Email notifications are now in beta! Learn more and sign up today!
Open States depends upon donations to keep our servers running. If you find Open States useful please consider becoming a patron or making a one-time donation today.

Open States' stated mission is to improve civic engagement.

To be true to that goal, we can not stand by and be silent when a large portion of Americans face systemic racism and other forms of oppression. That oppression has meant being excluded from civic participation at the ballot box, being called un-American for peaceful protests, and being denied justice for crimes committed against them.

Please consider giving to local causes that support racial justice in your area.

#BlackLivesMatter

AB 1

  • California Assembly Bill
  • 2013-2014, 1st Special Session
  • Introduced in Assembly
  • Passed Assembly Mar 07, 2013
  • Passed Senate Jun 15, 2013
  • Governor

Medi-Cal: eligibility.

Bill Subjects

Medi-Cal: Eligibility.

Abstract

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. This bill would, commencing January 1, 2014, implement various provisions of the federal Patient Protection and Affordable Care Act (Affordable Care Act) , as amended, by, among other things, modifying provisions relating to determining eligibility for certain groups. The bill would, in this regard, extend Medi-Cal eligibility to specified adults and would require that income eligibility be determined based on modified adjusted gross income (MAGI) , as prescribed. The bill would prohibit the use of an asset or resources test for individuals whose financial eligibility for Medi-Cal is determined based on the application of MAGI. The bill would require that individuals who are enrolled in the Low Income Health Program as of December 31, 2013, under a specified waiver who are at or below 133% of the federal poverty level be transitioned directly to the Medi-Cal program, as prescribed. The bill would provide that the implementation of the optional expansion of Medi-Cal benefits to adults who meet specified eligibility requirements shall be contingent on the federal medical assistance percentage (FMAP) payable to the state under the Affordable Care Act is not being reduced below specified percentages, as specified. Because counties are required to make Medi-Cal eligibility determinations and this bill would expand Medi-Cal eligibility, the bill would impose a state-mandated local program. The bill would require the California Health Benefit Exchange (Exchange) to implement a workflow transfer protocol, as prescribed, for persons calling the customer service center operated by the Exchange for the purpose of applying for an insurance affordability program, to ascertain which individuals are potentially eligible for Medi-Cal. This bill would also prescribe the authority the department, the Exchange, and the counties would have, until July 1, 2015, to perform Medi-Cal eligibility determinations. The bill would require the department to verify the accuracy of certain information that is provided as part of the application or redetermination process when determining whether an individual is eligible for Medi-Cal benefits, as prescribed. The bill would require the department, any other government agency that is determining eligibility for, or enrollment in, the Medi-Cal program or any other program administered by the department, or collecting protected information for those purposes, and the Exchange to share specified information with each other as necessary to enable them to perform their respective statutory and regulatory duties under state and federal law. Existing law requires an applicant or beneficiary, as specified, who resides in an area served by a managed health care plan or pilot program in which beneficiaries may enroll, to personally attend a presentation at which the applicant or beneficiary is informed of managed care and fee-for-service options for receiving Medi-Cal benefits. Existing law requires the applicant or beneficiary to indicate in writing his or her choice of health care options and provides that if the applicant or beneficiary does not make a choice, he or she shall be assigned to and enrolled in an appropriate Medi-Cal managed care plan, pilot project, or fee-for-service case management provider providing service within the area in which the beneficiary resides. Existing law requires the department to develop a program, as specified, to implement these provisions. This bill would revise these provisions to, among other things, require the department to develop a program to allow individuals or their authorized representatives to select Medi-Cal managed care plans via the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERs) . Existing law requires Medi-Cal beneficiaries, with some exceptions, to file semiannual status reports to ensure that beneficiaries make timely and accurate reports of any change in circumstance that may affect their eligibility and requires, with some exceptions, a county to promptly redetermine eligibility whenever a county receives information about changes in a beneficiary's circumstances that may affect eligibility for Medi-Cal benefits. This bill would, commencing January 1, 2014, revise these provisions to, among other things, delete the semiannual status report requirement and require a county to perform redeterminations every 12 months. The bill would require any forms signed by the beneficiary for purposes of redetermining eligibility to be signed under penalty of perjury. By expanding the crime of perjury, 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 with regard to certain mandates no reimbursement is required by this act for a specified reason. With regard to any other mandates, this bill would provide that, if the Commission on State Mandates determines that the bill contains costs so mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above. This bill would become operative only if SB 1 of the 2013–14 First Extraordinary Session is enacted and takes effect.

Bill Sponsors (17)

John A. Pérez

Author

Bocanegra

Coauthor

Garcia

Coauthor

Roger Hernández

  • Democratic
Coauthor

Luis Alejo

  • Democratic
Coauthor

Bob Blumenfield

  • Democratic
Coauthor

V. Manuel Pérez

  • Democratic
Coauthor

Calderon

Coauthor

De León

Coauthor

Nora Campos

  • Democratic
Coauthor

Lou Correa

  • Democratic
Coauthor

Susan Talamantes Eggman

  • Democratic
  • lower
  • 13
Coauthor

Jimmy Gomez

  • Democratic
Coauthor

Ben Hueso

  • Democratic
  • upper
  • 40
Coauthor

Ricardo Lara

  • Democratic
Coauthor

Richard Pan

  • Democratic
  • upper
  • 6
Coauthor

Sharon Quirk-Silva

  • Democratic
  • lower
  • 65
Coauthor

Votes


Actions


Jun 27, 2013

California State Legislature

Chaptered by Secretary of State. Chapter 3, Statutes of 2013-14 First Extraordinary Session.

California State Legislature

Approved by the Governor.

Jun 18, 2013

California State Legislature

Enrolled and presented to the Governor at 4:15 p.m.

Jun 15, 2013

Assembly

Assembly Rule 77 suspended. (Ayes 53. Noes 24. Page 139.)

Assembly

In Assembly. Concurrence in Senate amendments pending. May be considered on or after June 17 pursuant to Assembly Rule 77.

Senate

Read third time. Passed. Ordered to the Assembly. (Ayes 28. Noes 8. Page 75.).

Senate

Read second time. Ordered to third reading.

Senate

Senate Rule 29.3 suspended. (Ayes 23. Noes 8. Page 75.)

Assembly

Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 54. Noes 24. Page 140.).

Assembly

Assembly Rule 63 suspended. (Ayes 53. Noes 24. Page 139.)

Jun 14, 2013

Senate

(Ayes 27. Noes 10. Page 70.)

Senate

Withdrawn from committee.

Senate

Ordered to third reading.

Senate

Read third time and amended. Ordered to second reading.

Jun 13, 2013

Senate

From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 2.) (June 12). Re-referred to Com. on APPR.

  • Committee-Passage-Favorable
  • Referral-Committee
  • Committee-Passage
Com. on APPR.

Jun 04, 2013

Senate

From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.

  • Amendment-Introduction
  • Amendment-Passage
  • Reading-2
  • Reading-1
  • Referral-Committee
Com. on HEALTH.

Mar 14, 2013

Senate

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Mar 07, 2013

Senate

In Senate. Read first time. To Com. on RLS. for assignment.

Assembly

Read third time. Passed. Ordered to the Senate. (Ayes 54. Noes 22. Page 54.)

Feb 26, 2013

Assembly

Read second time. Ordered to third reading.

Feb 25, 2013

Assembly

From committee: Do pass. (Ayes 12. Noes 5.) (February 25).

Feb 19, 2013

Assembly

From committee: Do pass and re-refer to Com. on APPR. (Ayes 13. Noes 6.) (February 19). Re-referred to Com. on APPR.

  • Committee-Passage-Favorable
  • Referral-Committee
  • Committee-Passage
Com. on APPR.

Feb 11, 2013

Assembly

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Jan 29, 2013

Assembly

From printer.

Jan 28, 2013

Assembly

Read first time. To print.

Bill Text

Bill Text Versions Format
AB1 HTML
01/28/13 - Introduced PDF
06/04/13 - Amended Senate PDF
06/14/13 - Amended Senate PDF
06/18/13 - Enrolled PDF
06/27/13 - Chaptered PDF

Related Documents

Document Format
No related documents.

Sources

Data on Open States is updated nightly from the official website of the California State Legislature.

If you notice any inconsistencies with these official sources, feel free to file an issue.