Bill Text: CA SB311 | 2009-2010 | Regular Session | Amended
Bill Title: Healthy Families Program: prospective payment system.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2010-02-01 - Returned to Secretary of Senate pursuant to Joint Rule 56. [SB311 Detail]
Download: California-2009-SB311-Amended.html
BILL NUMBER: SB 311 AMENDED
BILL TEXT
AMENDED IN SENATE MAY 20, 2009
AMENDED IN SENATE APRIL 29, 2009
AMENDED IN SENATE APRIL 16, 2009
INTRODUCED BY Senator Alquist
FEBRUARY 25, 2009
An act to add Section 12693.265 12693.516
to the Insurance Code, relating to health care coverage.
LEGISLATIVE COUNSEL'S DIGEST
SB 311, as amended, Alquist. Healthy Families Program:
dental-only coverage. prospective payment system.
Existing law, the federal Children's Health Insurance Program
Reauthorization Act of 2009, authorizes
requires states with a separate Children's
Health Insurance Program to provide dental-only supplemental
coverage to children who are enrolled in group health care coverage
or health insurance coverage offered through an employer and who
would otherwise satisfy the requirements for being a targeted
low-income child, as specified to reimburse federally
qualified health centers and rural health clinics based on a
specified prospective payment system established under the
Medicaid Program .
Existing law creates the Healthy Families Program, administered by
the Managed Risk Medical Insurance Board, to arrange for the
provision of health, dental, and vision benefits to eligible children
pursuant to the federal Children's Health Insurance Program.
This bill would, contingent upon the receipt and appropriation of
funds, require the board to provide dental-only coverage
consistent with the federal Children's Health Insurance Program
Reauthorization Act of 2009, as specified, apply the
Medicaid prospective payment system to services provided under the
program by federally qualified health centers and rural health
clinics and would authorize the board to adopt emergency
regulations to implement that requirement.
This bill would also state the intent of the Legislature to enact
legislation that would implement other provisions of the federal
Children's Health Insurance Program Reauthorization Act of 2009.
Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. The Legislature hereby finds and declares all of the
following:
(a) Congress and the President have reauthorized the federal
Children's Health Insurance Program, which provides funding for the
state's Healthy Families Program.
(b) The reauthorization legislation has provided additional
funding for children's health insurance and additional flexibility to
states to improve and expand health care coverage for children.
(c) Although more than nine of every 10 children in California
have health care coverage, about 683,000 children in the state are
without health care coverage according to 2007 data from the Center
for Health Policy Research at the University of California at Los
Angeles.
(d) It is imperative that the state act to take advantage of the
increased federal funding and enhanced flexibility in administering
the federal Children's Health Insurance Program.
(e) It is the intent of the Legislature to enact legislation that
would implement the key elements of the federal Children's Health
Insurance Program Reauthorization Act of 2009, including receiving
federal matching funds for enrolling eligible immigrant children,
implementing changes to citizen documentation requirements, ensuring
parity in state coverage, establishing new payment methods for
clinics participating in the Healthy Families Program, measuring
quality of care within public programs, and taking advantage of the
increased federal funding that is available to California, including
bonuses and targeted grant programs, such as performance bonuses and
outreach funding.
SEC. 2. Section 12693.516 is added to the
Insurance Code , to read:
12693.516. (a) The board shall apply the prospective payment
system established under Section 1396a(bb) of Title 42 of the United
States Code to services provided under the program by federally
qualified health centers and rural health clinics as required by
Section 503 of Title V of the Children's Health Insurance Program
Reauthorization Act of 2009 (Public Law 111-3).
(b) The board may adopt, and may only one time readopt,
regulations, deemed to be emergency regulations, to implement
subdivision (a). This adoption and one-time readoption of a
regulation authorized by this subdivision is deemed to address an
emergency, for purposes of Sections 11346.1 and 11349.6 of the
Government Code, and the board is hereby exempted for this purpose
from the requirements of subdivision (b) of Section 11346.1 of the
Government Code.
(c) This section shall be implemented only if and to the extent
that federal financial participation is obtained and only if and to
the extent that funds are appropriated by the Legislature for
purposes of this section in the annual Budget Act or in another
statute.
SEC. 2. Section 12693.265 is added to the
Insurance Code, to read:
12693.265. (a) Subject to subdivisions (b) and (c), the board
shall provide dental-only coverage as authorized by Section 501 of
the Children's Health Insurance Program Reauthorization Act of 2009
(Public Law 111-3). To be eligible to receive this coverage, a child
shall be an eligible child, as described in subdivision (a) of
Section 12693.70, except that the child shall be enrolled in a group
health plan or employer-sponsored coverage that does not provide
dental benefits or cost sharing that meets the requirements of
Section 12693.63 and its implementing regulations.
(b) The board may adopt, and may only one time readopt,
regulations, deemed to be emergency regulations, to implement
subdivision (a). This adoption and one-time readoption of a
regulation authorized by this subdivision is deemed to address an
emergency, for purposes of Sections 11346.1 and 11349.6 of the
Government Code, and the board is hereby exempted for this purpose
from the requirements of subdivision (b) of Section 11346.1 of the
Government Code.
(c) This section shall be implemented only if and to the extent
that federal financial participation is obtained and only if and to
the extent that funds are appropriated by the Legislature for
purposes of this section in the annual Budget Act or in another
statute.
