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State of California runs a program for medically indigent adults in 35 small, rural counties. This County Medical Services Program (CMSP) is the equivalent of the County Medically Indigent Services Program (CMISP), run by Sacramento and other large counties. For years they have excluded undocumented residents from these services. The Board that governs this program voted on June 25 to include undocumented residents in the CMSP program. With one stroke of the pen, 35 additional counties have a policy change!

SPIRIT Program Will Be Key

are seen in community clinics and by physicians in their offices, and it is the desire of those who advocated for the program that these providers also have access to a network of specialists. How this would happen has not been determined. Stakeholders will need to remain vigilant to ensure that this program is successful and has continued support from the Board of Supervisors. I am not as familiar with the initial steps to implement services at the state level, but I’m sure that the details will be just as important to ensure that there is real access for the target population.

All this good news is very encouraging. However, policy changes must be effectively trochetg@gmail.com implemented or they become only symbols Reference without substance. For example, the program Video of CA State Health Committee hearing, April 15, 2015 to help undocumented adult residents of http://calchannel.granicus.com/MediaPlayer.php?view_id=&clip_ Sacramento is modest. Initially it will serve a id=2746&meta_id=64581 maximum of 3,000 individuals and will rely on the only county clinic still in operation to provide primary care. Specialty care is still to be defined. The SSVMS SPIRIT program will be key to providing specialty care for this population. The Sacramento Physicians’ INC. Initiative to Reach out, Innovate A REGISTRY & PLACEMENT FIRM and Teach (SPIRIT) Program, a collaboration of the medical society and health systems, currently provides donated surgical services to undocumented immigrants and Nurse Practitioners ~ Physician Assistants is collaborating with Sacramento County to expand the specialty services offered. At a meeting for stakeholders that took place on June 24, it was clear that much still needs to be worked out. However, the principle that everyone in Sacramento should have access to Locum Tenens ~ Permanent Placement health care, regardless of legal status, has once again been endorsed by our V oi c e : 8 0 0 - 9 1 9 - 9 1 4 1 o r 8 0 5 - 6 4 1 - 9 1 4 1 elected officials. FA X : 8 0 5 - 6 4 1 - 9 1 4 3 Here are a few details that still need work: There is no program for tzweig@tracyzweig.com undocumented residents over the age w w w. t r a c y z w e i g . c o m of 64. Many undocumented adults

Tracy Zweig Associates Physicians

September/October 2015

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2015-Sep/Oct - SSV Medicine  

Sierra Sacramento Valley Medicine is the official journal of the Sierra Sacramento Valley Medical Society (SSVMS) and promotes the history,...

2015-Sep/Oct - SSV Medicine  

Sierra Sacramento Valley Medicine is the official journal of the Sierra Sacramento Valley Medical Society (SSVMS) and promotes the history,...