California 2011-2012 Regular Session Status: Enacted

AB 1494 — Healthy Families Program: Medi-Cal: program transition: expansion.

Last action — Chaptered by Secretary of State - Chapter 28, Statutes of 2012.

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  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 January 10, 2012. Enacted.

Prognosis

Likely to advance 70% · 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.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 4 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

Under existing law, the Robert W. Crown California Children's Services Act, the State Department of Health Care Services and each county administer the California Children's Services Program (CCS program) for treatment services for persons under 21 years of age diagnosed with severe chronic disease or severe physical limitations, as specified. Existing law generally limits eligibility for CCS program services to persons in families with an annual adjusted gross income of $40,000 or less. Under existing law, the department, or any designated local agency administering the program, is responsible for providing medically necessary occupational and physical therapy to eligible children, as specified. Existing law requires that specified assessments and therapy treatment services rendered to a child referred to a local education agency for an assessment or a disabled child or youth with an IEP be exempt from financial eligibility standards and family repayment requirements. This bill would make technical, nonsubstantive changes to these provisions. Existing law creates the Healthy Families Program, administered by the Managed Risk Medical Insurance Board (MRMIB) , to arrange for the provision of health, vision, and dental benefits to eligible children pursuant to a federal program, the Children's Health Insurance Program. Existing law also provides for the Medi-Cal program, which is 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, in part, governed and funded by federal Medicaid provisions. Under existing law, the Director of Health Care Services may contract with any qualified individual, organization, or entity to provide services to, arrange for, or case manage the care of Medi-Cal beneficiaries, subject to specified requirements. Existing law requires a Medi-Cal applicant or beneficiary to be informed of the managed care and fee-for-service options available regarding methods of receiving Medi-Cal benefits. This bill would provide for the transition of specified enrollees of the Healthy Families Program to the Medi-Cal program, to the extent that those individuals are otherwise eligible, no sooner than January 1, 2013. This bill would provide that the transition would take place in 4 phases, as specified, for individuals enrolled in either a Healthy Families Program plan that is also a Medi-Cal managed care plan (Phase 1) or enrolled in a Healthy Families Program plan that is a subcontractor of a Medi-Cal managed care plan or other specified plans (Phase 2 and Phase 3) , or for individuals residing in a county that is not a Medi-Cal managed care county (Phase 4) . This bill would require the department to exercise certain options under federal law to provide benefits to optional targeted low-income children, as described, and seek appropriate federal approvals and state plan amendments, in order to implement the Healthy Families Program to Medi-Cal program transition and Medi-Cal program expansion provided for in the bill. This bill would require MRMIB to coordinate with the department to implement these provisions, and would make related changes. This bill would make related changes to the California Children's Services Program provisions. By increasing county responsibilities with respect to determining Medi-Cal eligibility, this bill would impose a state-mandated local program. Existing law provides that reimbursement for clinical laboratory or laboratory services under the Medi-Cal program, as defined, may not exceed 80% of the lowest maximum allowance established by the federal Medicare Program for the same or similar services. This bill would, upon federal approval, change the rate methodology for clinical laboratory or laboratory services, as specified. This bill would also require that rates for clinical laboratory or laboratory services be reduced by 10% until federal approval is obtained for this new rate methodology. This bill would appropriate $400,000 from the Managed Care Fund to the Department of Managed Health Care for administration, as specified. This bill would make legislative findings and declarations as to the necessity of a special statute for the Counties of Los Angeles and Sacramento. 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. This bill would declare that it is to take effect immediately as a bill providing for appropriations related to the Budget Bill.

Bill Text

Action History

  1. Chaptered by Secretary of State - Chapter 28, Statutes of 2012.

  2. Approved by the Governor.

  3. Enrolled and presented to the Governor at 3:45 p.m.

  4. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 47. Noes 29. Page 5487.).

  5. Assembly Rule 63 suspended. (Ayes 51. Noes 26. Page 5483.)

  6. Assembly Rule 77 suspended. (Ayes 51. Noes 26. Page 5483.)

  7. In Assembly. Concurrence in Senate amendments pending. May be considered on or after June 29 pursuant to Assembly Rule 77.

  8. Read third time. Passed. Ordered to the Assembly. (Ayes 21. Noes 14. Page 4137.).

  9. Read second time. Ordered to third reading.

  10. From committee: Do pass. (Ayes 9. Noes 2.) (June 25).

  11. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on B. & F.R.

  12. Re-referred to Com. on B. & F.R.

  13. Referred to Com. on RLS.

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

  15. Read third time. Passed. Ordered to the Senate. (Ayes 47. Noes 23. Page 4097.)

  16. Read second time. Ordered to third reading.

  17. Ordered to second reading.

  18. Withdrawn from committee.

  19. Assembly Rule 96 suspended. (Ayes 46. Noes 24. Page 4011.)

  20. Assembly Rule 63 suspended. (Ayes 46. Noes 24. Page 4011.)

  21. Referred to Com. on BUDGET.

  22. From printer. May be heard in committee February 10.

  23. Read first time. To print.

Sponsors

  • Committee on Budget · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 121 not signed on · 7 voted No

Sponsors (1)

  • Committee on Budget

Co-sponsors (0)

None.

Not signed on (121)

121 members have not signed on to this bill.

Show all 121 →

"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

3rd Reading AB1494 Committee on BUDGET (Blumenfield) By Leno

Passed 21 Yea · 14 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 191305
Democratic 2000
Republican 0100
Total 211405
% of votes cast 53%35%0%13%
How each member voted (40)
Member Party Vote
Yee — Not Voting
Wyland — Nay
Lowenthal — Yea
De León — Yea
Negrete McLeod — Yea
Rubio — Yea
Fuller — Nay
Hancock — Yea
Runner — Not Voting
Harman — Nay
Hernandez — Yea
Kehoe — Yea
Cannella — Nay
Leno — Yea
Lieu — Not Voting
Alquist — Yea
Blakeslee — Nay
Corbett — Yea
Dutton — Nay
Price — Yea
Simitian — Yea
Steinberg — Yea
Vargas — Yea
Wolk — Yea
Anderson — Nay
Huff — Nay
Liu — Yea
Pavley — Not Voting
Walters — Nay
Wright — Yea
Emmerson — Nay
Correa — Not Voting
Evans — Yea
DeSaulnier — Yea
Beth Gaines — Nay
Bill Berryhill — Nay
La Malfa — Nay
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Nay

Official roll call →

AB 1494 BUDGET Concurrence in Senate Amendments By BLUMENFIELD

Passed 47 Yea · 29 Nay · 4 Other
Party YeaNayPresentNot Voting
Republican 0200
Unaffiliated 462704
Democratic 1000
Total 472904
% of votes cast 59%36%0%5%
How each member voted (80)
Member Party Vote
Butler — Yea
Feuer — Yea
Furutani — Yea
Huber — Yea
Carter — Yea
Fong — Yea
Allen — Yea
Cedillo — Yea
Williams — Yea
Yamada — Yea
Galgiani — Yea
Campos — Yea
John A. Pérez — Yea
Mitchell — Yea
Garrick — Nay
Gordon — Yea
Gorell — Nay
Bonilla — Yea
Atkins — Yea
Hagman — Nay
Halderman — Not Voting
Chesbro — Yea
Hall — Yea
Portantino — Nay
Harkey — Nay
Fletcher — Not Voting
Hueso — Yea
Jeffries — Nay
Beall — Not Voting
Block — Yea
Conway — Nay
Cook — Nay
Davis — Yea
Donnelly — Nay
Knight — Nay
Lara — Yea
Logue — Not Voting
Mendoza — Nay
Miller — Nay
Morrell — Nay
Nestande — Nay
Nielsen — Nay
Norby — Nay
Pan — Yea
Perea — Yea
Skinner — Yea
Smyth — Nay
Solorio — Yea
Swanson — Nay
Valadao — Nay
Wieckowski — Yea
Achadjian — Nay
Alejo — Yea
Ammiano — Yea
Blumenfield — Yea
Bradford — Yea
Brownley — Yea
Buchanan — Yea
Hayashi — Yea
Hill — Yea
Huffman — Yea
Ma — Yea
Mansoor — Nay
Monning — Yea
Olsen — Nay
Silva — Nay
Torres — Yea
Wagner — Nay
Eng — Yea
Dickinson — Yea
Fuentes — Yea
Gatto — Yea
Beth Gaines — Nay
Bill Berryhill — Nay
Bonnie Lowenthal — Yea
Roger Hernández — Yea
V. Manuel Pérez — Nay
Calderon, Lisa Democratic Yea
Grove, Shannon Republican Nay
Jones, Brian W. Republican Nay

Official roll call →

Do pass.

Passed 9 Yea · 2 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 9205
Total 9205
% of votes cast 56%13%0%31%
How each member voted (16)
Member Party Vote
Hancock — Yea
Negrete McLeod — Yea
Lowenthal — Yea
Liu — Yea
Wolk — Yea
Wright — Yea
Evans — Not Voting
Fuller — Not Voting
Anderson — Nay
DeSaulnier — Yea
Simitian — Not Voting
Alquist — Yea
Leno — Yea
Emmerson — Not Voting
Beth Gaines — Not Voting
La Malfa — Nay

Official roll call →

AB 1494 BUDGET Assembly Third Reading By BLUMENFIELD

Passed 47 Yea · 23 Nay · 10 Other
Party YeaNayPresentNot Voting
Unaffiliated 4621010
Republican 0200
Democratic 1000
Total 4723010
% of votes cast 59%29%0%13%
How each member voted (80)
Member Party Vote
Gordon — Yea
Hagman — Nay
Feuer — Yea
Furutani — Yea
Gatto — Yea
Butler — Yea
Hill — Yea
Fong — Yea
Allen — Yea
Cedillo — Yea
Perea — Yea
Swanson — Yea
Williams — Yea
Galgiani — Yea
Campos — Yea
John A. Pérez — Yea
Mitchell — Yea
Garrick — Nay
Gorell — Not Voting
Chesbro — Yea
Halderman — Nay
Bonilla — Yea
Atkins — Yea
Hall — Not Voting
Harkey — Not Voting
Conway — Nay
Fletcher — Not Voting
Portantino — Not Voting
Hueso — Yea
Beall — Yea
Cook — Nay
Davis — Yea
Donnelly — Nay
Jeffries — Nay
Knight — Nay
Mendoza — Not Voting
Miller — Nay
Monning — Yea
Nestande — Nay
Nielsen — Nay
Norby — Nay
Pan — Yea
Skinner — Not Voting
Solorio — Yea
Valadao — Not Voting
Wagner — Nay
Achadjian — Nay
Alejo — Yea
Ammiano — Yea
Block — Yea
Blumenfield — Yea
Bradford — Yea
Brownley — Yea
Buchanan — Yea
Hayashi — Yea
Huber — Yea
Huffman — Yea
Lara — Yea
Logue — Not Voting
Ma — Yea
Mansoor — Nay
Morrell — Nay
Olsen — Nay
Silva — Nay
Smyth — Nay
Torres — Yea
Wieckowski — Yea
Carter — Yea
Eng — Yea
Dickinson — Yea
Yamada — Yea
Fuentes — Yea
Beth Gaines — Nay
Bill Berryhill — Nay
Bonnie Lowenthal — Not Voting
Roger Hernández — Yea
V. Manuel Pérez — Yea
Calderon, Lisa Democratic Yea
Grove, Shannon Republican Nay
Jones, Brian W. Republican Nay

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does AB 1494 do?
Under existing law, the Robert W. Crown California Children's Services Act, the State Department of Health Care Services and each county administer the California Children's Services Program (CCS program) for treatment services for persons under 21 years of age diagnosed with severe chronic disease or severe physical limitations, as specified. Existing law generally limits eligibility for CCS program services to persons in families with an annual adjusted gross income of $40,000 or less. Under existing law, the department, or any designated local agency administering the program, is responsible for providing medically necessary occupational and physical therapy to eligible children, as specified. Existing law requires that specified assessments and therapy treatment services rendered to a child referred to a local education agency for an assessment or a disabled child or youth with an IEP be exempt from financial eligibility standards and family repayment requirements. This bill would make technical, nonsubstantive changes to these provisions. Existing law creates the Healthy Families Program, administered by the Managed Risk Medical Insurance Board (MRMIB) , to arrange for the provision of health, vision, and dental benefits to eligible children pursuant to a federal program, the Children's Health Insurance Program. Existing law also provides for the Medi-Cal program, which is 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, in part, governed and funded by federal Medicaid provisions. Under existing law, the Director of Health Care Services may contract with any qualified individual, organization, or entity to provide services to, arrange for, or case manage the care of Medi-Cal beneficiaries, subject to specified requirements. Existing law requires a Medi-Cal applicant or beneficiary to be informed of the managed care and fee-for-service options available regarding methods of receiving Medi-Cal benefits. This bill would provide for the transition of specified enrollees of the Healthy Families Program to the Medi-Cal program, to the extent that those individuals are otherwise eligible, no sooner than January 1, 2013. This bill would provide that the transition would take place in 4 phases, as specified, for individuals enrolled in either a Healthy Families Program plan that is also a Medi-Cal managed care plan (Phase 1) or enrolled in a Healthy Families Program plan that is a subcontractor of a Medi-Cal managed care plan or other specified plans (Phase 2 and Phase 3) , or for individuals residing in a county that is not a Medi-Cal managed care county (Phase 4) . This bill would require the department to exercise certain options under federal law to provide benefits to optional targeted low-income children, as described, and seek appropriate federal approvals and state plan amendments, in order to implement the Healthy Families Program to Medi-Cal program transition and Medi-Cal program expansion provided for in the bill. This bill would require MRMIB to coordinate with the department to implement these provisions, and would make related changes. This bill would make related changes to the California Children's Services Program provisions. By increasing county responsibilities with respect to determining Medi-Cal eligibility, this bill would impose a state-mandated local program. Existing law provides that reimbursement for clinical laboratory or laboratory services under the Medi-Cal program, as defined, may not exceed 80% of the lowest maximum allowance established by the federal Medicare Program for the same or similar services. This bill would, upon federal approval, change the rate methodology for clinical laboratory or laboratory services, as specified. This bill would also require that rates for clinical laboratory or laboratory services be reduced by 10% until federal approval is obtained for this new rate methodology. This bill would appropriate $400,000 from the Managed Care Fund to the Department of Managed Health Care for administration, as specified. This bill would make legislative findings and declarations as to the necessity of a special statute for the Counties of Los Angeles and Sacramento. 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. This bill would declare that it is to take effect immediately as a bill providing for appropriations related to the Budget Bill.
Who sponsors AB 1494?
AB 1494 is sponsored by Committee on Budget.
What is the current status of AB 1494?
This bill has been enacted into law. Introduced January 10, 2012. Enacted.
Where can I track AB 1494?
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