California 2009-2010 Regular Session Status: Enacted

AB 342 — Medi-Cal: demonstration project waivers.

Last action — Chaptered by Secretary of State - Chapter 723, Statutes of 2010.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Assembly
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 18, 2009. Enacted.

Prognosis

Likely to advance 74% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 3 sponsors

    1 primary, 2 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 8 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income persons receive health care benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid provisions. Existing law provides for the Health Care Coverage Initiative, which is a federal waiver demonstration project established to expand health care coverage to low-income uninsured individuals who are not currently eligible for the Medi-Cal program, the Healthy Families Program, or the Access for Infants and Mothers program. Existing law provides for the repeal of the department's authority under the Health Care Coverage Initiative upon the execution of a declaration by the Director of Health Care Services specifying that the demonstration project has been terminated. This bill would, alternatively, authorize the director to continue and administer any extensions, modifications, or continuation of the projects under the Health Care Coverage Initiative approved by the federal Centers for Medicare and Medicaid Services. This bill would, in this regard, only to the extent that federal financial participation is available and only to the extent that federal financial participation is not jeopardized, require the department, on or after November 1, 2010, but no later than March 1, 2011, or 180 days after federal approval of a successor demonstration project, as defined, to authorize local Coverage Expansion and Enrollment Demonstration (CEED) projects, as specified, to provide scheduled health care benefits for uninsured adults 19 to 64, inclusive, years of age with incomes up to 133% of the federal poverty level who are not otherwise eligible for Medi-Cal or Medicare. This bill would require CEED projects to be designed and implemented with the systems and program elements necessary to facilitate the transition of those eligible individuals to the Medi-Cal program, or alternatively, to coverage through the California Health Benefit Exchange, by 2014, pursuant to the provisions of federal and state law, and the terms and conditions of the demonstration project. This bill would also provide that, to the extent federal financial participation is made available under the terms and conditions of the demonstration project, CEED project services may be made available to individuals with incomes between 134% to 200%, inclusive, of the federal poverty level. This bill would require the department to approve any CEED project that, in addition to meeting specified requirements, voluntarily agrees to commit, on an annual basis, to provide the nonfederal share of CEED project expenditures for services to individuals who meet income eligibility standards specified for the CEED project. This bill would provide that no state General Fund moneys shall be used to fund CEED project services, nor to fund any related administrative costs incurred by counties or any other political subdivision of the state. This bill would provide that, subject to the terms and conditions of the demonstration project, if a participating entity elects to fund the nonfederal share of a CEED project, the nonfederal funding and payments to the CEED project shall be provided through one of the specified mechanisms, at the option of the participating entity. This bill would establish the CEED Project Fund in the State Treasury and would require that all moneys in the fund be continuously appropriated to the department for purposes relating to the CEED projects, as specified. It would permit counties, under one of the funding mechanisms, to transfer moneys into the fund for this purpose. This bill would become operative only if Senate Bill 208 of the 2009-10 Regular Session of the Legislature is enacted. This bill would declare that it is to take effect immediately as an urgency statute.

Bill Text

Action History

  1. Chaptered by Secretary of State - Chapter 723, Statutes of 2010.

  2. Approved by the Governor.

  3. Enrolled and to the Governor at 12:15 p.m.

  4. Urgency clause adopted. Senate amendments concurred in. To enrollment. (Ayes 66. Noes 3. Page 7154.)

  5. Assembly Rule 77 suspended. (Page 7148.)

  6. In Assembly. Concurrence in Senate amendments pending.

  7. Read third time. Urgency clause adopted. Passed and to Assembly. (Ayes 29. Noes 1. Page 5226.)

  8. Senate Rule 29.3 suspended.

  9. Joint Rule 10.5 suspended. (Page 5222.)

  10. Read second time. To third reading.

  11. Read second time and amended. Ordered returned to second reading.

  12. To second reading.

  13. From inactive file.

  14. To inactive file on motion of Senator Steinberg.

  15. Read second time. To third reading.

  16. Received August 13 pursuant to Joint Rule 61(b)(14)

  17. From committee: Do pass. (Ayes 10. Noes 0.) (August 12).

  18. (Corrected August 4.)

  19. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR.

  20. In committee: Set, first hearing. Referred to APPR suspense file.

  21. From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 7. Noes 1.) (June 30).

  22. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.

  23. In committee: Set, first hearing. Hearing canceled at the request of author.

  24. Referred to Com. on HEALTH.

  25. In Senate. Read first time. To Com. on RLS. for assignment.

  26. Read third time. Urgency clause adopted. Passed and to Senate. (Ayes 78. Noes 0. Page 1724.)

  27. Read third time, amended, and returned to third reading. (Page 1543.).

  28. Read second time. To third reading.

  29. From committee: Do pass. (Ayes 11. Noes 0.) (May 6).

  30. From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 18. Noes 0.) (April 21).

  31. Re-referred to Com. on HEALTH.

  32. From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.

  33. Referred to Com. on HEALTH.

  34. From printer. May be heard in committee March 21.

  35. Read first time. To print.

Sponsors

  • John A. Perez · Primary
  • Monning · Cosponsor
  • Steinberg · Cosponsor

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 2 co-sponsors · 119 not signed on

Sponsors (1)

  • John A. Perez

Co-sponsors (2)

  • Monning
  • Steinberg

Not signed on (119)

119 members have not signed on to this bill.

Show all 119 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed 30 Yea · 1 Nay · 9 Other
Party YeaNayPresentNot Voting
Unaffiliated 27109
Democratic 2000
Republican 1000
Total 30109
% of votes cast 75%3%0%23%
How each member voted (40)
Member Party Vote
Yee — Yea
Wyland — Yea
Cogdill — Not Voting
Corbett — Yea
Ducheny — Yea
Dutton — Not Voting
Hancock — Yea
Hollingsworth — Yea
Lowenthal — Yea
Negrete — Yea
Leno — Yea
Liu — Yea
McLeod — Yea
Alquist — Yea
Blakeslee — Not Voting
Price — Yea
Simitian — Yea
Steinberg — Yea
Wolk — Yea
Wright — Yea
Runner — Not Voting
Wiggins — Not Voting
Aanestad — Not Voting
Ashburn — Yea
Harman — Yea
Huff — Not Voting
Kehoe — Yea
Oropeza — Not Voting
Pavley — Yea
Romero — Yea
Walters — Not Voting
Cedillo — Yea
Emmerson — Yea
Correa — Yea
DeSaulnier — Yea
Denham — Nay
Florez — Yea
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Yea

Official roll call →

Passed 76 Yea · 3 Nay · 11 Other
Party YeaNayPresentNot Voting
Unaffiliated 703011
Democratic 3000
Republican 3000
Total 763011
% of votes cast 84%3%0%12%
How each member voted (90)
Member Party Vote
Hall — Yea
Carter — Yea
Chesbro — Yea
Charles — Yea
Anderson — Yea
Bass — Yea
Beall — Yea
Block — Yea
Evans — Yea
Fuentes — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Yamada — Yea
Fletcher — Yea
Fong — Yea
Bonnie — Yea
Lowenthal — Yea
V. — Yea
Manuel — Yea
Perez — Yea
Salas — Yea
Saldana — Yea
Audra — Yea
John — Yea
A. — Yea
Perez — Yea
Fuller — Not Voting
Bill — Not Voting
Tom — Not Voting
Portantino — Not Voting
Cook — Yea
Coto — Yea
Galgiani — Yea
Garrick — Yea
Gilmore — Yea
Hagman — Yea
Harkey — Nay
Hayashi — Yea
Hill — Yea
Huber — Yea
Jeffries — Yea
Lieu — Yea
Logue — Not Voting
Mendoza — Yea
Miller — Nay
Monning — Yea
Nestande — Yea
Norby — Not Voting
Ruskin — Yea
Silva — Not Voting
Skinner — Yea
Smyth — Yea
Swanson — Yea
Torlakson — Yea
Torrico — Yea
Tran — Yea
Adams — Yea
Ammiano — Yea
Blumenfield — Yea
Bradford — Yea
Brownley — Yea
Buchanan — Yea
Hernandez — Yea
Huffman — Yea
Knight — Not Voting
Ma — Yea
Nava — Yea
Nielsen — Not Voting
Solorio — Yea
Torres — Yea
Villines — Yea
Conway — Yea
Eng — Yea
Feuer — Yea
Davis — Yea
DeVore — Nay
Furutani — Yea
Gatto — Yea
Beth Gaines — Yea
Bill Berryhill — Not Voting
Bill Berryhill — Not Voting
Arambula, Joaquin Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Jones, Brian W. Republican Yea
Niello, Roger W. Republican Yea
Strickland, Tony Republican Yea

Official roll call →

Do pass.

Passed 10 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 10001
Total 10001
% of votes cast 91%0%0%9%
How each member voted (11)
Member Party Vote
Yee — Yea
Corbett — Yea
Wyland — Yea
Kehoe — Yea
Alquist — Yea
Ashburn — Yea
Leno — Yea
Price — Yea
Walters — Not Voting
Wolk — Yea
Emmerson — Yea

Official roll call →

Passed 10 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 10001
Total 10001
% of votes cast 91%0%0%9%
How each member voted (11)
Member Party Vote
Yee — Yea
Corbett — Yea
Kehoe — Yea
Price — Yea
Alquist — Yea
Ashburn — Yea
Walters — Not Voting
Wolk — Yea
Leno — Yea
Wyland — Yea
Emmerson — Yea

Official roll call →

Passed 90 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Democratic 5000
Unaffiliated 82002
Republican 3000
Total 90002
% of votes cast 98%0%0%2%
How each member voted (92)
Member Party Vote
Bill — Yea
Berryhill — Yea
Tom — Yea
Berryhill — Yea
Charles — Yea
Adams — Yea
Ammiano — Yea
Anderson — Yea
Beall — Yea
Eng — Yea
Feuer — Yea
Fuentes — Yea
Furutani — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Galgiani — Yea
Yamada — Yea
Fletcher — Yea
Gaines — Yea
Bonnie — Yea
V. — Yea
Manuel — Yea
Perez — Yea
John — Yea
A. — Yea
Perez — Yea
Portantino — Yea
Salas — Yea
Saldana — Yea
Audra — Yea
Carter — Yea
Garrick — Yea
Conway — Yea
Cook — Yea
Duvall — Not Voting
Hagman — Yea
Hall — Yea
Hayashi — Yea
Hernandez — Yea
Huber — Yea
Huffman — Yea
Knight — Yea
Krekorian — Yea
Logue — Yea
Mendoza — Yea
Miller — Yea
Nava — Yea
Nestande — Yea
Price — Yea
Ruskin — Yea
Silva — Yea
Skinner — Yea
Solorio — Yea
Swanson — Yea
Torres — Yea
Torrico — Yea
Villines — Yea
Bass — Yea
Blakeslee — Yea
Block — Yea
Blumenfield — Yea
Brownley — Yea
Buchanan — Yea
Harkey — Not Voting
Hill — Yea
Jeffries — Yea
Lieu — Yea
Ma — Yea
Monning — Yea
Nielsen — Yea
Smyth — Yea
Torlakson — Yea
Tran — Yea
Chesbro — Yea
Emmerson — Yea
Coto — Yea
Evans — Yea
Davis — Yea
DeVore — Yea
Fuller — Yea
Gilmore — Yea
Arambula, Joaquin Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Fong, Mike Democratic Yea
Lowenthal, Josh Democratic Yea
Jones, Brian W. Republican Yea
Niello, Roger W. Republican Yea
Strickland, Tony Republican Yea

Official roll call →

Do pass.

Passed 15 Yea · 0 Nay · 6 Other
Party YeaNayPresentNot Voting
Unaffiliated 14005
Democratic 1000
Republican 0001
Total 15006
% of votes cast 71%0%0%29%
How each member voted (21)
Member Party Vote
Charles — Yea
Fuentes — Yea
De — Yea
Leon — Yea
John — Yea
A. — Yea
Perez — Yea
Hall — Yea
Audra — Not Voting
Duvall — Not Voting
Harkey — Not Voting
Ammiano — Yea
Miller — Not Voting
Nielsen — Not Voting
Price — Yea
Skinner — Yea
Solorio — Yea
Torlakson — Yea
Davis — Yea
Calderon, Lisa Democratic Yea
Strickland, Tony Republican Not Voting

Official roll call →

Passed 25 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 22001
Republican 2000
Democratic 1000
Total 25001
% of votes cast 96%0%0%4%
How each member voted (26)
Member Party Vote
Hall — Yea
Carter — Yea
Conway — Yea
Hayashi — Yea
Hernandez — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Fletcher — Yea
Bonnie — Yea
V. — Yea
Manuel — Yea
Perez — Yea
Salas — Yea
Audra — Yea
Gaines — Not Voting
Ammiano — Yea
Nava — Yea
Adams — Yea
Block — Yea
Emmerson — Yea
Lowenthal, Josh Democratic Yea
Jones, Brian W. Republican Yea
Strickland, Tony Republican Yea

Official roll call →

Subjects

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Frequently asked questions

What does AB 342 do?
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income persons receive health care benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid provisions. Existing law provides for the Health Care Coverage Initiative, which is a federal waiver demonstration project established to expand health care coverage to low-income uninsured individuals who are not currently eligible for the Medi-Cal program, the Healthy Families Program, or the Access for Infants and Mothers program. Existing law provides for the repeal of the department's authority under the Health Care Coverage Initiative upon the execution of a declaration by the Director of Health Care Services specifying that the demonstration project has been terminated. This bill would, alternatively, authorize the director to continue and administer any extensions, modifications, or continuation of the projects under the Health Care Coverage Initiative approved by the federal Centers for Medicare and Medicaid Services. This bill would, in this regard, only to the extent that federal financial participation is available and only to the extent that federal financial participation is not jeopardized, require the department, on or after November 1, 2010, but no later than March 1, 2011, or 180 days after federal approval of a successor demonstration project, as defined, to authorize local Coverage Expansion and Enrollment Demonstration (CEED) projects, as specified, to provide scheduled health care benefits for uninsured adults 19 to 64, inclusive, years of age with incomes up to 133% of the federal poverty level who are not otherwise eligible for Medi-Cal or Medicare. This bill would require CEED projects to be designed and implemented with the systems and program elements necessary to facilitate the transition of those eligible individuals to the Medi-Cal program, or alternatively, to coverage through the California Health Benefit Exchange, by 2014, pursuant to the provisions of federal and state law, and the terms and conditions of the demonstration project. This bill would also provide that, to the extent federal financial participation is made available under the terms and conditions of the demonstration project, CEED project services may be made available to individuals with incomes between 134% to 200%, inclusive, of the federal poverty level. This bill would require the department to approve any CEED project that, in addition to meeting specified requirements, voluntarily agrees to commit, on an annual basis, to provide the nonfederal share of CEED project expenditures for services to individuals who meet income eligibility standards specified for the CEED project. This bill would provide that no state General Fund moneys shall be used to fund CEED project services, nor to fund any related administrative costs incurred by counties or any other political subdivision of the state. This bill would provide that, subject to the terms and conditions of the demonstration project, if a participating entity elects to fund the nonfederal share of a CEED project, the nonfederal funding and payments to the CEED project shall be provided through one of the specified mechanisms, at the option of the participating entity. This bill would establish the CEED Project Fund in the State Treasury and would require that all moneys in the fund be continuously appropriated to the department for purposes relating to the CEED projects, as specified. It would permit counties, under one of the funding mechanisms, to transfer moneys into the fund for this purpose. This bill would become operative only if Senate Bill 208 of the 2009-10 Regular Session of the Legislature is enacted. This bill would declare that it is to take effect immediately as an urgency statute.
Who sponsors AB 342?
AB 342 is sponsored by John A. Perez, Monning, and Steinberg.
What is the current status of AB 342?
This bill has been enacted into law. Introduced February 18, 2009. Enacted.
Where can I track AB 342?
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