Why Does Medi-Cal and CCS Matter to Your Family?

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Due to shifting politics in Washington, DC, it is important that policymakers understand why health insurance programs are essential to families of children and youth with special health care needs.

What will happen to your family or families you know, if significant changes or cuts are made to public programs (Medi-Cal, CCS, Covered California, or access to Medi-Cal regardless of immigration status):

Policymakers need to hear from families.

If you provide your email address at the end, you will be entered to win $50 gift cards in a drawing.

It takes 3-5 minutes to complete. Thank you for participating.

What is your role? *

Parent or Caregiver of a child with special health care needs

Professional

Both a parent or caregiver and a professional

Do you have a child that participates in Medi-Cal or CCS? (If you are unsure: does the State of CA send you information about your child's health care?) *

Yes

Unsure

Who is your congressional representative (US House of Representatives) in Washington, DC?

If you do not know, here is the locator:

Find your representative

What is your zip code

What is your racial/ethnic background? (optional)

Latino

Black American

Native American

Native Hawaiian

Asian

Caucasian/European

Prefer not to say

Other:

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What is the age (s) of your child (ren)?

0-Age 2

Ages 3-7

Ages 8-12

Ages 13-18

Ages 19-21

Clear selection

Does Medi-Cal/CCS pay for (check all that apply):

Pediatrician (PCP, Nurse practioner)

Specialists (ie, pediatric endocrinology, pediatric oncologists, pediatric neurologists, etc)

Therapies (Mental Health, Physical Therapy, Respiratory, Occupational, Speech)

Health Care in Schools (such as speech, nursing care, health-related aides or services)

Lab Services (blood tests, x-rays, etc)

Medicines

In-patient (hospital) treatment

Services delivered at home

Unsure

Other:

Are you a Project Leadership Graduate?

Yes

I'm not sure

I do not know what that means

Clear selection

If there are changes in Medi-Cal, what services would you be most afraid to lose?

Is there anything else you would like to share about why Medi-Cal matters to you?

If you told us why Medi-Cal matters to you, can we share your story?

Yes

Only without any identifying personal information

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With support and training, would you be willing to share why Medi-Cal matters to you with policymakers in Sacramento and Washington, DC?

Optional: Email:

Submit

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