BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1560
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          ASSEMBLY THIRD READING
          AB 1560 (Fuentes)
          As Amended  May 25, 2012
          Majority vote 

           HUMAN SERVICES      4-2         APPROPRIATIONS      12-5        
           
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          |Ayes:|Beall, Ammiano, Hall,     |Ayes:|Fuentes, Blumenfield,     |
          |     |Portantino                |     |Bradford, Charles         |
          |     |                          |     |Calderon, Campos, Davis,  |
          |     |                          |     |Gatto, Ammiano, Hill,     |
          |     |                          |     |Lara, Mitchell, Solorio   |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Jones, Wagner             |Nays:|Harkey, Donnelly,         |
          |     |                          |     |Nielsen, Norby, Wagner    |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Requires the Department of Social Services, to the 
          extent permitted by federal law, to waive the CalFresh gross 
          income test for any individual who is categorically eligible for 
          CalFresh and who is a member of a household that receives, or is 
          eligible to receive, medical assistance under the Medi-Cal 
          program.

           EXISTING LAW  : 

          1)Establishes California's CalFresh program to administer the 
            state's allocation of federal funds under the Supplemental 
            Nutrition Assistance Program (SNAP), formerly called food 
            stamps.  Counties distribute CalFresh benefits to eligible 
            participants. 

          2)Establishes categorical eligibility for the CalFresh program 
            for needy households that meet all other federal SNAP 
            requirements in which all members receive or are eligible to 
            receive cash aid-principally, CalWORKs, general assistance or 
            general relief.

          3)Provides that households without an elderly or disabled member 
            must meet both a gross and net income determination tests, 
            whereas households with an elderly or disabled member or where 
            all members receive cash aid must meet only the net income 








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            determination test.

          4)Provides for the Medi-Cal program, administered by the 
            Department of Health Care Services, providing medical benefits 
            to low-income persons.

           FISCAL EFFECT  :  According to the Assembly Appropriations 
          Committee:
          
          1)Based on a 2012 Mathematica Policy Research estimate, 
            approximately 74,000 new households (227,000 individuals) 
            would become eligible for CalFresh.  However, given 
            California's low participation rate, Mathematica's estimate 
            assumes that only 5,000 households (9,000 individuals) will 
            actually participate.

            Administrative costs for those 5,000 new cases could be up to 
            $787,000 ($393,000 General Fund (GF)) per year and result in 
            approximately $8 million in additional federal Supplemental 
            Nutritional Assistance Program (SNAP) (CalFresh) funding.  
            Those federal benefits would generate over $200,000 in GF 
            revenue through increased sales taxes.

          2)There are 1.2 million Medi-Cal recipients currently eligible 
            for CalFresh but not participating in the program.  If 
            expanding categorical eligibility causes 5% of these 
            recipients to participate in CalFresh because a barrier to 
            participation is removed and it becomes easier to apply for 
            and receive benefits, it would result in an additional 60,000 
            individuals receiving nutrition benefits.

            Administrative costs for those individuals would be 
            approximately $3 million ($1.5 million GF) and based on the 
            average monthly benefit for a non-CalWORKs CalFresh case 
            ($335.34) this bill could result in up to $80 million in 
            additional federal SNAP (CalFresh) funding.  Those federal 
            benefits would generate close to $2 million in GF revenue 
            through increased sales taxes.

           COMMENTS  :  The intent of this legislation is to utilize an 
          enrollment strategy that streamlines CalFresh eligibility for 
          Medi-Cal recipients by removing the gross income test for 
          CalFresh for families that have at least one person who has 
          already been deemed eligible for Medi-Cal.  Further, once 








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          enrolled in CalFresh, any children in those families would be 
          automatically certified for free school meals.  The author 
          notes, however, that families will still be subject to a net 
          income test to determine both their eligibility and their 
          benefit level.  Generally, families with high housing, 
          healthcare or child care costs would benefit from this 
          legislation.  According to the author:

               Aligning �Medi-Cal and CalFresh] will help to connect 
               low-income households receiving Medi-Cal to nutrition 
               assistance for healthy living, and directly certify 
               children in those households for free school meals, 
               eliminating excessive paperwork for parents.  This 
               bill will boost CalFresh participation and draw down 
               federal nutrition benefits that will bolster the state 
               economy.  Nationwide, California has the lowest 
               participation rate in nutrition assistance; this bill 
               can help to reverse that trend.

           Background  :  The California Center for Research on Women and 
          Families cites data showing that, during federal fiscal year 
          (FFY) 2010, average monthly CalFresh participation was 3.2 
          million individuals.  California's SNAP/CalFresh participation 
          rates have consistently ranked among the lowest in the nation.  
          From 2004 to 2008, CalFresh served approximately one-third of 
          California's eligible working poor and no more than half of all 
          eligible individuals in the state.  From FFY 2002 to 2006, 
          CalFresh served no more than 11% of the state's eligible seniors 
          (individuals 60 years of age and older).  Over 70% of CalFresh 
          households include children, and 75% have female heads of 
          households.  Understanding Nutrition:  Primer Module on CalFresh 
          (October 2011); 
           http://www.ccrwf.org/wp-content/uploads/2011/10/calfresh-module-c
          crwf-nutrition-primer.pdf  .

          CalFresh eligibility is based on several factors including 
          income, disability, age, and citizenship status.  The maximum 
          allowable gross income is 130% of the Federal Poverty Guidelines 
          (FPG).  Households with elderly or disabled members are not 
          subject to gross income criteria but must have a net monthly 
          income at or below the FPG.  Other households must meet both 
          gross and net monthly income tests.  

          Federal law gives states options to improve access to nutrition 








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          assistance.  Families authorized to receive any benefit or 
          service funded by the federal Temporary Assistance for Needy 
          Families (TANF) block grant can be deemed "categorically 
          eligible" for SNAP benefits and do not need to make a separate 
          application and meet additional eligibility or paperwork 
          requirements.  While categorical eligibility, or Cat-El, based 
          upon receipt of cash aid was long a feature of federal policy, 
          in 1999 the United States Department of Agriculture (USDA) 
          issued guidance under the 1996 welfare reform law and expanded 
          the scope of the option to include receipt or eligibility for 
          services as well as cash (7 Code of Federal Regulations (C.F.R.) 
          Section 273.2(j)(2)).  In addition, once eligible for food 
          stamps, the federal Child Nutrition and WIC Reauthorization Act 
          of 2004 provides that children are automatically certified to 
          receive free school meals (42 United Stated Code (U.S.C.) 
          Section 1758(b)(2)(C)(i)).

          In 2008, California used Cat-El to successfully remove the asset 
          test from CalFresh (AB 433 (Beall), Chapter 625, Statutes of 
          2008).  Other recent legislation removed additional barriers to 
          CalFresh by, for example, changing from quarterly to semi-annual 
          reporting, and eliminating finger imaging requirements (AB 6 
          (Fuentes), Chapter 501, Statutes of 2011). 

           Need for this bill  :  Although nutrition is a critical component 
          of health and wellbeing, the author notes, "not all Medi-Cal 
          recipients receive nutrition assistance through CalFresh.  To 
          ensure that low-income households can support healthy living, 
          nutrition assistance should be offered hand-in-hand with public 
          health coverage."  

          Under current rules, the general gross income threshold for 
          CalFresh is 130% of FPG.  Presently, Medi-Cal eligibility is not 
          connected with one specific income threshold; thresholds can 
          vary for different applicants.  This bill would allow all 
          Medi-Cal recipients with gross incomes up to 200% FPG to be 
          automatically income-eligible for CalFresh.  Alignment would 
          increase CalFresh participation among current Medi-Cal 
          recipients, and those who are newly eligible for Medi-Cal in 
          2014, when Medi-Cal eligibility will include people with incomes 
          up to 138% of FPG, in addition to select groups that were 
          previously covered (refugees, people with disabilities, seniors, 
          etc.).  According to USDA data provided by CFPA, as of January 
          3, 2012, 43 states have used Cat-El to eliminate the asset test 








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          for SNAP eligibility, and 26 of those states have also raised 
          the income threshold for all recipients up to 200% of FPG.  See, 
           http://www.fns.usda.gov/snap/rules/Memo/BBCE.pdf  .

          By raising the income threshold only for Medi-Cal recipients, 
          California Food Policy Advocates (CFPA) notes, the 
          administrative costs of processing the additional cases would be 
          shared between the Medi-Cal and CalFresh programs.  Moreover, 
          with Cat-El for CalFresh for Medi-Cal recipients, caseworkers 
          will no longer need to determine CalFresh income eligibility for 
          these individuals, resulting in less duplication and increased 
          efficiencies.  In addition, parents will no longer need to fill 
          out an application for their children to receive free school 
          meals.

          CPFA also points out that increasing federally funded CalFresh 
          benefits provides an immediate stimulus to the economy.  The 
          USDA has shown that every dollar in SNAP/CalFresh expenditures 
          generates $1.79 in economic activities.

           
          Analysis Prepared by  :    Eric Gelber / HUM. S. / (916) 319-2089 
          FN: 0003926