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Student Health Centers:
It’s Controversial, It’s Signed
and Now What?
Student health centers at
California community colleges are an essential component of student
life, and are often the only health care that students can access.
Health centers are generally funded through a fee paid by each enrolled
student, with a maximum fee permitted of $14 per semester. However,
under past state law, low-income students who get a BOG fee waiver were
not charged any health center fees. Due to increasing enrollment fees
and thus the increase in students receiving BOG fee waivers, many
community college health centers were losing revenue and cutting
services.
At GCC, our health center director, Dr. Mary Mirch, realized a long
time ago that diminishing health center fees inevitably meant cuts in
services to our students. With half of our students getting BOG fee
waivers, it became clear that health services could not survive the lack
of revenue. She served as president of the state organization
representing all CC health center directors, and helped draft the budget
language that could have solved the problem if the legislature and
governor had cooperated.
However, year after year, the state budget process was unresponsive
to this issue, so the new approach became AB 982, which allows
individual district boards to impose a health fee on BOG fee waiver
students up to the current $14 maximum. The legislation was carried by
Assemblymember John Laird, a former trustee at Cabrillo Community
College.
In a better world, low income students would not be charged for
health services. In fact, in a really good world, students would get
the education they need regardless of financial status. However, in the
current reality, health care is already a scarce commodity for many CC
students. Reducing their campus access would only impose more
difficulties on their ability to complete their educational goals.
Because most faculty organizations have traditionally opposed all
forms of fee increases, the legislation was originally opposed by our
union, CFT. However, at the CFT convention last March, many union
leaders from around the state spoke in favor of the legislation on
behalf of the health needs of their students. The dialogue led to a vote
reversing the CFT position from “oppose” to “support.” Meanwhile, some
districts supported the legislation through board resolutions and
lobbying.
Through the efforts of Mary Mirch and Student Activities
Coordinator Alen Andriassian, GCC students went to Sacramento to testify
at the Assembly Higher Education Committee hearing on AB 982. The bill
had already been “pre-lobbied” so much that the committee chair didn’t
call on any speakers, leaving our students sadly disappointed. However,
the goal was achieved when the bill sailed through the committee and was
sent to the full Assembly.
Eventually, AB 982 wound its way through the legislature and landed
on the governor's desk. Most insider guesses predicted a veto, but
somehow, the governor chose to sign the bill, with the following
message: "To the Members of the Calif State Assembly: I am signing AB
982 because it will allow CC health centers to continue operating and
providing health services to students…. For many low income students,
the campus health center may be the most expedient and effective health
care they can receive…. While this bill allows CCDs to charge the same
modest fee on all their students, regardless of income level, I
encourage districts to reassess all of their spending priorities
annually to ensure their campus Health centers are not reducing hours or
staff, before considering the step of charging fees to lower income
students. "
While we may often debate our governor’s political decisions, in
this case, he is correct. Each district must ensure that
before
the new fee is implemented, the current spending on health center
activity is well-spent, appropriate and useful to students. If the fee
is implemented, faculty must be watchdogs to ensure that those dollars
go precisely to health center services and are not diverted to other
campus expenses.
At GCC, given the long discussion about our health center’s vital
role in student well-being, our Board of Trustees (as of
Chaparral
deadline) will be presented with a proposal to charge BOG “A” students
half the usual health fee; instead of paying $14 as our more solvent
students do, our very low-income students will pay $7 per semester if
the board approves.
Given the costs of health care, and the number of uninsured
students, it seems like a real bargain.
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Note: The
views of the author are her individual views and do not represent any
other person or organization. Information from Dr. Mary Mirch was
essential in writing this article, but the author takes full
responsibility for any errors. |
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