BILL ANALYSIS �
AB 62
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Date of Hearing: May 11, 2011
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Felipe Fuentes, Chair
AB 62 (Monning) - As Amended: April 28, 2011
Policy Committee: HealthVote:19-0
Urgency: No State Mandated Local Program:
No Reimbursable: No
SUMMARY
This bill makes technical, clarifying changes to provisions
related to pilot projects to improve health care delivery for
individuals dually eligible for Medicaid and Medicare.
Specifically, this bill:
1)Requires the Department of Health Care Services (DHCS) to
consult with specified stakeholders in developing and
implementing a pilot project for a Medicaid or Medicare
demonstration project or waiver.
2)Authorizes DHCS to respond to a request for proposal from the
federal Centers for Medicare and Medicaid Services (CMS).
FISCAL EFFECT
Minor, absorbable federal funds costs to DHCS to implement a
stakeholder process. DHCS has been awarded a federal grant for
the purpose of improving coordination of individuals dually
eligible for Medicaid and Medicare, and this bill would require
them to spend some of these funds to ensure stakeholder
participation.
COMMENTS
1)Rationale . This bill makes technical changes to existing law
relating to the Section 1115(a) Medi-Cal Demonstration "Bridge
to Reform" Waiver. Legislation authorizing the waiver
included provisions authorizing the establishment of pilot
projects that integrate Medi-Cal and Medicare services.
However, the Center for Medicaid and Medicare Services (CMS)
later indicated that these projects should move forward
AB 62
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outside the waiver. The author states that this bill clarifies
that the dual eligible project is not a part of the Medi-Cal
Demonstration Waiver. The author also contends that this bill
requires consultation with stakeholders to ensure that DHCS
continues to be informed by interested and affected members of
the stakeholder community.
2)Related Legislation . AB 342 (John A. P�rez), Chapter 723,
Statutes of 2010, enacted the Low Income Health Program and
Coverage Expansion and Enrollment Projects to provide health
care benefits to uninsured adults up to 200% of the federal
poverty level, at county option through a Medi-Cal waiver
demonstration project.
SB 208 (Steinberg), Chapter 714, Statutes of 2010, implemented
provisions of the 2010 Section 1115 replacement waiver
including establishing provisions regarding public hospital
funding, mandatory enrollment of seniors and people with
disabilities in a Medi-Cal managed care plans, and pilot
projects to provide coordinated care to children in the
California Children's Service and to persons who are eligible
for Medi-Cal and Medicare.
Analysis Prepared by : Lisa Murawski / APPR. / (916) 319-2081