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22 • Medicaid coverage is 42 percent, and • Other public coverage is 2 percent.

The data source for this information is the Kaiser Family Foundation’s (KFF) analysis of the Census Bureau's March 2014-2016 Current Population Survey (CPS: Annual Social and Economic Supplements). Estimates are based on the average taken from March 2014-2016 data.

Guidance: Section 2.2 allows states to request to use the funds available under the 10 percent limit on administrative expenditures in order to fund services not otherwise allowable. The health services initiatives must meet the requirements of 42 CFR 457.10.

2.2. Health Services Initiatives (HSI) - Describe if the State will use the health services initiative option as allowed at 42 CFR 457.10. If so, describe what services or programs the State is proposing to cover with administrative funds, including the cost of each program, and how it is currently funded (if applicable), also update the budget accordingly. (Section 2105(a)(1)(D)(ii)); (42 CFR 457.10)

CA RESPONSE: Poison Treatment Advice and Prevention. California uses CHIP funds, within the 10 percent federal administrative expenditures cap allowed for states, to support the California Poison Control System (CPCS). CPCS provides daily, 24-hour emergency telephone treatment advice, referral assistance, and information to manage exposure to poisonous and hazardous substances. The CPCS answers poisoning emergency calls from the general public 24 hours a day, 365 days each year at no charge. At all times, a Specialist in Poison Information (SPI) is available to manage cases and Certified Specialists in Poison Information (CSPI) manage cases and direct Poison Information Providers. The service is provided to all communities, including underserved and indigent populations, in over 150 languages and via telecommunications devices for the deaf and hearing impaired (TDD).

The call center receives approximately 220,000 calls per year involving someone ingesting poison and other hazardous substances. Nearly 40 percent of all calls relate to children age 0-18 with annual household incomes of $55,000 or less (250 percent FPL for a family of 4). Another 10 percent of calls are for children 0-18 with incomes up to $65,000 (250 percent FPL for a family of 5). Children under the age of five account for the majority of poison exposures. In addition to calls regarding exposure, another 90,000 calls are for information and are considered preventive. Of these calls, 64 percent are for children age 0­ 18 in families with incomes at $55,000 or less, and another 12 percent for families with incomes up to $65,000. Only children below the age of 19 are served through this HSI.

Poison center public education programs direct attention and resources to “identified