HelpingĀ homeless Medi-Cal patients affordĀ shelter could curb their frequent emergency room visits and save California millions of dollars a year, state housing and health care advocates say.
California lawmakers are considering a to devote an additional $90 million in state housing money over five years to subsidize rent for homeless Medi-Cal patients. That money would pay for all or part of the monthly rent for about 1,500 people at any given time during those years, say supporters of the bill.
āWe know itās the right thing to do to improve the health of this population, while also saving public costs,ā says Sharon Rapport, associate director for California policy for the Corporation for Supportive Housing, which lobbies for affordable housing and finances development projects. The national non-profit is a co-sponsor of the bill.
Homeless people have trouble staying healthy for many reasons, including poor diet and sleep, advocates say. Whatās more, people without homes often canāt safely store medications or get to doctorās appointments.
But when homeless people find stable shelter, they can focus on getting well instead of focusing on survival, said Rapport.
homeless people are frequent users of emergency departments and have longer inpatient stays at the hospital. Other sheltering them can reduce public health and other spending on social services.
Itās a phenomenon emergency physicians know all too well.
Dr. Aimee Moulin, an emergency physician with UC Davis Medical Center in Sacramento, said emergency doctors may treat homeless patients again and again but their power to improve the patientsā health is limited when they donāt have other basic needs met.
āIf someone came in with a wound that required wound care, I donāt have reasonable expectation that they can do that if they donāt have housing,ā said Moulin, president-elect of the California chapter of the American College of Emergency Physicians, which supported a similar measure last year. In some cases, Moulin said, sheāll admit patients to the hospital if she doubts theyāll be able to get the follow-up care they need.
āIf you can start to address some of the underlying needs of patients, then you can actually make a better impactā on their health, Moulin said.
California has over approximately 29,178 individuals as of 2015, according to the U.S. Department of Housing and Urban Development.
The housing funds would bolster a new to . Since Medi-Cal cannot be used to directly help patients pay for housing, the billās funds would be used instead to subsidize theirĀ rent payments.
Using state housing money to house homeless patients would not only pay for itself by reducing hospital billing to Medi-Cal but would save the program an additional $6 million to 12 million a year, according to the Corporation for Supportive Housing.
The proposal has no registered opposition, but its biggest obstacle may be winning approval from Democratic Gov. Jerry Brown.
Last year, Brown called a similar legislative proposal ālaudableā but vetoed it, saying proponents needed to work through his administrationās budget negotiation process. This year, advocates are working through both houses of the Legislature so the proposal will be included in upcoming budget negotiations.
Lawmakers are next expected to consider the bill at a May 26 Assembly Appropriations committee hearing.
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