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SB-1108 Medi-Cal: conditions of eligibility or coverage.(2017-2018)

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Date Published: 06/20/2018 09:00 PM
SB1108:v97#DOCUMENT

Amended  IN  Assembly  June 20, 2018
Amended  IN  Senate  April 09, 2018

CALIFORNIA LEGISLATURE— 2017–2018 REGULAR SESSION

Senate Bill No. 1108


Introduced by Senator Hernandez

February 13, 2018


An act to add Section 14012 to the Welfare and Institutions Code, relating to Medi-Cal.


LEGISLATIVE COUNSEL'S DIGEST


SB 1108, as amended, Hernandez. Medi-Cal: conditions of eligibility or coverage.
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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. Existing federal guidance authorizes the states to require, through Medicaid demonstration projects, certain adult Medicaid beneficiaries to participate in work or community engagement activities as a condition of continued Medicaid eligibility or coverage.
This bill would prohibit the department from seeking or obtaining a Medicaid demonstration project or waiver to require work or community engagement activities as a condition of Medi-Cal eligibility or coverage, to require waiting periods, time limits, or coverage lockouts, as specified, or to require any other condition of Medi-Cal eligibility or coverage not required by any other provision of state law or federal statute or regulation. The bill would not preclude the department from establishing or maintaining additional eligibility criteria for public health benefit programs administered by the department that offer additional benefits or care coordination to Medi-Cal beneficiaries, nor would the bill limit the department’s ability to establish or maintain additional eligibility criteria for the purpose of extending Medi-Cal coverage to an eligibility category or group that is otherwise ineligible for full-scope Medi-Cal benefits.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: NO  

The people of the State of California do enact as follows:


SECTION 1.

 Section 14012 is added to the Welfare and Institutions Code, to read:

14012.
 The department shall not neither seek or nor obtain a Medicaid demonstration project or waiver to require any of the following:
(a) Work or community engagement activities as a condition of Medi-Cal eligibility or coverage.
(b) Waiting periods, time limits, or coverage lockouts prior or subsequent to the determination of Medi-Cal eligibility or coverage.
(c) Any other condition of Medi-Cal eligibility or coverage not required by any other provision of state law or federal statute or regulation.
(d) This section shall not preclude the department from establishing or maintaining additional eligibility criteria for public health benefit programs administered by the department that offer additional benefits or care coordination to Medi-Cal beneficiaries, nor shall this section limit the department’s ability to establish or maintain additional eligibility criteria for the purpose of extending Medi-Cal coverage to an eligibility category or group that is otherwise ineligible for full-scope Medi-Cal benefits.