BILL ANALYSIS Ó 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 SB 101 Page 2 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 Page 3 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