Nc Teachers Health Insurance Medicaid

Barbara Fraser Selected as Gateway Voice of Mid-Life and Older Women (OWL ...

While a member of the house, she sponsored the bill reauthorizing the Children’s Health Insurance Program which had to do with health care for children, making sure those children of limited income would have health care. 

“That was one of the greatest achievements in the state legislature that I had,” she said. “I had others involving domestic violence and safety, but that’s the one I hung my hat on because it so fits in with my basic core values of speaking out for those who in no other way can help themselves.

“The whole idea of being involved in the community is my thing,” Fraser said. “As a member of the Junior League, I branched out and got involved in public affairs through teaching. I remember going down to Jefferson City, and advocating for funding for education, Advocacy is volunteerism and I think public service is volunteerism.”

Once Fraser was elected to the St. Louis County Council , she was instrumental in the passage of the Clean Air Act.

“I had said as a candidate that I was in favor of a clean air act for second hand smoke, and I worked with different communities to get that done and was tremendously successful,  except for the exemptions,” she said. “It’s worthy of note that probably close to 99 percent of all working places in the county are smoke free.”

Fraser also helped in getting the anti-tethering ordinance passed in St. Louis County.

“My passion has been to really speak out for those who often could not speak out for themselves ,” she said. “This involves children or animals who don’t have a voice of their own.”

She said the best advice she every received, “You’ll never cease to grow if you have a passion for learning,” came from her parents.

Sandra Wilkes: Medicaid plays major role in local health care ...

By Sandra Wilkes

Special to the Salisbury Post

Last year Medicaid paid $163,049,159 for health care for almost 24,000 Rowan County residents, representing 17 percent of the county’s population. Breaking those numbers down, Medicaid assisted close to 17,000 parents and children and 7,000 elderly, blind and disabled adults.

With the persistently high unemployment rate, many families have had to turn to Medicaid and other public assistance programs for the first time. A federal-state health insurance program that was signed into law in 1965 by President Johnson, Medicaid has become over the years the largest publicly funded insurance program in the nation. As an entitlement program, the government must pay for covered health services of eligible Medicaid beneficiaries. Without this coverage, our most vulnerable citizens may not have medical exams and preventive check-ups, nursing home care, prescription drugs, physical therapy, mental health services and pre-natal care.

Both the number of Medicaid recipients and the cost to provide their care will increase significantly in the next two to three years, when health-care reform expands the current Medicaid coverage groups to include adults who are not responsible for minor children and who are not disabled, blind, or elderly, and whose annual gross income does not exceed 133 percent of the federal poverty level. It is expected that many low-income adults will take advantage of Medicaid when this expansion goes into effect.

Controlling costs

Medicaid cost containment is a pressing concern and has led to several statewide initiatives. Managed care is one state initiative that has very effectively improved the quality, use and cost-effectiveness of care for Medicaid recipients, especially for patients with chronic diseases. Rowan’s managed care program is Community Care of Southern Piedmont. CCSP funds a Social Services-managed care coordinator, who works to get Medicaid recipients assigned to a primary care physician. Over 20,000 of Rowan’s recipients are assigned to a primary care physician. Having a primary physician and a patient-centered medical home means the patient gets comprehensive routine and preventive care, costly medical emergencies are fewer, and the potential is reduced for recipients to go from doctor to doctor without anyone overseeing their care.

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