CSAC Bulletin Article

Medi-Cal Legislation

SB 508 (Hernandez) – Support Enrolled on August 26, 2014

SB 508, by Senator Ed Hernandez, would make necessary changes to the statutory framework for California’s implementation of the Patient Protection and Affordable Care Act of 2010 (ACA). The measure is a follow-up to SBX1 1 (Hernandez and Steinberg, Chapter 4, Statutes of 2013) and ABX1 1 (Perez, Chapter 3, Statutes of 2013).
Specifically, SB 508 would codify the new federal income standards – utilizing modified adjusted gross income (MAGI) rules – established by the Department of Health Care Services (DHCS) for determining Medi-Cal eligibility. SB 508 ensures California statutes accurately reflect how the Administration has defined the MAGI standards for purposes of eligibility of various groups.

Additionally, the measure would extend Medi-Cal benefits to independent foster care adolescents. SB 508 would ensure that foster youth who lose foster care eligibility due to having reached the maximum age for assistance would still be able to get Medicaid coverage up to age 26 or a higher age the state has elected under federal law. Recent state law changes allow youth to remain in care beyond age 18, up to age 21. As a result, youth are leaving care at various ages. SB 508 ensures that these youth are treated equally for purposes of ongoing eligibility for Medi-Cal benefits. SB 508 also streamlines eligibility by deleting the deprivation requirement for parent or caretaker relatives.
SB 508 is enrolled and awaits the Governor’s action.

SB 1341 (Mitchell) – Support Enrolled on August 20, 2014 

SB 1341, by Senator Holly Mitchell, would codify the existing agreement between the Administration, Covered California, and the counties regarding the respective roles of the State Automated Welfare System (SAWS) and the California Health Eligibility Enrollment and Retention System (CalHEERS). 

Specifically, SB 1341:

  • Specifies SAWS as the system of record for Medi-Cal and that SAWS shall contain all Medi-Cal eligibility rules and case management functionality. The bill permits the MAGI rules for Medi-Cal to continue to be housed in CalHEERS as they currently are; and,
  • Requires that Notices of Action (NOAs) for Medi-Cal be programmed into the Medi-Cal system of record: the SAWS systems.

SB 1341 is enrolled and awaits the Governor’s action.

SB 1089 (Mitchell) – Support Enrolled on August 14, 2014

SB 1089, as amended by Senator Holly Mitchell, is sponsored by Los Angeles County and intended as a technical clean-up measure for AB 396 (Chapter 394, Statutes of 2011). AB 396 created a voluntary program that allows counties to draw down federal matching funds for the medical treatment of minors who are held in a juvenile justice facility and require hospitalization. SB 1089 seeks to clarify the county’s share of the costs and encourage the development of a claiming process.
SB 1089 is enrolled and awaits the Governor’s action. 

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