BILL ANALYSIS
Appropriations Committee Fiscal Summary
2 (Burton)
Hearing Date: 5/19/03 Amended: 3/18/03
Consultant: George Cate Policy Vote: INS 6-3
H&HS 9-3
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BILL SUMMARY:
SB 2 creates the State Health Purchasing Program (SHPP)
that shall be managed by the Managed Risk Medical Insurance
Board (MRMIB). This bill also requires employers, with an
unspecified number of employees, to provide health care
coverage to employees and dependents, as specified, by
purchasing coverage from any health plan, providing
coverage through a self-funded employer-sponsored plan, or
by paying a fee to SHPP, which would use a purchasing pool
to provide coverage.
In addition, this measure authorizes an employer to require
an eligible employee to pay up to 20 percent of the cost of
the coverage. The bill requires the Employment Development
Department (EDD) to collect the fee and employee
contributions, and deposit them into the newly created
State Health Purchasing Fund. The bill also continuously
appropriates money in the Fund to MRMIB for SHPP.
Furthermore, this bill authorizes MRMIB to coordinate SHPP
coverage with the Medi-Cal program and Healthy Families
Program, and requires MRMIB to establish copayments and
deductibles for enrollees.
Fiscal Impact (in thousands)
Major Provisions 2003-04 2004-05 2005-06
Fund
MRMIB & EDD Indeterminate costs General*
Medi-Cal Indeterminate savings General &
Federal**
HFP Indeterminate savings General &
Federal***
Employers & Indeterminate costs Private
Employees
* Potential General Fund exposure for start-up costs
**Medi-Cal is approximately 50% General Fund & 50% federal
funds
***HFP is approximately 33% General Fund & 67% federal funds
STAFF COMMENTS: This bill meets the criteria to be placed
on the Suspense file.
Estimates for the costs and savings associated with this
measure are indeterminate at this time. There would be
significant start-up costs for MRMIB, EDD and the
Department of Health Services (DHS), some of which may have
to be borne by the General Fund. Once SHPP is up and
running there should be substantial savings to both the
Medi-Cal program and HFP.