Golden Gate University School of Law GGU Law Digital Commons California Agencies California Documents 3-1999 Medi-Cal Funded Induced Abortions 1997 Department of Health Services Follow this and additional works at: http://digitalcommons.law.ggu.edu/caldocs_agencies Part of the Legislation Commons Recommended Citation Department of Health Services, "Medi-Cal Funded Induced Abortions 1997" (1999). California Agencies. Paper 73. http://digitalcommons.law.ggu.edu/caldocs_agencies/73 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 jfischer@ggu.edu.
MEDI-CAL FUNDED INDUCED ABORTIONS 1997 Medi-Cal Report published March 1999 STATE DEPOSITORY LAW LIBRARY ABSTRACT MAR 2 1999 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) 657-2966. Grantland Johnson Secretary Health and Human Services Agency Gray Davis Governor State of California Joseph Munso Chief Deputy Director Department of Health Services
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 6.67. 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 1997. 1 The term abortion as used in the report refers to induced abortions only. i
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 1 2 3 5 6 8 9 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, 1997................................ 2 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 1997. Number of FFS Medi-Cal Funded Induced Abortions, by Age and Ethnicity, California, 1997....................... Number of FFS Medi-Cal Funded Induced Abortions, by Age and Aid Category, California, 1997................... 5 Number of FFS Medi-Cal Funded Induced Abortions, Expenditures and Average Cost Per Abortion, by Type of Facility, California, 1997..................... 6 Average Number of FFS Medi-Cal Funded Induced Abortions and Average Medi-Cal Expenditures per Facility, by Type of Facility, California, 1997........................ 7 Number of FFS Medi-Cal Funded Induced Abortions and Number of Eligible Women Receiving these Services by Frequency of Abortions and Age, California, 1997..... 8 3
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, 1997............... 1 Number of Medi-Cal Funded Induced Abortions, by County of Beneficiary and Ethnicity, California, 1997... 11 Number of Medi-Cal Funded Induced Abortions, by County of Beneficiary and AID Category, California, 1997... 12 Number of Medi-Cal Funded Induced Abortions, by County of Beneficiary and Type of Facility, California, 1997... 13 Number of Medi-Cal Funded Induced Abortions, by County of Provider and Type of Facility, California, 1997... 1 TABLE 12 Medi-Cal Expenditures for Induced Abortions, by County of Provider and Type of Facility, California, 1997... 15 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, 1997... 16
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 1996. Medi-Cal payments for these abortions was 2 percent lower than in 1996. 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 1997. 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 1987. 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
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 1998. 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 1997. 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 27 9 1,21 SOLANO 55 1,612 2,162 SONOMA 1 '171 575 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
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 1991. 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/ 199 1991 1992 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 15-5 661,773 83,588 $5,235,227,81 $3,97,271 $363 1.52 729,675 87,616 5,662,,576 33,82,663 375 1.1 82,63 97,271 6,572,97,716 37,17,918 38 9.62 1,,32 11,532 1 7,72,387,2,72,88 368 9.17 1,17,752 111,638 9,97,977,698 38,592,796 3 8. 1993 199/b/ 1995/b/ 1996/cl 1997/d/ 111 Ia/ fbi lei ldl Note: Source: 1,183,15 11,19 9,92,787,96 39,832,579 37 8.3 1,18,62 13,87 1,225,765,9 35,557,28 32 7.28 1,12,972 92,988 I 1,123,68,519 31,721,356 339 6.78 1,82,23 82,187l1,36,38,29 26,992,27 327 6.33 819,3 65,132 9,999,619,517 21,583,13 329 6.67 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, 1997. 3
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 1997. 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 1997. 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 UNDER15 15-17 18-19 2-2 25-29 3-3 35-5 NOT REPORTED 65,617 16,82 2,663 12,859 3,225 33 313 68 76 6 12 1 5,7 761 1,56 658 176 19 8,31 1,28 1,986 1,187 278 36 21,295,963 7,87,595 9 115 1,911,212 5,158 3,3 717 86 9,186 3,5 2,896 1,88 81 5 6,72 2,286 1 1,971 1,57 595 36 172 52! 33 15 22 11,77 92 2,337 3,116 3,191 1,335 829 757 5 Note: See Table 7 for ethnic distribution by county. Source: State of California, Department of Health Services, HR7 summary, Maternal Care File, 1997.
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 1996. 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 15 313 21 13 17 16 15-17 5,7 3,38 69 63 191 32 18-19 8,31 5,29 83 9 39 23 2-2 21,295 15,23 336 81 628 1,85 1,595 25-29 1,911 1,81 381 2 6 1,988 1,19 3-3 9,186 6,688 366 1 292 1,18 56 35-5 6,72,811 9 3 23 697 Not Reported 172 78 81 51 5 1 /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 1986. 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 199. 53 9 978 622 27 19 1 2 /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, 1997. 5
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 1996. 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 138 268,877 1,98 COMMUNITY 22,58 2, OUTPATIENT HOSPITAL 8,762,2,39 55 COUNTY 1,763 667,55 379 COMMUNITY 6,999 3,756,8 537 CLINIC 12,362 3,82,765 311 PHYSICIAN OFFICE,153 12,63,85 286 NOTE: See tables 1, 11 and 12 for type of facility distribution by county. SOURCE: Department of Health Services, HR7 Summary, Matemal Care file, 1997.. 6
The number of clinics providing abortion services remained just about the same as in 1996; 191 clinics in 1997 compared to 189 in 1996. 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 12 3 672,935 3 COUNTY 15 138 268,877 9 COMMUNITY 87 22,58 2 OUTPATIENT HOSPITAL 29 8,762,2,39 3 COUNTY 22 1,763 667,55 8 COMMUNITY 272 6,999 3,756,8 26 CLINIC 191 12,362 3,82,765 65 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, 1997. 7
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 UNDER15 313 38 3 8 15-17 5,7,862,723 139 18-19 8,31 7,721 7,21 3 2-2 21,295 19,83 18, 1,399 25-29 1,911 13,789 12,71 1,8 3-3 9,186 8,566 7,9881 578 35-5 6,72 6,37. 6,59 315 NOT REPORTED 172 166 163i 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, 1997. 8
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
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 15 15-17 18-19 2-2 25-29 65,617 313 5,7 8,31 21,295 1,911 2,69 2 225 379 895 619 2 1 39 13 6 73 5 52 95 27 15 82 1 7 2 16 3 2 7 7 1,53 5 153 212 8 35 65 1 6 9 2 12 23 1 3 33 67 3 2,195 1 22 353 78 35 75 1 5 8 25 17 17 1 5 58 19 81 29 1 2 21 91 57 31 5 5 7 8 85 3 67 116 272 192 272 2 33 9 5 168 1 16 27 3 33 63 5 8 21 1 23,823 17 1,69 2,52 7,517 5,613 35 2 32 2 125 7 396 2 35 2 122 88 22 5 2 6 2 298 2 33 51 83 63 71 5 7 87 257 157 1 2 1 18 1 1 2 5 3 1,12 6 115 165 1 219 157 1 18 56 33 12 2 15 23 935 3 69 8 258 28 1 1 3 5 117 11 3 1 5 1 5 2,33 1 2 296 71 528 2,586 1 21 397 912 55 123 13 2 33 33 3,769 17 256 13 1,322 9 3,29 15 197 286 1,27 792 1,78 5 152 22 52 11 872 3 82 132 277 23 396 3 21 63 13 76 1,575 3 128 258 9 313 52 8 96 16 127 2,712 16 258 369 859 613 276 2 26 38 99 63 66 62 73 189 136 1 91 11 13 36 13 551 1 63 28 133 1,181 6 96 166 36 236 1,353 1 115 178 85 27 16 1 13 18 5 3 127 12 29 36 22 25 1 2 7 5 989 9 85 1 36 231 18 1 1 12 33 23 1,55 9 116 19 532 36 375 1 28 55 136 75 29 18 28 69 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, 1997. 1 Medical Care Statistics Section February 1999 NOT 3-3 35-5 REPORTED 9,186 6,72 172 321 229 6 1 7 5 88 75 16 9 5 1 188 1 2 8 9 3 22 225 172 1 9 1 9 28 1 39 2 2 125 72 3 37 1 2 27 2 1 15 3,698 2,838 61 1 28 1 65 2 6 1 1 25 83 71 3 1 2 3 3 115 86 23 17 28 12 167 16 56 6 1 5 336 219 28 25 1 15 9 57 3 1 5 378 1 215 193 6 96 71 8 58 1 213 165 5 61 2 338 256 3 29 19 93 7 2 1 8 8 2 61 1 185 12 172 116 3 19 16 1 1 7 3 121 9 7 22 7 213 15 3 52 28 35 18 1 "
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 2,69 39 1,112 178 2 1 39 31 1 73 7 37 8 82 65 2 1 1 3 11 15 1,53 1 221 73 87 65 3 2 9 23 15 12 1 2 2,195 2 892 211 136 75 1 17 1 5 17 26 15 6 11 29 26 187 8 1 31 15 3 85 28 281 127 11 272 79 116 9 168 11 9 3 63 39 1 3 23,823,52 9,613 7,23 1,5 35 79 19 3 396 15 91 5 21 22 18 298 29 23 2 71 187 26 8 5 1 5 1 18 13 5 1,12 238 59 71 32 157 96 36 2 12 12 2 1 2 935 123 523 1 17 1 292 6 2 3 22 3 1 2,33 733 7 3 5 2,586 99 337 76 198 123 33 75 3,769 1,178 1,175 85 1 3,29 1,6 865 629 315 1,78 261 276 387 227 872 3 261 126 79 396 218 6 11 8 1,575 58 59 16 31 52 31 115 2 1 2,712 57 1,16 17 251 276 72 85 3 66 19 2 1 1 91 65 1 2 551 19 6 7 1,181 587 162 7 32 1,353 597 323 86 96 16 9 33 7 8 127 85 13 1 25 16 989 312 69 33 7 18 82 3 1 1,55 69 722 63 27 375 151 119 2 28 29 138 22 8 19 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, 1997. 11 Medical Care Statistics Section February 1999 ALASKAN NATIVE OR AMERICAN NOT INDIAN REPORTED 33 11,77 9 65 1 2 5 9 135 1 12 3 1 2 31 8 16 69 12 52 I 1 1 2 15 1 26 6 7 5 12 2 2 13 5 11 36 1,838 2 2 82 2 2 23 1 2 132 3 5 266 1 18 3 32 258 2 6 1 386 2 66 15 23 8 15 339 5 592 6 1 3 92 1 1,1 375 1 656 116 17 12 5 18 1 51 21 332 3 28 2 2 2 1 12 1 21 3 27 12 5 1 21
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 1,527 13 132 2 ALPINE 2 2 AMADOR 39 26 2 1 BUTTE 73 63 19 18 13 CALAVERAS 82 75 1 COLUSA 3 23 2 CONTRA COSTA/2/ 1,53 1,81 51 8 58 DEL NORTE 65 6 8 2 ELDORADO 23 133 5 36 1 FRESN/2/ 2,195 1,39 88 98 51 GLENN 75 63 3 2 1 HUMBOLDT 17 31 9 12 1 IMPERIAL 29 26 2 6 5 IN YO 31 23 1 KERN/2/ 85 583 66 17 9 KINGS 272 217 1 5 2 LAKE 168 136 6 8 5 LASSEN 63 5 2 1 LOS ANGELES/2/ 23,823 19,12 5 351 292 MADERA 35 27 8 7 6 MARIN 396 28 7 5 1 MARIPOSA 22 2 MENDOCINO 298 239 6 11 5 MERCED 71 529 22 1 1 MODOC 1 12 1 MONO 18 1 1 2 MONTEREY 1,12 719 11 82 2 NAPA 157 127 2 NEVADA 12 16 15 6 ORANGE/21 935 13 2 2 PLACER 1 281 7 3 1 PLUMAS 3 26 2 RIVERSIDE/21 2,33 1,635 66 153 95 SACRAMENT/2/ 2,586 1,78 92 66 86 SAN BENITO 123 97 2 3 SAN BERNARDIN/2/ 3,769 2,992 87 135 91 SAN DIEGO 3,29 2,37 95 13 115 SAN FRANCISC/2/ 1,78 1, 56 57 58 SAN JOAQUIN/2/ 872 616 57 2 11 SAN LUIS OBISPO 396 258 16 2 23 SAN MATEO 1,575 87 27 13 55 SANTA BARBARA 52 268 5 19 11 SANTA CLARA/2/ 2,712 1,5 51 1 18 SANTA CRUZ/2/ 276 2 1 SHASTA 66 51 16 17 7 SIERRA 1 1 SISKIYOU 91 63 2 13 2 SOLAN/2/ 551 36 1 19 15 SONOMA/2/ 1,181 782 28 33 32 ST ANISLAUS/2/ 1,353 1,3 88 38 SUTTER 16 123 2 9 TEHAMA 127 97 3 8 TRINITY 25 19 2 1 TULARE 989 687 2 85 26 TUOLUMNE 18 87 5 VENTURA 1,55 93 26 165 63 YOLO 375 279 3 18 22 YUBA 29 18 11 2 111 County of Medi-Cal eligibility. 121 Umited data were reported. Managed Care in effect. See "Data Qualifications, page 2. 131 See footnotes for Table 3 for definition. SOURCE: State of California, Department of Health Services, HR7 Summary, Maternal Care File, 1997. 12 OBRA/3/ 6,325 239 1 2 9 1 5 2 1 2 1 2 1 15 2 2,265 62 7 11 61 3 111 13 61 16 137 125 11 23 27 26 72 1 29 11 553 83 12 1 7 16 86 18 17 2 Medical Care Statistics Section February 1999 INCOME DIS ALL REGARD/3/ OTHER 3,8 3,99 278 171 1 22 33 2 2 1 112 9 28 13 132 13 3 2 32 38 1 6 2 3 3 1 5 18 7 2 3 6 626 67 8 7 32 29 2 1 12 2 23 1 2 96 81 8 3 8 3 21 239 6 16 1 1 13 118 297 172 1 155 16 175 1 185 16 7 5 27 3 15 77 56 6 25 196 111 79 1 2 5 6 36 19 13 72 56 1 5 5 5 6 2 1 35 5 6 6 113 69 21 15 8 2 r
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 111 121 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 65,617 138 22 1,763 6,999 2,69 1 5 226 62 2 39 5 73 2 82 1 3 1,53 3 157 113 65 1 29 23 13 2,195 3 2 71 128 75 3 17 1 15 29 17 31 3 85 1 1 3 6 272 2 17 168 1 16 63 2 1 3 23,823 92 78 133,23 35 3 28 396 13 2 22 1 298 1 2 1 16 71 1 6 18 1 18 1 2 1,12 2 1 17 2 157 1 1 6 12 12 3 935 23 123 1 2 7 3 1 2,33 11 73 1 2,586 1 5 6 53 123 3,769 3 17 8 283 3,29 2 329 1,78 5 365 8 872 2 6 53 396 3 2 16 1,575 2 3 32 9 52 3 27 2,712 5 1 126 58 276 2 66 6 2 11 1 91 22 551 8 15 1,181 1 1 19 1,353 2 3 13 18 16 7 127 2 25 1 989 3 91 18 1,55 2 2 86 189 375 2 29 1 3 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, 1997. 13 Medical Care Statistics Section February 1999 PHYSICIAN CLINIC OFFICE 12,362 153 1 1986 2 11 23 65 51 11 7 16 1 79 67 26 9 13 87 112 1879 69 3 236 35 32 2 28 1 775 12 21 13 21 6 11 1,8 17882 16 298 233 13 21 88 2 2 661 12 2 3 12 21 862 96 1 69 7 188 61 218 183 22 7 26 186 1,22 199 15 6 1 2981 552 238 366 928 181 63 23 11 125 113 162 332 863 1659 81 193 53 1 61 8 29 99 916 11 52 1265 92 61 115 1 23 1 23 872 5 13 287 988 17 185 119 86
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 65,617 138 22 1,763 ALAMEDA/2/ 3,26 1 3 197 ALPINE AMADOR 5 BUTIE 1,226 2 CALAVERAS COLUSA 7 CONTRA COSTA/2/ 1,17 2 13 DEL NORTE 7 ELDORADO 13 FRESN/2/ 1,721 1 76 GLENN 3 HUMBOLDT 398 IMPERIAL 85 INYO 1 KERNI2/ 335 2 KINGS 16 LAKE 7 LASSEN 7 2 LOS ANGELES/2/ 27,681 95 8 132 MADERA 2 MARIN 255 MARIPOSA MENDOCINO 226 1 MERCED 32 6 MODOC 1 MONO 3 MONTEREY 1,129 1 1 12 NAPA 17 1 NEVADA 32 ORANGE/21 2,13 23 PLACER 12 2 PLUMAS 1 RIVERSIDE/21 1,212 1 12 7 SACRAMENT/2/,288 11 SAN BENITO 8 SAN BERNARDIN/2/,5 1 18 83 SAN DIEGO 2,53 2 SAN FRANCISC/2/ 2,338 11 3 7 SAN JOAQUIN/21 768 5 SAN LUIS OBISPO 33 5 1 SAN MATEO 1,87 2 333 SANTA BARBARA 28 1 SANTA CLARA/2/ 2,92 5 126 SANTA CRUZ/21 259 SHASTA 16 3 SIERRA SISKIYOU 26 SOLAN/2/ 575 5 SONOMA/2/ 1,38 1 ST ANISLAUS/21 1,882 3 7 SUTIER 6 TEHAMA 2 TRINITY TULARE 92 TUOLUMNE 17 VENTURA 851 2 1 87 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, 1997. 1 6,999 61 5 38 19 1 11 3 2 15 6 7 3 5,98 2 16 199 13 1 17 5 6 17 1 22 57 3 78 216 96 58 2 16 116 12 22 1 166 6 1 2 51 22 19 8 3 Medical Care Statistics Section February 1999 PHYSICIAN CLINIC OFFICE 12,362,153 359 2,63 1,185 1 3 8 76 2 2 138 1,68 1 238 15 6 73 1 6 32 7 5 3 1 1 628 21,68 1 3 198 1 6 2 5 8 1 2 211 887 11 26 1,553 2 6 3 1,73 2,262 1,958 5 23,27 568 1,69 365 1,389 179 526 26 118 16 56 23 6 892 1,759 83 176 398 3 2 2 89 67 1,213 58 15 1,851 1 1 27 1 16 275 6 63 1 1 r
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 111 121 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 1,277 357,67 7,5 12,977 759 579 2,15 3,392 5,56 88,7 38,315 1,535 215,83 3,622 88,328 8,7 2,185 2,372 11,2 1,32 1,225 133,988 73,95 12,26 1,668 2,77 51 89,13 151 1,86 1,935 63~ 2,191 813 15,689 13,69 1,97 9,86,658 183,73 118,677 28,369 3,19,57,773 3,83 69,52 5,98 8,187 1,633 75,512 8,176 1,3 3,923 75 568 89 16,699 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 1,876 131 131 371,227,36 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 25,829 673,517 72,835 97,293 82,17 16,515 8,29 155,679 38,62 186,727 1,555 2,89 86,6 6,125 599 1,233 9,77 3,89 18,75 18,228 62,11 327 3,619 969,881 16,973 1,27 61,69 9,26 75,39 1,92 12,6 5,32 9,275 9,119 163,83 2,771,373 1,38 2,92 77,596 588,678 3,92 1,8 2,213 586 218 196 196 15,58 1,283 2,987 178,957 3,9 1,115 1,62 8,288 18,685 8,725 2,835 2,767 258 192 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, 1997. 15 Medical Care Statistics Section February 1999 PHYSICIAN CLINIC OFFICE $3,82,765 $12,63,85 99,16 871,15 336,632 66 18 276,135 12,516 88 72 61 31,913 1,768 99 58,179 1,9 2,615 7,977 1,576 899 86,238 891 9 1,336 2 313 189,13 5,97,362 11 932 56,129 7,825 32 2,61 1,785 1,12 75 79 52,31 3,372 1,295,558 961,137 78,317 63 5,36 3,997 666,613 66,653 768 6,82 1,17,163 127,395 375,99 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 82,231 91 9 62 27,739 128,97 312,33 8,377 3,8 577,329 352 16 2,58 2,195 85 2,92 8,89 12,163 9,96 68 66
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 2,62 116 ALPINE 2 2 2 AMADOR 39 39 39 BUTTE 73 691 63 8 CALAVERAS 82 81 8 1 COLUSA 3 3 3 CONTRA COST A/'21 1,53 1,9 1,56 38 DEL NORTE 65 63 61 2 ELDORADO 23 23 227 3 FRESN/2/ 2,195 2,132 2,7 62 GLENN 75 72 69 3 HUMBOLDT 17 13 9 IMPERIAL 29 22 235 7 INYO 31 31 31 KERN/21 85 815 783 32 KINGS 272 26 28 12 LAKE 168 15 1 1 LASSEN 63 63 63 LOS ANGELES/21 23,823 21,679 19,699 1,98 MADERA 35 326 38 18 MARIN 396 382 369 13 MARIPOSA 22 22 22 MENDOCINO 298 281 26 17 MERCED 71 66 611 9 MODOC 1 1 1 MONO 18 18 18 MONTEREY 1,12 1,6 1,12 52 NAPA 157 15 1 6 NEVADA 12 137 132 5 ORANGE/21 935 98 882 26 PLACER 1 393 376 17 PLUMAS 3 28 26 2 RIVERSIDE/21 2,33 2,221 2,113 18 SACRAMENT/21 2,586 2,92 2,1 91 SAN BENITO 123 12 117 3 SAN BERNARDIN/21 3,769 3,56 3,366 198 SAN DIEGO 3,29 3,35 2,867 168 SAN FRANCISC/21 1,78 1,76 1,665 1 SAN JOAQUIN/21 872 838 87 31 SAN LUIS OBISPO 396 371 36 25 SAN MATEO 1,575 1,99 1,25 7 SANTA BARBARA 52 51 55 9 SANTA CLARA/21 2,712 2,623 2,537 86 SANTA CRUZ/21 276 268 26 8 SHASTA 66 571 538 33 SIERRA 1 1 1 SISKIYOU 91 8 77 7 SOLAN/21 551 537 52 13 SONOMA/21 1,181 1,122 1,6 58 STANISLAUS/21 1,353 1,275 1,199 76 SUTTER 16 152 15 7 TEHAMA 127 12 113 7 TRINITY 25 2 23 1 TULARE 989 916 89 67 TUOLUMNE 18 15 12 3 VENTURA 1,55 1,28 1,312 116 YOLO 375 356 337 19 YUBA 29 195 181 1.... /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, 1997. 16