Macomb HSCB

In July 1990, a group of public agencies in Macomb County came together to form the Macomb County Human Services Coordinating Body (HSCB). This organization was created based on recommendations from the Macomb County Board of Commissioners’ Ad Hoc Committee on Children’s Services, which suggested establishing a coordinating body to improve planning and collaboration among agencies for the benefit of county residents.

Initially, an inter-agency service assurance agreement was approved by eight member agencies in July 1990. By July 1992, this number had grown to 12 member agencies.

In March 1991, the HSCB held a County-wide Children’s Symposium that brought together over 200 participants from various local public and private human service agencies, elected officials, and civic leaders. The aim of the symposium was to gather insights from professionals in human services, health, education, and law enforcement to create a comprehensive agenda for children in Macomb County.

Following this event, in November 1991, the HSCB published the Children’s Symposium Report, which outlined community issues and proposed work group projects. Around the same time, local and state leaders began collaborating with families to enhance services for children and their families, viewing these partnerships as a way to improve outcomes.

At the state level, human service directors began collaborating on policies and principles to streamline services. This trend also extended to the local level, although it led to some confusion regarding how new and traditional service opportunities could be integrated effectively.

In October 1994, state human services directors and the Superintendent of Public Instruction signed a document called “Our Commitment to System Reform for Children and Families,” which emphasized their dedication to creating a collaborative, family-friendly service system.

To guide this reform, a diverse Task Force on Systems Reform was assembled. They issued a report on February 15, 1995, that included over 40 recommendations to improve collaboration among services. The first recommendation was for each community to designate a single, multi-purpose collaborative body to build partnerships, create a shared vision, and mobilize resources for families in need of various services.

On July 6, 1995, the Macomb County HSCB was officially designated as the Multi-Purpose Collaborative Body (MPCB) for the community. In 2005, the term “Multi-Purpose Collaborative Body” was changed to “Community Collaborative.”

Does the calculator provide definitive estimates of what people will pay under the health reform law?

The calculator is designed to show how different families might be affected by tax credits and age-rating limits set by the law. Keep in mind that insurance premiums can differ based on where you live and the assumptions made by insurers. Along with premiums, people will also face out-of-pocket costs such as deductibles and coinsurance, which may be partially subsidized based on their income.

Starting in October 2013, individuals under 65 who don’t qualify for employer-sponsored coverage, Medicaid, or Medicare can apply for tax credit subsidies through state-based exchanges. States also have the option to expand their Medicaid programs to cover individuals earning up to 138% of the federal poverty level (approximately $33,000 for a family of four). In states that choose not to expand Medicaid, some people below this income level may still qualify for Medicaid, some for subsidized coverage through the Marketplaces, and others may not be eligible for any subsidies.

Using this calculator, you can enter various income levels, ages, and family sizes to estimate your eligibility for subsidies and the potential costs of health insurance. Since premiums and eligibility can vary, it’s a good idea to contact your state’s Medicaid office or exchange if you have questions about enrollment.