Medi-Cal Funded Induced Abortions 1997

Transcription

1 Golden Gate University School of Law GGU Law Digital Commons California Agencies California Documents Medi-Cal Funded Induced Abortions 1997 Department of Health Services Follow this and additional works at: Part of the Legislation Commons Recommended Citation Department of Health Services, "Medi-Cal Funded Induced Abortions 1997" (1999). California Agencies. Paper This Cal State Document is brought to you for free and open access by the California Documents at GGU Law Digital Commons. It has been accepted for inclusion in California Agencies by an authorized administrator of GGU Law Digital Commons. For more information, please contact

2 MEDI-CAL FUNDED INDUCED ABORTIONS 1997 Medi-Cal Report published March 1999 STATE DEPOSITORY LAW LIBRARY ABSTRACT MAR GOLDEN GATE UNJVERSIT\' This report provides summary tables on the number of fee-for-service Medi-Cal funded abortions performed during 1997, the type of facility where a procedure was performed, and Medi-Cal expenditures for these procedures. The data are presented on both county and state levels. Questions regarding data provided in this report and any other inquiries related to Medi-Cal funded abortions in California may be directed to Samira AI-Qazzaz at (916) Grantland Johnson Secretary Health and Human Services Agency Gray Davis Governor State of California Joseph Munso Chief Deputy Director Department of Health Services

3 o o o o o o o HIGHLIGHTS Medi-Cal funded a total of 65,617 fee-for-service (FFS) abortions 1 in 1997 and paid an average of $329 per procedure, totaling $21,583,13 million for all abortions. There was an estimated 6,693 abortions for enrollees in prepaid health plans and managed care programs excluding Santa Barbara and San Mateo. The average monthly rate of abortions per 1, eligible women 15-5 years old was Approximately one-third, 32 percent, of Medi-Cal fundec;l abortions were performed for women 2-2 years old. Abortion services to hispanic females accounted for 31 percent of total abortions exceeding, for the fifth year in a row, that of white females. OBRA eligibles accounted for about ten percent of total abortions. Two thirds of the abortions, 67 percent, were done at a physician's office averaging 5 abortions per office location. The cost of an abortion performed on a hospital inpatient basis averaged $1,979 per abortion. Abortions done at a physician's office averaged $286 per abortion which is lower than that of abortions done at clinics and hospital outpatient. The number of Medi-Cal eligible women who received abortion services was 61,589. Ninety-four percent of these women had only one abortion in The term abortion as used in the report refers to induced abortions only. i

4 TABLE OF CONTENTS Highlights Introduction.... Data Qualifications.... Medi-Cal Fee-For-Service Eligibles, Induced Abortions, and Expenditures.... Distribution of Medi-Cal Funded Induced Abortions, by Age and Ethnicity.... Distribution of Medi-Cal Funded Induced Abortions, by Age and Aid Category.... Distribution of Medi-Cal Funded Induced Abortions, by Type of Facility... :.... Frequency of Medi-Cal Funded Induced Abortion.... County Distributions of Medi-Cal Funded Induced Abortions.... ~ I TABLES TABLE A TABLE 1 TABLE 2 TABLE 3 TABLE TABLE 5 TABLE 6 Estimated Number of Medi-Cal Funded Abortions for Enrollees in Health Care Plans, Women Ages 15-5, California, Average Monthly Number of Medi-Cal FFS Eligible Women 15- Years, Number of FFS Medi-Cal Funded Induced Abortions, Total Program Expenditures, and Total Medi-Cal Expenditures for Abortions, California, 1986 through Number of FFS Medi-Cal Funded Induced Abortions, by Age and Ethnicity, California, Number of FFS Medi-Cal Funded Induced Abortions, by Age and Aid Category, California, Number of FFS Medi-Cal Funded Induced Abortions, Expenditures and Average Cost Per Abortion, by Type of Facility, California, Average Number of FFS Medi-Cal Funded Induced Abortions and Average Medi-Cal Expenditures per Facility, by Type of Facility, California, Number of FFS Medi-Cal Funded Induced Abortions and Number of Eligible Women Receiving these Services by Frequency of Abortions and Age, California,

5 TABLE OF CONTENTS (continued) TABLE 7 TABLE 8 TABLE 9 TABLE 1 TABLE 11 Number of Medi-Cal Funded Induced Abortions, by County of Beneficiary and Age, California, Number of Medi-Cal Funded Induced Abortions, by County of Beneficiary and Ethnicity, California, Number of Medi-Cal Funded Induced Abortions, by County of Beneficiary and AID Category, California, Number of Medi-Cal Funded Induced Abortions, by County of Beneficiary and Type of Facility, California, Number of Medi-Cal Funded Induced Abortions, by County of Provider and Type of Facility, California, TABLE 12 Medi-Cal Expenditures for Induced Abortions, by County of Provider and Type of Facility, California, TABLE 13 Number of Medi-Cal Funded Induced Abortions and Number of Women Receiving these Services, by Frequency of Abortions and County of Beneficiary, California,

6 INTRODUCTION The number of induced abortions funded by Medi-Cal during 1997, on a fee-for-service basis, 65,617, is about 21 percent lower than in Medi-Cal payments for these abortions was 2 percent lower than in The decline is partly due to the implementation of health care plans (HCP) as explained in "Data Qualification" on page 2. Claims for services rendered to enrollees in these plans were not completed for the period of this report. The estimated number of non-fee-for-service abortions is 6,693. While the number of FFS Medi-Cal funded abortions decreased 21 percent, the number of eligible women ages 15-5 decreased 2 percent from 1996 to This resulted in about five percent increase in the rate of average monthly number of abortions per 1, FFS eligible women 15-5 years old. This is the first increase in the rate of abortions since Unfortunately, the total number of abortions for California women in 1997 is not available. The 1996 preliminary total of 28,18 was estimated by the Center for Disease Control (CDC). It reflects a three percent drop from the 1995 estimated total of 289,987. Medi-Cal funded an estimated 112,99 abortions during 1996, including an estimated total of 3,21 abortions for health care plans' enrollees. Accordingly, Medi-Cal funded abortions accounted for percent of the 1996 CDC preliminary estimate. 1

7 DATA QUALIFICATIONS This report discusses abortions which occurred during calendar year 1997 and appear on the Medi-Cal paid claims file between January 1997 and September The 21-month file was used in order to allow for delays in submitting or processing hospitals, clinics and physicians claims. Abortions performed for enrollees in health care plans (HCP), otherwise known as managed care, are not included in this report. Encounter claims for these HCPs, excluding San Mateo and Santa Barbara, are reported on sporadic basis and therefore are incomplete. Due to the limited reporting it is not known exactly how many abortions these plans have accounted for during Abortion estimates for non-ffs enrollees in counties where HCPs are implemented are provided in Table A below. TABLE A ESTIMATED NUMBER OF MEDI-CAL FUNDED ABORTIONS FOR ENROLLEES IN HEALTH CARE PLANS WOMEN AGES 15-5, CALIFORNIA 1997 FFS NON-FFS TOTAL COUNTY OF BENEFICIAR'i (ACTUAL) (ESTIMATED) (ESTIMATED) TOTAL 52,239 6,693 98,932 ALAMEDA 2,668,96 7,16 CONTRA COSTA 1,527 1,988 3,515 FRESNO 2,175 2,63,85 KERN 8 1,685 2,529 LOS ANGELES 23,655 1,16 33,819 ORANGE I 932 3,59,526 RIVERSIDE 2,32 1,736,6 SACRAMENTO 2,562 3,938 6,5 SAN BERNARDINO 3,72 2,312 6,5 SAN DIEGO 3,18 2,58 5,768 SAN FRANCISCO 1,737 1,798 3,535 SAN JOAQUIN 861 1,51 2,2 SANTA CLARA 2,693 2,63 5,323 SANTACRUZ ,21 SOLANO 55 1,612 2,162 SONOMA 1 ' ,76 STANISLAUS 1,3 29 1,59 NOTE: These estimates are based on the ratio of abortions to eligible women 15-5 during CY 1993 which is the last year prior to the implementation of HCPs. Prepaid health plans (PHP) and organized health systems of San Mateo and Santa Barbara were in effect This ratio was then applied to total number of eligible women during July 1997 using the January 1998 eligibility file. 2

8 Medi-Cal FFS Eligibles, Induced Abortions, and Expenditures While total Medi-Cal FFS expenditures increased 91 percent during the past ten years payments for Medi-Cal funded induced abortions for the same period fluctuated from a low of $21,583,13 million in 1997 to a high of $.7 million in The 1997 total expenditures is 29 percent less than the 1988 total 1 The average monthly number of FFS eligible women ages 15-5 dropped 2 percent from 1996 to 1997, while the number of abortions for the same age group dropped about 21 percent. The average monthly rate of abortions per 1, eligible women. has been steadily declining from 1.5 in 1988 to 6.3 in 1996 then slightly increased into 1997, 6.7. As mentioned in Data Qualifications the availability of data from HCPs is limited starting with 199. This explains the drop in the number of reported abortions services. YEAR/1/ 1988/a/ 1989/a/ TABLE 1 AVERAGE MONTHLY NUMBER OF MEDI-CAL FFS ELIGIBLE WOMEN 15-5 YEARS NUMBER OF FFS MEDJ-CAL FUNDED INDUCED ABORTIONS, TOTAL MEDI-CAL PROGRAM EXPENDITURES, AND TOTAL MEDI-CAL EXPENDITURES FOR ABORTIONS CALIFORNIA, 1988 THROUGH 1997 AVERAGE FFS NUMBER OF MONTHLY AVERAGE FFS RATE OF MONTHLY MEDI-CAL ABORTIONS NUMBER OF FUNDED TOTAL MEDI-CAL AVERAGE PER 1, EUGIBLE ABORTIONS MEDI-CAL FFS EXPENDITURES COST PER ELIGIBLE WOMEN FOR WOMEN EXPENDITURES FOR ABORTION ABORTION WOMEN AGE 155 AGE15-5 ALL AGES ALL AGES ALL AGES AGE ,773 83,588 $5,235,227,81 $3,97,271 $ ,675 87,616 5,662,,576 33,82, ,63 97,271 6,572,97,716 37,17, ,,32 11, ,72,387,2,72, ,17, ,638 9,97,977,698 38,592, /b/ 1995/b/ 1996/cl 1997/d/ 111 Ia/ fbi lei ldl Note: Source: 1,183,15 11,19 9,92,787,96 39,832, ,18,62 13,87 1,225,765,9 35,557, ,12,972 92,988 I 1,123,68,519 31,721, ,82,23 82,187l1,36,38,29 26,992, ,3 65,132 9,999,619,517 21,583, For the years 1977 through 1987 see "Medi-Cal Funded Induced Abortions, 1995", Table 1. Availability of data for San Mateo and Santa Barbara counties is limited. Incomplete reporting for Orange, Sacramento, Solano counties. Health care plans in effect. Incomplete reporting for Alameda, Fresno, Kern, Orange, Riverside, Sacramento, San Bernardino, San Francisco, San Joaquin, Santa Cruz and Solona. HCPs in effect. Incomplete reporting for several counties. See "Data Qualifications", page 2. Rates are rounded independently and may not add to total. State of California, Department of Health Services, Medical Care Statistics Section, "Annual Statistical Report, 1996". California Department of Health Services, HR7 Summary, Mate mal Care File,

9 Distribution of Medi-Cal Funded Induced Abortions by Age and Ethnicity Women ages 2-2 accounted for the highest percent of abortions among all ethnic groups. For the fifth year in a row, hispanic women have accounted for the highest percentage of abortions, 3 percent during 1993 and 199, 31 percent during 1995, 33 percent during 1996 and 31 in Prior to that white women accounted for the highest percentage followed by black women. Compared to 199, the percentage of abortions for women of Asian and Pacific Islands origin to total abortions has remained the same (five percent). In the mean time the percentage of abortions for black women has dropped five and a half percent from 26.5 percent in 199 to about 2 percent in TABLE 2 NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS BY AGE AND ETHNICITY OF THE MOTHER FFS-ONLY, CALIFORNIA 1997 AGE ETHNICITY ASIAN ALASKAN AND NATIVE & PACIFIC AMERICAN NOT TOTAL WHITE HISPANIC BLACK ISLANDER INDIAN REPORTED TOTAL UNDER NOT REPORTED 65,617 16,82 2,663 12,859 3, , , ,31 1,28 1,986 1, ,295,963 7,87, ,911,212 5,158 3, ,186 3,5 2,896 1, ,72 2, ,971 1, ! , ,337 3,116 3,191 1, Note: See Table 7 for ethnic distribution by county. Source: State of California, Department of Health Services, HR7 summary, Maternal Care File, 1997.

10 Distribution of Medi-Cal Funded Induced Abortions by Age and Aid Category As in previous years, eligible women in the aid category AFDC (families) accounted for the highest percentage of Medi-Cal funded induced abortions, 85.7 percent. The second largest group is the OBRA 1 which accounted for ten percent of total abortions, the same as in It is important to keep in mind that the majority of managed care plans do not cover services for OBRA and income disregard eligibles. The totals provided in these tables are strictly for FFS eligibles. TABLE 3 NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS BY AGE AND AID CATEGORY OF THE MOTHER FFS-ONLY, CALIFORNIA 1997 AID GROUP MEDICALLY INDIGENT INCOME BLIND DIS- ALL AGE TOTAL FAMILIES DISABLED CHILDREN ADULTS OBRA/1/21 REGARD/3/ OTHER// TOTAL 65,617 6,797 1,738 2,231 1,623 6,325 3,8 3,99 Under ,7 3, ,31 5, ,295 15, ,85 1, ,911 1, ,988 1, ,186 6, , ,72, Not Reported /1/ OBRA and IRCA refer to two federally mandated programs; the Omnibus Budget Reconciliation Act (OBRA) and the Immigration Reform and Control Act (IRCA) both of Under IRCA the status of certain aliens unlawfully residing in the United States may be adjusted to permanent resident status. Otherwise eligible amnesty aliens who are aged, blind, disabled, or under 18 are entitled to full Medi-Cal services. Those who are not, are entitled to restricted Medi-Cal services during the first five years of amnesty, and to full services thereafter. OBRA applies to other aliens such as undocumented and temporary visa aliens. They are only entitled to restricted Medi-Cal benefits. The IRCA program was discontinued in December /21 Includes abortions for OBRA eligible women In the income disregard group. /3/ This federal and state funded program became effective in July 1989 under the title 185 percent poverty. The name change occurred in September 199. It extended Medi-Cal coverage for program related services to pregnant women whose family income does not exceed 185 percent of the federal poverty level. 11 Includes, among others, abortions for the 2 percent poverty eligible women. Note: See Table 9 for aid categories' distribution by county. Source: State of California, Department of Health Services, HR7 Summary, Maternal Care File,

11 Distribution of Medi-Cal Funded Induced Abortions by Type of Facility During 1997 the largest number of Medi-Cal funded abortions was performed at physicians' offices, accounting for 67 percent, followed by clinics, 19 percent. In comparison, fifty-nine percent of Medi-Cal payments for abortion services was to physicians. Abortions performed at physicians' offices were the least costly. At an average cost of $286 per abortion it was $25 less than the cost at a clinic and $219 less than the cost at a hospital outpatient department. The overall FFS average cost per abortion declined from $368 in 199 to $327 in 1996 (see Table 1) however, the 1997 average was half of a percent higher than the Even though only one-half of a percent of all abortions were performed at hospital inpatient departments, Medi-Cal payments for these abortions accounted for three percent of total Medi-Cal abortion expenditures, averaging $1,979 per abortion. The average cost per abortion, excluding those done in hospital inpatient departments was $32. TABLE NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS EXPENDITURES AND AVERAGE COST PER ABORTION BY TYPE OF FACILITY FFS-ONLY, CALIFORNIA 1997 AVERAGE COST PER TYPE OF FACILITY ABORTIONS EXPENDITURES ABORTION TOTAL 65,617 $21,583,13. $329 INPATIENT HOSPITAL 3 672,935 1,979 COUNTY ,877 1,98 COMMUNITY 22,58 2, OUTPATIENT HOSPITAL 8,762,2,39 55 COUNTY 1, , COMMUNITY 6,999 3,756,8 537 CLINIC 12,362 3,82, PHYSICIAN OFFICE,153 12,63, NOTE: See tables 1, 11 and 12 for type of facility distribution by county. SOURCE: Department of Health Services, HR7 Summary, Matemal Care file,

12 The number of clinics providing abortion services remained just about the same as in 1996; 191 clinics in 1997 compared to 189 in The number of abortions done at these facilities dropped sixteen percent. The number of all other types of facilities providing abortion services for FFS eligibles declined along with a noticeable decline in the number of abortions. Data on the number of abortions performed for enrollees in the HCPs are not completed and therefore we can only estimate such totals as done in Data Qualifications on page 2. TABLES AVERAGE NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS AND AVERAGE MEDI-CAL PAYMENTS PER FAC-ILITY BY TYPE OF FACILITY FFS-ONL Y, CALIFORNIA 1997 ABORTIONS '!', NUMBER OF NUMBER OF EXPEND I- PER TYPE OF FACILITY FACILITIES ABORTIONS TURES FACILITY TOTAL 1,558 65,617 $21,583,13 2 INPATIENT HOSPITAL ,935 3 COUNTY ,877 9 COMMUNITY 87 22,58 2 OUTPATIENT HOSPITAL 29 8,762,2,39 3 COUNTY 22 1, ,55 8 COMMUNITY 272 6,999 3,756,8 26 CLINIC ,362 3,82, PHYSICIAN OFFICE 971,153 12,63,85 5 NOTE: Averages are rounded independently and may not add to total. See tables 1, 11 and 12 for type of facility distribution by county. AVERAGE PAID PER FACILITY $13,853 6,597 17,925,6 15,9 3,31 13,812 2,119 13,21 SOURCE: Department of Health Services, HR7 Summary, Maternal Care file,

13 Frequency of Medi-Cal Funded Induced Abortions During 1997 a total of 61,115 FFS eligible females ages 15 to 5 had at least one abortion. Ninety four percent of these women, 57,336, had only one abortion. The average monthly percentage of women who had at least one abortion was less than one percent of FFS Medi-Cal eligible women ages 15 to 5. TABLE6 NUMBER OF FFS MEDI-CAL FUNDED INDUCED ABORTIONS AND NUMBER OF ELIGIBLE WOMEN RECEIVING THESE SERVICES BY FREQUENCY OF ABORTIONS AND AGE FFS-ONL Y, CALIFORNIA 1997 ELIGIBLE FREQUENCY OF ABORTIONS AGE ABORTIONS ' WOMEN ONCE TWICE/MORE I TOTAL 65,617 61,589 57,799 3,79 UNDER ,7,862, ,31 7,721 7, ,295 19,83 18, 1, ,911 13,789 12,71 1, ,186 8,566 7, ,72 6,37. 6, NOT REPORTED i 3 NOTE: See Table 13 for frequency of abortions distribution by county. SOURCE: State of California Department of Health Services, HR7 Summary, Maternal Care File,

14 County Distributions of Medi-Cal Funded Induced Abortions The following four tables display the distribution of abortion services by county. Individual county data do not necessarily reflect the same number and expenditure distributions which exist statewide. Data provided in Tables 7, 8, 9, 1 and 13 are distributed by county of eligibility, i.e., the county that appears on the Medi-Cal card of the beneficiary. It should be noted that this is not necessarily the county of residence at the time of service, since a beneficiary could have moved from one county to another, and her eligibility might have been transferred at the time the service was rendered. Data in these tables may also include services performed outside California for a Medi-Cal beneficiary. Data provided in Tables 11 and 12 are distributed by county of provider; i.e., county of occurrence. 9

15 State of California Department of Health Services COUNTY OF BENEFICIARY CALIFORNIA ALAMEDN2/ ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COST N2l DEL NORTE ELDORADO FRESN/2/ GLENN HUMBOLDT IMPERIAL INYO KERN/2/ KINGS LAKE LASSEN LOS ANGELES/2/ MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE/21 PLACER PLUMAS RIVERSIOE/21 SACRAMENT/2/ SAN BENITO SAN BERNARDIN/2/ SAN DIEGO SAN FRANCISC/2/ SAN JOAQUIN/2/ SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARN2/ SANTA CRUZ/21 SHASTA SIERRA SISKIYOU SOLAN/2/ SONOMN2/ STANISLAUS/2/ SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA /1/ 121 SOURCE: TABLE 7 NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS BY COUNTY OF BENEFICIARY/1/ AND AGE FFS-ONLY, CALIFORNIA 1997 AGE UNDER TOTAL , ,7 8,31 21,295 1,911 2, , , , ,69 2,52 7,517 5, , , , , , , , , , , , , , County of Medi-Cal eligibility. Umited data were reported. Managed Care In effect. See "Data Qualifications", page 2. State of California, Department of Health Services, HR7 Summary, Maternal Care File, Medical Care Statistics Section February 1999 NOT REPORTED 9,186 6, ,698 2, "

16 State of California Department of Health Services COUNTY OF BENEFICIARY CALIFORNIA ALAMEDA/2/ ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA/21 DEL NORTE ELDORADO FRESN/21 GLENN HUMBOLDT IMPERIAL INYO KERN/21 KINGS LAKE LASSEN LOS ANGELES/21 MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE/21 PLACER PLUMAS RIVERSIDE/21 SACRAMENT/2/ SAN BENITO SAN BERNARDIN/2/ SAN DIEGO SAN FRANCISC/21 SAN JOAQUIN/2/ SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA/2/ SANTA CRUZ/21 SHASTA SIERRA SISKIYOU SOLAN/2/ SONOMA/2/ STANISLAUS/21 SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA /1/ 121 SOURCE: TABLES NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS BY COUNTY OF BENEFICIARY/1/ AND ETHNICITY FFS-ONLY, CALIFORNIA 1997 ETHNICITY ASIAN OR PACIFIC TOTAL WHITE HISPANIC BLACK ISLANDER 65,617 16,82 2,663 12,859 3,225 2, , , , ,823,52 9,613 7,23 1, , , , ,769 1,178 1, ,29 1, , , , , , , , County of Medi-Cal eligibility. Umited data were reported_ Managed Care in effect. See "Data Qualifications", page 2. State of California, Department of Health Services, HR7 Summary, Maternal Care File, Medical Care Statistics Section February 1999 ALASKAN NATIVE OR AMERICAN NOT INDIAN REPORTED 33 11, I , ,

17 State of California Department of Health Services TABLE 9 NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS BY COUNTY OF BENEFICIARY/1/ AND AID CATEGORY GROUP FFS-ONLY, CALIFORNIA 1997 AID CATEGORY COUNTY OF BLIND/ MEDICALLY INDIGENT BENEFICIARY TOTAL FAMILIES DISABLED CHILDREN ADULTS CALIFORNIA 65,617 6,797 1,738 2,231 1,623 ALAMEDA/2/ 2,69 1, ALPINE 2 2 AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA/2/ 1,53 1, DEL NORTE ELDORADO FRESN/2/ 2,195 1, GLENN HUMBOLDT IMPERIAL IN YO KERN/2/ KINGS LAKE LASSEN LOS ANGELES/2/ 23,823 19, MADERA MARIN MARIPOSA 22 2 MENDOCINO MERCED MODOC MONO MONTEREY 1, NAPA NEVADA ORANGE/ PLACER PLUMAS RIVERSIDE/21 2,33 1, SACRAMENT/2/ 2,586 1, SAN BENITO SAN BERNARDIN/2/ 3,769 2, SAN DIEGO 3,29 2, SAN FRANCISC/2/ 1,78 1, SAN JOAQUIN/2/ SAN LUIS OBISPO SAN MATEO 1, SANTA BARBARA SANTA CLARA/2/ 2,712 1, SANTA CRUZ/2/ SHASTA SIERRA 1 1 SISKIYOU SOLAN/2/ SONOMA/2/ 1, ST ANISLAUS/2/ 1,353 1, SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA 1, YOLO YUBA County of Medi-Cal eligibility. 121 Umited data were reported. Managed Care in effect. See "Data Qualifications, page See footnotes for Table 3 for definition. SOURCE: State of California, Department of Health Services, HR7 Summary, Maternal Care File, OBRA/3/ 6, , Medical Care Statistics Section February 1999 INCOME DIS ALL REGARD/3/ OTHER 3,8 3, r

18 State of California Department of Health Services COUNTY OF BENEFICIARY CALIFORNIA ALAMEDA/2/ ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA/2/ DEL NORTE ELDORADO FRESN/2/ GLENN HUMBOLDT IMPERIAL INYO KERN/2/ KINGS LAKE LASSEN LOS ANGELES/2/ MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE/21 PLACER PLUMAS RIVERSIDE/21 SACRAMENT/2/ SAN BENITO SAN BERNARDIN/2/ SAN DIEGO SAN FRANCISC/2/ SAN JOAQUIN/2/ SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA/2/ SANTA CRUZ/2/ SHASTA SIERRA SISKIYOU SOLAN/2/ SONOMA/2/ STANISLAUS/2/ SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA SOURCE: TABLE 1 NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS BY COUNTY OF BENEFICIARY/1/ AND TYPE OF FACILITY FFS-ONLY, CALIFORNIA 1997 TYPE OF FACILITY INPATIENT HOSPITAL OUTPATIENT HOSPITAL TOTAL COUNTY COMMUNITY COUNTY COMMUNITY 65, ,763 6,999 2, , , , , , , , , , , , , , , , County of Medi-Cal eligibility. Umlted data were reported. Managed Care in effect. See "Data Qualifications, page 2. State of California, Department of Health Services, HR7 Summary, Maternal Care File, Medical Care Statistics Section February 1999 PHYSICIAN CLINIC OFFICE 12, , ,

19 State of California Department of Health Services TABLE 11 NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS BY COUNTY OF PROVIDER/1/ AND TYPE OF FACILITY FFS-ONLY, CALIFORNIA 1997 TYPE OF FACILITY COUNTY OF INPATIENT HOSPITAL OUTPATIENT HOSPITAL BENEFICIARY TOTAL COUNTY COMMUNITY COUNTY COMMUNITY CALIFORNIA 65, ,763 ALAMEDA/2/ 3, ALPINE AMADOR 5 BUTIE 1,226 2 CALAVERAS COLUSA 7 CONTRA COSTA/2/ 1, DEL NORTE 7 ELDORADO 13 FRESN/2/ 1, GLENN 3 HUMBOLDT 398 IMPERIAL 85 INYO 1 KERNI2/ KINGS 16 LAKE 7 LASSEN 7 2 LOS ANGELES/2/ 27, MADERA 2 MARIN 255 MARIPOSA MENDOCINO MERCED 32 6 MODOC 1 MONO 3 MONTEREY 1, NAPA 17 1 NEVADA 32 ORANGE/21 2,13 23 PLACER 12 2 PLUMAS 1 RIVERSIDE/21 1, SACRAMENT/2/, SAN BENITO 8 SAN BERNARDIN/2/, SAN DIEGO 2,53 2 SAN FRANCISC/2/ 2, SAN JOAQUIN/ SAN LUIS OBISPO SAN MATEO 1, SANTA BARBARA 28 1 SANTA CLARA/2/ 2, SANTA CRUZ/ SHASTA 16 3 SIERRA SISKIYOU 26 SOLAN/2/ SONOMA/2/ 1,38 1 ST ANISLAUS/21 1, SUTIER 6 TEHAMA 2 TRINITY TULARE 92 TUOLUMNE 17 VENTURA YOLO 82 YUBA 9 OUT OF STATE County of occurence. /1/ 121 SOURCE: Limited data were reported. Managed Care in effect. See "Data Qualifications, page 2. State of California, Department of Health Services, HR7 Summary, Maternal Care File, , , Medical Care Statistics Section February 1999 PHYSICIAN CLINIC OFFICE 12,362, ,63 1, , , , ,73 2,262 1, , , , , , , r

20 State of California Department of Health Services COUNTY OF BENEFICIARY CALIFORNIA ALAMEDAJ2/ ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTAJ2/ DEL NORTE ELDORADO FRESN/2/ GLENN HUMBOLDT IMPERIAL INYO KERN/2/ KINGS LAKE LASSEN LOS ANGELES/2/ MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE/21 PLACER PLUMAS RIVERSIDE/21 SACRAMENT/2/ SAN BENITO SAN BERNARDIN/2/ SAN DIEGO SAN FRANCISC/2/ SAN JOAQUIN/2/ SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA/21 SANTA CRUZ/2/ SHASTA SIERRA SISKIYOU SOLAN/2/ SONOMAJ2/ STANISLAUS/2/ SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA OUT OF STATE SOURCE: TABLE12 MEDI-CAL EXPENDITURES FOR INDUCED ABORTIONS BY COUNTY OF PROVIDER/1/ AND TYPE OF FACILITY FFS-ONLY, CALIFORNIA 1997 TYPE OF FACILITY INPATIENT HOSPITAL OUTPATIENT HOSPITAL TOTAL COUNTY COMMUNIT COUNTY COMMUNIT $21,583,13 $268,877 $,58 $667,55 $3,756,8 1,81,569 23,28 5,11 59,898 23,152 1,277 1, ,67 7,5 12, ,15 3,392 5,56 88,7 38,315 1, ,83 3,622 88,328 8,7 2,185 2,372 11,2 1,32 1, ,988 73,95 12,26 1,668 2, , ,86 1,935 63~ 2, ,689 13,69 1,97 9,86, ,73 118,677 28,369 3,19,57,773 3,83 69,52 5,98 8,187 1,633 75,512 8,176 1,3 3, ,699 3,97 6,6 3,1 6,91 5,89 2,95 1,69 6,527 1,969 1,19,29 36,251 33,589 5,221 2,711 1, ,227,36 3,633 2,322 5,65 1,371,77 23,28 16,931 23,17 22,339 1,257,777 1,37 3,868 22,76 25, ,517 72,835 97,293 82,17 16,515 8,29 155,679 38,62 186,727 1,555 2,89 86,6 6, ,233 9,77 3,89 18,75 18,228 62, , ,881 16,973 1,27 61,69 9,26 75,39 1,92 12,6 5,32 9,275 9, ,83 2,771,373 1,38 2,92 77, ,678 3,92 1,8 2, ,58 1,283 2, ,957 3,9 1,115 1,62 8,288 18,685 8,725 2,835 2, County of occurence. Umited data were reported. Managed Care In effect. See "Data Qualifications, page 2. State of California, Department of Health Services, HR7 Summary, Maternal Care File, Medical Care Statistics Section February 1999 PHYSICIAN CLINIC OFFICE $3,82,765 $12,63,85 99,16 871,15 336, ,135 12, ,913 1, ,179 1,9 2,615 7,977 1, , , ,13 5,97, ,129 7, ,61 1,785 1, ,31 3,372 1,295, ,137 78, ,36 3, ,613 66, ,82 1,17, , ,99 9,613 92,557 2,8 121,83 5,81 27,36 37,881 17,97 7,581 1,587 21,35 63,622 17,26 58,13 82, , ,97 312,33 8,377 3,8 577, ,58 2, ,92 8,89 12,163 9,

21 State of Callfomia Department of Health Services TABLE 13 NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS AND NUMBER OF ELIGIBLE WOMEN RECEIVING THESE SERVICES BY COUNTY OF BENEFICIARY/1/ AND FREQUENCY OF ABORTIONS FFS-ONLY, CALIFORNIA 1997 Medical Care Statistics Section February 1999 COUNTY OF NUMBER OF ELIGIBLE FREQUENCY OF ABORTIONS BENEFICIARY ABORTIONS WOMEN ONCE TWICE/MORE CALIFORNIA 65,617 61,589 57,799 3,79 ALAMEDA/21 2,69 2,578 2, ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COST A/'21 1,53 1,9 1,56 38 DEL NORTE ELDORADO FRESN/2/ 2,195 2,132 2,7 62 GLENN HUMBOLDT IMPERIAL INYO KERN/ KINGS LAKE LASSEN LOS ANGELES/21 23,823 21,679 19,699 1,98 MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY 1,12 1,6 1,12 52 NAPA NEVADA ORANGE/ PLACER PLUMAS RIVERSIDE/21 2,33 2,221 2, SACRAMENT/21 2,586 2,92 2,1 91 SAN BENITO SAN BERNARDIN/21 3,769 3,56 3, SAN DIEGO 3,29 3,35 2, SAN FRANCISC/21 1,78 1,76 1,665 1 SAN JOAQUIN/ SAN LUIS OBISPO SAN MATEO 1,575 1,99 1,25 7 SANTA BARBARA SANTA CLARA/21 2,712 2,623 2, SANTA CRUZ/ SHASTA SIERRA SISKIYOU SOLAN/ SONOMA/21 1,181 1,122 1,6 58 STANISLAUS/21 1,353 1,275 1, SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA 1,55 1,28 1, YOLO YUBA /1/ County of Medi-Cal eligibility. 121 Umlted data were reported. Managed Care In effect. See "Data Qualifictions", page 2. SOURCE: State of Callfomla, Department of Health Services, HR7 summary, Maternal Care File,