BILL ANALYSIS Ó AB 2308 Page 1 ASSEMBLY THIRD READING AB 2308 (Roger Hernández) As Amended May 31, 2016 Majority vote ------------------------------------------------------------------ |Committee |Votes|Ayes |Noes | | | | | | | | | | | | | | | | |----------------+-----+----------------------+--------------------| |Higher |10-2 |Medina, Baker, Bloom, |Chávez, Linder | |Education | |Irwin, Jones-Sawyer, | | | | |Levine, Low, | | | | |Santiago, Weber, | | | | |Williams | | | | | | | |----------------+-----+----------------------+--------------------| |Education |6-0 |O'Donnell, Kim, | | | | |McCarty, Santiago, | | | | |Thurmond, Weber | | | | | | | |----------------+-----+----------------------+--------------------| |Appropriations |14-6 |Gonzalez, Bloom, |Bigelow, Chang, | | | |Bonilla, Bonta, |Gallagher, Jones, | | | |Calderon, Daly, |Obernolte, Wagner | | | |Eggman, Eduardo | | | | |Garcia, Roger | | | | |Hernández, Holden, | | | | |Quirk, Santiago, | | | | |Weber, Wood | | AB 2308 Page 2 | | | | | | | | | | ------------------------------------------------------------------ SUMMARY: Establishes the California Health Care Coverage Enrollment Assistance Act of 2016, and requires the California State University (CSU) and the California Community Colleges (CCC) to provide specified information regarding health care coverage options to students. Specifically, this bill: 1)Extends, from January 1, 2019 to January 1, 2021, the sunset date in existing law that requires public schools to provide parents or legal guardians with information regarding health care coverage options and assistance. 2)Requires, commencing with the 2017-18 academic year, each campus of the CSU and CCC to provide students contact information about health care coverage options. 3)Authorizes CSU and CCC campuses to: a) Developing an informational item or amending existing enrollment forms or Web sites to provide uninsured students information about health care coverage options. b) Include a fact sheet with its enrollment forms explaining basic information about affordable health care coverage options for students. 4)Prohibits a CSU or CCC campus from discriminating against a student who does not have health care coverage or use any information related to a student's health care coverage in any AB 2308 Page 3 manner that would bring harm to the student. 5)Establishes a sunset date for the CSU and CCC requirements of January 1, 2021. 6)Provides for reimbursement to local agencies and school districts for implementation costs, should the Commission on State Mandates determine state mandated local costs are incurred by this bill. EXISTING LAW: 1)Establishes the California Health Benefit Exchange, known as Covered California, as an independent state entity to serve as the marketplace for Californians to purchase health care coverage and as a way to meet the personal responsibility requirements of the federal Patient Protection and Affordable Care Act (ACA). 2)Requires school districts to add to enrollment forms, for the 2015-16, 2016-17, and 2017-18 school years, information about health care coverage options and enrollment assistance. FISCAL EFFECT: According to the Assembly Appropriations Committee: 1)K-12. The estimated state reimbursable cost of the original legislation, as estimated by this committee, was $700,000 to $1.1 million annually (General Fund (GF)-Prop 98) to disseminate the required information to 6.2 million students from 2015-16 through 2017-18. It is too early to know the AB 2308 Page 4 actual costs, but this bill would extend these costs through 2020-2021. 2)CCC. Assuming similar costs to K-12 for providing the required information to 2.3 million CCC students yields annual state reimbursable costs of $250,000 to $400,000 (GF-Prop). 3)CSU. Annual General Fund costs to provide the information to all students would be around $50,000. COMMENTS: According to the author, the expansion of health care coverage options under the ACA generated approximately seven million newly eligible Californians as of January 1, 2014. Of those nearly 67% qualify for Medi-Cal. There is great opportunity to enroll the eligible; however, notable barriers exist for populations to enroll in health care coverage including lack of awareness about the programs, difficult application or re-enrollment processes, and stigmas associated with enrolling into low-income health insurance and other public programs. While the ACA has dramatically reduced the number of uninsured Californians, a significant number of the population has been left behind in the absence of proactive and practical solutions. AB 2706 (Hernandez), Chapter 827, Statutes of 2014, requires the provision of health care coverage information to K-12 children and their families at the time of school enrollment. According to the author, it is a successful part of health care outreach using schools as a trusted messenger for helpful information about children's health and wellbeing. This bill would create a similar model for CCC and CSU campuses. According to the author, by capitalizing on local partnerships between CCC, CSU and local community resources, this bill will AB 2308 Page 5 help thousands of eligible families and individuals enroll into health coverage. The author notes that research shows that California students who newly enroll in a health coverage program experience a nearly 63% improvement in performance and are therefore better prepared to succeed in a learning environment. Analysis Prepared by: Laura Metune / HIGHER ED. / (916) 319-3960 FN: 0003141