BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 96
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 96 (Budget Committee)
          As Amended  June 8, 2011
          Majority vote.  Budget Bill Appropriation Takes Effect 
          Immediately
           
           ----------------------------------------------------------------- 
          |ASSEMBLY:  |     |(February 22,   |SENATE: |24-15|(June 10,      |
          |           |     |2011)           |        |     |2011)          |
           ----------------------------------------------------------------- 
                    (vote not relevant)

           SUMMARY  :  Contains necessary statutory changes to achieve 
          savings assumed in the 2011 Budget Act for the Department of 
          Health Care Services (DHCS).

           The Senate amendments  delete the Assembly version of this bill, 
          and instead:

          1)Create a new Adult Day Health Care (ADHC) program, to be 
            operated under a federal Medicaid Waiver, as follows:

             a)   Express legislative intent:  1) to create the Keeping 
               Adults Free from Institutions (KAFI) program, to provide 
               community services that prevent institutionalization; 2) 
               that the KAFI program allow recipients of ADHC to be given 
               priority in transitioning; and, 3) the KAFI program be 
               established as quickly as possible;

             b)   Require the DHCS to submit an application for a federal 
               waiver, to implement the KAFI program, by September 1, 
               2011;

             c)   Require the KAFI program to utilize licensed adult day 
               health centers to provide medical, behavioral health, and 
               social services to Medi-Cal beneficiaries who are at high 
               risk of institutionalization;

             d)   Authorize the DHCS to implement the KAFI program by way 
               of a state plan amendment, federal waiver, or both; and,

             e)   Require federal approval, federal financial 
               participation, and an appropriation in the Annual Budget 
               Act for implementation of KAFI.









                                                                  AB 96
                                                                  Page  2

          1)Add an appropriation allowing this bill to take effect 
            immediately upon enactment.

           AS PASSED BY THE ASSEMBLY  , this bill expresses the intent of the 
            Legislature to enact
          statutory changes relating to the 2011 Budget Act.


           Analysis Prepared by  :   Andrea Margolis / BUDGET / (916) 
          319-2099



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