California Senate Bill SB311 Amended / Bill

 BILL NUMBER: SB 311AMENDED 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.