BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 1089
                                                                  Page  1

          Date of Hearing:   August 6, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

               SB 1089 (Mitchell) - As Introduced:  February 19, 2014 

          Policy Committee:                              HealthVote:17-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  

          This bill clarifies several provisions related to a program that  
          allows counties to draw down federal funds for providing  
          services to Medi-Cal eligible juveniles, who are admitted as  
          inpatients to a medical institution off the grounds of a  
          correctional facility, while being detained by counties.   
          Specifically, this bill:

          1)Specifies counties fund the state administrative costs of the  
            program via their pro rata portion of the nonfederal share of  
            the state's costs.

          2)Indicates the intent of the Legislature that the program will  
            result in no increased cost to the state General Fund.

          3)Further specifies that the section of law governing this  
            program does not alter or abrogate any obligation of the state  
            to reimburse counties for "acute inpatient hospital services  
            or inpatient psychiatric services," rather than "medical  
            services."  
           
          FISCAL EFFECT  

          Negligible state costs. 

           COMMENTS  

           1)Purpose  . According to the author this bill is technical  
            clean-up to a prior bill described below. It was introduced  
            because current statute is unclear with respect to how state  
            administrative costs are allocated to counties, and other  
            technical and intent provisions have been added. This bill is  








                                                                  SB 1089
                                                                  Page  2

            sponsored by the Los Angeles County Board of Supervisors and  
            supported by the Department of Health Care Services. 

           2)Background  . AB 396 (Mitchell), Chapter 394, Statutes of 2011  
            establishes a voluntary program to allow the state, on behalf  
            of counties and the California Department of Corrections and  
            Rehabilitation, to draw down federal financial participation  
            under Medi-Cal for hospital inpatient services and inpatient  
            psychiatric services for Medi-Cal-eligible detained juveniles  
            at no cost to the state.  Counties electing to voluntarily  
            participate provide the non-federal share of expenditures, and  
            are paid the resulting federal matching funds. 

           
          Analysis Prepared by :    Lisa Murawski / APPR. / (916) 319-2081