If implemented, AB 2233 would not only expand access to assisted living services but also address existing program challenges, such as low provider participation due to reimbursement rates and a waiting list of approximately 2,500 individuals across multiple counties. By phasing in new slots and allowing regional expansion, particularly in underserved areas, the bill contemplates a more equitable distribution of resources and support for vulnerable populations. Additionally, it encourages stakeholder involvement in the program’s development and oversight, ensuring that community needs are prioritized.
Summary
Assembly Bill 2233, introduced by Assembly Member Kalra, aims to enhance the Medi-Cal Assisted Living Waiver program, which provides essential services to low-income individuals requiring assisted living. The bill proposes significantly increasing the number of waiver slots from currently authorized 3,700 to at least 18,500, with a focus on facilitating transitions from institutionalized care. This initiative aligns with the state’s commitment to ensuring individuals with disabilities receive care in the most integrated setting, as outlined by the Olmstead decision.
Sentiment
The sentiment surrounding AB 2233 appears positive among proponents who view it as a significant step towards improving long-term care options for the elderly and disabled. Advocates argue that the expansion of the waiver program is crucial for reducing institutionalization rates and providing more dignified living situations for individuals needing care. However, some stakeholders may raise concerns about the ability of providers to accommodate such increased demand while maintaining quality standards and compliance with regulatory requirements.
Contention
While the bill's goals resonate with many advocates, there may be points of contention related to financial implications, particularly concerning budget neutrality and securing necessary federal approvals. The emphasis on increasing slots while ensuring adequate provider reimbursement may lead to debates about fiscal sustainability. Opponents might also question whether the rapid expansion could compromise service quality or exacerbate existing challenges in administrative processes.
Relating to improving the delivery and quality of certain health and human services, including the delivery and quality of Medicaid acute care services and long-term services and supports.
Relating to improving the delivery and quality of certain health and human services, including the delivery and quality of Medicaid acute care services and long-term services and supports.
Relating to the administration and operation of Medicaid, including Medicaid managed care and the delivery of Medicaid acute care services and long-term services and supports to certain persons.