BILL NUMBER: SB 800 AMENDED
BILL TEXT
AMENDED IN ASSEMBLY AUGUST 19, 2013
AMENDED IN ASSEMBLY AUGUST 6, 2013
AMENDED IN SENATE MAY 28, 2013
AMENDED IN SENATE APRIL 24, 2013
INTRODUCED BY Senator Lara
FEBRUARY 22, 2013
An act to amend Section 12739.61 of, and to add Part 6.8
(commencing with Section 12739.77) to Division 2 of, the Insurance
Code, and to add Section 14005.275 14005.277
to the Welfare and Institutions Code, relating to health, and
declaring the urgency thereof, to take effect immediately.
LEGISLATIVE COUNSEL'S DIGEST
SB 800, as amended, Lara. Health care coverage programs:
transition.
Existing law creates various programs to provide health care
services to persons who meet various eligibility requirements. These
programs include the Healthy Families Program, the Access for Infants
and Mothers Program, the County Health Initiative Matching Fund, the
Major Risk Medical Insurance Program, and the Federal Temporary High
Risk Pool, all administered by the Managed Risk Medical Insurance
Board, and the Medi-Cal program administered by the State Department
of Health Care Services. Existing law provides for the transition of
specified enrollees of the Healthy Families Program to the Medi-Cal
program, to the extent that those individuals are otherwise eligible.
Existing law also provides that employees of the board whose
functions are transferred to the Medi-Cal program pursuant to that
transition retain their positions, status, and rights. Existing law
requires the board, beginning July 1, 2013, to cease the provision of
health coverage through the Federal Temporary High Risk Pool, except
as specified.
Existing law establishes the California Health Benefit Exchange
(Exchange), and requires the Exchange to facilitate the purchase of
qualified health plans through the Exchange by qualified individuals
and small employers by January 1, 2014. Existing law also requires
the Exchange to undertake activities necessary to market and
publicize the availability of health care coverage and federal
subsidies through the Exchange and to undertake outreach and
enrollment activities.
This bill would require the State Department of Health Care
Services to provide the Exchange with specified contact information
of individuals who are not enrolled in Medi-Cal but who are the
parents or caretakers of children enrolled in the Healthy Families
Program or the Medi-Cal program due to a transition from the Healthy
Families Program, as specified, for purposes of assisting the
Exchange to conduct outreach to individuals potentially eligible for
a state health subsidy an insurance
affordability program, as defined.
This bill would transfer to the Exchange any civil service
employee of the board assigned to the Federal Temporary High Risk
Pool and would provide that each transferred employee shall retain
his or her status, position, and rights.
The bill would also provide that, if the board is dissolved or
terminated, all employees assigned to the other programs administered
by the board shall be transferred to the State Department of Health
Care Services and each transferred employee shall retain his or her
status, position, and rights. The bill would provide that any
employee's reinstatement rights that would have applied to the board
shall instead apply to the department.
This bill would declare that it is to take effect immediately as
an urgency statute.
Vote: 2/3. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. Section 12739.61 of the Insurance Code is amended to
read:
12739.61. (a) The board shall cease to provide coverage through
the program on July 1, 2013, except as required by the contract
between the board and the United States Department of Health and
Human Services, and at that time shall cease to operate the program
except as required to complete payments to, or payment
reconciliations with, participating health plans or other
contractors, process appeals, or conduct other necessary termination
activities.
(b) Any permanent or probationary civil service employee who is
employed by the board and assigned to the program and whose function
ceases due to this section shall immediately be transferred to the
California Health Benefit Exchange and shall retain his or her
status, position, and rights pursuant to Section 19050.9 of the
Government Code and the State Civil Service Act (Part 2 (commencing
with Section 18500) and Part 2.6 (commencing with Section 19815) of
Division 5 of Title 2 of the Government Code).
SEC. 2. Part 6.8 (commencing with Section 12739.77) is added to
Division 2 of the Insurance Code, to read:
PART 6.8. Program Transfers
12739.77. For the purposes of this part, the following terms have
the following meanings:
(a) "Board" means the Managed Risk Medical Insurance Board.
(b) "Employee" means permanent or probationary civil service
employee.
12739.78. (a) If any statute dissolves or terminates the board,
any employee of the board who, immediately prior to the effective
date of the dissolution or termination of the board, was assigned to
the Healthy Families Program (Part 6.2 (commencing with Section
12693)), the Access for Infants and Mothers Program (Part 6.3
(commencing with Section 12695)), the County Health Initiative
Matching Fund (Part 6.4 (commencing with Section 12699.50)), or the
Major Risk Medical Insurance Program (Part 6.5 (commencing with
Section 12700)) shall be transferred to the State Department of
Health Care Services and shall retain his or her status, position,
and rights pursuant to Section 19050.9 of the Government Code and the
State Civil Service Act (Part 2 (commencing with Section 18500) and
Part 2.6 (commencing with Section 19815) of Division 5 of Title 2 of
the Government Code).
(b) (1) If any statute dissolves or terminates the board, any
employee of the board who, immediately prior to the effective date of
the dissolution or termination of the board, was assigned to the
Federal Temporary High Risk Pool (Part 6.6 (commencing with Section
12739.5) and Part 6.7 (commencing with Section 12739.70)) shall be
transferred to the California Health Benefit Exchange and shall
retain his or her status, position, and rights pursuant to Section
19050.9 of the Government Code and the State Civil Service Act (Part
2 (commencing with Section 18500) and Part 2.6 (commencing with
Section 19815) of Division 5 of Title 2 of the Government Code).
(2) This subdivision shall not apply to any employee who has
transferred to the California Health Benefit Exchange pursuant to
subdivision (b) of Section 12739.61.
(c) If any statute dissolves or terminates the board, an employee'
s applicable reinstatement rights that would have applied to the
board shall instead apply to the State Department of Health Care
Services.
SEC. 3. Section 14005.275 is added to the
Welfare and Institutions Code, immediately following Section
14005.27, to read:
14005.275. In order to assist the California Health Benefit
Exchange, established pursuant to Title 22 (commencing with Section
100500) of the Government Code, to conduct outreach to individuals
potentially eligible for a state health subsidy program, as defined
in Section 15926, the department shall provide the California Health
Benefit Exchange, or its designee, with the names, addresses, email
addresses, telephone numbers, or other contact information, and
written and spoken languages of individuals who are not enrolled in
Medi-Cal but are the parents or caretakers of children enrolled in
the Healthy Families Program or the Medi-Cal program pursuant to
Section 14005.27.
SEC. 3. Section 14005.277 is added to the
Welfare and Institutions Code , to read:
14005.277. In order to assist the California Health Benefit
Exchange, established pursuant to Title 22 (commencing with Section
100500) of the Government Code, to conduct outreach to individuals
potentially eligible for an insurance affordability program, as
defined in Section 15926, the department shall provide the California
Health Benefit Exchange, or its designee, with the names, addresses,
e-mail addresses, telephone numbers, or other contact information,
and written and spoken languages of individuals who are not enrolled
in Medi-Cal but are the parents or caretakers of children enrolled in
the Healthy Families Program or the Medi-Cal program pursuant to
Section 14005.27.
SEC. 4. This act is an urgency statute necessary for the immediate
preservation of the public peace, health, or safety within the
meaning of Article IV of the Constitution and shall go into immediate
effect. The facts constituting the necessity are:
To ensure the smooth and timely transition of public employees and
individuals who are eligible for state health subsidy
insurance affordability programs before the
California Health Benefit Exchange will begin making health care
coverage available in January 2014, it is necessary that this act
take effect immediately.