BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1540
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          ASSEMBLY THIRD READING
          AB 1540 (Health Committee)
          As Amended May 5, 2009
          Majority vote 

           HEALTH              17-0        ENVIRONMENTAL SAFETY       7-0  
           
           ----------------------------------------------------------------- 
          |Ayes:|Jones, Fletcher, Adams,   |Ayes:|Chesbro, Miller, Davis,   |
          |     |Ammiano, Block, Carter,   |     |Feuer, Monning, Ruskin,   |
          |     |Conway, De La Torre, De   |     |Smyth                     |
          |     |Leon, Emmerson, Hayashi,  |     |                          |
          |     |Hernandez, Bonnie         |     |                          |
          |     |Lowenthal, Nava, V.       |     |                          |
          |     |Manuel Perez, Salas,      |     |                          |
          |     |Audra Strickland          |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           APPROPRIATIONS      7-0                                         
           
           --------------------------------------- 
          |Ayes:|De Leon, Nielsen, Ammiano,       |
          |     |Charles Calderon, Davis, Duvall, |
          |     |Fuentes, Hall, Harkey, Miller,   |
          |     |John A. Perez, Price, Skinner,   |
          |     |Solorio,                         |
          |     |Audra Strickland, Torlakson,     |
          |     |Krekorian                        |
          |-----+---------------------------------|
          |     |                                 |
           --------------------------------------- 
           SUMMARY  :   Makes a number of minor substantive and technical  
          changes to a variety of health programs and statutes.   
          Specifically,  this bill  :  

          1)Exempts data collected by the Office of Statewide Health  
            Planning and Development (OSHPD) relating to emergency rooms,  
            ambulatory surgeries and coronary artery bypass graft  
            surgeries from disclosure under the Public Records Act (PRA),  
            similar to the existing PRA exemption for inpatient discharge  
            data.

          2)Authorizes the Department of Managed Health Care (DMHC) to  
            amend, by regulation, any statutorily mandated notice,  








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            specifically for purposes of clarity, readability, and  
            accuracy.

          3)Clarifies that specialized health care plans and specialized  
            insurance policies, (i.e. dental and vision plans), are not  
            subject to the requirement of coverage for human  
            immunodeficiency virus (HIV) testing enacted pursuant to AB  
            1894 (Krekorian), Chapter 63, Statutes of 2008.

          4)Conforms existing state law to the federal Safe Drinking Water  
            Act (SDWA).

          5)Repeals the sunset date in existing law allowing public health  
            tuberculosis workers employed by, or contracted with, a local  
            public health department to administer tuberculosis skin  
            tests.

          6)Extends the sunset date of the California Health Benefits  
            Review Program (CHBRP) from January 1, 2011, to June 30, 2015.  
             Makes no changes to CHBRP responsibility or authority.

          7)Conforms provisions relating to Medi-Cal  
            physicians-in-good-standing filing a change of location form  
            to an existing requirement for all Medi-Cal providers to  
            obtain a single National Provider Identifier.

          8)Repeals the sunset date for the local education agency (LEA)  
            Medi-Cal billing option.

          9)Makes other minor technical and non-substantive changes.

           EXISTING LAW  : 

          1)Exempts inpatient discharge data collected by OSHPD from the  
            PRA.

          2)Requires health plans and health insurers to provide coverage  
            for HIV testing regardless of whether the testing is related  
            to a primary diagnosis. 

          3)Establishes the Drinking Water Program within the Department  
            of Public Health (DPH) to regulate public drinking water  
            systems.









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          4)Extends the sunset date authorizing local health departments  
            to certify public health tuberculosis workers to place and  
            measure tuberculosis skin tests from January 1, 2006 to  
            January 1, 2011.

          5)Establishes CHBRP to respond to requests from the Legislature  
            to provide independent analysis of the medical, financial, and  
            public health impacts of proposed health insurance benefit  
            mandates and repeals.  Extends the CHBRP program until January  
            1, 2011.

          6)Establishes the LEA program to provide the federal share of  
            reimbursement for health assessment and treatment for Medi-Cal  
            eligible children and family members within the school  
            environment.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, by ensuring continued compliance with federal SDWA  
          requirements, California will continue receiving the state's  
          share of two federal grants, $74 million, combined, in the  
          current year.  Annual fee-supported special fund costs of $2  
          million to extend CHBRP until 2015. 

           COMMENTS  :   This bill is authored by the Assembly Committee on  
          Health as omnibus clean-up legislation containing minor  
          substantive or technical changes to the laws affecting various  
          health and human services agencies including OSHPD, DMHC, the  
          Department of Health Care Services, and DPH.  Many of the  
          provisions make minor, technical, and conforming changes, while  
          other provisions are substantive changes intended to improve the  
          ability of the various agencies to efficiently and effectively  
          administer their respective programs.  

          The Mendocino County Office of Education (MCOE) opposes the  
          provision in this bill to repeal the sunset date on the LEA  
          Medi-Cal billing option and instead supports a sunset extension.  
           Currently, the billing option is due to sunset on January 1,  
          2010.  The Committee reports that it is working with DHCS, which  
          oversees the LEA Medi-Cal claiming process, to resolve the  
          MCOE's concerns.

           
          Analysis Prepared by  :    Cassie Rafanan / HEALTH / (916)  
          319-2097 








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