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CALIFORNIA
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| Affordable Care Act For Individuals With Preexisting Conditions
California provides very poor coverage for the screenings for colorectal cancer, offering a $120 Medicare supplement for fecal occult testing for colorectal cancer or for a mammogram. California Insurance Code §§ 10194 and 10194.2 (1999)1367.665 (2000
California Health and Safety Code Section 1374.7 Prohibits prepaid health care plans from denying, canceling, refusing to renew or charging more for coverage, based on genetic characteristics. This is defined as a family history of genetic disorder or gene alterations causing or increasing tthe risk of disease or disorder. Insurance Codes 10140 and 10146 to 10149 Prohibits life and disability income insurance companies from discrimination based on genetic characteristics, prohibits companies from requiring genetic tests and proscribes penalties for the unauthorized release of genetic test results. In Home Support Services and Care Provides broad protection against unauthorized disclosure of genetic health results by health plans. Medi-Cal Health Care Assistance Under Medi-Cal, individuals can receive surveillance testing and the health care they need to fight cancers. As well, genetic testing is provided. California Major Risk Medical Insurance Program
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| The following offers no cost or low cost health care for surveillance testing and consists of womens cancer screenings and some colonoscopy screenings. Colonoscopy screenings for low/cost - no/cost health care can be obtained through physicians who accept Medi-cal or through the major University Health Care Hospitals.
Listed within these resources are HRSA federally funded health centers which offer medical services to individuals even if they don't have insurance. Services are provided on fees based upon an ability to pay. It is important for those who have Lynch syndrome to realize there are resources for cancer screening, once diagnosed. The HRSA facilities are family health centers and are often operated by general practitioners and women's medical health professionals. It is important to use these facilities in a manner of first consulting the GP and providing him with the family history for assessment. The GP will then order specific testing and make referrals as needed, to other facilities which offer services which are provided on fees based upon an ability to pay. As well, resources include the CDC and other states' Colonoscopy programs, which are also provided with fees which are based upon an ability to pay.
Health and Human Services Information for Rural Californians
Complete List of Over 900 HRSA Health Centers in California which provide health care through a general practitioner or Women's Health expert
SOUTHERN CALIFORNIA HEALTH CARE CLINICS - Low or No Cost
Los Angeles County Health Care - Low or No Cost
El Proyecto del Barrio Family Health Care Clinic, 8902 Woodman Ave., Arleta, CA 818-830-7090 X 219 Westside Neighborhood Clinic, 1436 W. 23rd Street, Long, Beach, CA 562-595-5507 South Bay Family Healthcare Center, 742 Gardena Blvd, Gardena, CA 310 802-6170 AltaMed Health Services Corp 5427 Whittier Blvd, Los Angeles, CA 323-869-1900 Arroyo Vista Family Center, 6000 N. Figuero Street, Los Angeles, CA 323-254-5291 Asian Pacific Health Care Venture, Inc. 1530 Hillhurst Avenue #200, Los Angeles, Speaks: Cambodian, Cantonese, English, Mandarin, Japanese, Tagalog, Thai, Vietnamese Clinica Msr Oscar A. Romero, 123 S. Alvarado St. Los Angeles, CA 213-989-7700 Speaks English, Spanish and Kanjobal (frm the Maya Region) Clinica para las Americas 318 S. Alvarado St., Los Angeles, CA 213-484-8434 Hollywood Sunset Free Clinic 3324 Sunset Bld, Los Angeles, CA 323-660-7959 Northeast Community Clinic, 5809 N. Figueroa St., Los Angeles 323-256-3884 Pediatric and Family Medical Center, 1530 Olive Street, Los Angeles 213-746-1037 QueensCare Family Clinic, 3242 W. 8th Street, Los Angeles 213-368-9779 South Central Family Health Center, 4524 San Pedro Place, Los Angeles 323-233-1626 Speaks English, Korean, Spanish T.H.E. Clinic, Inc. 3860 Martin Luther King Blvd, Los Angeles, CA 323-295-6571 Speaks English, French, Japanese, Tagalog, Spanish, Thai, Vietnamese Los Angeles Free Clinic 8405 Beverly Blvd, Los Angeles 323-653-1990 Speaks English, Russian, Spanish Watts Health Foundation, Inc. 10300S. Compton Avenue, Los Angeles, CA 323-564-4331 Mission City Community Nework, Inc. 15206 Parthenia St. North Hills, CA 818-895-3100 Valley Community Clinic, 6801 Coldwater Canyon Avenue, North Hollywood, CA 818-763-8836 Westside Family Health Care - Santa Monica Westside Women's Health Center 1711 Ocean Park Blvd, Santa Monica, CA 310-450-4773 Women's Clinic and Family Center - Los Angeles Free Or Low-Cost Health Clinics - Los Angeles County Harbor Free Clinic, 599 W. 9th Street San Pedro California 310-547-0176 UMMA Community Clinic 711 W. Florence Ave, Los Angeles (SouthCentral) 323-789-5610 Tarzana Treatment Center, Inc. 18646 Oxnard St., Tarzana 818-996-7019 Speaks Armenian, English, Russian and Spanish Conejo Free Clinic - Thousand Oaks Veterans Hospital - Loma Linda South Bay Family Health Clinic - Torrance, California Samuel Dixon Family Health Center, 31257 San Martinez Road, Val Verde, CA 805-257-4008 Venice Family Clinic, 604 Rose Avenue, Venice, California 310-392-8630 Speaks Russian on Monday and Thursday Saban Clinics, No Cost, Low Cost Cancer Screening Locations: West LA 323-653-1990 Altamed Health Service, Low Cost, No Cost Cancer Screening LA Whittier and Surrounding Area Community Health Center - Chinatown 767 N. Hill St., Suite 200, Los Angeles, CA 213-808-1700 Chinatown Service Center Community Health Center - San Gabriel Valley, 320 S. Garfield Ave #118, Alhambra, CA. 91801 213-808-1700
Orange County Health Care - Low or No Cost Share Ourselves Free Clinic, 1550 Superior Avenue, Costa Mesa 949-650-0640 Costa Mesa Medical Clinic, 745 W. 19th Street Suite F, Costa Mesa, CA 949-574-0210 St. Jude Medical Center Mobile Health Clinic 101 E. Valencia Mesa Drive, Fullerton, CA 714-446-7084 Sierra Health Center, 1815 West Avenue Suites E-G, Fullerton, California 714-870-0717 Nhan Hoa Comprehensive Health Care Clinic, 14221 Euclid St. Ste H, Garden Grove, CA 714-539-9999 Speaks English and Vietnamese Huntington Beach Community Clinic, 8401 Newman Ave, Huntington Beach, CA 714-847-4222 OC Quality Health Care, 6552 Bolsa Avenue, #D Huntington Beach, CA 714-907-0775 Laguna Beach Community Clinic 362 3rd AVenue, Laguna Beach, CA 949-494-0761 X 10 Gary Center, 341 Hillcrest St., La Habra, CA 562-691-3263 El Toro Medical Clinic 23823 El Toro Road, Lake Forest, CA 949-380-1227 Lestonnac Free Clinic, 1215 E. Chapman Avenue, Orange, CA 714-633-4600 Living Well Medical Clinic, 1234 W. Chapman Avenue #203, Orange, CA 714-633-4673 La Amistad Clinic, 353 S. Main Street, Orange CA 714-771-8252 Orange County Public Health Clinics - Community Care Health Centers - Huntington Beach, Santa Ana, Orange County Student Health Center, Irvine, California University of Irvine Family Health Center, 300 W. Carl Karcher Way, Anaheim, CA 714-456-5100 (Speaks English, Spanish, Vietnamese) Moorpark Family Care Center, 35 W. Los angeles, Avenue, Moorpark, CA 805-529-4624 Mission Hospital's Camino Health Center, 30300 Camino Capistrano, San Juan Capistrano, CA Free Health Plan 1515 S. Broadway #D, Santa Ana, CA 714-285-9883 Free Health Plan, 2209 S. Main Street, Santa Ana, CA 714-668-1750 Ruiz Patel Medical Clinic, 1430 W. First St., Santa Ana, CA 714-544-3430 UCI Family Health Center, 800 N. Main Street, Santa Ana, CA 714-456-7002 Vietnamese Comm. of Orange County, Asian Health Center, 5015 W. Edinger Avenue Suites K-L, Santa, Ana, CA 714-418-2040 Speaks English and Vietnamese
San Diego County _Low or No Cost San Diego, California No Cost or Low-Cost Clinics
Ventura County Magnolia Family Health Center and Womens Clinic 120 W. Magnolia, Oxnard, CA 805-981-5151 Las Flores Women's Center, 2500 S. C Street, #D Oxnard, CA Santa Paula Family Health Care Clinic 1334 E. Main Street, Santa Paula, California 805-933-8445 Sierra Vista Family Care, 4531 Alamo St., Simi Valley, CA 805-584-4885 Simi Valley Public Health, 660 E. Los Angeles Avenue, Simi Valley, CA 93065 805-578-3675
Riverside County Health Care - Low or No Cost Ruiz Patel Medical Clinic, 401 S. Lincoln Avenue, Corona, CA 951-372-0010
Northern California Health Care Low or No Cost Feminist Women's Health - Chico, Redding, Sacramento Stanford University - Palo Alto, California Stanford Hospital, Palo Alto, California Women's Community Clinic - San Francisco Lyon Martin Health Services - San Francisco List of Health Clinics - Berkeley and Oakland University of California-San Francisco Women's Health - San Francisco, CA San Francisco No Cost and Low Cost Health Care Healthy San Francisco - San Francisco, CA Shalom Free Clinic - Chico San Jose Free Clinics - San Jose, California Davis Community Clinic - Davis, California Gardner Health Center, San Jose, California (Los Cost, No Cost Cancer Care) Alviso Health Center, Alviso, California 408-935-3900 Comprecare Health Center, San Jose, California 408-272-6300 Gardner Health Center, South County, Gilroy, California 408-848-9400 St. James Health Center, San Jose, California 408-918-2600 California State Subsidy Health Care Programs - Santa Cruz Health Care
MAJOR CANCER CENTERS VA (Veterans) McClellan (Sacramento) Outpatient Care Cedar Sinai Comprehensive Cancer Center, Los Angeles, California Burnham Institute, La Jolla, California Jonsson Comprehensive Cancer Center, Los Angeles Stanford Medical Center, Palo Alto, California (An NCI Institution) UCLA Medical Center, Los Angeles, California (An NCI Institution) University of California - Davis Medical Center, Sacramento, California (An NCI Institution) University of California, Helen Diller Cancer Center, San Francisco (An NCI Institution) Genetic Testing USC - Norris Comprehensive Cancer Center, Los Angeles, CA (an NCI Institution) Chao Family Comprehensive Cancer Center, Irvine, California (an NCI Institution) City of Hope Comprehensive Cancer Center, Duarte, California (An NCI Institution) Robert and Beverly Lewis Family Cancer Care Center, Pomona, Califonria
Veterans Affairs Medical Centers: Fresno Livermore Palo Alto Loma Linda Long Beach Los Angeles Mather, Menlo Park Veterans Affairs Outpatient Facilities
California Colon Cancer Control Program (CCCCP) 1616 Capitol Avenue, Suite 74.421 Sacramento, CA 95814-5052 916-449-5300 California State Low Cost Health Care Programs California possesses ovarian cancer legislation. State legislation on ovarian cancer: Requires the Department of Health to provide awareness and screening information to consumers, patients, and health care providers (not fully funded)Requires insurance companies to reimburse patients for medically accepted cancer screening tests (CA-125, etc.) Requires physicians and surgeons who are primarily responsible for conducting annual gynecological examinations to provide patients with a standardized summary in language understood by the patient, describing symptoms and methods of diagnosis for gynecologic cancers.
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California Genetic Discrimination Law - Insurance Code
742.405. (a) No multiple employer welfare arrangement shall refuse
to enroll any person or accept any person as a subscriber or renew
any person as a subscriber after appropriate application on the basis
of a person's genetic characteristics that may, under some
circumstances, be associated with disability in that person or that
person's offspring. No multiple employer welfare arrangement shall
require a higher rate or charge, or offer or provide different terms,
conditions, or benefits, on the basis of a person's genetic
characteristics that may, under some circumstances, be associated
with disability in that person or that person's offspring than is at
that time required of any other individual in an otherwise identical
classification, nor shall any multiple employer welfare arrangement
make or require any rebate, discrimination, or discount upon the
amount to be paid or the service to be rendered under the arrangement
because the person carries those traits.
(b) No multiple employer welfare arrangement shall seek
information about a person's genetic characteristics for any
nontherapeutic purpose.
(c) No discrimination shall be made in the fees or commissions of
a solicitor or solicitor firm for an enrollment or a subscription or
the renewal of an enrollment or subscription of any person on the
basis of a person's genetic characteristics that may, under some
circumstances, be associated with disability in that person or that
person's offspring.
(d) "Genetic characteristics" as used in this section shall have
the same meaning as defined in Section 10123.3.
742.407. (a) This section shall apply to the disclosure of genetic
test results contained in an applicant or enrollee's medical records
by a multiple employer welfare arrangement.
(b) Any person who negligently discloses results of a test for a
genetic characteristic to any third party in a manner that identifies
or provides identifying characteristics of the person to whom the
test results apply, except pursuant to a written authorization as
described in subdivision (g), shall be assessed a civil penalty in an
amount not to exceed one thousand dollars ($1,000) plus court costs,
as determined by the court, which penalty and costs shall be paid to
the subject of the test.
(c) Any person who willfully discloses the results of a test for a
genetic characteristic to any third party in a manner that
identifies or provides identifying characteristics of the person to
whom the test results apply, except pursuant to a written
authorization as described in subdivision (g), shall be assessed a
civil penalty in an amount not less than one thousand dollars
($1,000) and no more than five thousand dollars ($5,000) plus court
costs, as determined by the court, which penalty and costs shall be
paid to the subject of the test.
(d) Any person who willfully or negligently discloses the results
of a test for a genetic characteristic to a third party in a manner
that identifies or provides identifying characteristics of the person
to whom the test results apply, except pursuant to a written
authorization as described in subdivision (g), that results in
economic, bodily, or emotional harm to the subject of the test, is
guilty of a misdemeanor punishable by a fine not to exceed ten
thousand dollars ($10,000).
(e) In addition to the penalties listed in subdivisions (b) and
(c), any person who commits any act described in subdivision (b) or
(c) shall be liable to the subject for all actual damages, including
damages for economic, bodily, or emotional harm which is proximately
caused by the act.
(f) Each disclosure made in violation of this section is a
separate and actionable offense.
(g) The applicant's "written authorization," as used in this
section, shall satisfy the following requirements:
(1) Is written in plain language.
(2) Is dated and signed by the individual or a person authorized
to act on behalf of the individual.
(3) Specifies the types of persons authorized to disclose
information about the individual.
(4) Specifies the nature of the information authorized to be
disclosed.
(5) States the name or functions of the persons or entities
authorized to receive the information.
(6) Specifies the purposes for which the information is collected.
(7) Specifies the length of time the authorization shall remain
valid.
(8) Advises the person signing the authorization of the right to
receive a copy of the authorization. Written authorization is
required for each separate disclosure of the test results, and the
authorization shall set forth the person or entity to whom the
disclosure would be made.
(h) This section shall not apply to disclosures required by the
Department of Health Services necessary to monitor compliance with
Chapter 1 (commencing with Section 124975) of Part 5 of Division 106
of the Health and Safety Code, nor to disclosures required by the
Department of Managed Health Care necessary to administer and enforce
compliance with Section 1374.7 of the Health and Safety Code.
10140. (a) No admitted insurer, licensed to issue life or
disability insurance, shall fail or refuse to accept an application
for that insurance, to issue that insurance to an applicant therefor,
or issue or cancel that insurance, under conditions less favorable
to the insured than in other comparable cases, except for reasons
applicable alike to persons of every race, color, religion, sex,
national origin, ancestry, or sexual orientation. Race, color,
religion, national origin, ancestry, or sexual orientation shall not,
of itself, constitute a condition or risk for which a higher rate,
premium, or charge may be required of the insured for that insurance.
Unless otherwise prohibited by law, premium, price, or charge
differentials because of the sex of any individual when based on
objective, valid, and up-to-date statistical and actuarial data or
sound underwriting practices are not prohibited.
(b) Except as otherwise permitted by law, no admitted insurer,
licensed to issue disability insurance policies for hospital,
medical, and surgical expenses, shall fail or refuse to accept an
application for that insurance, fail or refuse to issue that
insurance to an applicant therefor, cancel that insurance, refuse to
renew that insurance, charge a higher rate or premium for that
insurance, or offer or provide different terms, conditions, or
benefits, or place a limitation on coverage under that insurance, on
the basis of a person's genetic characteristics that may, under some
circumstances, be associated with disability in that person or that
person's offspring.
(c) No admitted insurer, licensed to issue disability insurance
for hospital, medical, and surgical expenses, shall seek information
about a person's genetic characteristics for any nontherapeutic
purpose.
(d) No discrimination shall be made in the fees or commissions of
agents or brokers for writing or renewing a policy of disability
insurance, other than disability income, on the basis of a person's
genetic characteristics that may, under some circumstances, be
associated with disability in that person or that person's offspring.
Revised 1/19/2013