BILL ANALYSIS Ó
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|SENATE RULES COMMITTEE | SB 1089|
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CONSENT
Bill No: SB 1089
Author: Mitchell (D)
Amended: As introduced
Vote: 21
SENATE HEALTH COMMITTEE : 8-0, 3/26/14
AYES: Hernandez, Anderson, Beall, De León, DeSaulnier, Evans,
Monning, Wolk
NO VOTE RECORDED: Nielsen
SENATE APPROPRIATIONS COMMITTEE : Senate Rule 28.8
SUBJECT : Medi-Cal: juvenile inmates
SOURCE : Los Angeles County Board of Supervisors
DIGEST : This bill makes clarifying changes to provisions
requiring the Department of Health Care Services (DHCS) to
develop a process to allow counties to receive federal Medicaid
funds to inpatient services provided to otherwise
Medi-Cal-eligible juvenile inmates admitted as inpatients in a
medical institution off the grounds of the correctional
facility.
ANALYSIS :
Existing law:
1.Establishes the Medi-Cal program, which is administered by
DHCS, under which qualified low-income individuals, including
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children ages 0 to 19, receive health care services.
2.Requires, pursuant to AB 396 (Mitchell, Chapter 394, Statutes
of 2011) DHCS to develop a process to allow counties to
receive any available federal financial participation for
acute inpatient hospital services and inpatient psychiatric
services provided to juvenile inmates who are admitted as
inpatients in a medical institution off the grounds of the
correctional facility, and who, but for their institutional
status as inmates, are otherwise eligible for Medi-Cal
benefits.
3.Prohibits the provisions in AB 396 from being construed to
alter or abrogate any obligation of the state pursuant to an
administrative action or a court order that is final and no
longer subject to appeal to fund and reimburse counties for
any medical services provided to a juvenile inmate.
4.Implements the provisions in AB 396 only in those counties
that elect to provide the non-federal share of the state's
administrative costs associated with implementation of this
requirement, and the non-federal share of expenditures for
acute inpatient hospital services and inpatient psychiatric
services provided to eligible juvenile inmates.
This bill:
1.Clarifies that counties that implement AB 396 are only
required to provide their "pro rata portion" of the
non-federal share of the state's administrative costs, instead
of the non-federal share of the state's administrative costs.
2.Prohibits a specific section of AB 396, rather than a specific
subsection of that bill, from being construed to alter or
abrogate any obligation of the state to reimburse counties
under the process established by AB 396.
3.Limits a provision of AB 396 to the state's obligation to just
"reimburse" counties (rather than "fund and reimburse") and
limits the services under AB 396 to "acute inpatient
hospital services or inpatient psychiatric services" provided
to a juvenile inmate, rather than the broader "medical
services."
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4.States legislative intent that implementation of the
provisions of AB 396 will result in no increased cost to the
state General Fund, and alters the uncodified intent language
of AB 396 to reflect the change made in (2) above.
FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes
Local: No
SUPPORT : (Verified 4/7/14)
Los Angeles County Board of Supervisors (source)
California Mental Health Directors Association
California Psychiatric Association
California State Association of Counties
Department of Health Care Services
Urban Counties Caucus
ARGUMENTS IN SUPPORT : This bill is sponsored by the Los
Angeles County Board of Supervisors (LA County), which writes
this bill is a technical clean-up measure to AB 396 that
contains clarifying language requested by DHCS to reaffirm that
if counties choose to participate in the program established by
AB 396, they will pay their pro rata share of the state's
administrative costs. LA County indicates DHCS requested the
additional intent language to further protect the state's
General Fund.
DHCS writes that this bill provides clean-up language to make
technical and clarifying changes that the scope of services
under the AB 396 process is limited to acute inpatient hospital
and inpatient psychiatric services, emphasizing the
Legislature's intent that the implementation of the AB 396
process will result in no increased cost to the state General
Fund and that it agrees with LA County's intent that each county
will only pay its pro-rata share of the state's administrative
expenses.
JL:e 4/8/14 Senate Floor Analyses
SUPPORT/OPPOSITION: SEE ABOVE
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