BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1864
                                                                  Page  1

          Date of Hearing:   April 21, 2010

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                  AB 1864 (Strickland) - As Amended:  April 6, 2010 
                                                         
          Policy Committee:                              Health Vote:17-1

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              

           SUMMARY  

          This bill increases the cap on a continuous appropriation of the  
          Medi-Cal Providers Interim Payment Fund (MPIPF) from $1 billion  
          GF to $2.5 billion GF. The MPIPF was established by AB 561  
          (Scott), Chapter 993, Statutes of 1998 to provide continued  
          payments to Medi-Cal providers in the absence of an enacted  
          state budget. 

           FISCAL EFFECT  

          1)An annual increased continuous appropriation of Medi-Cal funds  
            of $1.5 billion GF in years when the budget is not enacted by  
            July 1.  
           
          2)Potential GF revenue losses of $5.6 million from forgone  
            Pooled Money Investment Account (PMIA) interest earnings. This  
            estimate assumes a three percent annual yield on PMIA  
            investments and disbursement of an additional $1.5 billion  
            during a two-month long budget delay. 

          3)During periods in which the state is facing particularly  
            severe cash-flow shortfalls, this bill could significantly  
            curtail short-term cash-management options. This would occur  
            because the state would be precluded from deferring up to $1.5  
            billion in GF expenditures during a budget delay. 

           COMMENTS  

           1)Purpose  . This bill is sponsored by the California Association  
            of Health Facilities (CAHF). CAHF represents long-term care  
            providers such as skilled nursing facilities (SNFs) and  
            intermediate care facilities (ICFs) who receive Medi-Cal  








                                                                  AB 1864
                                                                  Page  2

            payments for the care of elderly and disabled patients. This  
            bill increases the amount of emergency funding available to a  
            range of Medi-Cal providers during months when the state  
            budget is not enacted by July 1. The author and sponsor  
            indicate many facilities that may benefit from this bill have  
            shallow reserves and are unable to access emergency,  
            short-term loans in today's tight credit market. In addition,  
            because CAHF member facilities are subject to stringent state  
            and federal law under Medi-Cal and Medicare, nursing homes are  
            unable to impose immediate cost-cutting moves related to  
            payroll or services. 

           2)Medi-Cal Payments in the Absence of a State Budget  . Federal  
            laws and regulations require certain providers to be paid in  
            the event of a late state budget, including most  
            non-institutional providers such as physicians, optometrists,  
            physician groups, occupational therapists, physical  
            therapists, podiatrists, pharmacies, and psychologists.   
            Providers who draw on the MPIPF include SNFs, inpatient and  
            outpatient community hospitals, clinics, and federally  
            qualified health centers, adult day health centers, blood  
            banks, clinical labs, optical labs, home health agencies, and  
            managed care plan. 

           3)Related Legislation  . AB 1699 (Hernandez), also being heard in  
            this committee today, establishes a continuous appropriation  
            to pay state workers during a time when the state budget is  
            not enacted by July 1. 

          Numerous legislative efforts to establish or expand continuous  
            appropriations in Medi-Cal have been pursued in recent years.  
            Most recently, AB 367 (Galgiani) in 2009, AB 308 (Galgiani) in  
            2008, AB 237 (Strickland) in 2007, and AB 119 (Strickland)  
            addressed increases in the continuous appropriation of MPIPF. 

             a)   AB 367 was held on the Suspense File of this committee. 
             b)   AB 308 was never heard in the Senate Health Committee.  
               AB 308 did not address MPIPF when it was in the Assembly. 
             c)   AB 237 was held on the Suspense File of this committee. 
             d)   AB 119 was held on the Suspense File of the Senate  
               Appropriations Committee. AB 119 did not address MPIPF when  
               it was in the Assembly. 

           Analysis Prepared by  :    Mary Ader / APPR. / (916) 319-2081