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AB-1214 Medi-Cal eligibility.(2021-2022)

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Date Published: 05/24/2021 03:38 PM
AB1214:v96#DOCUMENT

Amended  IN  Assembly  May 24, 2021
Amended  IN  Assembly  April 29, 2021
Amended  IN  Assembly  March 25, 2021

CALIFORNIA LEGISLATURE— 2021–2022 REGULAR SESSION

Assembly Bill
No. 1214


Introduced by Assembly Member Waldron
(Coauthor: Assembly Member Wood)

February 19, 2021


An act to add Section 14011.12 to the Welfare and Institutions Code, relating to Medi-Cal.


LEGISLATIVE COUNSEL'S DIGEST


AB 1214, as amended, Waldron. Medi-Cal eligibility.
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. Existing law provides for the suspension of Medi-Cal benefits to an inmate of a public institution, which ends on the date they are no longer an inmate of a public institution or one year from the date they become an inmate of a public institution, whichever is sooner. Existing law generally requires a county to redetermine a Medi-Cal beneficiary’s eligibility to receive Medi-Cal benefits every 12 months and whenever the county receives information about changes in a beneficiary’s circumstances that may affect their eligibility for Medi-Cal benefits.
This bill would make an individual who is incarcerated in a state prison or county jail eligible for the Medi-Cal program for 30 days before the date they are released from that correctional facility. facility if they otherwise meet Medi-Cal eligibility criteria but for their commitment in a correctional facility. The bill would require the department to send an annual report to the Legislature on the implementation of these provisions, would authorize the department to implement these provisions by various means, including provider bulletins, and, by January 1, 2026, would require the department to promulgate regulations. The bill would require the department to seek federal approvals, including amendments to the state plan, necessary to implement these provisions, and would condition the implementation of these provisions on the department obtaining necessary federal approvals, and to the extent that federal matching funds are obtained. Because counties are required to make Medi-Cal eligibility determinations, 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 the statutory provisions noted above.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: YES  

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


SECTION 1.

 Section 14011.12 is added to the Welfare and Institutions Code, to read:

14011.12.
 (a) (1) Notwithstanding Section 14011.10, an individual shall be eligible for the Medi-Cal program for 30 days before the date they are released from a correctional facility. facility if they otherwise meet Medi-Cal eligibility criteria but for their commitment in a correctional facility.
(2) For purposes of paragraph (1), “correctional facility” means the state prison or a county jail.
(b) Upon implementation of this section, the department shall annually send a report to the Legislature on November 30 each year on all of the following:
(1) The number of inmates served under the program.
(2) The cost of the program.
(3) The effectiveness of the program, including any of the following:
(A) Any reduction in the number of emergency room visits or hospitalizations by inmates after release from a correctional facility.
(B) Any reduction in the number of inmates undergoing inpatient treatment after release from a correctional facility.
(C) Any reduction in overdose rates and deaths of inmates after release from a correctional facility.
(D) Any other costs or benefits as a result of the program.
(c) A report to be submitted pursuant to subdivision (b) shall be submitted in compliance with Section 9795 of the Government Code.
(d) (1) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement this section by means of provider bulletins, all-plan letters, or notices, policy letters, or other similar instructions, without taking regulatory action.
(2) By January 1, 2026, the department shall promulgate regulations, as necessary, to implement this section in accordance with the requirements of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code.
(e) The department shall seek any federal approvals, including, but not limited to, amendments or waivers to the state plan, necessary to implement this section. This section shall only be implemented if the department obtains necessary federal approvals, and to the extent that federal matching funds are obtained.

SEC. 2.

 If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.