BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   AB 754|
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                                 THIRD READING


          Bill No:  AB 754
          Author:   Chesbro (D)
          Amended:  9/4/09 in Senate
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  10-0, 7/15/09
          AYES:  Alquist, Strickland, Aanestad, Cedillo, Cox,  
            DeSaulnier, Leno, Negrete McLeod, Pavley, Wolk
          NO VOTE RECORDED:  Maldonado

           SENATE APPROPRIATIONS COMMITTEE  :  13-0, 8/27/09
          AYES:  Kehoe, Cox, Corbett, Denham, Hancock, Leno, Oropeza,  
            Price, Runner, Walters, Wolk, Wyland, Yee
           
          ASSEMBLY FLOOR  :  78-0, 6/2/09 - See last page for vote


           SUBJECT  :    Medi-Cal:  mental health plans

           SOURCE  :     California Mental Health Directors Association


           DIGEST  :    This bill requires the Department of Mental  
          Health (DMH) to allocate and distribute the full contracted  
          amount of General Fund payment for the managed mental  
          health care program, exclusive of the Early and Periodic  
          Screening Diagnosis, and Treatment Program specialty mental  
          health services provided under the Medi-Cal specialty  
          mental health services waiver, at the beginning of the  
          contract period.  The allocated funds shall be considered  
          to be funds of the plan that may be held by DMH.  DMH shall  
          develop a methodology to ensure that these funds are held  
                                                           CONTINUED





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          as the property of the plan and shall not be reallocated by  
          DMH or any other entity of state government for other  
          purposes.  This bill becomes operative on July 1, 2011.

           Senate Floor Amendments  of 9/4/09 require that the funds  
          for the managed mental health care program be allocated and  
          distributed by DMH, not just allocated.

           ANALYSIS  :    Under current law, the Department of Health  
          Care Services (DHCS) administers the Medi-Cal program to  
          provide health benefits to low-income children; their  
          parents or caretaker relatives; pregnant women; elderly,  
          blind, or disabled persons; nursing home residents; and  
          refugees who meet specified eligibility criteria.  Current  
          law also establishes DMH to direct and coordinate mental  
          health services in the state primarily through contracts  
          with county mental health agencies.  Current law also  
          requires the state to pay properly submitted invoices  
          within 45 days, assuming certain conditions are met.  This  
          time frame does not apply to Medi-Cal reimbursements,  
          except in certain circumstances.

          This bill is sponsored by the County Mental Health  
          Directors Association.  The Association contends that there  
          have been significant disruptions in service reimbursement  
          claims on the part of both DMH and DHCS in recent years and  
          that this bill will help increase the efficiency of mental  
          health services by enabling funds to flow to counties in a  
          more timely manner. 

          In 2007, the Department of Finance's Office of State Audits  
          and Evaluations released a report on the fiscal processes  
          DMH uses in the payment of local assistance claims.  The  
          report confirmed that payments were not being made in a  
          timely manner.  Problems identified in the report included  
          ineffective and decentralized program governance between  
          DMH and DHCS and information systems that are defective and  
          outdated. 

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

           SUPPORT  :   (Verified  9/2/09)








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          County Mental Health Directors Association (source)
          Butte County Behavioral Health Department
          California State Association of Counties
          County of San Diego
          Glenn County Board of Supervisors
          Humboldt County Board of Supervisors
          Orange County Board of Supervisors
          Regional Council of Rural Counties
          Riverside County Department of Mental Health
          Sacramento County Board of Supervisors
          San Bernardino County Board of Supervisors
          Santa Barbara County Board of Supervisors


           ARGUMENTS IN SUPPORT  :    The author's office states that  
          over the last year, there have been significant disruptions  
          in the reimbursement of MHPs for Medi-Cal specialty mental  
          health services due to problems in communication,  
          accounting, and claims processing on the part of DMH and  
          DHCS.  These disruptions have led to increased federal  
          scrutiny, multi-year county payment deficiencies and  
          approximately half a billion dollars in unreimbursed care  
          provided to Medi-Cal beneficiaries with severe mental  
          illness.  The author's office also states that counties  
          currently pay for the full cost of Medi-Cal specialty  
          mental health services while awaiting reimbursement from  
          the state and federal government.  This time frame can vary  
          from four to six months to two years.  Counties often find  
          themselves in the position of borrowing funds to meet the  
          up-front costs and then incur associated interest costs  
          that are not eligible for state or federal reimbursement.   
          The author's office further states that, given the current  
          budget crisis, providing care without reimbursement has  
          become increasingly untenable for counties.  


           ASSEMBLY FLOOR  :
          AYES:  Adams, Ammiano, Anderson, Arambula, Beall, Tom  
            Berryhill, Blakeslee, Blumenfield, Brownley, Buchanan,  
            Caballero, Charles Calderon, Carter, Chesbro, Conway,  
            Cook, Coto, Davis, De La Torre, De Leon, DeVore, Duvall,  
            Emmerson, Eng, Evans, Feuer, Fletcher, Fong, Fuentes,  
            Fuller, Furutani, Gaines, Galgiani, Garrick, Gilmore,  
            Hagman, Hall, Harkey, Hayashi, Hernandez, Hill, Huber,  







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            Huffman, Jeffries, Jones, Knight, Krekorian, Lieu, Logue,  
            Bonnie Lowenthal, Ma, Mendoza, Miller, Monning, Nava,  
            Nestande, Niello, Nielsen, John A. Perez, V. Manuel  
            Perez, Portantino, Price, Ruskin, Salas, Saldana, Silva,  
            Skinner, Smyth, Solorio, Audra Strickland, Swanson,  
            Torlakson, Torres, Torrico, Tran, Villines, Yamada, Bass
          NO VOTE RECORDED:  Bill Berryhill, Block


          DLW/JJA:mw  9/8/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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