the past two years, Working Partnerships USA has demonstrated the need for two clinics, created a funding plan and worked with the Coyote Valley Task Force to establish a health care focus group.
In January 2006, the Coyote Valley Task Force tentatively approved the concept of addressing health care needs through the Specific Plan process, and created a working group to develop a detailed infrastructure and financing plan. The city is now poised to set a first-of-its-kind precedent for a development of this scale by incorporating community health needs directly into the land use planning.
By addressing anticipated health care needs in Coyote Valley, we can ensure that adequate and accessible services will be available to Coyote Valley’s future residents, preventing further strain on the public health care safety net system. In the longer term, we seek to build a better health care infrastructure by incorporating analysis of health care service demand as a fundamental element of land-use planning.
_View a _PowerPoint presentation_ on health clinics in Coyote Valley_ Download PDF
Read more about efforts to make the Coyote Valley development accountable
San Jose Medical Center Site Re-Use
When hospital giant HCA announced the sudden closure of San Jose Medical Center in late 2004, the community was given just 90 days to plan for the loss of the only downtown San Jose hospital. Joining with downtown neighborhood residents, health care advocates, and SEIU United Healthcare Workers – West, Working Partnerships succeeded in persuading the City of San Jose to create a Stakeholder Advisory Committee to develop recommendations for the rezoning and standards to be applied to the site. In addition, the coalition blocked HCA’s proposed staffing cuts at Regional Medical Center, which would have made access to health services in San Jose even scarcer. Working Partnerships USA is now working with the committee to ensure that it develops sound policy recommendations that reflect the needs of all residents, especially low- and moderate-income families who suffer from lack of access to necessary health services.
Read more about our efforts to strengthen the local health care delivery system