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