BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1263
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          Date of Hearing:   May 1, 2013

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                AB 1263 (John A. Pérez) - As Amended:  April 11, 2013 

          Policy Committee:                              HealthVote:13-5
                        PERSS                                   5-2

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  

          Establishes the Medi-Cal Patient Centered Communication  
          (CommuniCal) program at the Department of Health Care Services  
          (DHCS) to provide and reimburse for certified medical  
          interpretation services to limited English proficient (LEP)  
          Medi-Cal enrollees.  Establishes a certification process and  
          registry of CommuniCal certified medical interpreters (CCMI) at  
          the California Department of Human Resources (CalHR) and grants  
          CCMI collective bargaining rights with the state.  Specifically,  
          this bill: 

          1)Requires CommuniCal to offer medical interpreter services  
            beginning July 1, 2014 and permits providers and health plans  
            to utilize CommuniCal to provide medical interpreter services  
            to Medi-Cal beneficiaries, as specified.

          2)Requires DHCS to pursue federal funding and seek any necessary  
            federal approvals.

          3)Requires CommuniCal to include in-person, telephonic, and  
            video medical interpretation services, with in-person  
            designated as the preferred mode whenever possible, as  
            specified.

          4)Requires DHCS to create and administer a competitive Request  
            for Proposal (RFP) and to execute a contract for CommuniCal to  
            be administered by a patient-centered communication broker, as  
            specified.

          5)Includes, among the CCMI certification requirements, an exam  
            to be administered by a nonprofit organization selected by  








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            CalHR. Requires CalHR to select an examination for  
            Spanish-language medical interpretation within 120 days of  
            this bill's implementation and provides a process by which  
            testing, training, and experience standards for interpreters  
            of other languages can be assessed so that interpreters of  
            those languages may be placed on the registry. 

          6)Grants CCMIs the right to form, join, and participate in the  
            activities of a labor organization of their own choosing for  
            collective bargaining with the state on matters of mutual  
            concern, as specified, and requires the Public Employment  
            Relations Board (PERB), to certify a labor organization and  
            undertake related activities if specified requirements are  
            met.  Provides CCMIs are not public employees.



           FISCAL EFFECT     

          1)One-time costs likely in the hundreds of thousands of dollars  
            to develop program guidelines, seek necessary federal  
            approvals, and contract for CommuniCal administration.

          2)Ongoing costs potentially exceeding several million dollars  
            per year to provide interpreter services in fee-for-service  
            Medi-Cal.  The actual cost of this voluntary program will  
            depend on the demand level for interpreter services not  
            already being met.

          3)Minor costs in Medi-Cal managed care. Under current law,  
            health plans are required to provide interpretation services,  
            including managed care plans that contract with the Department  
            of Health Care Services. It is unclear whether the bill's  
            provisions would increase costs above what is already  
            incurred.

          4)Potential one-time costs of $139,000 and ongoing annual costs  
            of $53,000 per year to PERB.

          5)State GF costs would be offset by an enhanced federal match of  
            75%, pursuant to a 2010 federal guidance, rather than the 50%  
            match generally attributable for administrative costs.  

           COMMENTS  









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           1)Rationale  .  Various federal and state laws require health  
            providers and health plans receiving federal funding to  
            provide interpreter services to patients.  Despite these  
            requirements in law, there are indications not all Medi-Cal  
            beneficiaries receive care in a linguistically appropriate  
            manner. The author notes, "Language barriers can contribute to  
            inadequate patient evaluation and diagnosis, lack of  
            appropriate and/or timely treatment or other medical errors  
            than can jeopardize patient safety."   Enhanced federal  
            funding opportunities allow California to develop a more  
            comprehensive language assistance program. 

           2)Prior legislation  .  AB 2392 (John A. Pérez) of 2012 was  
            similar to this bill.  AB 2392 passed both houses of the  
            legislature but was not taken up for concurrence in the  
            Assembly.

            SB 853 (Escutia), Chapter 713, Statutes of 2003, requires the  
            Department of Managed Health Care and the California  
            Department of Insurance to adopt regulations to ensure  
            enrollees have access to language assistance in obtaining  
            health care services.
            
           3)Related legislation  . AB 505 (Nazarian) codifies existing  
            Medi-Cal MCP requirements to provide language assistance,  
            translation, and interpretation services when populations  
            reach specified thresholds.  AB 505 is pending in this  
            committee.  

            AB 1376 (Roger Hernández) proposes to eliminate CalHR's role  
            in maintaining the published list of certified administrative  
            hearing and medical examination interpreters and repeal the  
            annual fee interpreters previously paid to be included on the  
            list.  AB 1376 grants each department subject to language  
            assistance responsibilities the ability to qualify and retain  
            interpreters as needed.  AB 1376 passed out of the Assembly  
            Judiciary and Insurance Committees and is pending in this  
            committee.
           

           Analysis Prepared by  :    Debra Roth / APPR. / (916) 319-2081 












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