BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                   AB 351|
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                                 THIRD READING


          Bill No:  AB 351
          Author:   Chesbro (D)
          Amended:  8/24/12 in Senate
          Vote:     21

           
          ALL PRIOR VOTES NOT RELEVANT


           SUBJECT  :    Medi-Cal:  county organized health system

           SOURCE  :     Author


           DIGEST  :    This bill requires the Partnership Health Plan 
          to serve the Medi-Cal beneficiaries in the counties of Del 
          Norte, Humboldt, Lake, Lassen, Modoc, Shasta, Siskiyou and 
          Trinity.

           Senate Floor Amendments  of 8/24/12 delete the prior version 
          relating to alcoholic beverages and replaces it with above 
          language relating to Medi-Cal.

           ANALYSIS  :    Existing law:

          1.Provides for the Medi-Cal program, which is administered 
            by the State Department of Health Care Services, under 
            which qualified low-income individuals receive health 
            care services.  The Medi-Cal program is, in part, 
            governed and funded by federal Medicaid Program 
            provisions.  One of the methods by which these services 
            are provided is pursuant to contracts with various types 
            of managed care health plans, including through a county 
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                                                                AB 351
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            organized health system.

          2.Authorizes the Director of Health Care Services to enter 
            into contracts with one or more managed health care plans 
            to provide a comprehensive program of managed health care 
            services to Medi-Cal beneficiaries residing in specified 
            counties.

          This bill requires, for purposes of the Medi-Cal expansion 
          to rural areas established under this year's budget act, 
          the counties of Del Norte, Humboldt, Lake, Lassen, Modoc, 
          Shasta, Siskiyou and Trinity to be annexed to the closest 
          contiguous county organized health system (Partnership 
          Health Plan), upon the approval of the county and the 
          county-organized health system.  This requirement is an 
          exception from the authorization in existing law for the 
          director of the Department of Health Care Services to enter 
          into exclusive or nonexclusive contracts on a bid- or 
          negotiated-basis with one or more managed health care 
          plans.

           FISCAL EFFECT :    Appropriation:  No   Fiscal Com.:  No   
          Local:  No


          DLW:n   8/27/12   Senate Floor Analyses 

                       SUPPORT/OPPOSITION:  NONE RECEIVED

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