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HomeMy WebLinkAboutMINUTES - 05052009 - C.17RECOMMENDATION(S): SUPPORT Senate Bill 114 (Liu), legislation that would require independent foster care adolescents to be enrolled in Medi-Cal without reapplication after April 1, 2010, as recommended by the Legislation Committee. FISCAL IMPACT: Unknown. However, the author argues that it does not make moral or fiscal sense for the state to spend scarce dollars and staff hours making these former foster youth fill out Medi-Cal paperwork since they cannot, by law, be refused eligibility. BACKGROUND: SB 114, by Senator Carol Liu, will automatically deem an independent foster care adolescent eligible for Medi-Cal benefits on his or her 18th birthday without any interruption to coverage and without requiring a new application for benefits. In 2000, California exercised its option to provide Medi-Cal to former foster youth and children transitioning out of foster care at age 18 up until they turn 21. SB 114 seeks to help APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 05/05/2009 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, District I Supervisor Gayle B. Uilkema, District II Supervisor Mary N. Piepho, District III Supervisor Susan A. Bonilla, District IV Supervisor Federal D. Glover, District V Supervisor Contact: L. DeLaney, 5-1097 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: May 5, 2009 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.17 To:Board of Supervisors From:Legislation Committee Date:May 5, 2009 Contra Costa County Subject:SUPPORT POSITION for SB 114 (Liu): Medi-Cal: independent foster care former foster youth maintain BACKGROUND: (CONT'D) their Medi-Cal benefits under this option despite this population’s often transitory and varied living arrangements. Under SB 114, annual redetermination forms still will be sent to former foster youth, but a failure to return the form would not result in a change in eligibility, as long as other eligibility requirements are met. In addition, the state may terminate the foster youth’s Medi-Cal benefits only if it is determined that a former foster youth is no longer eligible. This process would meet federal redetermination requirements and eliminate unnecessary paperwork, while ensuring that eligible youth do not lose their Medi-Cal benefits before the age of 21. Former foster youth face an uphill battle when they are released from foster care at 18 and expected to take on significant adult responsibilities. The state of California has recognized since 2000 that access to medical care for this vulnerable population is a necessary component of success in employment and education. SB 114 will help former foster youth remain healthy and more able to compete in the adult world. For these reasons, CSAC supports SB 114. SB 114 was sent to Senate Appropriations Committee on 4/20. Prior legislation SB 1132 (Migden) of 2008 contained substantially similar language to this bill and was vetoed by the Governor, who stated: "federal law currently requires states to conduct annual eligibility determinations for Medi-Cal beneficiaries." According to the author, SB 114 has been drafted with assistance from DHCS to address the Governor's concerns. SB 147 (Alper,2000) would have required eliminated income and asset tests when determining Medi-Cal eligibility of independent foster care adolescents. This bill was vetoed. AB 2877 (Thompson), Chapter 93, Statutes of 2000, extended Medi-Cal eligibility to foster youth up to age 21, in accordance with a new federal option. Supporters argue that SB 114 would clarify current law and procedures to ensure that youth who have left foster care are able to receive services with minimal action on their part, which will ensure ongoing health care coverage for these young adults, who often face tremendous odds against their success. ATTACHMENTS Bill Text SB 114 CSAC Support SB 114 AMENDED IN SENATE MARCH 16, 2009 SENATE BILL No. 114 Introduced by Senator Liu Senators Liu and Pavley (Principal coauthor: Assembly Member Jones) January 29, 2009 An act to amend Section 14005.28 of the Welfare and Institutions Code, relating to Medi-Cal. legislative counsel’s digest SB 114, as amended, Liu.Medi-Cal: independent foster care adolescents. Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income persons receive health care benefits. Existing law requires the department, if, and to the extent that, all necessary federal approvals are obtained for federal financial participation, to implement a federal option to extend Medi-Cal benefits to independent foster care adolescents, as defined in federal law. This bill would specify that, if the department has exercised this option, commencing April 1, 2010, specified independent foster care adolescents would be deemed eligible for the benefits and would be automatically enrolled without requiring a new application and without an interruption in coverage. This bill would require the department to develop and implement a simplified form for the annual redetermination of benefits. An independent foster care adolescent would only be required to fill out and return the form if previously provided information was no longer accurate. 98 This bill would specify that the bill would be implemented only if, and to the extent that, federal financial participation is available and any necessary federal approvals are obtained. This bill would also prescribe a process for terminating the eligibility of an independent foster care adolescent. Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no. The people of the State of California do enact as follows: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 SECTION 1.Section 14005.28 of the Welfare and Institutions Code is amended to read: 14005.28.(a)  To the extent federal financial participation is available pursuant to an approved state plan amendment, the department shall exercise its option under Section 1902(a)(10)(A)(ii)(XVII) of the federal Social Security Act (42 U.S.C. Sec. 1396a(a)(10)(A)(ii)(XVII)) to extend Medi-Cal benefits to independent foster care adolescents, as defined in Section 1905(w)(1) of the federal Social Security Act (42 U.S.C. Sec. 1396d(w)(1)). (b)  An independent foster care adolescent who is in foster care on his or her 18th birthday shall be deemed eligible for the benefits extended pursuant to this section and shall be enrolled to receive these benefits without any interruption in coverage and without requiring a new application. The department may terminate eligibility if it determines that an independent foster care adolescent is no longer eligible only after ineligibility is established and all due process requirements are met in accordance with state and federal law. (c)  The department shall develop and implement a simplified form for redetermination. An independent foster care adolescent shall fill out and return this form only if information previously reported to the department is no longer accurate. Failure to return the form alone will not constitute a basis for termination of Medi-Cal benefits so long as all other eligibility requirements have been met. The department may terminate eligibility if it determines that an independent foster care adolescent is no longer eligible only after ineligibility is established and all due process requirements are met in accordance with state and federal law. 98 — 2 —SB 114 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 (d)  Subdivisions (b) and (c) shall be implemented on April 1, 2010, and shall be implemented only to the extent that federal financial participation is available, and any necessary federal approvals are obtained. (e)  Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, and if the state plan amendment described in subdivision (a) is approved by the federal Centers for Medicare and Medicaid Services, the department may implement this section without taking any regulatory action and by means of all-county letters or similar instructions. Thereafter, the department shall adopt regulations in accordance with the requirements of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code. (f)  The department shall implement subdivision (a) on October 1, 2000, but only if, and to the extent that, the department has obtained all necessary federal approvals. O 98 SB 114— 3 —