BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair


          (Fuentes) - CalFresh: categorical eligibility.
          
          Amended: May 25, 2012           Policy Vote: Human Services 4-2
          Urgency: No                     Mandate: Yes
          Hearing Date: August 16, 2012                          
          Consultant: Jolie Onodera       
          
          SUSPENSE FILE.
          
          
          Bill Summary: AB 1560 would waive the gross income test for 
          CalFresh for any individual who is categorically eligible for 
          CalFresh and who is a member of a household that receives, or is 
          eligible to receive, assistance under the Medi-Cal program, as 
          specified.

          Fiscal Impact: 
              Potential first-year costs of $11.7 million (General Fund) 
              for CalFresh administration and California Food Assistance 
              Program (CFAP) benefits and administration. Increased 
              federal funding in the range of $375 million in CalFresh 
              benefits, generating $8.5 million (General Fund) through 
              increased sales tax revenue.
              Ongoing costs subsequent to implementation of specific 
              provisions of federal health care reform on January 1, 2014, 
              could increase annual benefit and administration costs 
              substantially assuming an additional 600,000 to 660,000 
              individuals of the 2 million newly eligible Medi-Cal 
              recipients could potentially be eligible for CalFresh and 
              CFAP.
              Potentially significant increase in eligible children 
              directly certified for free school meals under the National 
              School Lunch Program (SLP) and School Breakfast Program 
              (SBP), resulting in increased federal funding and state 
              reimbursement in the millions of dollars (General Fund).

          Background: Existing federal law provides for the Supplemental 
          Nutrition Assistance Program (SNAP), known as CalFresh in 
          California, which provides financial assistance to low-income 
          households to purchase food. Existing federal law also 
          establishes the Medicaid health care program, known as Medi-Cal 
          in California, which provides for a variety of medical services 
          for children and adults with limited income and resources. 







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          Under existing law, the gross income threshold for CalFresh is 
          130 percent of the federal poverty level (FPL). Medi-Cal 
          eligibility income thresholds vary, however, for different 
          applicants. Categorical eligibility is the system by which 
          individuals qualify for CalFresh benefits based on their 
          participation in other federal or state programs, such as cash 
          and non-cash benefits under the Temporary Assistance for Needy 
          Families (TANF) program. Use of categorical eligibility permits 
          states to raise the gross income threshold and remove asset 
          limits for nutrition assistance by providing applicants access 
          to a TANF-funded benefit, such as a brochure or referral to a 
          toll-free hotline. Extending a TANF-funded benefit to a 
          population even though they are not formally enrolled in TANF 
          (CalWORKs in California) authorizes a state to consider the 
          population income-eligible for CalFresh. According to the 
          Congressional Budget Office (CBO) report released on SNAP in 
          April 2012, three-fourths of all SNAP recipients qualified for 
          benefits on the basis of categorical eligibility, of which 
          two-thirds (or 50 percent of total SNAP recipients) qualified 
          through the receipt of noncash benefits from TANF.

          Current law also establishes a direct certification process 
          whereby children who are enrolled in public benefits programs 
          such as CalWORKs and CalFresh are automatically enrolled in the 
          National School Lunch Program (SLP) and School Breakfast Program 
          (SBP), the free and reduced-price meal programs funded 
          predominantly by the U.S. Department of Agriculture and 
          supplemented by state funds. 

          As these programs are federal entitlement programs, federal 
          funds will be provided as long as recipients meet eligibility 
          criteria. In 2010-11, the state received $358.0 million for the 
          SBP and $1.3 billion for the SLP. State funds augmented the 
          program by $44.2 million for SBP and $101.1 million for SLP. 
          According to the CDE, on an average day, more than 4.5 million 
          nutritious meals are served at approximately 20,000 locations 
          statewide. Income eligibility is 130 percent of federal poverty 
          guidelines for free meals and 185 percent of federal poverty 
          guidelines for reduced-price meals.  

          Proposed Law: This bill seeks to remove a CalFresh income 
          barrier for Medi-Cal recipients and their families. 
          Specifically, this bill would require the DSS, to the extent 
          permitted by federal law, to waive the gross income test for 
          CalFresh for any individual who is categorically eligible for 
          CalFresh and who is a member of a household that receives, or is 






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          eligible to receive, assistance under the Medi-Cal program.

          Related Legislation: AB 433 (Beall) Chapter 623/2008 established 
          categorical eligibility for CalFresh beneficiaries with income 
          below 130 percent of the federal poverty level, regardless of 
          the level of assets. Early versions of the bill included 
          proposed categorical eligibility for Medi-Cal recipients, but 
          the language was removed from the enacted version of the bill.

          AB 2205 (Evans) 2006 would have established categorical 
          eligibility for CalFresh for Medi-Cal recipients if they were 
          eligible for or receiving CalWORKs services. This bill was 
          vetoed by the Governor with the following message:

          While I support efforts to increase participation in the Food 
          Stamps program through improved outreach efforts and more 
          streamlined administrative requirements, I am unable to support 
          Assembly Bill 2205 as it would expand eligibility for food 
          stamps increasing state costs by tens of millions of dollars. 
          Our state continues to face a significant structural deficit. 
          Accordingly, the outreach and eligibility expansions proposed by 
          AB 2205 are more appropriately addressed in the budget. For this 
          reasons, I am returning AB 2205 without my signature.

          H.R. 6083 (Lucas), the Federal Agriculture Reform and Risk 
          Management (FARRM) Act, proposes to restrict categorical 
          eligibility to only those households receiving cash assistance 
          from SSI, TANF, or other state general assistance programs. This 
          federal legislation would specify that receiving a TANF-funded 
          brochure or referral to an "800" number hotline would no longer 
          automatically make a household eligible for SNAP. This bill 
          passed out of the House Committee on Agriculture on July 11, 
          2012.
          
          Staff Comments: This bill will increase CalFresh participation 
          among existing and new Medi-Cal recipients, as well as Medi-Cal 
          eligible individuals, resulting in a significant increase in 
          federal benefits, as well as costs and revenues to the state. 


          It is estimated that 1.2 million existing Medi-Cal recipients 
          are eligible for CalFresh but are not currently participating in 
          the program. Additionally, there are households with gross 
          income below 200 percent FPL containing at least one Medi-Cal 
          recipient and not categorically ineligible for CalFresh who 
          could become newly eligible for the program. Although the extent 






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          of the impact of Cat-El on participation in CalFresh is unknown, 
          a USDA Economic Research Service (ERS) article drawn from 
          various studies noted that recent econometric studies estimate 
          that SNAP caseloads increased by 6.2 percent in the year 
          following implementation of the broad-based categorical 
          eligibility, holding all other factors constant. Utilizing this 
          assumption would result in increased federal SNAP benefits of 
          $380 million, as well as additional state costs for 
          administration and California Food Assistance Program (CFAP) 
          benefits of approximately $11.8 million (General Fund) in 
          first-year costs. The increase in benefits could also generate 
          General Fund sales tax revenue of up to $8.5 million, as studies 
          have shown that a percentage of food benefits are spent on 
          taxable goods.


          With the implementation of specific provisions of federal health 
          care reform, effective January 1, 2014, it is estimated an 
          additional two million Californians will enroll in the Medi-Cal 
          program. Removing barriers to CalFresh enrollment through Cat-El 
          could result in significant increases in CalFresh and CFAP 
          participation. It is unknown what portion of the new Medi-Cal 
          caseload will participate, but as it is estimated that 30 to 33 
          percent of Medi-Cal recipients are eligible for CalFresh, there 
          could be an additional 600,000 to 660,000 individuals 
          potentially eligible for food benefits. The number of 
          individuals who would participate, and the associated costs, is 
          unknown at this time but could be significant.

          Children in households that receive CalFresh are automatically 
          certified for free school meals under a rule known as direct 
          certification. To the extent this bill increases the number of 
          families enrolled in CalFresh will have the effect of increasing 
          the number of children eligible for free school meals under the 
          National School Lunch (SLP) and School Breakfast Programs (SBP). 
          A USDA report to Congress in October 2011 on direct 
          certification in the SLP indicated states and local education 
          agencies directly certified 78 percent of school age children 
          from SNAP-participant households categorically eligible for free 
          school meals in 2010-11. Assuming 85 percent of SNAP households 
          have children, and applying the 78 percent direct certification 
          rate on new households could result in over 125,000 children 
          impacted in the first year. It is unknown how many newly 
          qualified children would participate in the SLP/SBP, but 
          increased federal funding and state reimbursement for school 
          meals could be in the millions of dollars. 






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          In order to be categorically eligible for CalFresh, these new 
          families would need to receive some form of TANF-funded benefit 
          or service. This service may be as minimal as providing families 
          with a brochure that outlines available TANF employment 
          services. The cost of printing additional copies of existing 
          publications is not estimated to be significant.