BILL ANALYSIS Ó
AB 82
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( Without Reference to File )
CONCURRENCE IN SENATE AMENDMENTS
AB 82 (Budget Committee)
As Amended June 14, 2013
Majority vote. Budget Bill Appropriation Takes Effect Immediately
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|ASSEMBLY: | |(May 13, 2013) |SENATE: |36-0 |(June 15, |
| | | | | |2013) |
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(vote not relevant)
Original Committee Reference: BUDGET
SUMMARY : This is the Omnibus Health Trailer Bill for 2013-14. It
contains necessary changes related to the Budget Act of 2013. This
bill makes various statutory changes to implement the 2013-14
Budget.
The Senate amendments delete the Assembly version of this bill, and
instead:
1)Provide for the continuation of Medi-Cal coverage for Foster Care
Youth who turn 21 between July 1, 2013, and December 31, 2013, for
$900,000 General Fund. Effective January 1, 2014, per the federal
Affordable Care Act (ACA), these young adults will remain eligible
for Medi-Cal until age 26.
2)Exempt preventative services and adult vaccines from cost-sharing
in order for the state to be eligible for enhanced federal funding
under the ACA. This provides for $7.5 million General Fund (GF)
savings.
3)Require the Department of Health Care Services (DHCS) to accept a
grant from the California Endowment for Medi-Cal Enrollment
Assistance ($14 million) and Medi-Cal Outreach and Enrollment
Grants to Community-Based Organizations ($12.5 million) and obtain
$26.5 million in matching federal funds for these purposes.
4)Restore, in part, Medi-Cal Adult Dental Benefits effective May 1,
2014, for $55.3 million ($16.9 million General Fund). This
partial restoration includes preventive/diagnostic services,
restoration services (amalgams, composite and stainless steel
crowns), and full mouth dentures.
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5)Restore Medi-Cal enteral nutrition benefits starting May 1, 2014,
for $3.4 million ($1.7 million GF).
6)Eliminate the seven visit cap on physician and clinic visits in
Medi-Cal, which has yet to receive federal approval or to be
implemented.
7)Extend the time period for which laboratory service providers have
to submit data reports specifying their lowest amounts other
payers are paying. This is necessary as the process to develop
the new rate methodology has taken longer than anticipated.
8)Eliminate the sunset date for specialty provider contracting. The
elimination of this sunset date achieves ongoing $6.9 million GF
savings.
9)Require DHCS to post on its Web site proposed State Plan
Amendments (SPAs), waiver amendments, and waiver renewals that it
has submitted to the federal government. This would provide
legislative staff and stakeholders with the opportunity to review
and comment on the state's implementation of policy.
10)Transfer mental health facility licensing and quality improvement
functions from the Department of Social Services to DHCS.
11)Incorporate the measuring and evaluating of Medi-Cal managed care
plans' screenings for mental health needs and their referrals for
these services (to both Medi-Cal fee-for-service providers and
county mental health plans) into the Early and Periodic Screening,
Diagnosis, and Treatment (EPSDT) performance outcome system.
Require stakeholder involvement in this effort, and require the
department to develop a plan for the incorporation of these
factors into the outcome system, due to the Legislature by October
1, 2014.
12)Require DHCS to consult with stakeholders prior to the submittal
of the Behavioral Health Services Plan to the federal government.
13)Adopt technical amendments to ensure the cost neutrality of SB
1462 (Leno), Chapter 837, Statutes of 2012, which provides
Medi-Cal coverage to eligible county inmates on medical parole and
inmates granted compassionate release.
14)Transition Access for Infants (AIM)-linked infants, born to women
whose income is between 250 and 300% of the federal poverty level,
from the Healthy Families Program to DHCS.
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15)End the Managed Risk Medical Insurance Board's (MRMIB's)
responsibility regarding the Pre-Existing Condition Insurance Plan
(PCIP) effective July 1, 2013, as the federal government will take
over administration of this program.
16)Extend the date in which MRMIB can subsidize the premium
contributions paid to individuals receiving coverage in Managed
Risk Medical Insurance Program (MRMIP). This change is necessary
as MRMIP will remain a program beyond December 31, 2013.
17)Define and clarify the purpose and structure of the Safe
Cosmetics Program Web site and require that the Web site be
operational by December 31, 2013.
18)Require the Department of Public Health (DPH) to report to the
Legislature if the assumptions it used to determine the transition
of AIDS Drug Assistance Program (ADAP) clients to Low Income
Health Programs may result in an inability to provide ADAP
services to eligible ADAP clients.
19)Require DPH to submit a plan to the Legislature on how it will
address the findings and recommendations from its review of the
BabyBIG program to ensure that an adequate supply of the vaccine
is available to meet demand.
20)Reappropriate approximately $1 million in federal funds to the
Department of Managed Health Care for purposes of continuing
operation of consumer assistance programs to help uninsured
individuals obtain health coverage.
21)Require DHCS to ensure coordination of covered services across
all delivery systems of care in order to minimize disruption in
services for children transitioning from the Healthy Families
Program to Medi-Cal pursuant to AB 1494 (budget Committee),
Chapter 28, Statutes of 2012.
22)Contain an appropriation allowing this bill to take effect
immediately upon enactment.
COMMENT : This bill is a budget trailer bill within the overall
2013-14 budget package to implement actions taken affecting the
Departments of Health Care Services, Managed Health Care, Public
Health, and Social Services, the Managed Risk Medical Insurance
Board, and the Mental Health Services Oversight and Accountability
Commission.
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Analysis prepared by : Andrea Margolis / BUDGET / (916) 319-2099
FN: 0001194