BILL ANALYSIS                                                                                                                                                                                                    




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                           836 (Oropeza)
          
          Hearing Date:  4/26/2010        Amended: 4/7/2010
          Consultant: Katie Johnson       Policy Vote: Health 7-2
          _________________________________________________________________ 
          ____
          BILL SUMMARY:  SB 836 would appropriate an unspecified amount of  
          money from the General Fund to the Every Woman Counts program to  
          provide breast cancer screening and diagnosis to eligible  
          individuals, as specified, and would expand the scope of  
          individuals eligible for the program.
          _________________________________________________________________ 
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2010-11      2011-12       2012-13     Fund
                                                                  
          Appropriation for breast unknown, but potentially more General
          cancer screening                than $30 million - $40 million 
          and diagnosis            annually in an amount of millions 
                                   to hundreds of millions of dollars
          _________________________________________________________________ 
          ____

          STAFF COMMENTS: This bill meets the criteria for referral to the  
          Suspense File.
          
          This bill would appropriate an unspecified amount of General  
          Fund monies to CDPH for the screening of individuals of any age  
          who exhibit breast cancer symptoms, as determined by a  
          physician, and to individuals who are 40 years of age or older,  
          provided the individual otherwise meets state eligibility  
          requirements. 

          This bill would 1) reverse the January 1, 2010, policy changes,  
          which froze enrollment until July 1, 2010, and limited  
          eligibility to women aged 50 and older, 2) make eligible  
          individuals in addition to the women who are already eligible  
          for the program, including men and transgendered persons, and 3)  
          additionally make individuals of any age, upon the  
          recommendation of a physician, eligible for the program. The  
          amount of General Fund monies necessary to provide services to  
          these newly eligible categories and reverse the January 1, 2010,  










          policy changes would be in excess of $30 million - $40 million  
          by an unknown amount that would likely be in the millions to  
          hundreds of millions of dollars.

          The state's existing breast and cervical cancer screening  
          program, also known as the Every Woman Counts (EWC) program, is  
          administered by CDPH and provides free breast cancer screening  
          and diagnostic services to women who are 50 years of age or  
          older, live in California, have no health insurance or a  
          co-payment or deductible that they cannot afford, and have a  
          family income below 200 percent of the federal poverty level.

          The initial age of eligibility was 50 years, but when funds were  
          available, CDPH had changed the age to 40 until the recent  
          January 1, 2010, policy change. There were approximately 35,000  
          women aged 40-49 served during FY 2008-2009. On January 1, 
          Page 2
          SB 836 (Oropeza)

          2010, CDPH took administrative action and instituted two policy  
          changes to address budget shortfalls of approximately $10  
          million - $15 million in FY 2009-2010 and a projected $30  
          million - $40 million in FY 2010-2011. With the January 1, 2010,  
          policy changes, there would likely be a $3 million - $5 million  
          surplus in FY 2009-2010, but an approximately $10 million  
          shortfall in FY 2010-2011. In 2007-2008, the program screened  
          approximately 250,000 women and is experiencing caseload growth  
          at about 20 percent annually. The cost per person is  
          approximately $140. 

          The EWC is currently funded with federal Centers for Disease  
          Control and Prevention (CDC) grants and revenues from tobacco  
          taxes from the Breast Cancer Control Account and Proposition 99  
          funds. Funding for the program is finite; the program may  
          provide only as many mammograms as it has funds. This bill would  
          appropriate General Fund monies for this program.

          Additionally, the EWC refers people with a positive diagnosis to  
          the Breast and Cervical Cancer Treatment Program (BCCTP), which  
          is administered by the Department of Health Care Services (DHCS)  
          and is funded with state and federal funds. It is likely that  
          this bill would increase the BCCTP caseload and, therefore,  
          increase the costs of the program an unknown, but potentially  
          significant amount.