BILL ANALYSIS Ó
SENATE COMMITTEE ON APPROPRIATIONS
Senator Ricardo Lara, Chair
2015 - 2016 Regular Session
AB 1795 (Atkins) - Health care programs: cancer
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|Version: May 31, 2016 |Policy Vote: HEALTH 9 - 0 |
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|Urgency: No |Mandate: No |
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|Hearing Date: August 11, 2016 |Consultant: Brendan McCarthy |
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*********** ANALYSIS ADDENDUM - SUSPENSE FILE ***********
The following information is revised to reflect amendments
adopted by the committee on August 11, 2016
Bill
Summary: AB 1795 would change the eligibility requirements and
benefit limits for the Every Woman Counts Program and the Breast
and Cervical Cancer Treatment Program.
Fiscal
Impact:
Likely one-time administrative costs of $150,000 to $300,000
to update regulations and make necessary changes to billing
systems (General Fund). The Department of Health Care Services
will likely need to make changes to existing program
regulations and systems for processing claims (for example, no
longer denying claims due to the length of treatment time).
AB 1795 (Atkins) Page 1 of
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Ongoing costs of about $200,000 per year from providing
eligibility for the Breast and Cervical Treatment Program for
reoccurring cases of cancer (General Fund). In recent years,
about 20 women per year were denied coverage because the
cancer was a reoccurrence of a previously treated cancer.
Potential increased costs, up to $2 million per year, to
increase eligibility for cancer screening services in the
Every Woman Counts program to symptomatic women under 40 years
of age (Proposition 99 funds, federal funds, General Fund).
Current law does not limit participation in the Every Woman
Counts program based on age. It is not clear whether
symptomatic women who are under 40 years of age are currently
being denied services. To the extent that they are, and this
bill eliminates that limitation, there would be costs to the
state. Based on the reported incidence of cancer in women
under 40 years of age, staff estimates those potential
additional costs being up to $2 million per year. The Every
Woman Counts program is currently funded with Proposition 99
Tobacco Tax funds and federal funds. To the extent that there
are additional costs and those funds are not sufficient to pay
for increased costs, there would be pressure to appropriate
General Fund for this purpose. (Because the Every Woman Counts
program is not an entitlement, the state would not be
obligated to appropriate additional funding.)
Author
Amendments: Remove the provisions of the bill that would have
deleted the existing time limits for cancer treatment.
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