BILL ANALYSIS                                                                                                                                                                                                    Ó




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de León, Chair


          AB 191 (Bocanegra) - CalFresh: categorical eligibility.
          
          Amended: June 27, 2013          Policy Vote: Human Services 4-2
          Urgency: No                     Mandate: Yes
          Hearing Date: August 12, 2013                           
          Consultant: Jolie Onodera       
          
          This bill meets the criteria for referral to the Suspense File.
          
          
          Bill Summary: AB 191 would require the Department of Social  
          Services (DSS), to the extent permitted by federal law, to  
          design and implement a program of categorical eligibility for  
          CalFresh, as specified, for any categorically eligible household  
          that includes a member who receives, or is eligible to receive,  
          assistance under the Medi-Cal program, as specified.

          Fiscal Impact: 
              For existing Medi-Cal recipients currently eligible but not  
              participating in CalFresh, and those newly eligible under  
              the bill, potential annual costs of $12.2 million (General  
              Fund) for CalFresh administration and California Food  
              Assistance Program (CFAP) benefits and administration.  
              Increased federal funding in the range of $375 million in  
              CalFresh benefits, generating $6.7 million (General Fund)  
              through increased sales tax revenue.
              For every 5 percent of the 600,000 to 700,000 individuals  
              potentially eligible for CalFresh/CFAP (assuming 30 to 35  
              percent of the 2 million newly eligible Medi-Cal recipients  
              under federal health care reform (ACA) effective January 1,  
              2014, would be eligible), annual costs of $3 million to $3.5  
              million (General Fund) for state benefits and  
              administration. Increased federal funding in the range of  
              $50 million to $60 million in CalFresh benefits, generating  
              $0.9 million to $1.1 million in increased sales tax revenue.
              For every 100,000 newly eligible children directly  
              certified for free school meals under the National School  
              Lunch Program (SLP) and School Breakfast Program (SBP),  
              increased federal funding of $75 million could be received  
              and state reimbursement of $8 million (General Fund) would  
              be required.









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          Background: Existing federal law provides for the Supplemental  
          Nutrition Assistance Program (SNAP), known as CalFresh in  
          California, which provides financial assistance to low-income  
          households to purchase food. Existing federal law also  
          establishes the Medicaid health care program, known as Medi-Cal  
          in California, which provides for a variety of medical services  
          for children and adults with limited income and resources. 

          Under existing law, the gross income threshold for CalFresh is  
          130 percent of the federal poverty level (FPL). Medi-Cal  
          eligibility income thresholds vary, however, for different  
          applicants. Categorical eligibility is the system by which  
          individuals qualify for CalFresh benefits based on their  
          participation in other federal or state programs, such as cash  
          and non-cash benefits under the Temporary Assistance for Needy  
          Families (TANF) program. Use of categorical eligibility permits  
          states to raise the gross income threshold and remove asset  
          limits for nutrition assistance by providing applicants access  
          to a TANF-funded benefit, such as a brochure or referral to a  
          toll-free hotline. Extending a TANF-funded benefit to a  
          population even though they are not formally enrolled in TANF  
          (CalWORKs in California) authorizes a state to consider the  
          population income-eligible for CalFresh. According to the  
          Congressional Budget Office (CBO) report released on SNAP in  
          April 2012, three-fourths of all SNAP recipients qualified for  
          benefits on the basis of categorical eligibility, of which  
          two-thirds (or 50 percent of total SNAP recipients) qualified  
          through the receipt of noncash benefits from TANF.

          Current law also establishes a direct certification process  
          whereby children who are enrolled in public benefits programs  
          such as CalWORKs and CalFresh are automatically enrolled in the  
          National School Lunch Program (SLP) and School Breakfast Program  
          (SBP), the free and reduced-price meal programs funded  
          predominantly by the U.S. Department of Agriculture and  
          supplemented by state funds. 

          As these programs are federal entitlement programs, federal  
          funds will be provided as long as recipients meet eligibility  
          criteria. In 2011-12, the state received $404.0 million for the  
          SBP and $1.4 billion for the NSLP. State funds augmented the  
          program by $45.7 million for SBP and $101.1 million for NSLP.  
          According to the CDE, on an average day, more than 4.5 million  
          nutritious meals are served at approximately 11,000 locations  








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          statewide. Income eligibility is 130 percent of federal poverty  
          guidelines for free meals and 185 percent of federal poverty  
          guidelines for reduced-price meals.

          Proposed Law: This bill seeks to remove a CalFresh income  
          barrier for Medi-Cal recipients and their families.  
          Specifically, this bill would require the DSS, to the extent  
          permitted by federal law, to waive the gross income test for  
          CalFresh for any individual who is categorically eligible for  
          CalFresh and who is a member of a household that receives, or is  
          eligible to receive, assistance under the Medi-Cal program.

          Related Legislation: AB 1560 (Fuentes) 2012 was substantially  
          similar to this measure. This bill was held on the Suspense File  
          of this committee.
          
          AB 433 (Beall) Chapter 623/2008 established categorical  
          eligibility for CalFresh beneficiaries with income below 130  
          percent of the federal poverty level, regardless of the level of  
          assets. Early versions of the bill included proposed categorical  
          eligibility for Medi-Cal recipients, but the language was  
          removed from the enacted version of the bill.

          AB 2205 (Evans) 2006 would have established categorical  
          eligibility for CalFresh for Medi-Cal recipients if they were  
          eligible for or receiving CalWORKs services. This bill was  
          vetoed by the Governor with the following message:

          While I support efforts to increase participation in the Food  
          Stamps program through improved outreach efforts and more  
          streamlined administrative requirements, I am unable to support  
          Assembly Bill 2205 as it would expand eligibility for food  
          stamps increasing state costs by tens of millions of dollars.  
          Our state continues to face a significant structural deficit.  
          Accordingly, the outreach and eligibility expansions proposed by  
          AB 2205 are more appropriately addressed in the budget. For this  
          reasons, I am returning AB 2205 without my signature.

          H.R. 1947 (Lucas), the Federal Agriculture Reform and Risk  
          Management Act of 2013 (FARRM), among other provisions, proposed  
          to restrict categorical eligibility to only those households  
          receiving cash assistance from SSI, TANF, or other state general  
          assistance programs. As a result, receiving a TANF-funded  
          brochure or referral to an "800" number hotline would no longer  








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          automatically make a household eligible for SNAP. This bill  
          failed passage in the House of Representatives on June 20, 2013.

          Staff Comments: This bill will increase CalFresh participation  
          among existing and new Medi-Cal recipients, as well as Medi-Cal  
          eligible individuals, resulting in a significant increase in  
          federal benefits, as well as costs and revenues to the state. 


          It is estimated that 1.2 million existing Medi-Cal recipients  
          are eligible for CalFresh but are not currently participating in  
          the program. Additionally, there are households with gross  
          income below 200 percent FPL containing at least one Medi-Cal  
          recipient and not categorically ineligible for CalFresh who  
          could become newly eligible for the program. Although the extent  
          of the impact of Cat-El on participation in CalFresh is unknown,  
          a USDA Economic Research Service (ERS) article drawn from  
          various studies noted that recent econometric studies estimate  
          that SNAP caseloads increased by 6.2 percent in the year  
          following implementation of the broad-based categorical  
          eligibility, holding all other factors constant. Utilizing this  
          assumption would result in increased federal SNAP benefits of  
          $375 million, as well as additional state costs for  
          administration and California Food Assistance Program (CFAP)  
          benefits of approximately $12.2 million (General Fund) in  
          first-year costs. The increase in benefits could also generate  
          General Fund sales tax revenue of up to $6.7 million (utilizing  
          a General Fund revenue rate of 3.9375 percent), as studies have  
          shown that a percentage of food benefits are spent on taxable  
          goods.


          With the implementation of specific provisions of federal health  
          care reform, effective January 1, 2014, it is estimated an  
          additional two million Californians will enroll in the Medi-Cal  
          program. Removing barriers to CalFresh enrollment through Cat-El  
          could result in significant increases in CalFresh and CFAP  
          participation. It is unknown what portion of the new Medi-Cal  
          caseload will participate, but as it is estimated that 30 to 35  
          percent of Medi-Cal recipients are eligible for CalFresh, there  
          could be an additional 600,000 to 700,000 individuals  
          potentially eligible for food benefits. The number of  
          individuals who would participate is unknown at this time but  
          could be significant. For every 5 percent of the potentially  








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          eligible caseload, annual costs would be in the range of $3  
          million to $3.5 million (General Fund) for state benefits and  
          administration. Increased federal funding would be in the range  
          of $50 million to $60 million in CalFresh benefits, generating  
          $0.9 million to $1.1 million in increased sales tax revenue.

          Children in households that receive CalFresh are automatically  
          certified for free school meals under a rule known as direct  
          certification. To the extent this bill increases the number of  
          families enrolled in CalFresh will have the effect of increasing  
          the number of children eligible for free school meals under the  
          National School Lunch (SLP) and School Breakfast Programs (SBP).  
          A USDA report to Congress in October 2011 on direct  
          certification in the SLP indicated states and local education  
          agencies directly certified 78 percent of school age children  
          from SNAP-participant households categorically eligible for free  
          school meals in 2010-11. Assuming 85 percent of SNAP households  
          have children, and applying the 78 percent direct certification  
          rate on new households could result in over 170,000 children  
          impacted in the first year. It is unknown how many newly  
          qualified children would participate in the SLP/SBP, but  
          increased federal funding and state reimbursement for school  
          meals could be in the millions of dollars. For every 100,000  
          additional children, increased federal funding of $75 million  
          for free school lunches and breakfasts could be received, and $8  
          million (General Fund) in state reimbursement would be required.  
          This estimate is based on federal reimbursement of $2.72 per  
          lunch and $1.48 per breakfast, and state reimbursement of  
          approximately $0.22 per meal.

          In order to be categorically eligible for CalFresh, these new  
          families would need to receive some form of TANF-funded benefit  
          or service. This service may be as minimal as providing families  
          with a brochure that outlines available TANF employment  
          services. The cost of printing additional copies of existing  
          publications is not estimated to be significant.