BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  SB 1558
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          SENATE THIRD READING
          SB 1558 (Kehoe)
          As Amended  March 29, 2012
          2/3 vote.  Urgency 

           SENATE VOTE  :31-2  
           
           APPROPRIATIONS    12-0                                          
           
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          |Ayes:|Fuentes, Blumenfield,     |     |                          |
          |     |Bradford, Charles         |     |                          |
          |     |Calderon, Campos, Davis,  |     |                          |
          |     |Gatto, Hall, Hill, Lara,  |     |                          |
          |     |Mitchell, Solorio         |     |                          |
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          SUMMARY  :  Appropriates $2.6 million ($1.3 million General Fund 
          (GF); $1.3 million Federal Trust Fund) to the Department of 
          Justice (DOJ) to pay the settlement in Darling v. Douglas, U.S. 
          District Court, Northern District, Case No. 4:09-cv-03798-SBA.  
          Any funds appropriated in excess of the amount required for the 
          payment of this claim shall revert to the General Fund.  

           FISCAL EFFECT :  This bill appropriates $2.6 million ($1.3 
          million GF; $1.3 million Federal Trust Fund) to DOJ.  
           
          This settlement also provides for 7% interest beginning 90 days 
          after the effective date of the settlement, which is February 
          25, 2012.  This amounts to about $500 per day, beginning May 25, 
          2012. 

          Any funds appropriated in excess of the amount required will 
          revert to the appropriate fund.
           
          COMMENTS  :  This bill is one of two or three annual bills carried 
          by the Appropriations chairs to provide appropriation authority 
          for legal settlements approved by DOJ and the Department of 
          Finance (DOF).  These settlements were entered into lawfully by 
          the state upon advice of counsel (DOJ).  They are binding state 
          obligations.  
           
           The Darling v. Douglas case  .  The plaintiffs, participants in an 
          optional Medi-Cal program, Adult Day Health Care (ADHC) brought 








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          suit in August 2009 contending the Department of Health Care 
          Services (DHCS) did not have an adequate transition plan in 
          place prior to the elimination of ADHC.  Plaintiffs did not 
          challenge the elimination, but contended DHCS was required to 
          provide replacement services before eliminating the program.  
          Plaintiffs asserted that the changes to the program would place 
          them at risk of unnecessary institutionalization, alleged their 
          due process rights were violated and that the restrictive new 
          eligibility criteria violated federal Medicaid requirements.

          In November 2011, the parties agreed to a settlement.  Under the 
          terms of the settlement agreement, a new program, 
          Community-Based Adult Services (CBAS), would be provided to 
          qualifying ADHC participants and enhanced case management would 
          be provided to those who do not qualify for CBAS.  The 
          settlement provides that both programs will eventually only be 
          offered through managed care plans (except in areas where a plan 
          does not operate). 

          The settlement pays for attorneys' fees to plaintiffs' counsel 
          of $2.2 million for all work performed prior to the court's 
          approval of the settlement agreement and an additional $400,000 
          to cover any work performed regarding implementation and 
          compliance with the agreement for the duration of the settlement 
          (30 months). 

           Related legislation  . 

          1)SB 730 (Kehoe), Chapter 5, Statutes of 2012, appropriated $13 
            million to DOJ to pay for six settlements, with interest in 
            two cases. 

          2)AB 140 (Fuentes), Chapter 180, Statutes of 2011, and SB 206 
            (Kehoe), Chapter 125, Statutes of 2011, appropriated funds for 
            state settlements last year. 


           Analysis Prepared by  :    Geoff Long / APPR. / (916) 319-2081 


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