HomeMy WebLinkAboutMINUTES - 05032011 - C.34RECOMMENDATION(S):
SUPPORT Senate Bill 810 (Leno): Single-Payer Health Care Coverage, a bill that
establishes the State Healthcare System, creates State Healthcare Agency, makes all
residents eligible for specified health care benefits under the System, which would, on a
single-payer basis, negotiate for or set fees for health care services provided through the
system and pay claims for those services, and creates the Healthcare Policy Board, as
recommended by the Legislation Committee.
FISCAL IMPACT:
Unknown impact on the County.
BACKGROUND:
SUMMARY: SB 810, as introduced, Leno. Single-payer health care coverage.
Establishes the State Healthcare System. Creates State Healthcare Agency. Makes all
residents eligible for specified health care
benefits under the System, which would, on a single-payer basis, negotiate for or set fees
for health care services provided through the system and pay claims for those services.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 05/03/2011 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
NO:Mary N. Piepho, District III
Supervisor
Contact: L. DeLaney,
925-335-1097
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 3, 2011
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: Carrie Del Bonta, Deputy
cc:
C. 34
To:Board of Supervisors
From:Legislation Committee
Date:May 3, 2011
Contra
Costa
County
Subject:SUPPORT SB 810 (Leno): Single-Payer Health Care Coverage
Creates the Healthcare Policy Board.
Existing law does not provide a system of universal health care coverage for California
residents. Existing law provides for the creation of various programs to provide health care
services to persons who have limited incomes and meet various eligibility requirements.
These programs include the Healthy Families Program administered by the Managed Risk
Medical Insurance Board, and the Medi-Cal program administered by the State Department
of Health Care Services. Existing law provides for the regulation of health care service
plans by the Department of Managed Health Care and health insurers by the Department of
Insurance. Existing law establishes the California Health Benefit Exchange to facilitate the
purchase of qualified health plans through the Exchange by qualified individuals and small
employers by January, 1, 2014.
This bill would establish the California Healthcare System to be administered by the newly
created California Healthcare Agency under the control of a Healthcare Commissioner
appointed by the Governor and subject to confirmation by the Senate. The bill would make
all California residents eligible for specified health care benefits under the California
Healthcare System, which would, on a single-payer basis, negotiate for or set fees for health
care services provided through the system and pay claims for those services. The bill would
require the commissioner to seek all necessary waivers, exemptions, agreements, or
legislation to allow various existing federal, state, and local health care payments to be paid
to the California Healthcare System, which would then assume responsibility for all benefits
and services previously paid for with those funds.
The bill would create the Healthcare Policy Board to establish policy on medical issues and
various other matters relating to the system. The bill would create the Office of Patient
Advocacy within the agency to represent the interests of health care consumers relative to
the system. The bill would create within the agency the Office of Health Planning to plan
for the health care needs of the population, and the Office of Health Care Quality, headed
by a chief medical officer, to support the delivery of high quality care and promote provider
and patient satisfaction. The bill would create the Office of Inspector General for the
California Healthcare System within the Attorney General's office, which would have
various oversight powers. The bill would prohibit health care service plan contracts or
health insurance policies from being issued for services covered by the California
Healthcare System, subject to appropriation by the Legislature, and would authorize the
collection of penalty moneys for deposit into the fund. The bill would create the Healthcare
Fund and the Payments Board to administer the finances of the California Healthcare
System. The bill would create the California Healthcare Premium Commission (Premium
Commission) to determine the cost of the California Healthcare System and to develop a
premium structure for the system that complies with specified standards. The bill would
require the Premium Commission to recommend a premium structure to the Governor and
the Legislature on or before January 1, 2014, and to make a draft recommendation to the
Governor, the Legislature, and the public 90 days before submitting its final premium
structure recommendation. The bill would specify that only its provisions relating to the
Premium Commission would become operative on January 1, 2012, with its remaining
provisions becoming operative on the date the Secretary of California Health and Human
Services notifies the Legislature, as specified, that sufficient funding exists to implement the
California Healthcare System or the date the secretary receives the necessary federal waiver
under the federal Patient Protection and Affordable Care Act, whichever is later.
The bill would extend the application of certain insurance fraud laws to providers of
services and products under the system, thereby imposing a state-mandated local program
by revising the definition of a crime. The bill would enact other related provisions relative
to budgeting, regional entities, federal preemption, subrogation, collective bargaining
agreements, compensation of health care providers, conflict of interest, patient grievances,
and independent medical review.
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 no reimbursement is required by this act for a specified reason.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program:
yes.
The Legislation Committee considered this bill at its April 28, 2011 meeting and
recommends the Board of Supervisors support it.
BACKGROUND: (CONT'D)
STATUS:
02/18/2011 INTRODUCED.
03/10/2011 To SENATE Committees on HEALTH and RULES.
DISPOSITION: Pending
COMMITTEE: Senate Health Committee
HEARING: 05/04/2011 1:30 pm, Burton Hearing Room (4203)
CONSEQUENCE OF NEGATIVE ACTION:
The Board of Supervisors would not have an official position on record for this bill and
would not be able to advocate for its enactment.
ATTACHMENTS
SB 810 (Leno) Bill Text and Fact Sheet