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