The Affordable Care Act (ACA) has dramatically increased the revenue from Medicaid (Medi-Cal in California), significantly lowered County costs, and expanded access to patients seeking services within the County health care system. Medicaid now provides health care coverage to 40% of San Joaquin County residents, nearly 300,000 individuals (2016 County population: 733,383). Of these enrollees, 73,773 became newly eligible under ACA Medicaid Expansion.
For San Joaquin General Hospital, San Joaquin County Clinics (the County Federally Qualified Health Centers -Look Alike) and San Joaquin County Behavioral Health Services, the Medicaid Expansion (MCE) to childless adults has been the most significant and positive change of the ACA. This population had previously been uninsured and considered indigent under California statute. This population is typically very low income (under 200% of the Federal Poverty Level), homeless or housing insecure, and disconnected from preventive services or the health care system, accessing it only episodically - and most expensively – in hospital emergency departments, crisis mental health units, or in jail.
The expanded health care delivery infrastructure and population served by MCE is most in jeopardy with any repeal or (unknown) replacement of the ACA. If federal payments for this optional expansion are repealed and California ends or curtails this program, these enrollees would once again become uninsured.
Please see the following three documents which outline the impacts of the potential repeal of the ACA:
Flu seasons are unpredictable and can be severe. Even healthy people can get very sick from the flu and spread it to others. Getting an annual flu vaccine is the first and best way to protect yourself and your family from the flu.
The flu is a contagious respiratory illness caused by influenza viruses that infect the nose, throat, and lungs. It can cause mild to severe illness, and at times can lead to death.
Everyone 6 months of age and older should get a flu shot now (it takes about two weeks after vaccination for antibodies to develop in the body). The more people who get vaccinated, the more people will be protected from flu, including older people, very young children, pregnant women and people with certain health conditions who are more vulnerable to serious flu complications. In addition, frequent handwashing, covering your cough & sneeze, and staying home if you are sick can help stop the spread of influenza.
Flu shots are offered at many doctor’s offices, clinics, pharmacies, college health centers and San Joaquin County Public Health Services, as well as by many employers, and even by some schools. To find a location near you, type your zip code into the “Flu Vaccine Finder” on this page.
Public Health Services (PHS) works to protect the public's health and promote a healthy future for all residents. The just released Annual Report for 2015 provides a snapshot of the work and services provided this past year. It reviews selected data and program information, highlights some successes and challenges, and mentions a few of the main issues to address during 2016.