BILL ANALYSIS �
SB 94
Page 1
SENATE THIRD READING
SB 94 (Budget and Fiscal Review Committee)
As Amended June 13, 2013
Majority vote. Budget Bill Appropriation Takes Effect Immediately
SENATE VOTE :Vote not relevant
SUMMARY : Implements changes to the Coordinated Care Initiative
(CCI), which was adopted as part of the 2012 budget package.
Specifically, this bill :
1)Deletes the uncodified sections in both SB 1008 and SB 1036 (2012
health budget trailer bills that adopted the CCI) that no longer
apply to CCI as the conditions under which this language would
have become inoperative were addressed in the Memorandum Of
Understanding entered into between California and the Centers for
Medicare and Medicaid Services (CMS) on March 27, 2013.
2)Authorizes the Department of Health Care Services, with direction
from the Director of the Department of Finance, to determine if
implementation of CCI results in savings to the General Fund, and
if it does not, requires DHCS to render the terms of the CCI
inoperative.
3)Delinks the operation of Cal MediConnect (the duals demonstration
project) from the other components of the CCI - the mandatory
enrollment of Duals into Medi-Cal managed care, the integration of
Medi-Cal long term services and supports into managed care plans,
and the commencement of the In-Home Supportive Services (IHSS)
Statewide Public Authority.
4)Adds language to Government Code Section 110032, to be consistent
with other public bargaining statutes, that permits the Statewide
Public Authority to discuss collective bargaining matters with its
bargaining negotiator without having to hold the meeting open to
the public; it also exempts the actual negotiations with the
exclusive bargaining representative from open meeting
requirements.
5)Requires the Department of Health Care Services, beginning with
the 2014 calendar year and continuing through the 2016 calendar
year, to offer to renew existing federal Medicare Improvements for
Patients and Providers Act of 2008 (Public Law 110-275) compliant
contracts to existing Medicare Advantage Special Needs Plans
SB 94
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(D-SNP plans) to continue to market, enroll and provide Medicare
and, if applicable, other contracted benefits to their enrollees
in their service areas as authorized and approved on January 1,
2012, by CMS.
6)Authorizes health plans and contracted Multipurpose Senior
Services Program (MSSP) sites to determine readiness for
enrollment into managed care, and based on such determinations, to
choose to begin enrollment into managed care either on the first
day or the 90th day of implementation of the CCI.
7)Contains an appropriation allowing the bill to take effect
immediately upon enactment.
COMMENT : This bill is a budget trailer bill within the overall
2013-14 budget package to implement actions taken affecting the
Departments of Aging and Health Care Services.
Analysis prepared by : Andrea Margolis / BUDGET / (916) 319-2099FN:
0001193