BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                     SB 827


                                                                    Page  1





          (Without Reference to File)





          SENATE THIRD READING


          SB  
          827 (Committee on Budget and Fiscal Review)


          As Amended  June 10, 2016


          Majority vote.  Budget Bill Appropriation Takes Effect  
          Immediately


          SENATE VOTE:  Vote not relevant




          SUMMARY:  Augments the Budget Act of 2015 to address various  
          funding and spending authority shortfalls.  This bill makes  
          supplemental appropriations to the Budget Act of 2015 in order  
          to address General Fund and spending authority shortfalls.   
          Specifically, this bill:


          1)Increases spending authority for the Department of Health Care  
            Services by $40.3 million (Long-Term Care Quality Assurance  
            Fund) due to unanticipated increased revenues from the  
            Intermediate Care Facility for the Developmentally Disabled  
            fee.  










                                                                     SB 827


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          2)Provides $5 million (General Fund) to Correctional Health Care  
            Services (CHCS) for contracted janitorial services; $33.3  
            million (General Fund) for increased medication costs and  
            costs associated with pharmacy inventory and packaging costs  
            related to the implementation of the electronic health record  
            system; and $1.8 million (General Fund) for increased staff  
            due to a higher-than-projected inmate population for which  
            CHCS is responsible.


          3)Provides $7,580 (General Fund) to Mariposa County for costs  
            associated with the homicide trial case of People v. Cary  
            Stayner.


          EXISTING LAW:


          1)Establishes the Quality Assurance Fee Program (QAF) within the  
            Department of Health Care Facilities to levy a fee on skilled  
            nursing and designated intermediate care facilities.  Fee  
            revenue is used to support quality improvement efforts,  
            provide rate increases and offset General Fund expenditures  
            for these facilities.


          2)In 2005, in response to a federal class-action lawsuit, a  
            federal court established a receivership to oversee prison  
            health care in California correctional facilities to be  
            administered by the Correctional Health Care Services (CHCS).   
            The receiver is tasked with restoring medical care in state  
            prisons to a standard which is no longer in violation of the  
            United States Constitution.  As such restoration is achieved,  
            on a facility-by-facility basis; responsibility is delegated  
            back to the California Department of Corrections and  
            Rehabilitation.


          3)Allows qualifying counties to seek reimbursements from the  








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            State Controller for extraordinary expenses associated with  
            homicide trials.  




          FISCAL EFFECT:  This is a deficiency bill and makes  
          augmentations to the Budget Act of 2015 by $40,075,580 General  
          Fund and $40,336,000 Special Funds.




          Analysis Prepared by:                                             
                          Jazmin Hicks / BUDGET / (916) 319-2099  FN:  
          0003419