BILL ANALYSIS                                                                                                                                                                                                    



                                                               SB 101
                                                               Page  1

       Date of Hearing:   August 29, 2013

                            ASSEMBLY COMMITTEE ON BUDGET
                                Nancy Skinner, Chair
        SB 101 (Budget and Fiscal Review Committee) - As Amended:  August 27,  
                                        2013

        SENATE VOTE  :   Not relevant
        
       SUBJECT  :   Health-related appropriations and technical corrections

        SUMMARY  :   This bill contains technical corrections to health-related  
       budget trailer bills adopted as part of the overall budget package in  
       June of 2013.  This bill also appropriates private foundation funding,  
       and corresponding federal matching funds, that the state has received  
       from The California Endowment for purposes related to compensating  
       Medi-Cal application assisters and providing counties with grants to  
       conduct outreach to populations eligible for Medi-Cal.  Specifically,  
        this bill :

       1)Authorizes the Department of Health Care Services (DHCS), until July  
         1, 2017, to liquidate the prior years' encumbrances previously  
         obligated by the former Department of Alcohol and Drug Programs  
         (DADP).

       2)Requires the State Controller to transfer specified Budget Act  
         appropriations from the former DADP to DHCS in order to liquidate  
         prior years' encumbrances.

       3)Authorizes the Department of Public Health (DPH), until July 1,  
         2017, to liquidate the prior years' encumbrances previously  
         obligated by the Office of Problem and Pathological Gambling (within  
         the former DADP).

       4)Requires the State Controller to transfer specified Budget Act  
         appropriations from the Office of Problem and Pathological Gambling  
         to DPH in order to liquidate prior years' encumbrances.

       5)Clarifies procedures regarding the use of emergency regulations by  
         the California Health Facilities Financing Authority (CHFFA) in the  
         implementation of the Investment in Mental Health Wellness Act of  
         2013.  Specifically, requires any emergency regulations to be  
         adopted in accordance with the Administrative Procedure Act and to  
         be deemed to be an emergency and necessary for the immediate  
         preservation of the public peace, health and safety, or general  








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         welfare.

       6)Creates the Healthcare Outreach and Medi-Cal Enrollment Account in  
         the Special Deposit Fund within the State Treasury, to collect and  
         allocate non-General Fund public or private grant funds, to be  
         appropriated by the Legislature, for outreach to and enrollment of  
         targeted Medi-Cal populations and to compensate application  
         assisters, consistent with statute adopted through SB 82 (Budget Act  
         of 2013 budget trailer bill, Chapter 23, Statutes of 2013).

       7)Appropriates to DHCS $28 million ($14 million from the Healthcare  
         Outreach and Medi-Cal Enrollment Account; $14 million Federal funds)  
         for compensation to Medi-Cal application assisters.

       8)Appropriates to DHCS $25 million ($12.5 million from the Healthcare  
         Outreach and Medi-Cal Enrollment Account; $12.5 million Federal  
         funds) to provide for outreach and enrollment grants to eligible  
         entities (as specified in Chapter 23 of 2013).

       9)Authorizes DHCS to expend up to $500,000 annually in 2013-14,  
         2014-15, and 2015-16 to implement sections 70 and 71 of Chapter 23,  
         Statutes of 2013, which requires DHCS to accept funding from The  
         California Endowment for the purpose of compensating Medi-Cal  
         application assisters and making outreach and enrollment grants.

       10)Sunsets this section of law, that creates the Healthcare Outreach  
         and Medi-Cal Enrollment Account, appropriates funds to DHCS from  
         this account, and contains related provisions, on June 30, 2018.

       11)Establishes that this bill is a bill related to the Budget Bill and  
         that it shall take effect immediately.

        EXISTING LAW  

       1)Transfers the duties, powers, purposes, functions, responsibilities,  
         and jurisdiction of the former DADP to DHCS.

       2)Transfers the duties, powers, purposes, functions, responsibilities,  
         and jurisdiction of the Office of Problem and Pathological Gambling  
         to DPH.

       3)Requires, within the Investment in Mental Health Wellness Act of  
         2013, that funds appropriated by the Legislature to the CHFFA be  
         made available to selected counties to increase capacity for client  
         assistance and services in crisis intervention, crisis  








                                                               SB 101
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         stabilization, crisis residential treatment, rehabilitative mental  
         health services, and mobile crisis support teams.

       4)Authorizes CHFFA to adopt emergency regulations regarding the  
         implementation of the Mental Health Wellness Act grants for  
         counties.

        FISCAL EFFECT  :   Appropriates $53 million ($26.5 million in private  
       foundation funding and $26.5 million in federal funds).

        COMMENTS  :   This bill is necessary in order to make technical  
       corrections to budget trailer bills adopted in June 2013.  It is also  
       necessary in order to appropriate the funds being given to the state  
       by The California Endowment, to create an account to receive those  
       funds, and to specify a cap on the amount of the funds available for  
       administration of this program.

        REGISTERED SUPPORT / OPPOSITION  :

        Support 
        
       None on file.
        
         Opposition 
        
       None on file.

        Analysis Prepared by  :    Andrea Margolis / BUDGET / (916) 319-2099