BILL NUMBER: AB 1595	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  APRIL 28, 2010
	AMENDED IN ASSEMBLY  APRIL 5, 2010

INTRODUCED BY   Assembly Member Jones

                        JANUARY 4, 2010

   An act to add Section 14005.60 to the Welfare and Institutions
Code, relating to Medi-Cal.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 1595, as amended, Jones. Medi-Cal: eligibility.
   Existing law establishes the Medi-Cal program, administered by the
State Department of Health Care Services, under which basic health
care services are provided to qualified low-income persons. The
Medi-Cal program is, in part, governed and funded by federal Medicaid
provisions. 
   This bill, commencing January 1, 2014, to the extent required by
federal law, would provide that a person who meets all other
applicable eligibility requirements shall be eligible for benefits
under the Medi-Cal program if his or her income does not exceed 133%
of the federal poverty level.  
   This bill would require the department to establish, by January 1,
2014, eligibility for Medi-Cal benefits for any person who meets
specified eligibility requirements provided by federal law. This bill
would permit the department, to the extent permitted by federal law,
to phase in coverage for those individuals upon the effective date
of this bill. 
   Because counties are required to make Medi-Cal eligibility
determinations and this bill would expand Medi-Cal eligibility, the
bill would impose a state-mandated local program.
   The California Constitution requires the state to reimburse local
agencies and school districts for certain costs mandated by the
state. Statutory provisions establish procedures for making that
reimbursement.
   This bill would provide that, if the Commission on State Mandates
determines that the bill contains costs mandated by the state,
reimbursement for those costs shall be made pursuant to these
statutory provisions.
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: yes.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    Section 14005.60 is added to the 
 Welfare and Institutions Code   , to read:  
   14005.60.  (a) By January 1, 2014, the department shall establish
eligibility for Medi-Cal benefits for any person who meets the
eligibility requirements of subclause (VIII) of Section 1902(a)(10)
(A)(i) and Section 1902(k)(2) of Title XIX of the federal Social
Security Act (42 U.S.C. Sec. 1396 et seq.) as specified in
subdivision (b).
   (b) Eligible individuals are those who are not any of the
following:
   (1) 65 years of age or older.
   (2) Pregnant.
   (3) Entitled to, or are enrolled for, benefits under Medicare Part
A.
   (4) Enrolled under Medicare Part B.
   (5) Described in any of the other mandatory eligibility categories
specified in subclauses (I) to (VII), inclusive, of Section 1902(a)
(10)(A)(i) of the federal Social Security Act, including certain
parents, children, or persons eligible based on their receipt of
benefits under the Supplemental Security Income (SSI) program.
   (c) To the extent permitted by federal law, the department may
phase in coverage for persons described in subdivision (a) upon the
effective date of the act that adds this subdivision.
   (d) Nothing in this section shall be construed to limit
eligibility for Medi-Cal benefits as authorized by any other
provision of law.  
  SECTION 1.    Section 14005.60 is added to the
Welfare and Institutions Code, to read:
   14005.60.  (a) Effective January 1, 2014, to the extent required
by federal law, a person who meets all other applicable eligibility
requirements shall be eligible for benefits under this chapter if his
or her income does not exceed 133 percent of the federal poverty
level.
   (b) Subdivision (a) shall not be construed to limit the
eligibility for Medi-Cal benefits as authorized by any other
provision of law. 
  SEC. 2.  If the Commission on State Mandates determines that this
act contains costs mandated by the state, reimbursement to local
agencies and school districts for those costs shall be made pursuant
to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of
the Government Code.