CSAC Bulletin Article

Health and Human Services

California Eligibility and Enrollment Report

California Assembly Bill x1-1 (Chapter 3, Statutes of 2013) requires quarterly reporting on eligibility and enrollment processes for all California insurance affordability programs. DHCS and Covered California recently released the first report for the reporting period of October 2013 through September 2014 focusing on initial steps and outcomes of the enrollment process for new applicants. The full report can be found here.

Exploring Managed Care in Rural Counties

The California Health Care Foundation and Lee Kemper, founder and principal of Kemper Consulting Group, released a report about managed care in rural counties. The report – On the Frontier: Medi-Cal Brings Managed Care to California’s Rural Counties, looks at :

The unique characteristics of health care environments in rural expansion counties

  • Managed care plan standards and State evaluation
  • Provider access
  • Key issues indicated by data

The full report is linked above.

Laura’s Law

There is interest in the Legislature to implement the Assisted Outpatient Treatment (AOT) Demonstration Act of 2002 – commonly referred to as Laura’s Law –in all 58 counties. While several counties have implemented or initiated research regarding the implementation of Laura’s Law, current law is permissive and does not require all counties to do so. In counties where Laura’s Law is implemented, a court may order a person to receive AOT treatment for up to six months.

Assembly Member Marie Waldron’s AB 59 as currently amended would require all counties to implement Laura’s Law and would require counties to use various continuously appropriated funding to do so, including Local Revenue funds and MHSA funds. In short, it would mandate counties to implement a new program, without providing additional funding to do so. AB 59 would also extend the AOT period to up to 12 months.

Assembly Member Eggman’s approach in AB 1193 requires each county to implement Laura’s Law in their county unless the County Board of Supervisors opt out of participating. It would also extend the Assisted Outpatient Treatment Demonstration Project Act of 2002 to January 1, 2022 from the current repeal date of January 1, 2017.

Although CSAC supports Laura’s Law in concept, we strongly support the current local flexibility that allows each county to determine whether AOT is the right course of action in their communities. CSAC will be working on both of these measures and is seeking comments from counties on their perspectives.

We also note that five counties have implemented some form of Laura’s Law in the last year (Placer, Orange, San Diego, Los Angeles, and San Francisco), but only after careful consideration by the board of supervisors and their communities.

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