BILL ANALYSIS                                                                                                                                                                                                    



                                                          AB 52
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ASSEMBLY THIRD READING
AB 52 (Cedillo)
As Amended March 16, 1999
Majority vote 

  HUMAN SERVICES      6-2         HEALTH              9-3         
  
 ----------------------------------------------------------------- 
|Ayes:|Aroner, Ducheny, Dutra,   |Ayes:|Gallegos, Corbett,        |
|     |Floyd, Shelley,           |     |Firebaugh, Kuehl,         |
|     |Strom-Martin              |     |Steinberg, Thomson,       |
|     |                          |     |Vincent, Wayne, Wildman   |
|     |                          |     |                          |
|-----+--------------------------+-----+--------------------------|
|Nays:|Ashburn, Kaloogian        |Nays:|Granlund, Strickland,     |
|     |                          |     |Thompson                  |
 ----------------------------------------------------------------- 
  APPROPRIATIONS      14-7                                        
  
 ----------------------------------------------------------------- 
|Ayes:|Migden, Cedillo, Davis,   |     |                          |
|     |Hertzberg, Kuehl, Papan,  |     |                          |
|     |Romero, Shelley,          |     |                          |
|     |Steinberg, Thomson,       |     |                          |
|     |Wesson, Wiggins, Wright,  |     |                          |
|     |Aroner                    |     |                          |
|     |                          |     |                          |
|-----+--------------------------+-----+--------------------------|
|Nays:|Brewer, Ashburn, Battin,  |     |                          |
|     |Pescetti, Maldonado,      |     |                          |
|     |Runner, Zettel            |     |                          |
|     |                          |     |                          |
 ----------------------------------------------------------------- 
  SUMMARY  :  Provides that individuals who would otherwise have  
been eligible for various health programs but for their  
immigration status, shall continue to be eligible for those  
programs.  Specifically,  this bill  : 

1)Provides that any person who was eligible for certain public  
  benefit programs under the eligibility requirements in effect  
  on July 16, 1996, shall continue to be eligible for those  
  programs regardless of immigration status, as long as he or  
  she meets all other applicable eligibility requirements.

2)Applies continued eligibility to the following programs:








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   a)   California Children's Services;

   b)   Genetically Handicapped Person's Program;

   c)   Alzheimer's Disease Program;

   d)   Traumatic Brain Injury Project;

   e)   Brain Damaged Adults Program;

   f)   Children's Mental Health Services;

   g)   Services for the Developmentally Disabled;

   h)   Adult and Older Adult Mental Health System of Care;
   i)   Community Mental Health Services;

   j)   Early Mental Health Initiative; and,

   k)   Medi-Cal Long-term care.

  EXISTING LAW:  

1)Provides for various mental health programs administered by  
  the state Department of Mental Health.

2)Provides for services to persons with developmental  
  disabilities through the state Department of Developmental  
  Services and regional centers.

3)Provides for federal funding to assist in the provision of  
  special education services and other services for children  
  with disabilities.

4)Provides Medi-Cal benefits to documented aliens and state-only  
  long-term care to undocumented aliens.

5)Precludes, under federal law, the provision of federally  
  funded benefits, with specified exceptions, to certain aliens.  
    Precludes, with specified exceptions, these aliens from  
  receiving benefits funded exclusively from state or local  
  funds without enactment of new state legislation after August  
  22, 1996.









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  FISCAL EFFECT  :  The Assembly Appropriations Committee found  
General Fund costs potentially in the range of $20 million  
annually.

  COMMENTS  :  This bill reintroduces AB 2031 (Cedillo) which was  
vetoed last year by Governor Wilson.  The Governor stated in his  
veto message that the bill violated the intent of federal policy  
to discourage illegal immigration by removing incentives for it  
and that the specified programs did not fall within those he  
excluded for "compassionate reasons."

The federal Personal Responsibility and Work Opportunity and  
Reconciliation Act of 1996 prohibits, with certain exceptions,  
the payment of state or local public benefits to nonqualified  
aliens unless the state enacts a law which affirmatively  
provides for such eligibility.  In response to the federal  
legislation, Governor Wilson identified over 200 benefit  
programs as being covered by this requirement of the federal law  
and, through an Executive Order, instructed state agencies to  
implement regulations terminating eligibility for nonqualified  
aliens.   The Executive Order is still in effect.

This bill is intended to re-enact eligibility for nonqualified  
aliens for public benefit programs that provide health and other  
benefits to disabled persons and children.  The effect is to  
continue benefits to individuals who would have been eligible to  
receive those benefits prior to the enactment of the federal  
law, provided they would otherwise qualify for those benefits.

Supporters state that Governor Wilson's proposal to eliminate  
nonqualified aliens' eligibility for the identified programs and  
the failure to re-enact legislation authorizing the programs  
will endanger all Californians.  They state that immigrants who  
are forced to survive without essential treatment can become a  
danger to themselves and others.  They also point out that the  
rehabilitative and preventive services identified in this bill  
are more cost-effective than long-term hospitalizations.   
Finally, they note the burdensome verification requirements  
necessary to establish who is a nonqualified alien create a  
delay of critical services for all consumers and increase the  
costs of providing services.

The sponsors of this bill, the California Immigrant Welfare  
Collaborative, state that the public benefit programs identified  
in this bill provide crucial services to some of the most  








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vulnerable individuals including, for example, seniors disabled  
by Alzheimer's disease, developmentally disabled adults, those  
with brain injury who can be treated at home and avoid  
institutionalization, and children with severe mental and  
emotional problems.                                    
  

Analysis Prepared by  :  Curtis Child / HUM. S. / (916) 319-2247 


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