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. AB 191 (Bocanegra) Page 1 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 AB 191 (Bocanegra) Page 2 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 AB 191 (Bocanegra) Page 3 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 AB 191 (Bocanegra) Page 4 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.