The Campaign To Save Health Insurance

							                        Ohio Family Coverage Coalition
Campaign to Preserve Family Health Care Coverage and Disability Medical Assistance
                                      Endorsement Form


T
      he following organization/individual endorses the Ohio Family Coverage Coalition’s
      campaign to preserve health insurance coverage for Ohio’s kids, families, and people with
      disabilities and therefore opposes any efforts by the Governor or the Ohio General Assembly to
      eliminate or roll back eligibility or services for the Healthy Start Healthy Families Medicaid
program or the Disability Medical Assistance Program.

We support Healthy Start Healthy Families because it keeps Ohio healthy, working and learning.
Healthy Start Healthy Families Helps Ohio by:

      Stabilizing low-income working parents in entry-level jobs, leading to better health and
       increased opportunity for self-sufficiency, reduced absenteeism and turnover expenses for
       employers, and reduced welfare caseloads.

      Providing health insurance to employees of small businesses unable to afford the high costs.

      Keeping parents insured, increasing the well-being of their children.

      Ensuring that family members receive preventive services, regular doctor and dental visits,
       and follow-up care, reducing preventable hospitalization, disability and premature death.

      Decreasing uncompensated health care costs for health care providers generated by treating
       uninsured Ohioans.

We support Disability Medical Assistance because it provides primary care and prescription
coverage to the neediest Ohioans who are dependent on medications to survive.



Name of Organization______________________________ Contact Person ___________________________________

Address ___________________________________________________________________________________________

City ______________________________________________________________Zip Code ________________________

Phone________________________ Fax ______________________________Email _____________________________


                                   PLEASE MAIL OR FAX TO:
                                  Ohio Family Coverage Coalition
                                        C/O UHCAN Ohio
                                   1015 E. Main Street, Room 302
                                    Columbus, OH 43205-2342




          Tel: 614-253-4340 FAX: 614-253-4339