BILL ANALYSIS                                                                                                                                                                                                    



                                                             


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|SENATE RULES COMMITTEE            |                    SB 82|
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                       THIRD READING
                              

Bill No:  SB 82
Author:   Vasconcellos (D), et al
Amended:  4/22/99
Vote:     21

  
  SENATE HEALTH & HUMAN SERV. COMMITTEE  :  5-1, 3/10/99
AYES:  Escutia, Figueroa, Hughes, Solis, Vasconcellos
NOES:  Mountjoy
NOT VOTING:  Haynes, Morrow, Polanco

  SENATE APPROPRIATIONS COMMITTEE  :  10-3, 6/8/99
AYES:  Johnston, Alpert, Bowen, Burton, Escutia, Karnette,  
  Kelley, McPherson, Perata, Vasconcellos
NOES:  Johnson, Leslie, Mountjoy
 

  SUBJECT  :    Medi-Cal:  pregnancy-related services

  SOURCE  :     Author

 
  DIGEST  :    This bill extends medically necessary pre-natal  
care to Medi-Cal income-eligible undocumented and other  
aliens not covered under federal laws.

  ANALYSIS  :    Under existing California law, any alien who  
meets income eligibility for Medi-Cal services, but who  
does not meet residency requirements, is eligible for care  
and services that are necessary for the treatment of an  
emergency medical condition (and medical care directly  
related to the emergency) and for medically necessary  
pregnancy-related services.  However, federal law prohibits  
the state from providing medically necessary  
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pregnancy-related services, unless new state legislation is  
enacted subsequent to August 22, 1996.

This bill would provide that any alien who is otherwise  
eligible for Medi-Cal services, but who does not meet  
specified requirements relating to residency status, is  
eligible for medically necessary pregnancy-related  
services.

  Comments  

Prior to August 1996, the federal government, through  
Medicaid, paid for both treatment for emergency medical  
conditions and nonemergency pregnancy-related services for  
undocumented aliens who were otherwise Medicaid eligible,  
but did not meet residency requirements.  However, the  
federal Personal Responsibility and Work Opportunity  
Reconciliation Act of 1996 ("welfare reform") ended the  
nonemergency coverage for aliens who entered the United  
States after August 1996.

The 1996 federal welfare reform law requires states to  
re-enact programs providing benefits to residents who are  
"non-qualified aliens" or to discontinue the benefits.   
(For the most part, non-qualified aliens are non-citizens  
who are not legal residents of the United States.)  In 1996  
Governor Wilson, through executive order, initiated efforts  
to end prenatal benefits to undocumented women.  The  
implementation of this order has been blocked by a series  
of preliminary injunctions issued in state court in three  
suits.  The suits raise a variety of issues related to the  
procedures used to implement the order and issues related  
to the content of the proposed regulations.  Two of the  
suits are still pending.  A fourth suit pending in federal  
court raises constitutional issues regarding the federal  
government's authority to require the state to reenact  
statutes for immigrants to allow  benefits to continue.

  Prior legislation  

This bill is similar to last year's SB 34 (Vasconcellos)  
which the Governor vetoed.  In his veto message, Governor  
Wilson acknowledged the value of prenatal services, but  
also expressed the opinion that it is wrong for California  







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and California taxpayers to have to provide care to illegal  
aliens, services that he felt should be paid for by the  
aliens' "home country."

SB 34 passed the Senate 21-10, as follows:

AYES:  Alpert, Burton, Calderon, Greene, Hayden, Hughes,  
  Johnston, Karnette, Kopp, Lee, Maddy, McPherson,  
  O'Connell, Polanco, Rosenthal, Schiff, Sher, Solis,  
  Thompson, Vasconcellos, Watson
NOES:  Brulte, Haynes, Johannessen, Johnson, Kelley,  
  Knight, Lewis, Monteith, Mountjoy, Rainey
NOT VOTING:  Ayala, Costa, Craven, Dills, Hurtt, Leslie,  
  Lockyer, Peace, Wright

Assembly Members who are new Senators votes:

AYES:  Baca, Bowen, Escutia, Figueroa, Murray, Ortiz,  
Perata
NOES:  Poochigian, Morrow

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

According to Senate Appropriations Committee:

                         Fiscal Impact (in thousands)

  Major Provisions               1998-99              1999-2000        2000-01           
  Fund  

Prenatal benefits            32,000*                64,000       64,000         
  General

Savings                                       unknown        General and
                                                    federal

*This amount is included in the Governor's proposed budget.

Staff comments:  

The cost-effectiveness of prenatal care has been well  
documented.  Without it, the extra cost of treating newborn  
babies and the emergency complications of the birth could  







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be more than the outlays for prenatal care.  But savings to  
the state may not fully offset the total cost of prenatal  
coverage because an unknown number of these women, even  
though they lose Medi-Cal coverage, will continue to  
receive prenatal care through indigent care programs  
offered by the counties and community clinics.

  SUPPORT  :   (Verified  6/9/99)

ACLU
AFSCME
Alameda Health Consortium
American College of Obstetricians and Gynecologists
Arroyo Vista Family Health Care
Asian Pacific American Legal Center
Association of Regional Center Agencies (ARCA)
Bay Harbor Center for Women's Health
California Academy of Family Physicians
California Association of Public Hospitals and Health  
Systems
California Catholic Conference
California Church IMPACT
California Conference of Catholic Bishops
California Healthcare Association
California Immigrant Welfare Collaborative
California National Organization of Women
California Nurses Association
California State Association of Counties (CSAC)
CalWACHC
Children's Advocacy Institute/ Center for Public Interest  
Law
Coalition for Humane Immigrant Rights of Los Angeles
Community Health Clinic
Council of Community Clinics
Friends Committee on Legislation of California
Huntington East Valley Hospital
JERICHO
League of Women Voters
Los Angeles County
March of Dimes
Maternal and Child Health Access
Mission City Community Network, Inc.
MOMS
Monterey County Health Department







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Napa County Medical Society
National Center for Youth Law
National Council of Jewish Women
National Health Law Program
National Immigration Law Center
NEUHC
Northern California Coalition for Immigrant Rights
Northern California Lawyers for Civil Justice
Pediatric and Family Medical Center
Planned Parenthood Affiliates of California (PPAC)
Project NATEEN
Queen Of The Valley Hospital
Sacramento County
San Judas Medical Group
UCLA OB-GYN Clinic
University Children's Medical Group (Pediatric Management  
Group)
Vista Community Clinic
Western Center on Law and Poverty, Inc.
American Academy of Pediatrics
Alameda County Board of Supervisors
American Jewish Congress
California Association of Catholic Hospitals
California Interfaith Coalition
California Primary Care Association
City and County of San Francisco
County Health Executives Association of California (CHEAC)
County Welfare Directors Association
Frank D. Lanterman Regional Center
KIDS Network of Santa Barbara County
Lieutenant Governor Cruz Bustamante
North Los Angeles Regional Center
Santa Barbara County
Santa Clara County Board of Supervisors
South Los Angeles Health Projects
Urban Counties Caucus

  ARGUMENTS IN SUPPORT  :    According to supporters of the  
  bill:

1.Prenatal care has long been recognized as a means of  
  reducing the incidence of low birth weight infants and of  
  birth complications by identifying mothers at risk of  
  adverse birth outcomes and by providing medical,  







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  nutritional, and educational interventions necessary to  
  reduce the risk of those outcomes.

2.Studies show that for every $1 spent on prenatal care  
  services, $3 are saved in medical costs associated with  
  pregnancy, birth, and postnatal care.

3.While the cost of prenatal care and normal delivery is  
  under $3,000, the cost of a low birth weight baby,  
  including the first year of care, averages $17,000.   
  Charges for initial hospitalization can reach $1,000,000.

4.Since any infant born in the United States is deemed a  
  citizen, all the costs associated with an infant's  
  adverse birth outcome will be covered by the state  
  through Medi-Cal and other programs.  Infants with  
  adverse birth outcomes are more likely than other infants  
  to experience long-term medical, educational, and social  
  problems, demanding additional long-term costs borne by  
  the state.

CP:sl  6/9/99   Senate Floor Analyses 

               SUPPORT/OPPOSITION:  SEE ABOVE

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