Amended IN Assembly August 20, 2018 Amended IN Assembly June 20, 2018 Amended IN Senate April 09, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 1108Introduced by Senator HernandezFebruary 13, 2018 An act to add Section 14012 to the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTSB 1108, as amended, Hernandez. Medi-Cal: conditions of eligibility or coverage.Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing federal guidance authorizes the states to require, through Medicaid demonstration projects, certain adult Medicaid beneficiaries to participate in work or community engagement activities as a condition of continued Medicaid eligibility or coverage.This bill would prohibit the department from seeking or obtaining a Medicaid demonstration project or waiver to require work or community engagement activities as a condition of Medi-Cal eligibility or coverage, to require waiting periods, time limits, or coverage lockouts, as specified, or to require any other condition of Medi-Cal eligibility or coverage not required by any other provision of state law or federal statute or regulation. The bill would not preclude the department from establishing or maintaining additional eligibility criteria for public health benefit programs administered by the department that offer additional benefits or care coordination to Medi-Cal beneficiaries, nor would the bill limit the departments ability to establish or maintain additional eligibility criteria for the purpose of extending Medi-Cal coverage to an eligibility category or group that is otherwise ineligible for full-scope Medi-Cal benefits. authorize the department to seek waivers of federal Medicaid requirements, including, but not limited to, demonstration projects that aim to either increase the number of Medi-Cal beneficiaries or enhance the medical assistance provided to beneficiaries, as specified. The bill would require a waiver proposed by the department, which offers nonmedical benefits to Medi-Cal beneficiaries, to offer these benefits on a voluntary basis, and not as a condition of receiving medical assistance.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 14012 is added to the Welfare and Institutions Code, to read:14012. (a) The Legislature finds and declares that the goal of the Medi-Cal program is to provide comprehensive health care to low-income Californians who cannot afford the cost of health care.(b) (1) The department may seek waivers of federal Medicaid requirements in furtherance of this goal, including, but not limited to, demonstration projects that aim to either increase the number of Medi-Cal beneficiaries or enhance the medical assistance provided to beneficiaries.(2) A waiver proposed by the department, which offers nonmedical benefits to Medi-Cal beneficiaries, including, but not limited to, employment or housing assistance, shall offer these benefits on a voluntary basis, and not as a condition of receiving medical assistance.(c) Prior to applying for a federal waiver or an extension of a federal waiver, the department shall provide a public notice and comment period pursuant to Section 431.408 of Title 42 of the Code of Federal Regulations, effective April 27, 2012, and any other subsequently developed federal requirements.SECTION 1.Section 14012 is added to the Welfare and Institutions Code, to read:14012.The department shall neither seek nor obtain a Medicaid demonstration project or waiver to require any of the following:(a)Work or community engagement activities as a condition of Medi-Cal eligibility or coverage.(b)Waiting periods, time limits, or coverage lockouts prior or subsequent to the determination of Medi-Cal eligibility or coverage.(c)Any other condition of Medi-Cal eligibility or coverage not required by any other provision of state law or federal statute or regulation.(d)This section shall not preclude the department from establishing or maintaining additional eligibility criteria for public health benefit programs administered by the department that offer additional benefits or care coordination to Medi-Cal beneficiaries, nor shall this section limit the departments ability to establish or maintain additional eligibility criteria for the purpose of extending Medi-Cal coverage to an eligibility category or group that is otherwise ineligible for full-scope Medi-Cal benefits.
Amended IN Assembly August 20, 2018 Amended IN Assembly June 20, 2018 Amended IN Senate April 09, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 1108Introduced by Senator HernandezFebruary 13, 2018 An act to add Section 14012 to the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTSB 1108, as amended, Hernandez. Medi-Cal: conditions of eligibility or coverage.Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing federal guidance authorizes the states to require, through Medicaid demonstration projects, certain adult Medicaid beneficiaries to participate in work or community engagement activities as a condition of continued Medicaid eligibility or coverage.This bill would prohibit the department from seeking or obtaining a Medicaid demonstration project or waiver to require work or community engagement activities as a condition of Medi-Cal eligibility or coverage, to require waiting periods, time limits, or coverage lockouts, as specified, or to require any other condition of Medi-Cal eligibility or coverage not required by any other provision of state law or federal statute or regulation. The bill would not preclude the department from establishing or maintaining additional eligibility criteria for public health benefit programs administered by the department that offer additional benefits or care coordination to Medi-Cal beneficiaries, nor would the bill limit the departments ability to establish or maintain additional eligibility criteria for the purpose of extending Medi-Cal coverage to an eligibility category or group that is otherwise ineligible for full-scope Medi-Cal benefits. authorize the department to seek waivers of federal Medicaid requirements, including, but not limited to, demonstration projects that aim to either increase the number of Medi-Cal beneficiaries or enhance the medical assistance provided to beneficiaries, as specified. The bill would require a waiver proposed by the department, which offers nonmedical benefits to Medi-Cal beneficiaries, to offer these benefits on a voluntary basis, and not as a condition of receiving medical assistance.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
Amended IN Assembly August 20, 2018 Amended IN Assembly June 20, 2018 Amended IN Senate April 09, 2018
Amended IN Assembly August 20, 2018
Amended IN Assembly June 20, 2018
Amended IN Senate April 09, 2018
CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION
Senate Bill No. 1108
Introduced by Senator HernandezFebruary 13, 2018
Introduced by Senator Hernandez
February 13, 2018
An act to add Section 14012 to the Welfare and Institutions Code, relating to Medi-Cal.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
SB 1108, as amended, Hernandez. Medi-Cal: conditions of eligibility or coverage.
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing federal guidance authorizes the states to require, through Medicaid demonstration projects, certain adult Medicaid beneficiaries to participate in work or community engagement activities as a condition of continued Medicaid eligibility or coverage.This bill would prohibit the department from seeking or obtaining a Medicaid demonstration project or waiver to require work or community engagement activities as a condition of Medi-Cal eligibility or coverage, to require waiting periods, time limits, or coverage lockouts, as specified, or to require any other condition of Medi-Cal eligibility or coverage not required by any other provision of state law or federal statute or regulation. The bill would not preclude the department from establishing or maintaining additional eligibility criteria for public health benefit programs administered by the department that offer additional benefits or care coordination to Medi-Cal beneficiaries, nor would the bill limit the departments ability to establish or maintain additional eligibility criteria for the purpose of extending Medi-Cal coverage to an eligibility category or group that is otherwise ineligible for full-scope Medi-Cal benefits. authorize the department to seek waivers of federal Medicaid requirements, including, but not limited to, demonstration projects that aim to either increase the number of Medi-Cal beneficiaries or enhance the medical assistance provided to beneficiaries, as specified. The bill would require a waiver proposed by the department, which offers nonmedical benefits to Medi-Cal beneficiaries, to offer these benefits on a voluntary basis, and not as a condition of receiving medical assistance.
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing federal guidance authorizes the states to require, through Medicaid demonstration projects, certain adult Medicaid beneficiaries to participate in work or community engagement activities as a condition of continued Medicaid eligibility or coverage.
This bill would prohibit the department from seeking or obtaining a Medicaid demonstration project or waiver to require work or community engagement activities as a condition of Medi-Cal eligibility or coverage, to require waiting periods, time limits, or coverage lockouts, as specified, or to require any other condition of Medi-Cal eligibility or coverage not required by any other provision of state law or federal statute or regulation. The bill would not preclude the department from establishing or maintaining additional eligibility criteria for public health benefit programs administered by the department that offer additional benefits or care coordination to Medi-Cal beneficiaries, nor would the bill limit the departments ability to establish or maintain additional eligibility criteria for the purpose of extending Medi-Cal coverage to an eligibility category or group that is otherwise ineligible for full-scope Medi-Cal benefits. authorize the department to seek waivers of federal Medicaid requirements, including, but not limited to, demonstration projects that aim to either increase the number of Medi-Cal beneficiaries or enhance the medical assistance provided to beneficiaries, as specified. The bill would require a waiver proposed by the department, which offers nonmedical benefits to Medi-Cal beneficiaries, to offer these benefits on a voluntary basis, and not as a condition of receiving medical assistance.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 14012 is added to the Welfare and Institutions Code, to read:14012. (a) The Legislature finds and declares that the goal of the Medi-Cal program is to provide comprehensive health care to low-income Californians who cannot afford the cost of health care.(b) (1) The department may seek waivers of federal Medicaid requirements in furtherance of this goal, including, but not limited to, demonstration projects that aim to either increase the number of Medi-Cal beneficiaries or enhance the medical assistance provided to beneficiaries.(2) A waiver proposed by the department, which offers nonmedical benefits to Medi-Cal beneficiaries, including, but not limited to, employment or housing assistance, shall offer these benefits on a voluntary basis, and not as a condition of receiving medical assistance.(c) Prior to applying for a federal waiver or an extension of a federal waiver, the department shall provide a public notice and comment period pursuant to Section 431.408 of Title 42 of the Code of Federal Regulations, effective April 27, 2012, and any other subsequently developed federal requirements.SECTION 1.Section 14012 is added to the Welfare and Institutions Code, to read:14012.The department shall neither seek nor obtain a Medicaid demonstration project or waiver to require any of the following:(a)Work or community engagement activities as a condition of Medi-Cal eligibility or coverage.(b)Waiting periods, time limits, or coverage lockouts prior or subsequent to the determination of Medi-Cal eligibility or coverage.(c)Any other condition of Medi-Cal eligibility or coverage not required by any other provision of state law or federal statute or regulation.(d)This section shall not preclude the department from establishing or maintaining additional eligibility criteria for public health benefit programs administered by the department that offer additional benefits or care coordination to Medi-Cal beneficiaries, nor shall this section limit the departments ability to establish or maintain additional eligibility criteria for the purpose of extending Medi-Cal coverage to an eligibility category or group that is otherwise ineligible for full-scope Medi-Cal benefits.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Section 14012 is added to the Welfare and Institutions Code, to read:14012. (a) The Legislature finds and declares that the goal of the Medi-Cal program is to provide comprehensive health care to low-income Californians who cannot afford the cost of health care.(b) (1) The department may seek waivers of federal Medicaid requirements in furtherance of this goal, including, but not limited to, demonstration projects that aim to either increase the number of Medi-Cal beneficiaries or enhance the medical assistance provided to beneficiaries.(2) A waiver proposed by the department, which offers nonmedical benefits to Medi-Cal beneficiaries, including, but not limited to, employment or housing assistance, shall offer these benefits on a voluntary basis, and not as a condition of receiving medical assistance.(c) Prior to applying for a federal waiver or an extension of a federal waiver, the department shall provide a public notice and comment period pursuant to Section 431.408 of Title 42 of the Code of Federal Regulations, effective April 27, 2012, and any other subsequently developed federal requirements.
SECTION 1. Section 14012 is added to the Welfare and Institutions Code, to read:
### SECTION 1.
14012. (a) The Legislature finds and declares that the goal of the Medi-Cal program is to provide comprehensive health care to low-income Californians who cannot afford the cost of health care.(b) (1) The department may seek waivers of federal Medicaid requirements in furtherance of this goal, including, but not limited to, demonstration projects that aim to either increase the number of Medi-Cal beneficiaries or enhance the medical assistance provided to beneficiaries.(2) A waiver proposed by the department, which offers nonmedical benefits to Medi-Cal beneficiaries, including, but not limited to, employment or housing assistance, shall offer these benefits on a voluntary basis, and not as a condition of receiving medical assistance.(c) Prior to applying for a federal waiver or an extension of a federal waiver, the department shall provide a public notice and comment period pursuant to Section 431.408 of Title 42 of the Code of Federal Regulations, effective April 27, 2012, and any other subsequently developed federal requirements.
14012. (a) The Legislature finds and declares that the goal of the Medi-Cal program is to provide comprehensive health care to low-income Californians who cannot afford the cost of health care.(b) (1) The department may seek waivers of federal Medicaid requirements in furtherance of this goal, including, but not limited to, demonstration projects that aim to either increase the number of Medi-Cal beneficiaries or enhance the medical assistance provided to beneficiaries.(2) A waiver proposed by the department, which offers nonmedical benefits to Medi-Cal beneficiaries, including, but not limited to, employment or housing assistance, shall offer these benefits on a voluntary basis, and not as a condition of receiving medical assistance.(c) Prior to applying for a federal waiver or an extension of a federal waiver, the department shall provide a public notice and comment period pursuant to Section 431.408 of Title 42 of the Code of Federal Regulations, effective April 27, 2012, and any other subsequently developed federal requirements.
14012. (a) The Legislature finds and declares that the goal of the Medi-Cal program is to provide comprehensive health care to low-income Californians who cannot afford the cost of health care.(b) (1) The department may seek waivers of federal Medicaid requirements in furtherance of this goal, including, but not limited to, demonstration projects that aim to either increase the number of Medi-Cal beneficiaries or enhance the medical assistance provided to beneficiaries.(2) A waiver proposed by the department, which offers nonmedical benefits to Medi-Cal beneficiaries, including, but not limited to, employment or housing assistance, shall offer these benefits on a voluntary basis, and not as a condition of receiving medical assistance.(c) Prior to applying for a federal waiver or an extension of a federal waiver, the department shall provide a public notice and comment period pursuant to Section 431.408 of Title 42 of the Code of Federal Regulations, effective April 27, 2012, and any other subsequently developed federal requirements.
14012. (a) The Legislature finds and declares that the goal of the Medi-Cal program is to provide comprehensive health care to low-income Californians who cannot afford the cost of health care.
(b) (1) The department may seek waivers of federal Medicaid requirements in furtherance of this goal, including, but not limited to, demonstration projects that aim to either increase the number of Medi-Cal beneficiaries or enhance the medical assistance provided to beneficiaries.
(2) A waiver proposed by the department, which offers nonmedical benefits to Medi-Cal beneficiaries, including, but not limited to, employment or housing assistance, shall offer these benefits on a voluntary basis, and not as a condition of receiving medical assistance.
(c) Prior to applying for a federal waiver or an extension of a federal waiver, the department shall provide a public notice and comment period pursuant to Section 431.408 of Title 42 of the Code of Federal Regulations, effective April 27, 2012, and any other subsequently developed federal requirements.
The department shall neither seek nor obtain a Medicaid demonstration project or waiver to require any of the following:
(a)Work or community engagement activities as a condition of Medi-Cal eligibility or coverage.
(b)Waiting periods, time limits, or coverage lockouts prior or subsequent to the determination of Medi-Cal eligibility or coverage.
(c)Any other condition of Medi-Cal eligibility or coverage not required by any other provision of state law or federal statute or regulation.
(d)This section shall not preclude the department from establishing or maintaining additional eligibility criteria for public health benefit programs administered by the department that offer additional benefits or care coordination to Medi-Cal beneficiaries, nor shall this section limit the departments ability to establish or maintain additional eligibility criteria for the purpose of extending Medi-Cal coverage to an eligibility category or group that is otherwise ineligible for full-scope Medi-Cal benefits.