AB 75

Service Population and
Program Statistics

Service Population - The end-users of AB 75 Project services are the uninsured indigent residents of San Francisco who receive health care services either at San Francisco General Hospital (SFGH), at any of six private hospitals currently participating in the CHIP Hospital Program, or from one of the 1,426 private emergency room and other physicians enrolled in the CHIP Physician Program.

According to 1990 U.S. Census data, 213,700 San Francisco residents were at or below 200% of the Federal poverty level. This group represents approximately 30% of the total population. Some of these individuals qualify for publicly-sponsored health insurance, such as Medicare and Medi-Cal, but many others are working poor whose employers do not offer health insurance. It is well-documented that the uninsured population disproportionately use emergency rooms for primary care. In addition, uninsured individuals needing obstetric and pediatric care are often unable to pay for the costs of services rendered.

Utilization - The AB 75 Project provides services to indigent San Francisco residents through the following programs:

FY 2003-04 Program Statistics -

• CHIP Hospital and Physician Program
  The CHIP Hospital and Physician Program pays for health services to indigents provided by San Francisco hospitals and physicians. For FY 2003-04, using CHIP, EMSA, and other funds, the CHIP Program will pay approximately for these services:
  
  

  San Francisco General Hospital	576 inpatient days, 421 outpatient visits, 779 emergency room visits
  Private hospitals	174 inpatient days
  Private physicians	19,818 emergency room, pediatric, and obstetric physician visits



• MICRS Data Reports
  For FY 2003-04, MICRS will report medically indigent utilization and expenditure data on approximately 13,774 inpatient days, 170,242 outpatient encounters, and 39,869 emergency room visits provided by or paid for through the County. This data will be helpful in planning and allocation of resources for indigent health services.
   
• CHDP Follow-up Treatment Program
  Those CHDP-screened children who are not Medi-Cal eligible and whose family income is not more than 200% of the federal poverty level, or who are Medi-Cal eligible with a share of cost, are eligible for CHDP Follow-up Treatment Program services. For FY 2003-04, it is estimated that 1,524 children, or 8% of the total 19,645 children receiving CHDP-screening services, will be referred for follow-up services.