BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      



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          |SENATE RULES COMMITTEE            |                  AB 1485|
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                                 THIRD READING


          Bill No:  AB 1485
          Author:   Assembly Budget Committee
          Amended:  6/13/12 in Senate
          Vote:     21

           
           SENATE BUDGET & FISCAL REVIEW COMMITTEE  :  11-0, 6/14/12
          AYES:  Leno, Alquist, DeSaulnier, Evans, Hancock, Liu, 
          Lowenthal,                                             
          Negrete McLeod, Simitian, Wolk, Wright
          NO VOTE RECORDED:  Emmerson, Anderson, Fuller, Gaines, La 
          Malfa

           ASSEMBLY FLOOR  :  Not relevant


           SUBJECT  :    Budget Act of 2011:  augmentation

           SOURCE  :     Author


           DIGEST  :    This bill appropriates $1.1 billion General Fund 
          to the Department of Corrections and Rehabilitation ($295.4 
          million), Department of Mental Health ($41.8 million), 
          Department of Health Care Services ($759.6 million), and 
          Mariposa and Lassen counties ($125,436).

           ANALYSIS  :    The Budget Act of 2011 appropriated specific 
          amounts from the General Fund for the support of state 
          government.  This bill contains funding necessary to 
          address deficiencies in the 2011 Budget Act.  The proposed 
          funding in this measure has been approved by the Department 
          of Finance (DOF) and reviewed by the Joint Legislative 
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          Budget Committee (JLBC).

          This bill includes the following provisions:

          1.Appropriates $295.4 million General Fund to augment the 
            2011 Budget Act for the Department of Corrections and 
            Rehabilitation (CDCR) to address a shortfall in the 
            Receiver's Medical Services Program.  Included in this 
            amount is:

             A.   $163.2 million to address the Receiver's inability 
               to realize the savings associated with a 10 percent 
               unallocated budget reduction included in the 2011 
               Budget Act;

             B.   $86 million to address a structural deficiency in 
               the pharmaceutical budget; and

             C.   $46.2 million to address increased custody costs 
               related to the transportation of prisoners to and from 
               medical appointments and supervision while at medical 
               appointments.

          1.Appropriates $41.8 million General Fund to augment the 
            2011 Budget Act for the Department of Mental Health (DMH) 
            associated with increased operating costs.  Included in 
            the amount is:

             A.   $147.5 million associated with patient-related 
               activities (such as enhanced observation of patients 
               and admission assessments) and costs associated with 
               the redirection of staff toward Civil Rights for 
               Institutionalized Persons Act (CRIPA)-related 
               activities.  DMH and the United States Department of 
               Justice entered into a Consent Judgment in 2006 
               requiring state hospitals to implement numerous 
               corrective actions for CRIPA violations;

             B.   $13.9 million to address costs associated with 
               increased patient caseload related to the Coleman 
               lawsuit settlement which required improved mental 
               health services to CDCR prisoners; and  

             C.   $119.6 million in additional savings associated 

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               with a decrease in the projected state hospital 
               caseload, implementation of the state hospitals 
               savings plan, and increased reimbursements.

          1.Appropriates $759.6 million General Fund to augment the 
            2011 Budget Act for the Department of Health Care 
            Services (DHCS) for costs primarily associated with 
            unrealized savings anticipated by the 2011 Budget Act.  
            These include:

             A.   $346.8 million to address costs associated with a 
               court injunction barring the implementation of 
               provider rate reductions;

             B.   $511.1 million to address costs associated with the 
               failure to obtain federal approval to implement 
               copayments in the Medi-Cal program; and

             C.   $98.3 million in various adjustments within the 
               Medi-Cal local assistance budget that result in a net 
               savings.

          1.Appropriates $125,436 General Fund to counties requesting 
            reimbursement of qualified homicide trial costs.  These 
            claims have been approved by the State Controller.  
            Included in this amount is:

             A.   $6,508 to Mariposa County for the case of "People 
               v. Cary Stayner;" and

             B.   $118,928 to Lassen County for the cases of "People 
               v. Joanna Lynne McElrath" and "People v. Robin Glenn 
               James."

           FISCAL EFFECT  :    Appropriation:  Yes   Fiscal Com.:  Yes   
          Local:  No

          According to the Senate Budget and Fiscal Review Committee, 
          appropriates $1.1 billion General Fund in the current year. 
           This appropriation is assumed in the proposed 2012 Budget 
          Act.  Any unencumbered funds will revert to the General 
          Fund.



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          DLW:nl  6/14/12   Senate Floor Analyses 

                       SUPPORT/OPPOSITION:  NONE RECEIVED

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