State Agency Nearing Extinction: “We Have Accomplished Our Mission”

It’s a little quieter these days in the hallways and cubicles of the Managed Risk Medical Insurance Board, the state agency that has overseen programs including Healthy Families, Access for Infants and Mothers and California’s Preexisting Condition Insurance Plan.

The Affordable Care Act, combined with the state’s creation of a health benefit exchange and expansion of the Medi-Cal program, have pre-empted the services offered at MRMIB and the agency is due to shut down at the end of this fiscal year — June 30.

Earlier this month, executive director Janette Casillas retired, along with Terresa Krum, the chief deputy director. Those were the top two administrative positions at MRMIB. Jeanie Esajian, deputy director for legislation and external affairs at MRMIB, switched jobs and now works for CalPERS.

That makes staff meetings a little lonely these days, said John Ramey, the current executive director.

“Not very many state agencies are able to say, ‘Well, we did it. We accomplished our mission,'” Ramey said. “So there is some celebration here. This is what a lot of us have spent our lives working towards and we’re happy to have succeeded.”

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California’s Health Families Program Transition, Paradigm Healthcare Services, January 1, 2013