BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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                                    THIRD READING


          Bill No:  AB 1428
          Author:   Conway (R)
          Amended:  8/27/13 in Senate
          Vote:     27 - Urgency


           SENATE HEALTH COMMITTEE  :  8-0, 8/21/13
          AYES:  Hernandez, Anderson, Beall, De Le�n, DeSaulnier, Monning,  
            Nielsen, Pavley
          NO VOTE RECORDED:  Wolk

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           ASSEMBLY FLOOR  :  77-0, 8/8/13 (Consent) - See last page for vote


           SUBJECT  :    California Health Benefit Exchange:  employees and  
          contractors

           SOURCE  :     Author


           DIGEST  :    This bill requires the California Health Benefit  
          Exchange board's criminal background check requirement for  
          specified employees and volunteers and vendors, to be consistent  
          with a specific federal Centers for Medicare and Medicaid  
          Services (CMS) document or further updates guidance or  
          regulations.  Requires fingerprint images of specified  
          individuals whose duties include access to the specified  
          information contained in the information systems and devices of  
          the California Health Benefit Exchange (known as Covered  
          California).

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           ANALYSIS  :    

          Existing law:

          1.Establishes Covered California in state government, which is  
            governed by a board composed of five members.  Requires, under  
            federal law, Covered California to make available qualified  
            health plans to qualified individuals and qualified employers.

          2.Requires Covered California to inform individuals of  
            eligibility requirements for the Medi-Cal program, the Healthy  
            Families Program, or any applicable state or local public  
            program.  Requires Covered California to enroll individuals in  
            any such program, if, through screening of the application,  
            Covered California determines that such an individual is  
            eligible.

          3.Requires the executive board of Covered California, consistent  
            with federal guidance applicable to state-based exchanges, to  
            submit to the Department of Justice (DOJ) fingerprint images  
            and related information required by DOJ of all employees,  
            prospective employees, contractors, subcontractors,  
            volunteers, or vendors, whose duties include or would include  
            access to confidential information, personal identifying  
            information, personal health information, federal tax  
            information, financial information, or any other information  
            as required by federal law or guidance applicable to  
            state-based exchanges for the purposes of obtaining  
            information on:

             A.   The existence and content of a record of state or  
               federal convictions.

             B.   The existence and content of a record of state or  
               federal arrests for which DOJ establishes that the person  
               is free on bail or on his/her recognizance pending trial or  
               appeal.

          This bill:







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          1.Requires fingerprint images for purposes of a criminal  
            background check of specified individuals whose duties include  
            access to confidential information, personal identifying  
            information, personal health information, federal tax  
            information, or financial information contained in the  
            information systems and devices of Covered California.

          2.Deletes an existing reference to "federal guidance applicable  
            to state-based exchanges" and replaces it with a specific  
            reference to the federal CMS, Catalog of Minimum Acceptable  
            Risk Standards for Exchanges (MARS-E), Exchange Reference  
            Architecture Supplement version 1.0, issued on August 12,  
            2012, or further updates, guidance, or regulations.

           Background
           
          SB 509 (DeSaulnier and Emmerson, Chapter 10) was signed into law  
          on June 17, 2013 as an urgency statute so Covered California  
          could begin hiring call center employees.  As SB 509 moved  
          through the legislative process, its provisions did not mention  
          the MARS-E but instead referenced "federal guidance applicable  
          to state-based exchanges."  Covered California's board  
          determined compliance with the MARS-E was important, but because  
          SB 509's proponents did not want to delay call center hiring, SB  
          509 moved forward with an agreement that clarifying language,  
          including specific reference to the MARS-E, would follow in this  
          bill.

          Covered California indicates the requirement for a fingerprint  
          check against federal and state arrest and comes from the  
          federal MARS-E Personnel Screening Requirements.  MARS-E  
          requires organizations to screen individuals prior to  
          authorizing access to information systems, and rescreen  
          individuals periodically, consistent with the  
          criticality/sensitivity rating of the position.  To meet these  
          MARS-E requirements, Covered California must perform a criminal  
          history check for all persons prior to employment and, require  
          appropriate personnel to obtain and hold a moderate-risk  
          security clearance as defined in the federal Personnel  
          Security/Suitability handbook.

           Prior Legislation
           







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          SB 900 (Alquist, Chapter 659, Statutes of 2010) establishes  
          Covered California as an independent public entity within state  
          government, and requires Covered California to be governed by a  
          board composed of the Secretary of California Health and Human  
          Services Agency, or his/her designee, and four other members  
          appointed by the Governor and the Legislature who meet specified  
          criteria.

          AB 1602 (John A. P�rez, Chapter 655, Statutes of 2010) specifies  
          the powers and duties of Covered California relative to  
          determining eligibility for enrollment in Covered California,  
          and requires Covered Coverage to arrange for coverage through  
          Qualified Health Plans.

          AB 2343 (Torres, Chapter 256, Statutes of 2012) requires that,  
          when state or federal summary criminal history information is  
          furnished, the authorized agency, organization, or individual  
          furnish a copy of the information to the person to whom the  
          information relates if the information is a basis for an adverse  
          employment, licensing, or certification decision.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

           SUPPORT  :   (Verified  8/28/13)

          California Association of Health Plans

           ARGUMENTS IN SUPPORT  :    According to the author, this bill is a  
          clean-up measure to SB 509 (DeSaulnier and Emmerson, Chapter 10,  
          Statutes of 2013) that would fix a flaw requiring private health  
          plan staff to undergo fingerprint and background checks.  This  
          bill is needed to ensure that Covered California complies with  
          the federal background check guidance and MARS-E, without  
          imposing an unnecessary fingerprint burden on private health  
          plan staff.  In addition, this bill ensures the fingerprint  
          images and related information submitted to the DOJ will only  
          include that of specified individuals whose duties include or  
          would include access to any personal information contained in  
          the information systems and devices of Covered California.

          The California Association of Health Plans writes in support  
          that this bill contains important technical amendments to the  
          recently passed SB 509 including adding a specific reference to  







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          federal law and limiting the fingerprinting and background check  
          requirements of that bill to individuals who have access to the  
          Covered California computer system for eligibility and  
          enrollment.
          
           ASSEMBLY FLOOR  :  77-0, 8/8/13
          AYES:  Achadjian, Alejo, Allen, Ammiano, Atkins, Bigelow, Bloom,  
            Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian  
            Calderon, Campos, Chau, Chesbro, Conway, Cooley, Dahle, Daly,  
            Dickinson, Donnelly, Eggman, Fong, Fox, Frazier, Beth Gaines,  
            Garcia, Gatto, Gomez, Gonzalez, Gordon, Gorell, Gray, Grove,  
            Hagman, Hall, Harkey, Roger Hern�ndez, Holden, Jones,  
            Jones-Sawyer, Levine, Linder, Logue, Lowenthal, Maienschein,  
            Mansoor, Medina, Melendez, Mitchell, Morrell, Mullin,  
            Muratsuchi, Nazarian, Nestande, Olsen, Pan, Patterson, Perea,  
            V. Manuel P�rez, Quirk, Quirk-Silva, Rendon, Salas, 
          Skinner, Stone, Ting, Wagner, Waldron, Weber, Wieckowski, Wilk,  
            Williams, Yamada, John A. P�rez
          NO VOTE RECORDED:  Ch�vez, Vacancy, Vacancy


          JL:ej  8/28/13   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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