BILL ANALYSIS
AB 369
Page 1
GOVERNOR'S VETO
AB 369 (Yamada)
As Amended August 24, 2009
2/3 vote
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|ASSEMBLY: |78-0 |(June 3, 2009) |SENATE: |35-0 |(September 2, |
| | | | | |2009) |
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|ASSEMBLY: |77-0 |(September 8, | | | |
| | |2009) | | | |
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Original Committee Reference: HEALTH
SUMMARY : Exempts two new publicly financed Adult Day Health
Centers (ADHCs) serving California veterans from the existing
moratorium on new Medi-Cal certified ADHCs.
The Senate amendments :
1)Delete the criteria for a new exemption from the moratorium
and instead specifically add to the list of applicants exempt
from the ADHC moratorium two facilities by name: the William
J. Pete Knight Veterans' Home of California in Lancaster, and
the Veterans' Home of California in Ventura.
2)Make technical changes and add Assemblymembers Jones and
Knight as co-authors.
EXISTING LAW :
1)Establishes the California ADHC Act which requires licensure
and regulation of ADHC centers with administrative
responsibility shared between the State Department of Public
Health, the California Department of Aging, and the Department
of Health Care Services (DHCS) pursuant to an interagency
agreement.
AB 369
Page 2
2)Authorizes DHCS to implement one year moratoriums on new ADHC
certification and enrollment in the Medi-Cal program on a
statewide or regional basis, with certain statutory
exceptions, and to extend the moratorium, as specified.
AS PASSED BY THE ASSEMBLY , this bill created an exemption to the
Medi-Cal ADHC moratorium for a state-owned and operated property
for which facility planning began during or before 2002, if
funded by state bonds and federal grants to serve veterans
residing in California.
FISCAL EFFECT : According to the Senate Appropriations
Committee, if the California Department of Veterans' Affairs
claimed Medi-Cal reimbursement, about $76 per day, for the
approximately 20 eligible veterans in these two facilities,
costs would be: $90,000 General Fund (GF), $150,000 federal
funds annually prior to December 31, 2010, and $120,000 GF,
$120,000 federal funds each year after January 1, 2011.
GOVERNOR'S VETO MESSAGE :
"This measure is premature and would add new General Fund costs
to the Medi-Cal program when significant reductions are
currently being implemented. Furthermore, the new facilities
are still under construction and not scheduled to provide
services until at least July 2011.
"I encourage the author to examine ways to provide these
services in the most cost-effective manner and propose them
through the annual budget process."
Analysis Prepared by: Marjorie Swartz / HEALTH / (916)
319-2097
FN: 0003397