BILL NUMBER: AB 714 AMENDED
BILL TEXT
AMENDED IN ASSEMBLY MAY 3, 2011
AMENDED IN ASSEMBLY APRIL 14, 2011
AMENDED IN ASSEMBLY MARCH 29, 2011
INTRODUCED BY Assembly Member Atkins
FEBRUARY 17, 2011
An act to amend Section 127420 of, and to add Sections 104164,
120971.5, and 120971.6 to, the Health and Safety Code, to add
Sections 12693.78, 12693.79, 12698.45, 12734, and 12739.615 to the
Insurance Code, and to add Sections 14029.9 and 14105.182 to the
Welfare and Institutions Code, relating to health care coverage.
LEGISLATIVE COUNSEL'S DIGEST
AB 714, as amended, Atkins. Health care coverage: California
Health Benefit Exchange.
Existing law, the federal Patient Protection and Affordable Care
Act, requires each state to, by January 1, 2014, establish an
American Health Benefit Exchange that makes available qualified
health plans to qualified individuals and employers. Existing state
law establishes the California Health Benefit Exchange within state
government, specifies the powers and duties of the board governing
the Exchange relative to determining eligibility for enrollment in
the Exchange and arranging for coverage under qualified health plans,
and requires the board to facilitate the purchase of qualified
health plans through the Exchange by qualified individuals and small
employers by January 1, 2014.
Existing law establishes a program for the treatment of breast and
cervical cancer, administered by the State Department of Health Care
Services. Existing law provides specified health care coverage to
eligible individuals under the Healthy Families Program, the Access
for Infants and Mothers Program, the California Major Risk Medical
Insurance Program, and the Federal Temporary High Risk Pool, which
are administered by the Managed Risk Medical Insurance Board.
Existing law provides specified health care coverage to eligible
individuals under the Medi-Cal program and the Family PACT program,
which are administered by the State Department of Health Care
Services. Existing law provides specified health care coverage to
individuals under the AIDS Drug Assistance Program (ADAP) and the
federal Ryan White HIV/AIDS Treatment Extension Act of 2009, which
are administered by the State Department of Public Health. Existing
law provides for the regulation and licensure of hospital facilities
by the State Department of Public Health.
This bill would, until June 30, 2013, require the State Department
of Health Care Services, the State Department of Public Health, and
the Managed Risk Medical Insurance Board, respectively, to disclose
information on health care coverage through the California Health
Benefit Exchange to every individual who has ceased to be enrolled
under the programs described above, except that, with respect to the
cancer treatment program, the Family PACT program, and the programs
for treatment of HIV/AIDS, the disclosure would be made to each
enrollee. The bill would require certain hospitals, when billing, to
include additional disclosures regarding health care coverage through
the Exchange.
On and after January 1, 2013, this bill would require the State
Department of Health Care Services and the board to provide to the
Medi-Cal program and to the California Health Benefit
Exchange information on every individual who has ceased to be
enrolled under those programs California Health
Benefit Exchange specified information for each enrollee who has
ceased to be enrolled under those programs , except the cancer
treatment program, the Family PACT program, and the programs for
treatment of HIV/AIDS, in a manner to be prescribed by the
Exchange, for purposes of enrolling those individuals
in the Exchange determining eligibility and completing
enrollment in the Exchange , and to disclose that enrollment
to those individuals. The bill would require an entity
providing services or treatment under the cancer treatment program,
the Family PACT program, and the programs for treatment of HIV/AIDS,
to provide certain information regarding each enrollee to the State
Department of Health Care Services or the State Department of Public
Health, as specified, and would require the departments to provide
that information to the Exchange and to the Medi-Cal program, for
purposes of enrolling those individuals in the Exchange
On and after January 1, 2013, with respect to the cancer
treatment program, the programs for the treatment of HIV/AIDS, and
the Family PACT program, this bill would require the State Department
of Health Care Services or the State Department of Public Health to
provide to the Exchange specified information for each enrollee in a
manner to be prescribed by the Exchange for purposes of determining
eligibility and completing enrollment in the Exchange . The
bill would make the automatic enrollment of those individuals in the
Exchange subject to the State Department of Health Care Services, the
State Department of Public Health, and the Managed Risk Medical
Insurance Board receiving approval from the United States Department
of Health and Human Services to transfer the minimum information
necessary to initiate an application for enrollment, as specified.
The bill would allow an individual who has been enrolled in the
Exchange by the departments or the board to opt out of that coverage
in writing to the Exchange.
Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. Section 104164 is added to the Health and Safety Code,
to read:
104164. (a) Effective January 1, 2012, to June 30, 2013,
inclusive, the department shall provide the following notice to
every individual receiving services or treatment for cancer
under this chapter shall be provided the following notice
:
"Effective January 1, 2014, you may be eligible for reduced-cost,
comprehensive health care coverage through the California Health
Benefit Exchange. If your income is low, you may be eligible for
no-cost coverage through Medi-Cal. For more information, please visit
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(b) Effective July 1, 2013, the department shall provide the
following notice to every individual receiving services or
treatment under this chapter shall be provided the following
notice :
"Because you are enrolled in a cancer screening or treatment
program, an application for health care coverage through the
California Health Benefit Exchange will be made for you. Coverage
will not be effective until January 1, 2014. You are not required to
accept coverage from the Exchange. Your payment for coverage will be
based on your income last year. If you make significantly less or
more this year than you made last year, please tell the California
Health Benefit Exchange and your charges will be based on your
current income. If your income is low, you may qualify for no-cost
coverage through Medi-Cal. For more information, check
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(c) (1) To maximize the number of individual Californians
complying with the requirements of the federal Patient Protection and
Affordable Care Act (Public Law 111-148) by obtaining coverage
consistent with the provisions of federal law, the department shall
seek approval from the United States Department of Health and Human
Services to transfer the minimum information necessary to initiate an
application for enrollment under this section consistent with
Section 100503 of the Government Code.
(2) Effective January 1, 2013, every entity providing services or
treatment under this chapter shall provide to the department the
name, address, and other information of each enrollee as required by
the department. The department shall provide the information to the
Exchange and to the Medi-Cal program so that eligibility may be
determined and enrollment completed.
(2) Effective January 1, 2013, for each enrollee, the department
shall provide to the Exchange the name, most recent address, other
information that is in the possession of the program, and any other
information that the Exchange may require, in a manner to be
prescribed by the Exchange in order to determine eligibility and
complete enrollment. The information shall be kept confidential in a
manner consistent with subsection (g) of Section 1411 of the federal
Patient Protection and Affordable Care Act (Public Law 111-148).
(3) The information to the Exchange shall initiate an application
for enrollment in coverage within the meaning of Section 100503 of
the Government Code.
(d) The individual shall have the opportunity to decline health
care coverage pursuant to this section by notifying the Exchange in
writing.
SEC. 2. Section 120971.5 is added to the Health and Safety Code,
to read:
120971.5. (a) Effective January 1, 2012, to June 30, 2013,
inclusive, the State Department of Public Health shall provide
the following notice to every individual receiving care or
services under the AIDS Drug Assistance Program (ADAP), as provided
in Section 120950 shall be provided the following notice
:
"Effective January 1, 2014, you may be eligible for reduced-cost,
comprehensive health care coverage through the California Health
Benefit Exchange. If your income is low, you may be eligible for
no-cost coverage through Medi-Cal. For more information, please visit
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(b) Effective July 1, 2013, the State Department of Public
Health shall provide the following notice to every individual
receiving care or services under ADAP as provided in Section 120950
shall be provided the following notice :
"Because you are enrolled in a public health program, an
application for health care coverage through the California Health
Benefit Exchange will be made for you. Coverage will not be effective
until January 1, 2014. You are not required to accept coverage from
the Exchange. Your payment for coverage will be based on your income
last year. If you make significantly less or more this year than you
made last year, please tell the California Health Benefit Exchange
and your charges will be based on your current income. If your income
is low, you may qualify for no-cost coverage through Medi-Cal. For
more information, check www.healthcare.ca.gov or call
1-888-Healthhelp (insert telephone number)."
(c) (1) To maximize the number of individual Californians
complying with the requirements of the federal Patient Protection and
Affordable Care Act (Public Law 111-148) by obtaining coverage
consistent with the provisions of federal law, the State Department
of Public Health shall seek approval from the United States
Department of Health and Human Services to transfer the minimum
information necessary to initiate an application for enrollment under
this section consistent with Section 100503 of the Government Code.
(2) Effective January 1, 2013, every entity providing services or
treatment under ADAP as provided in Section 120950 shall provide to
the State Department of Public Health the name, address, and other
information of each enrollee as required by the department. The
information provided shall be provided consistent with Section
120980. The department shall provide the information to the Exchange
and to the Medi-Cal program so that eligibility may be determined and
enrollment completed.
(2) Effective January 1, 2013, for each enrollee, the State
Department of Public Health shall provide to the Exchange the name,
most recent address, other information that is in the possession of
the program, and any other information that the Exchange may require,
in a manner to be prescribed by the Exchange in order to determine
eligibility and complete enrollment. The information shall be kept
confidential in a manner consistent with subsection (g) of Section
1411 of the federal Patient Protection and Affordable Care Act
(Public Law 111-148), the information shall be provided consistent
with Section 120980.
(3) The information provided to the Exchange shall initiate an
application for enrollment in coverage within the meaning of Section
100503 of the Government Code.
(d) The individual shall have the opportunity to decline health
care coverage pursuant to this section by notifying the Exchange in
writing.
SEC. 3. Section 120971.6 is added to the Health and Safety Code,
to read:
120971.6. (a) Effective January 1, 2012, to June 30, 2013,
inclusive, the State Department of Public Health shall provide
the following notice to every individual receiving care or
services under the federal Ryan White HIV/AIDS Treatment Extension
Act of 2009 (Public Law 111-187) shall be provided the
following notice :
"Effective January 1, 2014, you may be eligible for reduced-cost,
comprehensive health care coverage through the California Health
Benefit Exchange. If your income is low, you may be eligible for
no-cost coverage through Medi-Cal. For more information, please visit
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(b) Effective July 1, 2013, the State Department of Public
Health shall provide the following notice to every individual
receiving care or services under the federal Ryan White HIV/AIDS
Treatment Extension Act of 2009 (Public Law 111-187) shall
be provided the following notice :
"Because you are enrolled in a public health program, an
application for health care coverage through the California Health
Benefit Exchange will be made for you. Coverage will not be effective
until January 1, 2014. You are not required to accept coverage from
the Exchange. Your payment for coverage will be based on your income
last year. If you make significantly less or more this year than you
made last year, please tell the California Health Benefit Exchange
and your charges will be based on your current income. If your income
is low, you may qualify for no-cost coverage through Medi-Cal. For
more information, check www.healthcare.ca.gov or call
1-888-Healthhelp (insert telephone number)."
(c) (1) To maximize the number of individual Californians
complying with the requirements of the federal Patient Protection and
Affordable Care Act (Public Law 111-148) by obtaining coverage
consistent with the provisions of federal law, the State Department
of Public Health shall seek approval from the United States
Department of Health and Human Services to transfer the minimum
information necessary to initiate an application for enrollment under
this section consistent with Section 100503 of the Government Code.
(2) Effective January 1, 2013, every entity providing services or
treatment under the federal Ryan White HIV/AIDS Treatment Extension
Act of 2009 (Public Law 111-187) shall provide to the State
Department of Public Health the name, address, and other information
of each enrollee as required by the department. The information
provided shall be provided consistent with Section 120980. The
department shall provide the information to the Exchange and to the
Medi-Cal program so that eligibility may be determined and enrollment
completed.
(2) Effective January 1, 2013, for each enrollee, the State
Department of Public Health shall provide to the Exchange the name,
most recent address, other information that is in the possession of
the program, and any other information that the Exchange may require,
in a manner to be prescribed by the Exchange in order to determine
eligibility and complete enrollment. The information shall be kept
confidential in a manner consistent with subsection (g) of Section
1411 of the federal Patient Protection and Affordable Care Act
(Public Law 111-148), the information shall be provided consistent
with Section 120980.
(3) The information provided to the Exchange shall initiate an
application for enrollment in coverage within the meaning of Section
100503 of the Government Code.
(d) The individual shall have the opportunity to decline health
care coverage pursuant to this section by notifying the Exchange in
writing.
SEC. 4. Section 127420 of the Health and Safety Code is amended to
read:
127420. (a) Each hospital shall make all reasonable efforts to
obtain from the patient or his or her representative information
about whether private or public health insurance or sponsorship may
fully or partially cover the charges for care rendered by the
hospital to a patient, including, but not limited to, any of the
following:
(1) Private health insurance.
(2) Medicare.
(3) The Medi-Cal program, the Healthy Families Program, the
California Childrens' Services Program, or other state-funded
programs designed to provide health coverage.
(b) If a hospital bills a patient who has not provided proof of
coverage by a third party at the time the care is provided or upon
discharge, as a part of that billing, the hospital shall provide the
patient with a clear and conspicuous notice that includes all of the
following:
(1) A statement of charges for services rendered by the hospital.
(2) A request that the patient inform the hospital if the patient
has health insurance coverage, Medicare, Healthy Families, Medi-Cal,
or other coverage.
(3) A statement that if the consumer does not have health
insurance coverage, the consumer may be eligible for Medicare,
Healthy Families, Medi-Cal, California Childrens' Services Program,
or charity care. Effective January 1, 2013, the statement shall
include information about the availability of coverage through the
California Health Benefit Exchange and that such coverage shall be
available effective January 1, 2014.
(4) (A) A statement indicating how patients may obtain
applications for the Medi-Cal program and the Healthy Families
Program and that the hospital will provide these applications.
Effective January 1, 2013, the statement shall include information
about the availability of coverage through the California Health
Benefit Exchange and that such coverage shall be available effective
January 1, 2014. If the patient does not indicate coverage by a
third-party payer specified in subdivision (a), or requests a
discounted price or charity care then the hospital shall provide an
application for the Medi-Cal program, the Healthy Families Program
, or other governmental program to the patient. This
application shall be provided prior to discharge if the patient has
been admitted or to patients receiving emergency or outpatient care.
(B) Effective January 1, 2014, the California Health Benefit
Exchange shall be included as a government program under this
section, including for purposes of the notice and application
requirements under this subdivision.
(5) Information regarding the financially qualified patient and
charity care application, including the following:
(A) A statement that indicates that if the patient lacks, or has
inadequate, insurance, and meets certain low- and moderate-income
requirements, the patient may qualify for discounted payment or
charity care.
(B) The name and telephone number of a hospital employee or office
from whom or which the patient may obtain information about the
hospital's discount payment and charity care policies, and how to
apply for that assistance.
SEC. 5. Section 12693.78 is added to the Insurance Code, to read:
12693.78. (a) Effective January 1, 2012, to June 30, 2013,
inclusive, the board shall provide the following notice to
every individual who ceases to be enrolled in the program
shall be provided the following notice :
"Effective January 1, 2014, you may be eligible for reduced-cost,
comprehensive health care coverage through the California Health
Benefit Exchange. If your income is low, you may be eligible for
no-cost coverage through Medi-Cal. For more information, please visit
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(b) Effective July 1, 2013, the board shall provide the foll
owing notice to every individual who ceases to be
enrolled in the program shall be provided the following
notice :
"Because you are no longer enrolled in the Healthy Families
Program, an application for health care coverage through the
California Health Benefit Exchange will be made for you. Coverage
will not be effective until January 1, 2014. You are not required to
accept coverage from the Exchange. Your payment for coverage will be
based on your income last year. If you make significantly less or
more this year than you made last year, please tell the California
Health Benefit Exchange and your charges will be based on your
current income. If your income is low, you may qualify for no-cost
coverage through Medi-Cal. For more information, check
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(c) (1) To maximize the number of individual Californians
complying with the requirements of the federal Patient Protection and
Affordable Care Act (Public Law 111-148) by obtaining coverage
consistent with the provisions of federal law, the board shall seek
approval from the United States Department of Health and Human
Services to transfer the minimum information necessary to initiate an
application for enrollment under this section consistent with
Section 100503 of the Government Code.
(2) Effective January 1, 2013, the board shall provide the name,
address, and other information regarding those individuals who have
ceased to be enrolled in the program to the Exchange and to the
Medi-Cal program so that eligibility may be determined and enrollment
completed.
(2) Effective January 1, 2013, for each enrollee who has ceased to
be enrolled, the board shall provide to the Exchange the name, most
recent address, other information that is in the possession of the
program, and any other information that the Exchange may require, in
a manner to be prescribed by the Exchange in order to determine
eligibility and complete enrollment. The information shall be kept
confidential in a manner consistent with subsection (g) of Section
1411 of the federal Patient Protection and Affordable Care Act
(Public Law 111-148).
(3) The information provided to the Exchange shall initiate an
application for enrollment in coverage within the meaning of Section
100503 of the Government Code.
(d) The individual shall have the opportunity to decline health
care coverage pursuant to this section by notifying the Exchange in
writing.
SEC. 6. Section 12693.79 is added to the Insurance Code, to read:
12693.79. Effective January 1, 2012, the board shall provide
the following notice to every individual enrolled in the
Healthy Families program shall be provided the following
notice :
"Effective January 1, 2014, if your parents or other family
members do not have health care coverage that costs less than 10% of
your income, your parents or other family members may be eligible for
reduced cost, comprehensive health care coverage through the
California Health Benefit Exchange. If your income is low, you may be
eligible for no-cost coverage through Medi-Cal. For more
information, please visit www.healthcare.ca.gov or call
1-888-Healthhelp (insert telephone number)."
SEC. 7. Section 12698.45 is added to the Insurance Code, to read:
12698.45. (a) Effective January 1, 2012, to June 30, 2013,
inclusive, the board shall provide the following notice to
every individual who ceases to be enrolled in the program
shall be provided the following notice :
"Effective January 1, 2014, you may be eligible for reduced-cost,
comprehensive health care coverage through the California Health
Benefit Exchange. If your income is low, you may be eligible for
no-cost coverage through Medi-Cal. For more information, please visit
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(b) Effective July 1, 2013, the board shall provide the
following notice to every individual who ceases to be enrolled
in the program shall be provided the following notice
:
"Because you are no longer enrolled in AIM (Access for Infants and
Mothers Program), an application for health care coverage through
the California Health Benefit Exchange will be made for you. Coverage
will not be effective until January 1, 2014. You are not required to
accept coverage from the Exchange. Your payment for coverage will be
based on your income last year. If you make significantly less or
more this year than you made last year, please tell the California
Health Benefit Exchange and your charges will be based on your
current income. If your income is low, you may qualify for no-cost
coverage through Medi-Cal. For more information, check
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(c) (1) To maximize the number of individual Californians
complying with the requirements of the federal Patient Protection and
Affordable Care Act (Public Law 111-148) by obtaining coverage
consistent with the provisions of federal law, the board shall seek
approval from the United States Department of Health and Human
Services to transfer the minimum information necessary to initiate an
application for enrollment under this section consistent with
Section 100503 of the Government Code.
(2) Effective January 1, 2013, the board shall provide the name,
address, and other information regarding those individuals who have
ceased to be enrolled in the program to the Exchange and to the
Medi-Cal program so that eligibility may be determined and enrollment
completed.
(2) Effective January 1, 2013, for each enrollee who has ceased to
be enrolled, the board shall provide to the Exchange the name, most
recent address, other information that is in the possession of the
program, and any other information that the Exchange may require, in
a manner to be prescribed by the Exchange in order to determine
eligibility and complete enrollment. The information shall be kept
confidential in a manner consistent with subsection (g) of Section
1411 of the federal Patient Protection and Affordable Care Act
(Public Law 111-148).
(3) The information provided to the Exchange shall initiate an
application for enrollment in coverage within the meaning of Section
100503 of the Government Code.
(d) The individual shall have the opportunity to decline health
care coverage pursuant to this section by notifying the Exchange in
writing.
SEC. 8. Section 12734 is added to the Insurance Code, to read:
12734. (a) Effective January 1, 2012, to June 30, 2013,
inclusive, the board shall provide the following notice to
every individual who ceases to be enrolled in the program
shall be provided the following notice :
"Effective January 1, 2014, you may be eligible for reduced-cost,
comprehensive health care coverage through the California Health
Benefit Exchange. If your income is low, you may be eligible for
no-cost coverage through Medi-Cal. For more information, please visit
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(b) Effective July 1, 2013, the board shall provide the
following notice to every individual who ceases to be enrolled
in the program shall be provided the following notice
:
"Because you are no longer enrolled in the California Major Risk
Medical Insurance Program, an application for health care coverage
through the California Health Benefit Exchange will be made for you.
Coverage will not be effective until January 1, 2014. You are not
required to accept coverage from the Exchange. Your payment for
coverage will be based on your income last year. If you make
significantly less or more this year than you made last year, please
tell the California Health Benefit Exchange and your charges will be
based on your current income. If your income is low, you may qualify
for no-cost coverage through Medi-Cal. For more information, check
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(c) (1) To maximize the number of individual Californians
complying with the requirements of the federal Patient Protection and
Affordable Care Act (Public Law 111-148) by obtaining coverage
consistent with the provisions of federal law, the board shall seek
approval from the United States Department of Health and Human
Services to transfer the minimum information necessary to initiate an
application for enrollment under this section consistent with
Section 100503 of the Government Code.
(2) Effective January 1, 2013, the board shall provide the name,
address, and other information regarding those individuals who have
ceased to be enrolled in the program to the Exchange and to the
Medi-Cal program so that eligibility may be determined and enrollment
completed.
(2) Effective January 1, 2013, for each enrollee who has ceased to
be enrolled, the board shall provide to the Exchange the name, most
recent address, other information that is in the possession of the
program, and any other information that the Exchange may require, in
a manner to be prescribed by the Exchange in order to determine
eligibility and complete enrollment. The information shall be kept
confidential in a manner consistent with subsection (g) of Section
1411 of the federal Patient Protection and Affordable Care Act
(Public Law 111-148).
(3) The information provided to the Exchange shall initiate an
application for enrollment in coverage within the meaning of Section
100503 of the Government Code.
(d) The individual shall have the opportunity to decline health
care coverage pursuant to this section by notifying the Exchange in
writing.
SEC. 9. Section 12739.615 is added to the Insurance Code, to read:
12739.615. (a) Effective January 1, 2012, to June 30, 2013,
inclusive, the board shall provide the following notice to
every individual who ceases to be enrolled in the program
shall be provided the following notice :
"Effective January 1, 2014, you may be eligible for reduced-cost,
comprehensive health care coverage through the California Health
Benefit Exchange. If your income is low, you may be eligible for
no-cost coverage through Medi-Cal. For more information, please visit
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(b) Effective July 1, 2013, the board shall provide the
following notice to every individual who ceases to be enrolled
in the program shall be provided the following notice
:
"Because you are no longer enrolled in the Federal Temporary High
Risk Pool, an application for health care coverage through the
California Health Benefit Exchange will be made for you. Coverage
will not be effective until January 1, 2014. You are not required to
accept coverage from the Exchange. Your payment for coverage will be
based on your income last year. If you make significantly less or
more this year than you made last year, please tell the California
Health Benefit Exchange and your charges will be based on your
current income. If your income is low, you may qualify for no-cost
coverage through Medi-Cal. For more information, check
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(c) (1) To maximize the number of individual Californians
complying with the requirements of the federal Patient Protection and
Affordable Care Act (Public Law 111-148) by obtaining coverage
consistent with the provisions of federal law, the board shall seek
approval from the United States Department of Health and Human
Services to transfer the minimum information necessary to initiate an
application for enrollment under this section consistent with
Section 100503 of the Government Code.
(2) Effective January 1, 2013, the board shall provide the name,
address, and other information regarding those individuals who have
ceased to be enrolled in the program to the Exchange and to the
Medi-Cal program so that eligibility may be determined and enrollment
completed.
(2) Effective January 1, 2013, for each enrollee who has ceased to
be enrolled, the board shall provide to the Exchange the name, most
recent address, other information that is in the possession of the
program, and any other information that the Exchange may require, in
a manner to be prescribed by the Exchange in order to determine
eligibility and complete enrollment. The information shall be kept
confidential in a manner consistent with subsection (g) of Section
1411 of the federal Patient Protection and Affordable Care Act
(Public Law 111-148).
(3) The information provided to the Exchange shall initiate an
application for enrollment in coverage within the meaning of Section
100503 of the Government Code.
(d) The individual shall have the opportunity to decline health
care coverage pursuant to this section by notifying the Exchange in
writing.
SEC. 10. Section 14029.9 is added to the Welfare and Institutions
Code, to read:
14029.9. (a) Effective January 1, 2012, to June 30, 2013,
inclusive, the department shall provide the following notice to
every individual who ceases to be enrolled in the Medi-Cal
program shall be provided the following notice :
"Effective January 1, 2014, you may be eligible for reduced-cost,
comprehensive health care coverage through the California Health
Benefit Exchange. If your income is low, you may be eligible for
no-cost coverage through Medi-Cal. For more information, please visit
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(b) Effective July 1, 2013, the department shall provide the
following notice to every individual who ceases to be enrolled
in the Medi-Cal program shall be provided the following
notice :
"Because you are no longer enrolled in Medi-Cal, an application
for health care coverage through the California Health Benefit
Exchange will be made for you. Coverage will not be effective until
January 1, 2014. You are not required to accept coverage from the
Exchange. Your payment for coverage will be based on your income last
year. If you make significantly less or more this year than you made
last year, please tell the California Health Benefit Exchange and
your charges will be based on your current income. If your income is
low, you may qualify for no-cost coverage through Medi-Cal. For more
information, check www.healthcare.ca.gov or call 1-888-Healthhelp
(insert telephone number)."
(c) (1) To maximize the number of individual Californians
complying with the requirements of the federal Patient Protection and
Affordable Care Act (Public Law 111-148) by obtaining coverage
consistent with the provisions of federal law, the department shall
seek approval from the United States Department of Health and Human
Services to transfer the minimum information necessary to initiate an
application for enrollment under this section consistent with
Section 100503 of the Government Code.
(2) Effective January 1, 2013, the department shall provide the
name, address, and other information regarding those individuals who
have ceased to be enrolled in the Medi-Cal program to the Exchange so
that eligibility may be determined and enrollment completed.
(2) Effective January 1, 2013, for each enrollee who has ceased to
be enrolled, the department shall provide to the Exchange the name,
most recent address, other information that is in the possession of
the program, and any other information that the Exchange may require,
in a manner to be prescribed by the Exchange in order to determine
eligibility and complete enrollment. The information shall be kept
confidential in a manner consistent with subsection (g) of Section
1411 of the federal Patient Protection and Affordable Care Act
(Public Law 111-148).
(3) The information provided to the Exchange shall initiate an
application for enrollment in coverage within the meaning of Section
100503 of the Government Code.
(d) The individual shall have the opportunity to decline health
care coverage pursuant to this section by notifying the Exchange in
writing.
SEC. 11. Section 14105.182 is added to the Welfare and
Institutions Code, to read:
14105.182. (a) Effective January 1, 2012, to June 30, 2013,
inclusive, the department shall provide the following notice to
every individual receiving care or services under the Family
PACT program as provided in subdivision (aa) of Section 14132
shall be provided the following notice :
"Effective January 1, 2014, you may be eligible for reduced-cost,
comprehensive health care coverage through the California Health
Benefit Exchange. If your income is low, you may be eligible for
no-cost coverage through Medi-Cal. For more information, please visit
www.healthcare.ca.gov or call 1-888-Healthhelp (insert telephone
number)."
(b) Effective July 1, 2013, the department shall provide the
following notice to every individual receiving care or services
under the Family PACT program as provided in subdivision (aa) of
Section 14132 shall be provided the following notice
:
"Because you are enrolled in a public health program, an
application for health care coverage through the California Health
Benefit Exchange will be made for you. Coverage will not be effective
until January 1, 2014. You are not required to accept coverage from
the Exchange. Your payment for coverage will be based on your income
last year. If you make significantly less or more this year than you
made last year, please tell the California Health Benefit Exchange
and your charges will be based on your current income. If your income
is low, you may qualify for no-cost coverage through Medi-Cal. For
more information, check www.healthcare.ca.gov or call
1-888-Healthhelp (insert telephone number)."
(c) (1) To maximize the number of individual Californians
complying with the requirements of the federal Patient Protection and
Affordable Care Act (Public Law 111-148) by obtaining coverage
consistent with the provisions of federal law, the department shall
seek approval from the United States Department of Health and Human
Services to transfer the minimum information necessary to initiate an
application for enrollment under this section consistent with
Section 100503 of the Government Code.
(2) Effective January 1, 2013, every entity providing services or
treatment under the program as provided in subdivision (aa) of
Section 14132 shall provide to the department the name, address, and
other information of each enrollee as required by the department. The
department shall provide the information to the Exchange and to the
Medi-Cal program so that eligibility may be determined and enrollment
completed.
(2) Effective January 1, 2013, for each enrollee, the department
shall provide to the Exchange the name, most recent address, other
information that is in the possession of the program, and any other
information that the Exchange may require, in a manner to be
prescribed by the Exchange in order to determine eligibility and
complete enrollment. The information shall be kept confidential in a
manner consistent with subsection (g) of Section 1411 of the federal
Patient Protection and Affordable Care Act (Public Law 111-148).
(3) The information provided to the Exchange shall initiate an
application for enrollment in coverage within the meaning of Section
100503 of the Government Code.
(d) The individual shall have the opportunity to decline health
care coverage pursuant to this section by notifying the Exchange in
writing.