CSAC Bulletin Article

Health and Human Services 06/07/2013

ACA Expansion Bills Move Forward

The Senate and Assembly will hear both Medicaid expansion bills, SBX1 1 (Hernandez) and ABX1 1 (Pérez), in their respective Health Committees next week. The Assembly Health Committee will also hear SBX1 3 (Hernandez), which is the measure to create a “Bridge” program between Medi-Cal and the health care exchange (Covered California). 
CSAC supports all three measures, but many details within the bills still need to be worked out between the Legislature and Governor Brown. We expect them to be amended in the coming weeks and urge counties to watch them closely. 

AB 1054 (Chesbro) – Support
As Amended April 11, 2013

AB 1054, by Assembly Member Wesley Chesbro, would reduce the annual rate increase that counties pay to Institutions for Mental Disease (IMD) for inpatient psychiatric treatment from 4.7 percent to 3.5 percent. 

The measure, sponsored by CSAC affiliate California Mental Health Directors Association (CMHDA), originally removed the automatic rate increase altogether and would have allowed counties to negotiate rates with IMDs within their borders. For counties, the 4.7 percent annual increase was a significant fiscal concern, as county mental health departments are responsible for the full cost of IMD rates. 

Counties believe 3.5 percent is consistent with a reasonable cost of living adjustment. The Senate Health Committee passed the measure unanimously on June June 5. It now goes to the Senate Appropriations Committee. 

AB 419 (Lowenthal) – Support
As Introduced on February 15, 2013

AB 419, by Assembly Member Bonnie Lowenthal, will allow full CalWORKs basic needs assistance and services to continue for families whose child or children are hospitalized. 

Under current law, a child being treated in a public hospital is considered to be “temporarily absent” from the home for the first two months of his or her hospital stay. However, this designation does not apply to children who are treated in private hospitals, where they are instead deemed “temporarily absent” for their entire stay, regardless of length. While this situation does not happen often, it can be devastating for the families who lose a portion of their CalWORKs basic needs assistance and services while their child or children are hospitalized. Assembly Bill 419 would correct this small loophole.

AB 419 is sponsored by CSAC affiliate County Welfare Directors Association (CWDA) and will be heard by the Senate Human Services Committee on June 11, 2013.

Navigation Term Highlight

Where We are Located

Navigation Term Highlight

Our 58 Counties