41. AJPH -- Sign In Page welfare reform AND LATINAS USE OF PERINATAL health care. Damon M. Seils, MA ,Liana D. Castel, MSPH , Lesley H. Curtis, PhD and Kevin P. Weinfurt, PhD http://www.ajph.org/cgi/content/full/92/5/699-a

HOME HELP FEEDBACK SUBSCRIPTIONS ... SEARCH QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This item requires a subscription to American Journal of Public Health Online. Full Text WELFARE REFORM AND LATINAS' USE OF PERINATAL HEALTH CARE Seils et al. Am J Public Health. To view this item, select one of the options below: Sign In APHA Members Only Sign In AJPH Subscribers Only User Name Sign in without cookies. Can't get past this page? Help with Cookies. Need to Activate? Password Forgot your user name or password? Sign Up Become a Member of APHA Become a Subscriber to AJPH Individuals Instititutions Purchase Short-Term Access Pay per Article - You may access this article (from the computer you are currently using) for 1 day for US$7.00 Pay for Admission - You may access all content in American Journal of Public Health Online (from the computer you are currently using) for 2 days for US$20.00. Regain Access - You can regain access to a recent Pay per Article or Pay for Admission purchase if your access period has not yet expired. Order This Issue Order This Issue - Purchase a print copy of the entire issue that contains this article for $20 U.S., $25 International.

42. Background On Health Care HMOs MANAGED care; Comprehensive national health care reform died in Congress in Public medical care in welfare reform; Trust Fund in Budget Economy http://www.issues2000.org/Background_Health_Care.htm

Background on Health Care Comprehensive national health care reform died in Congress in 1994 (after a report by a commission run by Hillary Clinton). 16% of Americans (42 million people) have no health insurance (and hence must pay for health services in full, or receive hospital charity). 14% of Americans receive some form of public health care or health insurance (70% have private health insurance). 20% of Americans are members of Health Maintenance Organizations (HMOs). PATIENT’S BILL OF RIGHTS Congress and the Presidential candidates are debating a ‘Patient’s Bill of Rights’ which would establish rules of dealing with HMO managed care. The buzzwords in this debate are: External Appeal: Patients cannot currently appeal an HMO’s decision to deny coverage, even if the HMO doctor agrees with the patient. The ‘Bill of Rights’ would establish some form of expert appeal board external to the HMO. Medical Necessity: At issue is whether the doctor or the HMO management determines what is necessary. Determination of ‘necessity’ may become subject to expert review as well, or it may become measured against established standards of ‘generally accepted practices.’ Legal Liability: Patients would be granted the right to sue HMOs for medical costs and damages, which is not a right under current law. Generally, liberals supoprt the right to sue HMOs while conservatives do not. This is the primary distinction between Republican and Democrat versions of Patient Bill of Rights proposals.

43. Welfare Reform: An Issue Overview Child care The 1996 welfare law created a mandatory block grant for child care health insurance coverage, food stamp coverage, and child care coverage. http://www.policyalmanac.org/social_welfare/archive/crs_welfare.shtml

Almanac of Policy Issues Home Policy Archive Search Sponsored Listings Questia : Search over 400,000 books and journals at Questia online. FastWeb Free Scholarship Search : Find free money for college or an advanced degree. var site="sm3pwl1776" Vee Burke, Congressional Research Service Updated October 8, 2002 Welfare Reform: An Issue Overview SUMMARY Representatives of state legislatures and public welfare administrators have urged the 107th Congress to extend the program of Temporary Assistance for Needy Families (TANF) for 3 years, through FY2005. The National Governors Association (NGA) also has recommended an extension longer than one year. TANF now is operating under temporary spending authority that expires December 31, 2002 (P. L. 107-229, H. J. Res. 111). Along with NGA, the American Public Human Services Association and the National Conference of State Legislatures (NCSL) say action is needed before the end of this Congress to ensure program continuity. The latter two groups have identified more than 30 provisions that they want in a final bill. The House has passed a 5-year extension bill (H. R. 4737), but the Senate Finance Committee substitute bill (also H. R. 4737) has not reached the Senate floor. On several key issues, including work hours, work activities, and child care funding, the bills are far apart.

44. Welfare Reform Analysis of welfare reform legislation s impact on health care access;; Effect ofwelfare and immigration reform on immigrants access to Medicaid and health http://www.gwhealthpolicy.org/welfare_reform.htm

The Center was at the forefront of analyzing the impact of welfare reform on the health system generally and the Medicaid program, specifically. CHSRP's research projects have grown out of its early and groundbreaking analysis of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. Specific research topics include: Analysis of welfare reform legislation's impact on health care access; Effect of welfare and immigration reform on immigrants access to Medicaid and health care services; Impact of welfare reform on Medi-Cal enrollment and policies to encourage enrollment; State compliance with Medicaid requirements in welfare reforms; and Stigma's impact on Medicaid enrollment. Related Publications Home Managed Care Contracting HIV/AIDS ... Privacy Policy

45. Women's Health Suffers Under Welfare Reform Print Women s health suffers under welfare reform, Printer Friendly, Email -Women s health suffers A lack of health care affects everyone, he said. http://www.news-medical.net/?id=11423

46. Implications For Family Planning Of Post-Welfare Reform Insurance Trends As the legislation took shape, health care advocates were concerned that as a result While the welfare reform legislation intended to maintain Medicaid http://www.agi-usa.org/pubs/tgr/02/6/gr020606.html

@import "http://www.guttmacher.org/css/tgr6.css"; Volume 2, Number 6, December 1999 Special Analysis Implications for Family Planning of Post-Welfare Reform Insurance Trends By Rachel Benson Gold New tabulations by The Alan Guttmacher Institute of Census Bureau data show that between 1994 and 1998, the proportion of American women of reproductive age enrolled in Medicaid fell by 21%. By 1998, nearly one in five American women of reproductive age lacked insurance of any kind. While the precise causes and effects are not yet completely clear, welfare reform is likely to have played a major role in these developments, which have important implications both for women needing family planning services and for the health care professionals seeking to serve them. Responding to these concerns, Congress included a provision aimed at holding Medicaid eligibility constant, despite the dramatic changes being made to welfare. Specifically, an amendment added largely at the behest of the late Sen. John Chafee (R-RI) provided that families meeting what had been a state's eligibility requirements for Medicaid prior to the legislation would be eligible in the future for Medicaid coverage regardless of whether they were eligible for welfare. This provision, which effectively delinked eligibility for Medicaid from eligibility for welfare, was designed both to ensure that families already enrolled in Medicaid would continue to be covered and to permit additional families to enroll in the program even if they did not meet the new requirements for welfare.

47. The Decembrist: "Welfare Health Care" If you want to know why welfare reform was not a total disaster, Listed beloware links to weblogs that reference welfare health care http://markschmitt.typepad.com/decembrist/2005/01/welfare_health_.html

hostName = '.typepad.com'; The Decembrist Periodic comments on current politics, the 2004 elections, ideas and ideologies, economic policy, political reform, and perhaps some juicy gossip every now and then from the world of nonprofits and foundations working on these things. Recent Posts Pump and Dump Politics Latino diversity a Question Latino diversity a Question The Official Break ... My Insularity Other Writing All my posts at tpmcafe.com I've been trying to cross-post everything here and also at TPMCafe.com, but I don't always do it. Bookmark this link if you want an easy way to find my stuff at that fascinating site. American Prospect online, June 2004, "The Permanent Raw Deal" We know liberals face trouble if Kerry loses. But here's the tough choice they face if Kerry wins. American Prospect online, Feb. 2005, "Remember When" aka, "Days of Wine and Reagan." What we can and can’t learn from the last Social Security fight. The American Prospect, June 2004: "Kid's Aren't Us" Children's programs have gained ($5.6 billion was spent in 1984, $51.7 billion in 1999), but their economic security blanket has been ripped to shreds. The American Prospect online, Aug. 2004, The Reform That Backfired

48. The Reformer And The Gadfly Agree On Health Care Possibly it was because they were agreeing on health care proposals. Medicaid and agreed with his statement that welfare reform has really worked. http://www.washingtonpost.com/wp-dyn/content/article/2005/07/21/AR2005072102272.

var SA_Message="SACategory=" + 'opinion/columns/politics/milbankd'; Hello Edit Profile Sign Out Sign In Register Now ... Subscribe to SEARCH: News Web var ie = document.getElementById?true:false; ie ? formSize=27 : formSize=24 ; document.write(''); Top 20 E-mailed Articles washingtonpost.com Columns Print This Article ... E-Mail This Article RSS News Feeds Top News What is RSS? All RSS Feeds today in slate ... How Gotti Jr. Beat the Rap In the next day or two, John A. Gotti will leave the Metropolitan Correctional Center ... More The Reformer and the Gadfly Agree on Health Care By Dana Milbank Friday, July 22, 2005; Page A02 Midway through his breakfast panel at the National Press Club yesterday, Newt Gingrich said, by way of aside, "I risk sounding not quite as right-wing as I should to fit the billing." Now, where would he get that idea? Maybe it was because he, architect of the 1994 Republican Revolution, was sitting down with the right's bete noire , Hillary Rodham Clinton. Possibly it was because they were agreeing on health care proposals. And it almost certainly had something to do with Gingrich saying things like "Senator Clinton is exactly right" and "I think everything she just said I agree with" and "Hillary is so correct in the direction she laid out." Sen. Hillary Rodham Clinton admires Gingrich's "policy wonk" qualities.

49. Washingtonpost.com: President Insists Congress Enact Reforms In Welfare, Health If health care and welfare reform have received the most presidential attention,another of Clinton s pet proposals – overhauling the government system to http://www.washingtonpost.com/wp-srv/politics/special/states/stories/sou012694.h

STATE OF THE UNION Overview Key Stories Opinion Special Reports President Insists Congress Enact Reforms in Welfare, Health Care By Ann Devroy Washington Post Staff Writer Wednesday, January 26, 1994; Page A01 President Clinton last night threatened to veto any health care proposal that does not guarantee coverage for all Americans and he laid down a broad, unequivocal challenge to Congress to deliver on his ambitious domestic agenda. As Republicans sat glumly glued to their seats, Clinton got personal in his call for guaranteed health insurance. "This is really a test for all of us" in government, he said. "We have health care that's always there. I think we need to give every hard-working, taxpaying American the health care security they have already given to us." While health care was the centerpiece of the president's State of the Union Address to a joint session of Congress, Clinton also insisted that welfare reform, anticrime legislation, education reform, revamping of the job training system and a range of other issues cannot be ignored this election year. And beyond the lists of proposals, recommendations and appeals, Clinton ended his address with his signature, "New Democrat" appeal for personal responsibility and national renewal.

50. Peacework - Sept. 2001 - The Human Crisis Of Welfare Reform This trend in US policy is sharply expressed in the 1996 welfare reform, thePersonal The safety net must include food assistance, health care, http://www.afsc.org/pwork/0109/010904.htm

September 2001 About Peacework Subscribe Now Current Contents September 2001 ... Back Issues Index National AFSC NERO Office American Friends Service Committee Peacework Magazine Patrica Watson, Editor Sara Burke, Assistant Editor Pat Farren, Founding Editor 2161 Massachusetts Ave. Cambridge, MA 02140 Telephone number: Fax number: Email address: pwork@igc.org Peacework has been published monthly since 1972, intended to serve as a source of dependable information to those who strive for peace and justice and are committed to furthering the nonviolent social change necessary to achieve them. Rooted in Quaker values and informed by AFSC experience and initiatives, Peacework offers a forum for organizers, fostering coalition-building and teaching the methods and strategies that work in the global and local community. Peacework seeks to serve as an incubator for social transformation, introducing a younger generation to a deeper analysis of problems and issues, reminding and re-inspiring long-term activists, encouraging the generations to listen to each other, and creating space for the voices of the disenfranchised. Views expressed are those of the authors, not necessarily of the AFSC.

51. Families USA Families USA Media Center welfare reform Leaves Hundreds of Thousands Without health care Coverage. Three InFive Who Lost Coverage Were Children Under Age 19 http://www.familiesusa.org/site/PageServer?pagename=media_press_1999_uninpr

52. NHPF Catalogue Search Results [38 Records] welfare reform and Mental health Issues Are They Essentially Interconnected? State and County Experiences with welfare reform and Access to health care http://www.nhpf.org/index.cfm?fuseaction=SearchCatalogue&iissueid=13

53. A Bitter Pill A Bitter Pill welfare reform and the health of Homeless People. The Nationalhealth care for the Homeless Council is pleased to make this Executive Summary http://www.nhchc.org/Publications/bitterpill.html

Because Health Care is a Right, Not a Privilege A Bitter Pill: Welfare Reform and the Health of Homeless People The National Health Care for the Homeless Council is pleased to make this Executive Summary available. The full report is available for $10.00 on our Publications page. Executive Summary July 1995 The Federal Government will likely adopt significant welfare reform measures in 1995. A number of State governments have already made important changes to assistance programs for families and individuals, and in 1996 the focus of welfare reform efforts will shift to the States. Unfortunately, it is likely that these measures will exacerbate homelessness: A growing number of Americans are living in poverty and homelessness. Fundamental transformations in public policy are required to address these phenomena; however, the sort of welfare reform proposals approved by the House of Representatives and adopted recently in States such as Massachusetts, Virginia, Wisconsin, and Maryland are unlikely to diminish poverty - and are likely to increase homelessness. The themes which consistently appear in these measures - time limits for the receipt of assistance, the exclusion of children born to teenagers or to parents already participating in the program, work requirements without adequate training or child care, the denial of assistance to persons with substance abuse-related disabilities - ignore the economic context in which poverty has flourished, and punish those most in need of support.

54. Welfare Reform And Health Care Use Of Uninsured Immigrant Mothers In New Jersey welfare reform and health care Use of Uninsured Immigrant Mothers in New Jersey.Ingrid Morton Mitchell, MS1, Markos Ezra, PhD1, and Lakota K. Kruse, MD, http://apha.confex.com/apha/130am/techprogram/paper_38390.htm

The 130th Annual Meeting of APHA 4319.0: Tuesday, November 12, 2002 - 8:54 PM Abstract #38390 Welfare Reform and Health Care Use of Uninsured Immigrant Mothers in New Jersey Ingrid Morton Mitchell, MS , Markos Ezra, PhD , and Lakota K. Kruse, MD, MPH . (1) Maternal and Child Health Epidemiology, New Jersey Department of Health and Senior Services, P.O. 364, Trenton, NJ 08625-0364, 609 292-5656, Ingrid.Morton-Mitchell@doh.state.nj.us , (2) Division of Family Health Services, New Jersey Department of Health and Senior Services, P O Box 364, Trenton, NJ 08625 Learning Objectives: Identify combinations of variables that can be used as a proxy for the undocumented immigrant mother. Describe a procedure for tracking uninsured immigrant mothers birth outcomes. Develop a template that states can use to identify uninsured immigrant mothers. 4.Develop a surveillance system to monitor uninsured immigrant mother's birth outcomes. Keywords: Maternal and Child Health, Immigrant Women Presenting author's disclosure statement: I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

55. Welfare Reform welfare reform marked a shift in public policy from federal programs Medicaid,which provides health care coverage for eligible lowincome people, http://www.michiganinbrief.org/edition07/Chapter5/WelformReform.htm

Welfare Reform: TANF Reauthorization GLOSSARY Child Care and Development Block Grant (CCDBG) Federal funding to the states for child-care assistance to low-income families. Along with Temporary Assistance for Needy Families (TANF) allocations, the CCDBG has become a primary source of additional funding for state child-care subsidies and is part of the TANF reauthorization debate. Family Independence Program (FIP) Michigan's Temporary Assistance for Needy Families (TANF) program. Food Stamp Program (FSP) Federal U.S. Department of Agriculture program that provides funding to help low-income people purchase food, often through ATM-like debit cards rather than paper coupons or stamps. Current funding for the FSP expires in September 2002 at the same time as Temporary Assistance for Needy Families (TANF) appropriations. Michigan Family Independence Agency (FIA) The state agency that administers the Family Independence Program (FIP) and related programs, including child daycare, food stamps, and child welfare; also determines eligibility for Medicaid.

56. Welfare Reform welfare reform proposals at the state and federal levels will have a direct health care One factor that can discourage welfare recipients from working http://www.brown.edu/Departments/Taubman_Center/kidscnt/welfref.html

No.1 April 1996 WELFARE REFORM: How Will We Know If It's Good For Children? Welfare reform proposals at the state and federal levels will have a direct impact upon the health, safety, education, and economic well-being of the 38,574 Rhode Island children who currently receive cash benefits through Aid to Families with Dependent Children (AFDC). Almost everyone agrees that the welfare system needs reforms that will help families transition from public assistance to paid employment. Yet, the percentage of AFDC recipients who enter and remain in the paid workforce is not the only benchmark for a welfare reform program that also seeks to protect the majority of it recipients - Rhode Island children. Equally critical are several less visible measures of a successful welfare reform effort. Measure of Success For Welfare Reform Moves families to work and out of poverty Assists families in obtaining sustainable work.

57. Fairfax Welfare Reform Evaluation Study May 2000 Fairfax welfare reform Evaluation Study. May 2000. Executive Summary Most families had some type of health care coverage (91 percent). http://www.nvgc.vt.edu/ippr/FXco35mo/executivesummary.html

Fairfax Welfare Reform Evaluation Study May 2000 Executive Summary In January 1997 the Fairfax County Department of Family Services contracted with Virginia Tech to conduct a longitudinal evaluation of Fairfax County's welfare reform program. The purpose of the study is to describe the experiences of clients after they leave TANF. This report describes findings from the third year of data collection activities. Reports of data collected during the first two years of the study were submitted in March 1998, May 1999 and December 1999. This report is the first of several reports for a new sample of former TANF clients. Methodology All VIEW mandatory cases closing between May 1 and September 30, 1999 were included in the sample. Former clients were contacted by telephone five months after their cases closed. Ninety-seven respondents participated in the 20-minute telephone survey. Major Findings Characteristics of former TANF clients Respondents were most often: Female (96 percent) 32 years of age on average African-American (62 percent) Not married (56 percent), and

58. Health Beyond A Culture of Fear How welfare reform Has Failed Immigrants and Public the provisions of the welfare reform law have had on access to health care http://www.lif.org/health/health.html

Welcome to the Health Program Website! Latino Issues Forum Health Program's mission is to enhance and promote the health and well-being of Latino low-income, immigrant, rural, and non-English speaking communities in California. Our goals are to: 1.) Increase access to health care for Latinos and all Californians, and 2.) Increase the quality of care for all patients. The health status of Latinos in California ranks among the poorest of all groups in the state. Latinos suffer disproportionately from a number of diseases such as diabetes and cervical cancer. Even more alarming is the fact that 3 million Latinos are uninsured, comprising more than half of the total uninsured in California. These are unsettling statistics considering that Latinos comprise 11 million, or 31% of California's population. This website is intended to serve as both a tool and a resource for individuals and organizations working to ensure that the Latino community can lead healthy lives. We have compiled information on various health issues and their impact on Latinos in California and nationwide. We have also listed local advocacy efforts and opportunities you can become involved in. Please feel free to contact

59. Fall 2001 - Welfare Reform And Children In 1996, welfare reform drastically altered the provision of public assistance health care to lawfully present immigrant children and pregnant women. http://www.dghonline.org/nl8/welfare_reform.html

A Surgical Strike with Collateral Damage: Welfare Reform and Children in Immigrant Families Jennifer Kasper, MD, MPH The United States is undergoing an amazing demographic shift: one in five children in the United States is an immigrant or is US-born but lives in an immigrant family. This is the fastest growing segment of the child population. In 1996, welfare reform drastically altered the provision of public assistance (Medicaid, Food Stamps, welfare, and Supplemental Security Income), for legal immigrants of all ages in this country, a distinction based solely on their immigration status and date of entry into the US. This may have unintended repercussions for the health and well-being of children and, based on the articles of the UN Convention on the Rights of the Child, is a violation of their human rights. legal Jennifer Kasper (far right), currently a fellow with Physicians for Human Rights, teaching health promoters during her 18-months as a volunteer in El Salvador. This apparent gap between nutritional need and received services among immigrant families needs to be addressed. Immigrants make a cumulative $25 billion contribution to the US economy annually. Ironically, their tax dollars support the very programs they are being denied. Parceling out public assistance based on the merit of citizenship is immoral and fails to recognize the role that immigrants play in our society. Children do not live in isolation; they are uniquely dependent upon the adults in their families and communities to ensure their optimal health, well-being, and development. Local, state and federal governments must be committed to eliminating the blights of poverty, hunger and inadequate access to medical care in all families by abolishing the stigma of immigration status.

60. Online NewsHour: The Struggle Over Welfare Reform -- May 21, 1996 Margaret Warner explains Wisconsin Works, or W2, welfare reform program. The program would also offer child care, health care, food stamps, http://www.pbs.org/newshour/bb/welfare/welfare_5-21.html

WISCONSIN WORKS? MAY 21, 1996 TRANSCRIPT Participate in a forum on welfare reform Follow the debate over the W-2 program with two Wisconsin legislators and two national experts. Learn how a pilot version of W-2 worked in Fond du Lac County. The State of Wisconsin Web site outlining W-2. Governor Tommy Thompson's home page Margaret Warner explains Wisconsin Works, or W-2, welfare reform program. W-2 is program created by Wisconsin Governor Tommy Thompson that requires welfare recipients to work and, supposedly, will reduce welfare rolls. MARGARET WARNER: When Wisconsin Governor Tommy Thompson signed the Wisconsin Works Bill last month, it was just the latest in a long string of efforts he's made to re-shape welfare in his state. The governor has succeeded in getting approval from Washington to implement several of his ideas, which are aimed at dismantling the basis tenets of the welfare system. GOV. TOMMY THOMPSON, (R) Wisconsin: (1992): For every one of my welfare reform programs that I've put into law or was able to get waivers from the federal government there have been the critics and the nay-sayers, but they want to keep the status quo. I don't want to keep the status quo. The status quo doesn't work. Give us in Wisconsin the flexibility, the opportunity to change it, and we'll show the way for the country to follow. MARGARET WARNER: The program that served as predecessor and role model for Wisconsin Works was an experimental one that's been carried out in two counties in Wisconsin since January of 1995. Called Work Not Welfare, the program ended the entitlement to cash assistance and gave money to participants only through work. Job training programs were offered, as well as medical and child care, and the cash equivalent of food stamps.

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