AB 461 — Coordinated Care Initiative.

Summary

Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. One of the methods by which these services are provided is pursuant to contracts with various types of managed care health plans. Existing federal law provides for the federal Medicare Program, which is a public health insurance program for persons 65 years of age and older and specified persons with disabilities who are under 65 years of age. Existing law requires the department to seek federal approval pursuant to a Medicare or a Medicaid demonstration project or waiver, or a combination thereof, to establish a demonstration project that enables beneficiaries dually eligible for the Medi-Cal program and the Medicare Program to receive a continuum of services that maximizes access to, and coordination of, benefits between the programs. Existing law requires, with some exceptions, the department to enroll dual eligible beneficiaries into a managed care plan that is selected to participate in the demonstration project unless the beneficiary makes an affirmative choice to opt out of enrollment or is already enrolled in a specified managed care organization on or before June 1, 2013. Existing law excludes a dual eligible beneficiary from enrollment in the demonstration project if, among other reasons, the beneficiary is receiving services through a regional center or state developmental center. Existing law also excludes a dual eligible beneficiary from enrollment in the demonstration project if, among other reasons, the beneficiary is enrolled in a home- and community-based waiver except for persons enrolled in Multipurpose Senior Services Program services. This bill would authorize a beneficiary receiving services through a regional center who resides in the County of San Mateo to participate voluntarily in the demonstration project if certain requirements are met. This bill would make legislative findings and declarations as to the necessity of a special statute for the County of San Mateo.

Bill Text

• Chaptered 08/13/15 - Chaptered Current pdf August 13, 2015
• Enrolled 07/21/15 - Enrolled pdf July 21, 2015
• Amended 06/01/15 - Amended Senate pdf June 01, 2015
• Amended 04/21/15 - Amended Assembly pdf April 21, 2015
• Introduced 02/23/15 - Introduced pdf February 23, 2015
• AB461 View text html

Action History

1. August 13, 2015

   Chaptered by Secretary of State - Chapter 199, Statutes of 2015.

2. August 13, 2015

   Approved by the Governor.

3. August 03, 2015

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

4. July 16, 2015

   Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 79. Noes 0. Page 2407.).

5. July 09, 2015

   In Assembly. Concurrence in Senate amendments pending. May be considered on or after July 11 pursuant to Assembly Rule 77.

6. July 09, 2015

   Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0. Page 1876.).

7. June 23, 2015

   Read second time. Ordered to third reading.

8. June 22, 2015

   From committee: Be placed on second reading file pursuant to Senate Rule 28.8.

9. June 11, 2015

   From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (June 10). Re-referred to Com. on APPR.

10. June 01, 2015

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

11. May 28, 2015

    Referred to Com. on HEALTH.

12. May 14, 2015

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

13. May 14, 2015

    Read third time. Passed. Ordered to the Senate. (Ayes 79. Noes 0. Page 1429.)

14. April 30, 2015

    Read second time. Ordered to third reading.

15. April 29, 2015

    From committee: Do pass. (Ayes 17. Noes 0.) (April 29).

16. April 22, 2015

    Re-referred to Com. on APPR.

17. April 21, 2015

    Read second time and amended.

18. April 20, 2015

    From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 17. Noes 0.) (April 14).

19. April 07, 2015

    In committee: Hearing postponed by committee.

20. March 05, 2015

    Referred to Com. on HEALTH.

21. February 24, 2015

    From printer. May be heard in committee March 26.

22. February 23, 2015

    Read first time. To print.

Sponsors

• Gordon · Cosponsor
• Hill · Cosponsor
• Mullin · Primary

Votes

Subjects