Ask the Scholar

{
    "localId": "118564802",
    "label": "Issue Papers - Crippled Children",
    "core": "doc",
    "dtoType": "document",
    "citationUrl": "https://catalog.archives.gov/id/118564802"
}

{
    "id": "118564802",
    "sourceUrl": "https://catalog.archives.gov/id/118564802",
    "contentType": "document",
    "title": "Issue Papers - Crippled Children",
    "citationUrl": "https://catalog.archives.gov/id/118564802",
    "identifierLocal": "840",
    "collections": [
        "Ronald Reagan's Governor's Papers of the Press Unit",
        "Issue Files"
    ],
    "iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/presidential-libraries/reagan/7408628/40-840-7408628-P30-008-2017.pdf",
    "thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/presidential-libraries/reagan/7408628/40-840-7408628-P30-008-2017.pdf",
    "largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/presidential-libraries/reagan/7408628/40-840-7408628-P30-008-2017.pdf",
    "imageCount": 1,
    "hasImages": true,
    "source": "import",
    "hasTranscription": false
}

{
    "url": "https://catalog.archives.gov/id/118564802",
    "naId": 118564802,
    "coverageEndDate": {
        "logicalDate": "1975-12-31",
        "year": 1975
    },
    "coverageStartDate": {
        "logicalDate": "1967-01-01",
        "year": 1967
    },
    "levelOfDescription": "fileUnit",
    "recordType": "description",
    "ocrSource": "nara-archive"
}

{
    "seq": 1,
    "pageIndex": 0,
    "type": "document",
    "url": "https://s3.amazonaws.com/NARAprodstorage/lz/presidential-libraries/reagan/7408628/40-840-7408628-P30-008-2017.pdf",
    "mediaId": "5166ca5d512b55ca",
    "ocrText": "Ronald Reagan Presidential Library\nDigital Library Collections\nThis is a PDF of a folder from our textual collections.\nCollection: Reagan, Ronald: Gubernatorial Papers,\n1966-74: Press Unit\nFolder Title: Issue Papers - Crippled Children\nBox: P30\nTo see more digitized collections visit:\nhttps://reaganlibrary.gov/archives/digital-library\nTo see all Ronald Reagan Presidential Library inventories visit:\nhttps://reaganlibrary.gov/document-collection\nContact a reference archivist at: [email protected]\nCitation Guidelines: https://reaganlibrary.gov/citing\nNational Archives Catalogue: https://catalog.archives.gov/\nCRIPALED CHILOREN\nSTATEMENT TO ASSEMBLY PUBLIC HEALTH COMMITTEE ON\nPROPOSED CRIPPLED CHILDREN LEGISLATION - JANUARY 30, 1968\nby JAmes M. Shumuray, (Title) atr\nMr. Chairman, Ladies and Gentlemen:\nWhen the 1967-68 budget for the various Crippled Children programs in\nthe State of California was passed by the Legislature and signed by\nGovernor Reagan, there was specific language inserted in the budget by\nthe Legislature that the/counties having Crippled Children programs\nState your required to this within The funds hudgeted first\nimpludly\nCrippeled Children\nwere/mandated to live within the/money budgeted to them by the State of\nmy\nCalifornia.\nTheir\nA majority of the counties have SO attempted to live within this amount\nof money but, unfortunately, nine counties have or will use up the money\nbudgeted to them before June 30, 1968, based upon the projection of\nexpenditures\n-eoses for the second six month period of this fiscal year evidenced by\nBY is to Be notes\nthe experience of the first six month period of this fiscal year.\nThat M formal required for additional warry the him record by the state from\nIt is the position of Governor Reagan and his Administration that no\nany > Mr.\nHP\nnone\ncrippled child in each of the nine counties should suffer or be deprived\nof necessary health care services because of the failure of the Crippled\nChildrens program to abide by the legislative mandate and, therefore,\nGovernor Reagan has directed the State Department of Public Health to\ncontact each of the nine counties that anticipate budget deficiencies\nand to report back within two weeks from today those programs that desire\nadditional State funding and the amount of such request so that appropriate\nsteps can be taken to work out funding requirements together with changes\nin present law SQ that future occurances of this nature will be forever\nprevented.\nGovernor Ronald Reagan, concerned by state health department\na handful of\nprojections that some counties were runsing short of funds for\nthe crippled children's program, asked the counties today if they\nwanted additional money.\n\"Although no county has initiated a request for additional\nfunds, I have taken the unusual step of asking if money is wanted\nbecause I do not want to see essential medical treatment denied to\nany crippled child,\" Gov. Reagan said.\n\"If the counties do need additional funds, I am willing to ask\nthe legislature to put aside the ban on extra funding that it\nexpressly wrote into the budget act,\" the governor said. II I\nwill also ask for revision and simplification of this complex\nThe governor acted immediately after a presentation of a\nreport from the health department showing expenditures for\nthe first six months of the program and projecting expenditures\nfor the remainder of the year.\nThe 1967 legislature added language to the budget act directing\nthat the state expenditures shall not exceed the ammount appropriated. Il\nthe budget requested by the xxxx administration and approved by\nthe legislature was based on amounts requested by the counties and\nwhen taken together with medi-cal funds actually represented a\nmodest increase over the prior year, the governor said.\nSome weeks ago the governor augmented the program further by\nauthorizing the use of the state's share of reimbursement from\nparents for expenditure by the counties.\nit was expected the total amount needed would be known in about\ntwo weeks since county boards of supervisors would have to vote\non asking additional funds if any are needed.\nMEMBERS\nLOUIS J. ANGELO\nE. RICHARD BARNES\nCOORDINATOR\nFRANK P. BELOTTI\nEUGENE R. LEYVAL\nCARL A. BRITSCHGI\nCONSULTANT\nJOHN L. E. COLLIER\nCHARLES J. CONRAD\nCalifornia Tegislature\nJOHN H. SIMONS\nPAULINE L. DAVIS\nCONSULTANT\nLEROY F. GREENE\nGAIL VESSELS\nSTEWART HINCKLEY\nCOMMITTEE SECRETARY\nCHARLES W. MEYERS\nDON MULFORD\nCommittee\nMARIA HUSUM\nSECRETARY\nCARLEY V. PORTER\nLEON RALPH\non\nJEANNE SPENCE\nLEO J. RYAN\nSECRETARY\nWINFIELD SHOEMAKER\nand Means\nVICTOR VEYSEY\nCHARLES WARREN\nCAPITOL, ROOM 2140\nGEORGE ZENOVICH\nCALIFORNIA 95814\n445-8160\nFRANK LANTERMAN\nVICE CHAIRMAN\nW. CROWN\nCHAIRMAN\nNovember 8, 1967\nHonorable Ronald Reagan\nGovernor of the State of California\nFirst Floor, State Capitol\nSacramento, California\nDear Governor Reagan:\nI am writing to respectfully request that you place the\nsubject matter of financing the Crippled Children's Service\nprogram on special call. This would allow the Legislature\nto consider appropriating additional funds to Item 277 of\nthe 1967-68 Budget Act (A.B. 303). The reason for the\nrequest is that the C.C.S. program was cut back by the State\nDepartment of Public Health as of August 15, 1967, apparently\ndue to an insufficiency of funds appropriated this year.\nThe cut backs mean that children with any one of approx-\nimately 100 medical conditions who were eligible to be treated\nprior to August 15 are no longer eligible to receive C.C.S.\ntreatment unless they come from poverty stricken families or\nstarted treatment prior to August 15. These are handicapped\nyoungsters who are cross-eyed, have mild hearing loss, drooping\neyelids, lop-ears, and clubfeet, to give just a few of the more\ngraphic examples. It is estimated by the Department of Public\nHealth that 5,000-7,000 children, who otherwise would have\nreceived C.C.S. care, will not receive C.C.S. services during\nthe current fiscal year as a result of the cut backs. Many\nof these children come from low income families who do not\nmeet the poverty standard (income of $4,000 or less) but to\nwhom large medical bills can be catastrophic.\nHonorable Ronald Reagan\nPage Two\nNovember 8, 1967\nI am sure that these facts are no more comforting to you\nthan they are to me or any other fair-minded citizen. I know\nof your concern for handicapped youngsters, as evidenced by\nyour signing of S.B. 1292 (Petris, 1967) and as manifested by\nyour statement to me in March, 1967, when you said you would\nsupport an additional deficiency appropriation for the C.C.S.\nprogram if this proved to be necessary during the balance of\nfiscal year 1966-67 to prevent a cut back of C.C.S. services.\nThis statement followed our agreement on the amount of money\nto be appropriated by A.B. 595 (Crown, 1967) for C.C.S.\nI would like to add a word to two regarding the amount of\nmoney appropriated for C.C.S. during the past budgetary session.\nThe Legislature granted the full amount of the appropriation\nproposed by the Department of Finance during budgetary proceed-\nings--$9,740,763. I understand that at no time did the Depart-\nment of Finance indicate to the Assembly Ways and Means Com-\nmittee that the amount requested was insufficient to continue\nthe program at the ongoing level of service. I am confident that\nif members of the Legislature had known in advance that the\nC.C.S. appropriation was insufficient to maintain current program\nlevels, they would have attempted to provide the necessary\nfinancing.\nBe that as it may, we now have the opportunity to rectify\npast decisions. With your consent and assistance, I am prepared\nto introduce the appropriate legislation to lift the Crippled\nChildren's program out of the financial abyss into which it has\nfallen. Preliminary indications are that from $500,000 to\n$750,000 is needed, an amount I think the taxpayers of California\nare willing to expend for the care of deserving crippled children.\nI look forward to hearing from you and working with you\non this important matter. Thank you.\nSincerely,\nRx\nROBERT W. CROWN\nAssemblyman\nRWC:jm\nCC: Mr. Spencer Williams\nMr. Gordon Smith\nMr. Jack Lindsey\nMr. Vernon Sturgeon\nAll Members of the Legislature\nState of California\nDEPARTMENT OF PUBLIC HEALTH\n2151 Berkeley Way\nBerkeley, California 94704\nCCS BULLETIN 67-4\nAugust 15, 1967\nTO:\nAll CCS County Program Directors\nSUBJECT:\nBureau of Crippled Children Services\nManual of Procedure\nChapter 2, Medical Eligibility\nMODIFICATION OF MEDICAL ELIGIBILITY FOR FISCAL YEAR 1967-68\nIn order to keep expenditures within funds appropriated, the attached list are conditions\nwhich should not be accepted for treatment services under Crippled Children Services in the\nfiscal year 1967-68. This applies to new cases only. Cases already under care should be\ncontinued until treatment is completed. (An alphabetical list is also attached.)\nExceptions:\nGROSS INCOME\n1. For those families living at or below the poverty level $2,000 individual;\n$4,000 family) and for whom there is no other resource for medical care\n(county hospital, Department of Rehabilitation), the county may at its\noption, review individual cases and consider accepting a child with these\nconditions under the CCS program.\n2. Children with conditions on this list who are eligible for Medi-Cal benefits\nwill continue to be accepted for case management services if they are referred\nto CCS.\nThe Modification in general eliminates conditions which are not chronic in nature, do not\nneed complex multidisciplinary services and are not financially catastrophic.\nEligibility for diagnostic services for these restricted conditions (before the nature of\nthe handicap and the family's financial situation is determined) remains unchanged.\nWOULD\nFOR\nOrthodontia screening clinic\nbe used\nchildren whose families live at or under the poverty level.\nThe modification of medical eligibility covers one or more of the following points:\n1. Limits eye conditions to severely handicapping conditions of the eye, such\nas cataract, corneal opacity, malignant tumors, detachment of retina,\nglaucoma, and severe eye injury.\n2. Limits the provision of orthodontia care essentially to children with cleft\nlip and palate.\n3. Limits ear conditions to those requiring hearing aids, reconstructive surgery\nof the middle ear, or mastoid surgery.\n4. Limits cosmetic surgery to functional restoration.\n5. Limits orthopedic coverage to major or -thopedic handicaps.\n6. Limits care for other comparable conditions or cases involving relatively\nminor costs or limited need for specialized medical care.\nRalph C. Hornberger, M.D., Chief\nBureau of Crippled Children Services\nAttachments 2\n248\nCRIPPLED CHILDREN SERVICES\nEXCLUSION LIST - TREATMENT SERVICES\nMedical Eligibility\n1967-68\nAlphabetical\n\"A\"\n\"F\"\nAbscess, bone\nFacial paralysis, Bell's palsy\nAbsence of teeth (congenital or\nFemoral torsion\nacquired)\nFlat feet\nAmblyopia including anisometropia\nAnkyloblepharon\n\"G\"\nAphakia\nGenu recurvatum\nAural polyp\nGenu valgum\nGenu varum\n\"B\"\n\"H\"\nBaker's cyst\nBenign melanoma of skin\nHallux valgus\nBenign neoplasm of skin\nHallux varus\nBowed legs\nHammer toe or finger\nBursitis\nHearing loss (Except for cases requiring\nhearing aid, reconstructive surgery\n\"C\"\nof middle ear or mastoid surgery)\nHemangioma (Except major or grossly\nCalcaneal spur\ndisfiguring)\nChondroma\nHymen, imperforate\nChoroiditis\nCicatrix (Unless functionally\n\"I\"\nhandicapping)\nImperforate hymen\nClub foot (Except when surgery needed)\nIncontinentia pigmentia\nConjunctivitis\nInternal derangement of knee joint\nCyst, Baker's\nIritis\n\"D\"\n\"J\"\nDacryocystitis\nJoint mice\nDeflected nasal septum\nDeformity, external ear (Except\n\"K\"\nagenesis or hypoplasia)\nDeformity, nose\nKeloid scar (Unless functionally\nDeviated septum\nhandicapping)\nDigits, supernumerary\nKeratitis (Except interstitial)\nKnock knees\n\"E\"\n\"L\"\nEar, deformity, external (Except\nagenesis or hypoplasia)\nLacrimal duct stenosis\nEar, inflammatory diseases of\nLateral meniscus, knee, rupture of\nExostosis, bone\nLipoma\nEyelid, ptosis\nLoose body in joint\nLop ear\n(1)\n\"M\"\n\"R\"\nMalocclusion (Except with cleft palate)\nRadial, ulnar, synostosis\nMelanoma, benign, of skin\nRheumatic fever (Except chronic\nMetatarsus varus\nrheumatic heart disease)\nMeniscus, lateral, knee, rupture of\nRupture of lateral meniscus, knee\nMole\nMultiple exostosis\n\"S\"\n\"N\"\nScar (Unless functionally handicapping)\nSerous otitis media\nNasal polyp\nStenosis, lacrimal duct\nNasal, septum deviation\nStrabismus\nNeoplasm, benign, of skin\nSupernumerary digits\nNevus\nNevus, pigmented\nSupernumerary ear\nNose, deformity\nSupernumerary lacrimal duct\nSynostosis, radial ulnar\n\"0\"\nSynovitis\nOphthalmia (Except sympathetic)\n\"T\"\nOsteomyelitis, acute or subacute\nOtitis externa\nTattoo\nOtitis media (Except requiring\nTeeth, absence of, congenital or acquired\nreconstructive surgery of middle\nTenosynovitis\near or mastoid surgery)\nTibial torsion\nOtitis media, serous\nTorticollis\nTrigger finger\n\"P\"\n\"W\"\nParalysis, facial (Bell's palsy)\nPes cavus\nWebbed fingers or toes (If single\nPes planus\nanomaly)\nPigeon toes\nPigmented nevus\nPolydactylism\nPolyp, aural\nPolyp, nasal\nPronated ankle\nPronated feet\nPterygium\nPtosis of eyelid\nState of California\nDepartment of Public Health\nBureau of Crippled Children Services\n080167\n(2)\n250\nCRIPPLED CHILDREN SERVICES\nEXCLUSION LIST - TREATMENT SERVICES\nMedical Eligibility\n1967-68\nChapter II - Procedure Manual\n2.4\nNeoplasms (WHO 140-239)\nBenign melanoma of skin\nBenign neoplasm of skin\nChondroma, bone\nExostosis, bone\nHemangioma (Except major or grossly disfiguring)\nLipoma\nMole\nNevus\nPigmented nevus\n2.8\nDiseases of Nervous System (WHO 330-369)\nFacial paralysis (Bell's palsy)\n2.8.3\nEye Conditions (WHO 370-389)\nAmblyopia including anisometropia\nAnkyloblepharon\nChoroiditis\nConjunctivitis\nDacryocystitis\nIritis\nKeratitis (Except interstitial)\nOphthalmia (Except sympathetic)\nPterygium\nPtosis of eyelid\nStenosis of lacrimal duct\nStrabismus\n2.8.4\nEar Conditions (WHO 390-398)\nAural polyp\nDeformity of external ear (Except agenesis or\nhypoplasia)\nHearing loss (Except requiring a hearing aid,\nreconstructive surgery of middle ear or\nmastoid surgery)\nOtitis externa\nOtitis media (Except requiring reconstructive\nsurgery of middle ear or mastoid)\nSerous otitis media\n2.9\nDiseases of the Circulatory System (WHO 400-468)\nRhoumatic fovor (Except chronic rhoumatic heart disease)\n(1)\n2.10\nDiseases of the Respiratory System (WHO 470-527)\nDeflected nasal septum\nDeformity of nose\nDeviated septum\nNasal polyp\n2.11\nDiseases of the Digestive System (WHO 530-587)\nCongenital or acquired absence of teeth\nMalocclusion (Except with cleft palate)\n2.14\nDiseases of Skin and Cellular Tissue (WHO 690-716)\nCicatrix (Unless functionally handicapping)\nKeloid (Unless functionally handicapping)\nScar (Unless functionally handicapping)\nTattoo\n2.15\nDiseases of Bones and Organs of Movement (WHO 720-749)\nBaker's cyst\nBowed legs\nBursitis\nCalcaneal spur\nClub foot (Except requiring surgery)\nFemoral torsion\nFlat foot\nGenu recurvatum\nGenu valgum\nGenu varum\nHallux valgus or varus\nHammer toe or finger\nInternal derangement of knee joint\nKnock knees\nLoose body or cartilage in joint (Joint mice)\nMetatarsus varus\nOsteomyelitis, acute or subacute\nPes cavus\nPes planus\nPigeon toes\nPronated ankle\nPronated feet\nRupture of lateral meniscus of knee\nSynovitis\nTenosynovitis\nTibial torsion\nTorticollis\nTrigger finger\n(2)\n2.16\nCongenital Malformations (WHO 750-759)\nUnless Multiple, the following are excluded:\nAnkyloblepharon\nAphakia\nDeformity of external ear (Except agenesis or\nhypoplasia)\nImperforate hymen\nLop ear\nMultiple exostosis\nPolydactylism\nPtosis of eye lid\nRadial ulnar synostosis\nSupernumerary digits\nSupernumerary ear\nSupernumerary lacrimal duct\nWebbed fingers or toes\nState of California\nDepartment of Public Health\nBureau of Crippled Children Services\n080167\n(3)\n249\nCrippled Childrens' Services Original Budget Estimates Submitted\nto the Department of Finance and action taken by Finance and Legislature:\n1965-66\n1966-67\n1967-68\nDepartmental Estimate:\nState\n9,848,246\n10,743,569\n11,086,567\nFederal\n930,732\n1,146,290\n1,128,160\n10,778,978\n11,889,859\n12,214,727\nGovernor's Budget:\nState\n9,848,246\n9,519,610\n9,740,763\nFederal\n930,732\n1,146,290\n1,128,160\n10,778,978\n10,665,900\n10,868,923\nAppropriated:\nState\n9,848,246\n9,073,140\n9,740,763\nFederal\n926,896\n1,128,160.\n1,128,160\n10,775,142\n10,201,264\n10,868,923\nDeficiency Appropriation:\n300,000\nFee Increase Item 340\n367,659\n10,868,923\nHemophilia Appropriation\n56,200\n10,925,123\nReverted appropriation\n66,048\n900,423\nIncreased Federal funds used to save\nGeneral Fund (reverted)\n260,944\nPml\nFYI\n11/15/67\nSpiner"
}