BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 2399


                                                                    Page  1





          ASSEMBLY THIRD READING


          AB  
          2399 (Nazarian)


          As Amended  May 31, 2016


          Majority vote


           ------------------------------------------------------------------ 
          |Committee       |Votes|Ayes                  |Noes                |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |----------------+-----+----------------------+--------------------|
          |Health          |17-0 |Wood, Maienschein,    |                    |
          |                |     |Bonilla, Burke, Chiu, |                    |
          |                |     |Dababneh, Gomez,      |                    |
          |                |     |Lackey, Nazarian,     |                    |
          |                |     |Olsen, Patterson,     |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |                |     |Ridley-Thomas,        |                    |
          |                |     |Rodriguez, Santiago,  |                    |
          |                |     |Steinorth, Thurmond,  |                    |
          |                |     |Waldron               |                    |
          |                |     |                      |                    |
          |----------------+-----+----------------------+--------------------|
          |Appropriations  |15-1 |Gonzalez, Bloom,      |Bigelow             |
          |                |     |Bonilla, Bonta,       |                    |
          |                |     |Calderon, Chang,      |                    |
          |                |     |Daly, Eggman, Eduardo |                    |
          |                |     |Garcia, Roger         |                    |
          |                |     |Hernández, Holden,    |                    |
          |                |     |Quirk, Santiago,      |                    |








                                                                    AB 2399


                                                                    Page  2





          |                |     |Weber, Wood           |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
           ------------------------------------------------------------------ 


          SUMMARY:  Requires the Department of Public Health (DPH) to make  
          the informational materials provided to women and infants  
          infected with or exposed to human immunodeficiency virus (HIV)  
          available in the Medi-Cal threshold languages, as specified.  


          EXISTING LAW:


          1)Requires DPH, in consultation with the Office of AIDS and  
            other stakeholders, to develop culturally sensitive  
            informational material adequate to inform pregnant women, at  
            the time of labor or delivery, that they will be tested for  
            HIV, the routine nature of the test, the purpose, risks and  
            benefits of the test, and that she has the right to decline  
            the test.


          2)Requires all managed care plans contracting with the  
            Department of Health Care Services (DHCS) to provide language  
            assistance services to limited-English-proficient (LEP)  
            Medic-Cal beneficiaries who are mandatorily enrolled in  
            managed care.  Requires DHCS to determine when a LEP  
            population meets the requirement for translation services  
            using one of the following numeric thresholds:


             a)   A population group of at least 3,000 or 5% of the  
               beneficiary population, whichever is fewer, mandatory  
               managed care Medi-Cal beneficiaries, residing in the  
               service area, who indicate their primary language as other  
               than English; or, 









                                                                    AB 2399


                                                                    Page  3






             b)   A population group of mandatory managed care Medi-Cal  
               beneficiaries, residing in the service area, who indicate  
               their primary language as other than English, and that meet  
               a concentration standard of 1,000 beneficiaries in a single  
               ZIP Code or 1,500 beneficiaries in two contiguous ZIP  
               Codes.


          FISCAL EFFECT:  According to the Assembly Appropriations  
          Committee, costs to DPH of approximately $30,000 to translate  
          the prenatal information into the additional languages (Genetic  
          Disease Fund).  


          COMMENTS:  According to the author this bill will provide women  
          with the HIV informational material in the language they know  
          best by requiring the materials to be made available in all 14  
          of the languages used to satisfy the translation services  
          requirements for Medi-Cal managed care plans.  


          As noted in Existing Law above, managed care plans contracting  
          with DHCS provide language assistance services to LEP Medi-Cal  
          beneficiaries who are mandatorily enrolled in managed care when  
          a regional LEP population meets the certain numeric thresholds.   
          The Medi-Cal threshold languages are:  English, Arabic,  
          Armenian, Cambodian, Chinese, Farsi, Hmong, Japanese, Korean,  
          Laotian, Russian, Spanish, Tagalog, and Vietnamese.




          Analysis Prepared by:                                             
                          Lara Flynn / HEALTH / (916) 319-2097  FN:  
          0003253











                                                                    AB 2399


                                                                    Page  4