BILL ANALYSIS                                                                                                                                                                                                    



                                                                           
           AB 359
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 359 (Nava)
          As Amended September 4, 2009
          Majority vote
           
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          |ASSEMBLY:  |77-1 |(June 2, 2009)  |SENATE: |40-0 |(September 10, |
          |           |     |                |        |     |2009)          |
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           Original Committee Reference:    HEALTH  

           SUMMARY  :  Requires the Department of Public Health (DPH) Every  
          Woman Counts (EWC) Program, until January 1, 2014, to reimburse  
          for digital mammography screening at the Medi-Cal reimbursement  
          rate for analog mammography, and allows a EWC provider to  
          provide digital mammography when analog mammography services are  
          not available.

           The Senate amendments  correct a drafting error to make this bill  
          applicable only to the EWC program and make other minor,  
          technical corrections to statute.

           EXISTING LAW  :

          1)Creates, under federal law, the National Breast and Cervical  
            Cancer Early Detection Program and authorizes the Centers for  
            Disease Control and Prevention to administer grants to states  
            for screening services for eligible underserved women, age 40  
            years and older.

          2)Requires DPH to provide for breast and cervical cancer  
            screening services under the grant in 1) above, at the level  
            of funding budgeted from state and other resources during the  
            fiscal year in which the Legislature has appropriated funds  
            for this purpose.  These screenings are provided under the EWC  
            Program and are not deemed an entitlement.  Provides that  
            analog, but not digital, mammography is covered by the EWC  
            Program.  Sets EWC provider reimbursement rates at the same  
            level as Medi-Cal reimbursement rates.  

           AS PASSED BY THE ASSEMBLY  , this bill was substantially similar  
          to the version passed by the Senate. 









                                                                           
           AB 359
                                                                  Page  2

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, increased provider claims cost pressure of an unknown  
          amount, potentially in the tens of millions of dollars in  
          federal and special funds, due to increased access to  
          mammograms, as well as cost pressure of an unknown amount,  
          potentially in the hundreds of thousands to millions of dollars  
          to the General Fund and special funds, to treat additional  
          beneficiaries referred by EWC.  


           Analysis Prepared by  :  Allegra Kim / HEALTH / (916) 319-2097 


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