Free health clinics in West Virginia will be in
trouble if a proposal to cut their budgets from the state Department of Health
and Human Resources by more than half stands, according to those who operate
the facilities for low-income adults.
“The 52.7 percent cut that the
budget is proposed to give to free clinics will be fatal to some of our clinics
in the state,” said Jim Harris, president of the West Virginia Association of
Free Clinics, who works at Health Access in Clarksburg.
Currently, the DHHR budget for the
ten free clinics in West Virginia
is $4 million. In the proposal Gov. Earl Ray Tomblin submitted to lawmakers for
the next fiscal year, which begins in July, the free clinic budget has been
reduced to a $2 million line item.
According to the state DHHR,
roughly one in four West Virginians, 498,943
residents, now get their healthcare coverage through Medicaid. A total of
153,544 residents were added when Medicaid was expanded under the Affordable
Care Act.
Harris said many of those new
Medicaid enrollees, though, are struggling to find healthcare providers which
makes the care provided through the free clinics even more important.
“These patients are applying to
become patients and they’re being told, ‘You can come back in six months. You
can come back in eight months. When our census gets low enough, we’ll take
another Medicaid case,'” he said. “We’re the safety net, so we’re the ones who
see all the Medicaid cases.”
In 2013, according to Harris, the
ten free clinics in West Virginia
treated 60,000 patients. In total, he said the clinics have been seeing more
patients since ACA started being implemented.
“The Affordable Care Act is not
affordable for poor people. It’s just not. We had great hopes. I had great
hopes that we would be able to reduce what we have to do as a safety net because
there would be access available, but that’s not the case,” Harris said.
“We’re getting busier, not less
busy.”
That’s why he’s arguing against the
total proposed 52.7 percent cut.
Harris noted Medicaid
reimbursements for the free clinics are lower than those for other healthcare
facilities. He’s calling on the DHHR and lawmakers to negotiate a smaller
budget reduction, at least initially, to allow time for those reimbursement
rate disparities to be addressed.