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On the Critical List – Florida's Care for Pregnant Women & Babies Budget Cuts Threaten Healthy Start Services The Florida House of Representatives' Healthcare Council is considering cutting $3 million in client services from Healthy Start's prenatal and infant health care program. This is part of new money appropriated last year in a two year funding increase beginning in 2006 to increase client services - the first Healthy Start increase since 1992. Problem In 2006, Florida had over 1,700 infant deaths and 20,714 low birth weight births. Infant mortality is a key indicator of community health, linked to poverty, education, housing, community and family violence, and access to basic health care. Babies of very low birth weight have a 25 percent chance of dying before age 1. They are at increased risk of health problems, long-term disability and impaired development, at a high cost to everyone. Healthy Start Program Success In 1990, the U.S. had one of the highest infant mortality rates in the industrialized world. Florida ranked among the highest with over 1,900 infant deaths from 199,146 live births that year. In 1991, Florida legislated the Healthy Start Program to expand Medicaid coverage for pregnant women, screening all pregnant women and newborns, identifying mothers and babies at-risk. and providing services to those at particular risk and without other access. Florida was recognized for state-wide success in lowering adverse birth outcomes among women in the program. Healthy Start is credited with contributing to a reduction in Florida's infant mortality from 9.6, deaths per 1,000 births, in 1990 to 7.2 in 2006. During 2006, the demand for services increased for both the prenatal and infant populations. An additional 866 pregnant women and 3,323 infants received Healthy Start services. Conclusion: Healthy Start's Prevention Services Save Lives & Money To improve Florida's health, access to care and prevention services must be a priority. Investing in prevention programs saves money. For example, funding of $3 million could serve thousands of low-income families, who might otherwise go without care,to prevent poor birth outcomes. If unserved, the resulting outcomes have staggering costs. The average cost of just one very low birth weight baby's hospital stay was $141,350.53 in 2003. It is clear that where Florida has invested resources, we've seen results. Florida must continue to keep Healthy Start services funding for pregnant women and babies in place. For more information, contact the Florida Association of Healthy Start Coalitions at 407-891-9199. |
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