BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 1369
                                                                  Page  1


          SENATE THIRD READING
          SB 1369 (Cedillo)
          As Amended April 10, 2008
          Majority vote 

           SENATE VOTE  :30-3  
           
           EDUCATION           8-2                                         
           
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          |Ayes:|Mullin, Brownley, Coto,   |     |                          |
          |     |Eng, Hancock, Karnette,   |     |                          |
          |     |Nakanishi, Solorio        |     |                          |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Garrick, Huff             |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Grants school districts the option to avoid the step  
          of processing a school lunch program application for the  
          purposes of determining eligibility for Medi-Cal or Healthy  
          Families, if the district knows that the child already has an  
          active Medi-Cal or Healthy Families case.  Specifically,  this  
          bill  :   

          1)Grants school districts the option of not processing the  
            school lunch program application for an accelerated  
            determination and not forwarding it to the entity designated  
            by the California Department of Health Care Services (DHCS) to  
            determine Medi-Cal eligibility and make an accelerated  
            determination, when the school has data indicating that the  
            child already has an active Medi-Cal or Healthy Families case.

          2)Adds to the application for free school meals, for those  
            school districts or county superintendents of schools who have  
            chosen to participate in express enrollment, a notification to  
            parents that, if the school district possesses data indicating  
            that child already has an active Medi-Cal or Healthy Families  
            case, the information on the school lunch application will not  
            be shared.  Requires that notice sent by a participating  
            school district contain directions on how to obtain additional  
            information about the Medi-Cal and Healthy Families programs  
            so that families can obtain health care coverage for children.  
             








                                                                  SB 1369
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          3)Requires that, if the school district has verified that the  
            child does not have an active Medi-Cal or Healthy Families  
            case, it must process the application for an accelerated  
            Medi-Cal determination and forward it to the entity designated  
            to make an accelerated determination of Medi-Cal eligibility.   


           EXISTING LAW  :

          1)Grants school districts and county superintendents of schools  
            the option to include, in the school lunch program application  
            materials or the notification of eligibility, a request for  
            parental consent for the child to participate in the Medi-Cal  
            program, and have the information on the school lunch  
            application shared with the entity designated by DHCS,  
            typically the county, to make an accelerated determination of  
            Medi-Cal eligibility.  

          2)Prohibits a school, if the school is aware that a child  
            already has an active Medi-Cal or Healthy Families case, from  
            forwarding the application to the entity that makes the  
            accelerated determination, but requires the school to forward  
            that application to the local agency that determines Medi-Cal  
            eligibility.  

           FISCAL EFFECT  :  This bill is keyed non-fiscal.

           COMMENTS  :  According to the author, this bill will streamline  
          eligibility by allowing school districts the option of not  
          forwarding Medi-Cal applications for children to the county if  
          the school district has data showing the child is already  
          enrolled.  The author notes that parents or guardians would be  
          notified and told how to obtain more information about how to  
          receive coverage under Medi-Cal or Health Families.  The author  
          argues that reducing the number of applications forwarded to the  
          responsible county agency for processing will significantly  
          reduce the time and money spent on processing Medi-Cal  
          applications for children who are already enrolled.

          A 2006 report by The Children's Partnership entitled,  
          "California's Express Enrollment Program," studied the  
          effectiveness and efficiency of the express enrollment pilot  
          program implemented in the following school districts:  Fresno  








                                                                  SB 1369
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          Unified, Los Angeles Unified, Redwood City Unified, San Diego  
          Unified, Lucia Mar, Laytonville, and Point Arena.  The study  
          found that roughly 40% of the applications returned to the  
          districts were for students already enrolled in Medi-Cal, but  
          the districts were required, by current law, to forward these  
          applications to the county anyway.  

          Under express enrollment, families in a participating school  
          district can apply for Medi-Cal by authorizing the use of their  
          child's school lunch application information for a Medi-Cal  
          eligibility determination.  School districts review the  
          applications of children eligible for free school meals and  
          provide a certification for express enrollment into Medi-Cal, on  
          the basis of the information in the school lunch application,  
          within five days.  Families do not need to complete a full  
          Medi-Cal application or document their income since eligibility  
          for the school lunch program meets these requirements.  Children  
          certified as eligible for express enrollment immediately receive  
          temporary health care coverage and are sent a beneficiary card  
          while the county collects additional information to make a final  
          eligibility determination.   If a child is found ineligible  
          based on the information, the county conducts a complete review  
          for Medi-Cal eligibility and also may send the information to  
          the Healthy Families program.  
           
          The County Welfare Directors Association (CWDA) supports the  
          bill and argues that this bill will eliminate duplicative work  
          on the part of schools and counties who are processing  
          applications for children who are already receiving Medi-Cal.   
          CWDA argues that this will allow them to focus on those children  
          for whom an application is truly needed and will expedite the  
          enrollment of eligible children into Medi-Cal or Healthy  
          Families.  


           Analysis Prepared by  :    Chelsea Kelley / ED. / (916) 319-2087


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