BILL ANALYSIS �
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THIRD READING
Bill No: AB 96
Author: Blumenfield (D)
Amended: 6/8/11 in Senate
Vote: 21
PRIOR VOTES NOT RELEVANT
SUBJECT : Adult day health care: Keeping Adults Free
from Institutions
program
SOURCE : Author
DIGEST : This bill establishes the Keeping Adults Free
from Institutions program, and requires the Department of
Health Care Services to submit an application to the
federal Centers for Medicare and Medicaid Services to
implement the program.
ANALYSIS :
Existing law:
1. Establishes the Adult Day Health Center as a Medi-Cal
benefit administered by the Department of Health Care
Services (DHCS).
2. Provides for the licensure and regulation of adult day
health centers, with administrative responsibility for
this program shared between DHCS, Department of Public
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Health and the Department of Aging pursuant to an
interagency agreement.
The 2011 Health Omnibus Trailer Bill discontinued adult day
health care (ADHC) as an optional benefit in the Medi-Cal
program.
This bill:
1. Provides that it is the intent of the Legislature to
create the Keeping Adults Free from Institutions (KAFI)
program to be a new program to provide services in the
community that are designed to prevent
institutionalization, and that the KAFI program be
established as quickly as possible to minimize any
disruption in services resulting from the elimination of
ADHC as a Medi-Cal benefit.
2. Prohibits the KAFI program from being implemented until
federal approval is obtained, and provide that the KAFI
program is to be implemented only to the extent that
federal financial participation is available.
3. Requires DHCS to submit, on or before September 1, 2011,
an application to the federal Centers for Medicare and
Medicaid Services (CMS) to implement the KAFI program.
4. Requires the KAFI program to utilize licensed adult day
health centers to provide a well-defined scope of
specified services for Medi-Cal beneficiaries who have
been assessed to be at significant risk of
institutionalization.
5. Requires DHCS to consult with interested stakeholders
and the Legislature in developing the application to
CMS, and authorizes DHCS to implement these provisions
by means of a state plan amendment or federal waiver, or
combination thereof.
6. Appropriates $1,000 to DHCS for administration.
Background
The KAFI program is required to achieve the following: (1)
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promote person-centered care planning; (2) work in
coordination with existing programs to delay or prevent
inappropriate or personally undesirable
institutionalization; (3) emphasize partnership between the
participant, the participant's family, and providers in
working toward maintaining personal independence; and (4)
facilitate beneficiary's choice to the extent feasible.
Related legislation . AB 97 (Assembly Budget Committee),
Chapter 3, Statutes of 2011, discontinued ADHC as an
optional benefit in the Medi-Cal program.
FISCAL EFFECT : Appropriation: Yes Fiscal Com.: Yes
Local: No
CTW:mw 6/9/11 Senate Floor Analyses
SUPPORT/OPPOSITION: NONE RECEIVED
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