BILL ANALYSIS                                                                                                                                                                                                    



                                                                            



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                                 UNFINISHED BUSINESS


          Bill No:  SB 101
          Author:   Senate Budget and Fiscal Review Committee
          Amended:  8/27/13
          Vote:     21


          PRIOR SENATE VOTES NOT RELEVANT

           ASSEMBLY FLOOR  :  Not available


           SUBJECT  :    Health

           SOURCE  :     Author


           DIGEST  :    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.

           Assembly Amendments  delete the Senate version of the bill, which  
          expressed legislative intent to enact statutory changes relating  
          to the Budget Act, and instead add the current language.

           ANALYSIS  :    

          Existing law:

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          1.Transfers the duties, powers, purposes, functions,  
            responsibilities, and jurisdiction of the former Department of  
            Alcohol and Drug Programs (DADP) to the Department of Health  
            Care Services (DHCS).

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

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

          This bill: 

          1.Authorizes DHCS, until July 1, 2017, to liquidate the prior  
            years' encumbrances previously obligated by the former 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 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 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  







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            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 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 related to the Budget Bill and  
            that it shall take effect immediately.

           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  







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

          According to the Assembly Budget Committee, appropriates $53  
          million ($26.5 million in private foundation funding and $26.5  
          million in federal funds). 




          JL:ej  9/6/13   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  NONE RECEIVED

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