BILL NUMBER: SB 18	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  AUGUST 18, 2014
	AMENDED IN ASSEMBLY  JUNE 30, 2014
	AMENDED IN ASSEMBLY  JUNE 18, 2014
	AMENDED IN SENATE  APRIL 17, 2013

INTRODUCED BY   Senators Leno and Hernandez

                        DECEMBER 3, 2012

   An act relating to Medi-Cal, and making an appropriation therefor.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 18, as amended, Leno. Medi-Cal renewal.
   Existing law provides for the Medi-Cal program, which is
administered by the State Department of Health Care Services, under
which qualified low-income individuals receive health care services.
The Medi-Cal program is, in part, governed and funded by federal
Medicaid Program provisions.
   Existing law establishes the Healthcare Outreach and Medi-Cal
Enrollment Account to collect and allocate non-General Fund public or
private grant funds for expenditure, upon appropriation of the
Legislature, for outreach to and enrollment of target Medi-Cal
populations and to compensate Medi-Cal in-person assisters.
   This bill would require the State Department of Health Care
Services to accept contributions by private foundations in the amount
of at least $6,000,000 for the purpose of providing Medi-Cal renewal
assistance payments, as specified. The bill would also appropriate
$6,000,000 from the Healthcare Outreach and Medi-Cal Enrollment
Account  and $6,000,000 from the Federal Trust F   und
 , to be available for encumbrance or expenditure until December
31, 2016, and authorize the use of previously appropriated funds in
that account for this purpose. The bill would require the department
to seek federal matching funds for the contributions to the extent
permissible for training, testing, certifying, supporting, and
compensating persons and entities providing renewal assistance and
for any other permissible renewal assistance related activities, and
to seek all necessary federal approvals for purposes of obtaining
federal funding. The bill would also require the department, in
collaboration with the County Welfare Directors Association and legal
services organizations, to develop renewal assistance training for
employees of community-based organizations, as specified.
   Vote: majority. Appropriation: yes. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  (a) (1) The State Department of Health Care Services
shall accept contributions by private foundations in the amount of at
least six million dollars ($6,000,000) for the purpose of providing
Medi-Cal renewal assistance payments starting January 1, 2015. These
contributions shall be deposited in the Healthcare Outreach and
Medi-Cal Enrollment Account that has been created in the Special
Deposit Fund within the State Treasury for the purposes specified in
this section. 
   (2) Six million dollars is hereby appropriated to the State
Department of Health Care Services from the Healthcare Outreach and
Medi-Cal Enrollment Account for the purposes specified in this
section, to be available for encumbrance or expenditure until
December 31, 2016.  
   (2) There is hereby appropriated to the State Department of Health
Care Services the following sums for the purposes specified in this
section:  
   (A) The sum of six million dollars ($6,000,000) from the
Healthcare Outreach and Medi-Cal Enrollment Account, to be available
for encumbrance or expenditure until December 31, 2016.  
   (B) The sum of six million dollars ($6,000,000) from the Federal
Trust Fund, to be available for encumbrance or expenditure until
December 31, 2016. 
   (3) The department may expend a portion of the five hundred
thousand dollars ($500,000) authorized for expenditure in subdivision
(d) of Section 5 of Chapter 361 of the Statutes of 2013 to
administer the activities described in this section. Private
foundation funding expended by the department to administer the
activities described in this section shall be expended only for
filled positions and administrative expenses directly related to this
section.
   (b) (1) Notwithstanding any other law, and in a manner that the
Director of the State Department of Health Care Services shall
provide, the department may make allocations to fund Medi-Cal renewal
assistance activities as described in this section.
   (2) The department may determine the number of allocations and the
application process. The director may consult or obtain technical
assistance from private foundations in implementation of the
application and allocation process.
   (3) The director may, at his or her discretion, give consideration
to distributing funds to community-based organizations in an area or
region of the state if a county or counties, acting jointly, do not
seek an allocation or if funds are made available.
   (c) Renewal assistance payments shall be distributed to
community-based organizations providing renewal assistance to
Medi-Cal beneficiaries. Authorized payments shall be made to counties
by the department for distribution of funds to community-based
organizations. Counties may retain an amount for administrative costs
that have been approved by the department.
   (d) The department, in collaboration with the County Welfare
Directors Association and legal services organizations, shall develop
renewal assistance training for employees of community-based
organizations that shall be consistent with the counties' human
services agencies Medi-Cal redetermination timeframes and process. In
order to be eligible for renewal assistance payments under this
section, the community-based organization's employees providing the
assistance shall have completed the renewal assistance training
developed under this subdivision.
   (e) (1) The funds allocated under this section shall be used only
for the Medi-Cal renewal assistance activities and may supplement,
but shall not supplant, existing local, state, and foundation funding
of county renewal assistance activities.
   (2) Notwithstanding Section 10744 of the Welfare and Institutions
Code, the department may recoup or withhold all or part of an
allocation for failure to comply with any requirements or standards
set forth by the department for the purposes of this section.
   (f) The department shall require progress reports, in a manner as
determined by the department, from those receiving allocations under
this section.
   (g) The department shall seek federal matching funds for the
contributions to the extent permissible for training, testing,
certifying, supporting, and compensating persons and entities
providing renewal assistance and for any other permissible renewal
assistance related activities and shall seek all necessary federal
approvals for purposes of obtaining federal funding for activities
conducted under this section.
   (h) To the extent federal funding is received for the services
specified in this section, reimbursements for costs incurred under
the approved allocations shall be made in compliance with federal
law.
   (i) Notwithstanding Chapter 3.5 (commencing with Section 11340) of
Part 1 of Division 3 of Title 2 of the Government Code, the
department may implement, interpret, or make specific this section by
means of all-county letters, provider bulletins, or similar
instructions.
   (j) This section shall cease to be implemented when all of the
private contributions and any federal matching funds have been
exhausted.