AB 1269 — Medi-Cal: eligibility.

Summary

Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which basic health care services are provided to qualified low-income persons. The Medi-Cal program is partially governed and funded by federal Medicaid provisions. Existing law, subject to the receipt of federal financial participation, requires the department to adopt a federal option under which any employed individual with a disability who meets specified income and resource requirements, shall be eligible for benefits under the Medi-Cal program, subject to the payment of premiums. This bill would, to the extent that federal financial participation is available, authorize an individual who is otherwise eligible under this program but who is temporarily unemployed to elect to remain on Medi-Cal pursuant to these provisions for a period up to 26 weeks, as provided. This bill would also provide additional resource exemptions in determining Medi-Cal eligibility under these provisions. The bill would extend specified resource exemptions to apply for the beneficiary under any other Medi-Cal program under which the beneficiary later becomes eligible for medical assistance where that eligibility is based on age, blindness, or disability. This bill would make its provisions operative 30 days after the date that the increase in the state's federal medical assistance percentage (FMAP) pursuant to the federal American Recovery and Reinvestment Act of 2009 (ARRA) is no longer available. Existing law requires individuals who are eligible for Medi-Cal benefits pursuant to these provisions to be subject to premiums that are determined by a sliding scale that is based on countable income, as provided. This bill, not later than 90 days after the operative date specified above, would instead require each individual to pay a monthly premium that is equal to 5% of his or her individual or spousal countable income, as described, except that the premium cannot fall below or exceed a specified minimum and maximum premium payment, as provided. The bill would require the above-described provisions to be implemented only to the extent that federal financial participation is available, and only to the extent that the department seeks and obtains approval of all necessary state plan amendments. Because counties are required to make Medi-Cal eligibility determinations and this bill would extend the expansion of Medi-Cal eligibility, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to these statutory provisions.

Bill Text

• Chaptered 10/11/09 - Chaptered Current pdf October 11, 2009
• Enrolled 09/11/09 - Enrolled pdf September 11, 2009
• Amended 09/01/09 - Amended Senate pdf September 01, 2009
• Amended 04/14/09 - Amended Assembly pdf April 14, 2009
• Introduced 02/27/09 - Introduced pdf February 27, 2009
• AB1269 View text html

Action History

1. October 11, 2009

   Chaptered by Secretary of State - Chapter 282, Statutes of 2009.

2. October 11, 2009

   Approved by the Governor.

3. September 29, 2009

   Enrolled and to the Governor at 11:30 a.m.

4. September 09, 2009

   Senate amendments concurred in. To enrollment. (Ayes 49. Noes 27. Page 3225.)

5. September 09, 2009

   Assembly Rule 77 suspended. (Ayes 50. Noes 26. Page 3191.)

6. September 08, 2009

   In Assembly. Concurrence in Senate amendments pending. May be considered on or after September 10 pursuant to Assembly Rule 77.

7. September 04, 2009

   Read third time, passed, and to Assembly. (Ayes 26. Noes 12. Page 2209.)

8. September 01, 2009

   Read second time and amended. Ordered to third reading.

9. August 31, 2009

   From committee: Amend, and do pass as amended. (Ayes 8. Noes 5.) (August 27).

10. July 23, 2009

    In committee: Placed on Appropriations suspense file.

11. July 23, 2009

    (Page 1804.)

12. July 23, 2009

    Joint Rule 62(a) suspended.

13. July 09, 2009

    From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 8. Noes 3.) (July 8).

14. July 01, 2009

    In committee: Hearing postponed by committee.

15. June 18, 2009

    Referred to Com. on HEALTH.

16. June 03, 2009

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

17. June 02, 2009

    Read third time, passed, and to Senate. (Ayes 50. Noes 29. Page 1940.)

18. May 29, 2009

    Read second time. To third reading.

19. May 29, 2009

    From committee: Do pass. (Ayes 12. Noes 5.) (May 28).

20. May 06, 2009

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

21. April 22, 2009

    From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 13. Noes 6.) (April 21).

22. April 15, 2009

    Re-referred to Com. on HEALTH.

23. April 14, 2009

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

24. March 31, 2009

    Referred to Com. on HEALTH.

25. March 02, 2009

    Read first time.

26. March 01, 2009

    From printer. May be heard in committee March 30.

27. February 27, 2009

    Introduced. To print.

Sponsors

• Brownley · Primary

Votes

Subjects