Questions and Answers about the Proposed Fee Adjustment
Why is the Student Health Center (SHC) Important?
- Our Student Health Center serves as a primary health care provider for many students who do not have access to adequate, affordable healthcare.
- The cost of healthcare provided by the SHC is a value when compared to outside health care, where a single visit to a clinician ranges from $150-$500 and an emergency room visit substantially more.
- The SHC provides easy access to a wide range of health services, from basic to specialized, focused on the well-being and academic success of our students.
- Our SHC is amongst the most highly utilized student health centers in the CSU system.
- The SHC proactively responds to the changing needs of its students; in particular, the increased need to provide a multifaceted approach to mental health and psychological services, which included hiring additional psychological counselors to accommodate demand and shorten waiting periods for appointments.
What is the Student Health Center Proposing?
- The Student Health Center (SHC) has been given approval by the Student Fee Advisory Committee to seek feedback regarding an adjustment to the Student Health Services Fee.
- The proposed adjustment includes increasing the fee from $82.50 to $132.50 per semester, effective Fall 2018 and tying the fee to the Milliman Medical Index. Indexing the fee will permit incremental adjustments as needed, which will address the increasing cost of healthcare in the future.
- Despite the proposed increase, the Cal State LA student fee will still be among the lowest Health Services Fees in the CSU system. Additionally, in most cases, the proposed increase will be covered for eligible financial aid recipients.
What is the State of the Student Health Center Budget?
The last Student Health Services Fee increase was in 2006 and the fee was not indexed to adjust for the rising costs of health services and pharmaceuticals. Over time, the rising costs outpaced the revenue generated by the Student Health Services Fee, creating a deficit (costs greater than revenues collected). Next year’s total projected SHC budget is $5,822,723, which reflects a deficit of over $1.7 million, at existing operational and staffing levels. Over the last several years the deficit has been offset by a reserve fund and one-time temporary funding from the University. However, the Student Health Center can no longer be supported by this diminishing reserve and must adjust the fee. Failure to do so would cause dire budgetary cuts, resulting in a substantial reduction of critical services to students, including mental health care.
Facts about the Student Health Center Budget.
- The SHC is a self-supporting entity with its primary source of revenue being the Student Health Services Fee.
- The SHC is responsible for covering all operating costs, including personnel salaries and benefits, contractual services, supplies and equipment, pharmaceuticals, facility maintenance and care, custodial services, and other general operating costs.
- The existing fee (non-indexed) has not changed since 2006, while the cost of healthcare has risen exponentially along with the demand for services.
- The fee adjustment is essential for the Student Health Center in order to maintain its operations at the current level and further respond to the increasing need for services, in particular, mental health care.
We Hope You Agree!
Maintaining health services for students is essential in supporting student wellness, personal success, and academic excellence. We, at the Student Health Center, are passionate about providing high quality, convenient and affordable health services to students and need your support to enable us to continue our service! We welcome your comments and suggestions and encourage you to participate in our upcoming health services survey. Our email address is firstname.lastname@example.org. Additional information and a link to our upcoming survey will be available through the Student Health website, www.calstatela.edu/studenthealthcenter.
Monica M. Jazzabi, Director and Medical Chief of Staff, Cal State LA Student Health Center
Additional Facts and Resources
Additional details and resources regarding the Student Health Center's services and budget may be found below.
Mandated California State University (CSU) Student Health Services and Funding
CSU Executive Order 943: Policy on University Health Services
CSU Executive Order 943 requires campuses to establish and maintain student health centers to facilitate the retention of students matriculated in state-supported programs of the university and to enhance the academic performance of students through accessible and high quality medical care, public health prevention programs, and educational programs and services. Cal State campus student health centers must offer, at a minimum, the following basic services:
- Primary outpatient care
- Family planning services
- Public health prevention programs
- Health education
- Evaluation and guidance for individual health problems
- Clinical laboratory diagnostic services
- Basic diagnostic x-ray services
- Pharmacy services
- Medical liaison services with other community health agencies and services
- Consultation with and referral to off-campus healthcare providers and hospitals
- Consultative services on campus health issues
- First aid to all persons on campus
- Reciprocal services
CSU Executive Order 1053: Policy on Student Mental Health
CSU Executive Order 1053 requires campuses to establish and maintain student mental health services to enhance the academic performance of matriculated students and to facilitate their retention in state-supported programs of the university. At a minimum, each Cal State campus must offer the following basic services:
- Short-term individual and group counseling/psychotherapy
- Suicide and personal violence services
- Emergency/crisis services
- Mental health consultation
- Referral resources
CSU Executive Orders 943 and 1053 also allow for the provision of augmented services beyond the scope of basic services.
CSU Student Health Center and Student Mental Health Services Funding
Both CSU Executive Order 943 and 1053 allow campuses to assess all students mandatory fees to provide basic services. These fees are included with tuition and registration fees and, as previously noted, are covered in most cases for eligible financial aid recipients. In addition to the health services and/or mental health fees, each campus also assesses a health facilities fee.
When user fees are collected for augmented services, the fees cannot exceed the actual cost of providing the services and/or materials.
Cal State LA Student Health Center Services and Utilization
The Student Health Center offers a mix of basic and augmented services to matriculated students, which include:
- Primary medical care
- Psychological counseling
- Psychiatric care
- Chiropractic care
- Consultation services
- Contraception and family planning services
- Dental care
- Health promotion and education programs and services
- Laboratory services
- Massage therapy
- Mental health crisis prevention and management
- Mental health education
- Nutrition consultation
- Optometry care
- Pharmacy services
- Public health services
- Sexual assault and domestic violence victim advocacy
- STD/STI prevention, counseling, testing, and treatment
- Sports medicine
- X-ray services
July 1, 2016-June 30, 2017 Utilization Quick Facts
|Student Health Center Activity||Number|
|Medication prescriptions (through Oct. '17)||
|Health promotion and education participants||
|Health Hut participants||
|Mental health trainings, outreach and other activities||Hundreds more|
Current Cal State LA Student Health Center Funding, Budget Planning and Reserves
Student Health Center Mandatory Fee
The Cal State LA Student Health Services Fee is $82.50 per semester ($165 per academic year) while the average 2016-17 CSU fee was $269 per academic year (refer to the 2016-17 CSU Tuition and Fee Rates for details). The Cal State LA Health Facilities Fee is $6, while the average CSU Health Facilities Fee was $20.
Key Student Health Center Funding, Budget Planning and Reserves Facts:
- The Student Health Center is a self-support department with the mandatory Student Health Services Fee being its primary revenue source.
- The provision of health care services and public health preparedness is complex and unpredictable.
- A sufficient operating budget and reserve is necessary to provide high quality services to all eligible students.
- The operating reserve is necessary to: respond to normal business fluctuations and unforeseen circumstances; and implementation of the business continuity plan in case of crisis and catastrophe.
The State of the Student Health Center Budget
- Annual operational cost: $5,598,912
- Projected operational cost projected for general salary and benefit increases (2018-19): $5,822,723
- 3% contingency for reserve: $128, 279
- Student Health Services Fee revenue: $4,275,975
- Student Health Services Fee budget shortfall: $1,675,027
Proposed Cal State LA Student Health Services Fee
The Student Health Center is proposing to increase the mandatory fee to $132.50 per semester ($50 increase). The new fee is projected to result in an annual Student Health Services Fee revenue of $6,867,475.
In addition to meeting essential health center facilities and equipment needs, the proposed fee will allow the Student Health Center to fund critically needed staff positions, including:
- Mental health counselor
- Registered Nurse
- Medical Assistant
- Case manager/referral specialist
- HIPAA Compliance Officer
Proposed Fee Indexing
The Student Health Center is also proposing the Student Health Services Fee be indexed to the Milliman Medical Index. Indexing will link the Fee to an actual cost of living increase assessment on an annual basis, if needed. Because the cost of health care is continuously and exponentially increasing, indexing the Fee can gradually adjust the Fee at regular intervals and eliminate the need to drastically increase the Fee in the future.
The Student Health Center has chosen the Milliman Medical Index because industry experts believe it is a more accurate representation of the increasing cost of healthcare operations. This index takes into account the changing expenses of healthcare personnel, medical supplies and equipment, and pharmaceuticals unique to this industry.
2017 STUDENT HEALTH SERVICES SURVEY