BILL ANALYSIS �
AB 301
Page 1
ASSEMBLY THIRD READING
AB 301 (Pan)
As Introduced February 9, 2011
Majority vote
HEALTH 19-0 APPROPRIATIONS 15-0
-----------------------------------------------------------------
|Ayes:|Monning, Logue, Ammiano, |Ayes:|Fuentes, Harkey, |
| |Atkins, Bonilla, Eng, | |Blumenfield, Bradford, |
| |Garrick, Gordon, Hayashi, | |Charles Calderon, Campos, |
| |Roger Hern�ndez, | |Davis, Donnelly, Gatto, |
| |Bonnie Lowenthal, | |Hall, Hill, Lara, |
| |Mansoor, Mitchell, | |Mitchell, Nielsen, |
| |Nestande, Pan, | |Solorio, Wagner |
| |V. Manuel P�rez, Silva, | | |
| |Smyth, Williams | | |
| | | | |
-----------------------------------------------------------------
SUMMARY : Extends the sunset date, from January 1, 2012 to
January 1, 2018, on the prohibition on incorporating California
Children's Services (CCS) covered services in a Medi-Cal managed
care (MCMC) contract. The existing prohibition and the
extension exempts the county organized health systems (COHS)
plans in the counties of San Mateo, Santa Barbara, Solano, Yolo,
Marin, and Napa.
FISCAL EFFECT : According to the Assembly Appropriations
Committee:
1)The Department of Health Care Services (DHCS) indicates no
state fiscal effect, as this continues current practice.
2)It is possible that removing the prohibition and authorizing
CCS services to be integrated into managed care contracts or
provided through alternate systems of care would provide cost
savings to the state as compared with current practice.
However, at this time there is no evidence as to the fiscal or
programmatic effects of removing the prohibition.
COMMENTS : Since the implementation of mandatory enrollment in
MCMC plans, CCS-eligible services have been provided and paid
for on a fee-for-service basis through the CCS Program or
"carved-out." The "carve-out" has been extended repeatedly
AB 301
Page 2
since then, usually for three or four year periods. The first
extension allowed the COHS in the counties of San Mateo, Santa
Barbara, Solano, and Napa to include CCS services ("carve-in").
SB 208 (Steinberg), Chapter 714, Statutes of 2010, the
legislation that implemented the new 2010 Medi-Cal Section 1115
Waiver, requires the Department of Health Care Services (DHCS)
to establish a pilot project and seek proposals to test four
models exploring potential options to redesign the CCS Program.
DHCS is in the process of soliciting proposals. SB 208 of 2010
also requires DHCS to conduct a simultaneous evaluation, to
assess the effectiveness of each model in improving the delivery
of health care services for these children and specifies the
measures for the evaluation.
Analysis Prepared by : Marjorie Swartz / HEALTH / (916)
319-2097
FN: 0000276