Amended IN Senate April 19, 2017 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 218Introduced by Senator DoddFebruary 01, 2017 An act to add Section 4885 to the Welfare and Institutions Code, relating to the Qualified ABLE Program. LEGISLATIVE COUNSEL'S DIGESTSB 218, as amended, Dodd. The Qualified ABLE Program: tax-advantaged savings accounts.Existing federal law, the Stephen Beck, Jr., Achieving a Better Life Experience Act of 2014 (ABLE Act), encourages and assists individuals and families to save private funds in a tax-advantaged savings account for the purpose of supporting persons with disabilities to maintain their health, independence, and quality of life by excluding from gross income distributions used for qualified disability expenses by a designated beneficiary of a qualified ABLE program established and maintained by a state, as specified. Existing state law authorizes a designated beneficiary, as defined, to have one ABLE account for these purposes.Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income persons receive health care benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law, with certain exceptions, requires the State Department of Health Care Services to seek recovery from a decedents estate for specified health care services, including home and community-based services, if the individual was 55 years of age or older when he or she received those health care services or against the real property of a Medi-Cal member of any age who is a permanently institutionalized individual who is an inpatient in a nursing facility, intermediate care facility for the intellectually disabled, or other medical institution. Existing law limits any claims against the estate of a decedent to only the real and personal property or other assets included in the individuals probate estate that are required to be subject to a claim for recovery under federal law.This bill would authorize the transfer of all amounts in the designated beneficiarys ABLE account to an ABLE account for another individual specified by either the designated beneficiary or the estate of the designated beneficiary upon the death of the designated beneficiary. The bill would prohibit the state from seeking distribution recovery under the Medi-Cal estate recovery provisions of any amount remaining in the designated beneficiarys ABLE account for any amount of medical assistance paid under the states Medicaid plan plan, unless the federal Centers for Medicare and Medicaid Services determines this provision is inconsistent with federal law, and would prohibit the state from filing a claim for the payment, as specified. payment under the ABLE Act.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 4885 is added to the Welfare and Institutions Code, to read:4885. (a) Notwithstanding any other state law, all amounts in the designated beneficiarys ABLE account, upon the death of the designated beneficiary, may be transferred to an ABLE account for another eligible individual specified by either the designated beneficiary or the estate of the designated beneficiary.(b) Following the death of a designated beneficiary, the both of the following shall apply:(1) The state shall not seek distribution recovery pursuant to Section 14009.5 of any amount remaining in the designated beneficiarys ABLE account for any amount of medical assistance paid for the designated beneficiary after the establishment of the account under the states Medicaid plan established under Title XIX of the Social Security Act, and the federal Social Security Act. This paragraph shall remain operative unless the federal Centers for Medicare and Medicaid Services determines this paragraph is inconsistent with federal law. (2) The state shall not file a claim for the payment under subdivision (f) of Section 529A of the Internal Revenue Code. Amended IN Senate April 19, 2017 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 218Introduced by Senator DoddFebruary 01, 2017 An act to add Section 4885 to the Welfare and Institutions Code, relating to the Qualified ABLE Program. LEGISLATIVE COUNSEL'S DIGESTSB 218, as amended, Dodd. The Qualified ABLE Program: tax-advantaged savings accounts.Existing federal law, the Stephen Beck, Jr., Achieving a Better Life Experience Act of 2014 (ABLE Act), encourages and assists individuals and families to save private funds in a tax-advantaged savings account for the purpose of supporting persons with disabilities to maintain their health, independence, and quality of life by excluding from gross income distributions used for qualified disability expenses by a designated beneficiary of a qualified ABLE program established and maintained by a state, as specified. Existing state law authorizes a designated beneficiary, as defined, to have one ABLE account for these purposes.Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income persons receive health care benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law, with certain exceptions, requires the State Department of Health Care Services to seek recovery from a decedents estate for specified health care services, including home and community-based services, if the individual was 55 years of age or older when he or she received those health care services or against the real property of a Medi-Cal member of any age who is a permanently institutionalized individual who is an inpatient in a nursing facility, intermediate care facility for the intellectually disabled, or other medical institution. Existing law limits any claims against the estate of a decedent to only the real and personal property or other assets included in the individuals probate estate that are required to be subject to a claim for recovery under federal law.This bill would authorize the transfer of all amounts in the designated beneficiarys ABLE account to an ABLE account for another individual specified by either the designated beneficiary or the estate of the designated beneficiary upon the death of the designated beneficiary. The bill would prohibit the state from seeking distribution recovery under the Medi-Cal estate recovery provisions of any amount remaining in the designated beneficiarys ABLE account for any amount of medical assistance paid under the states Medicaid plan plan, unless the federal Centers for Medicare and Medicaid Services determines this provision is inconsistent with federal law, and would prohibit the state from filing a claim for the payment, as specified. payment under the ABLE Act.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Amended IN Senate April 19, 2017 Amended IN Senate April 19, 2017 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 218 Introduced by Senator DoddFebruary 01, 2017 Introduced by Senator Dodd February 01, 2017 An act to add Section 4885 to the Welfare and Institutions Code, relating to the Qualified ABLE Program. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST SB 218, as amended, Dodd. The Qualified ABLE Program: tax-advantaged savings accounts. Existing federal law, the Stephen Beck, Jr., Achieving a Better Life Experience Act of 2014 (ABLE Act), encourages and assists individuals and families to save private funds in a tax-advantaged savings account for the purpose of supporting persons with disabilities to maintain their health, independence, and quality of life by excluding from gross income distributions used for qualified disability expenses by a designated beneficiary of a qualified ABLE program established and maintained by a state, as specified. Existing state law authorizes a designated beneficiary, as defined, to have one ABLE account for these purposes.Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income persons receive health care benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law, with certain exceptions, requires the State Department of Health Care Services to seek recovery from a decedents estate for specified health care services, including home and community-based services, if the individual was 55 years of age or older when he or she received those health care services or against the real property of a Medi-Cal member of any age who is a permanently institutionalized individual who is an inpatient in a nursing facility, intermediate care facility for the intellectually disabled, or other medical institution. Existing law limits any claims against the estate of a decedent to only the real and personal property or other assets included in the individuals probate estate that are required to be subject to a claim for recovery under federal law.This bill would authorize the transfer of all amounts in the designated beneficiarys ABLE account to an ABLE account for another individual specified by either the designated beneficiary or the estate of the designated beneficiary upon the death of the designated beneficiary. The bill would prohibit the state from seeking distribution recovery under the Medi-Cal estate recovery provisions of any amount remaining in the designated beneficiarys ABLE account for any amount of medical assistance paid under the states Medicaid plan plan, unless the federal Centers for Medicare and Medicaid Services determines this provision is inconsistent with federal law, and would prohibit the state from filing a claim for the payment, as specified. payment under the ABLE Act. Existing federal law, the Stephen Beck, Jr., Achieving a Better Life Experience Act of 2014 (ABLE Act), encourages and assists individuals and families to save private funds in a tax-advantaged savings account for the purpose of supporting persons with disabilities to maintain their health, independence, and quality of life by excluding from gross income distributions used for qualified disability expenses by a designated beneficiary of a qualified ABLE program established and maintained by a state, as specified. Existing state law authorizes a designated beneficiary, as defined, to have one ABLE account for these purposes. Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income persons receive health care benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law, with certain exceptions, requires the State Department of Health Care Services to seek recovery from a decedents estate for specified health care services, including home and community-based services, if the individual was 55 years of age or older when he or she received those health care services or against the real property of a Medi-Cal member of any age who is a permanently institutionalized individual who is an inpatient in a nursing facility, intermediate care facility for the intellectually disabled, or other medical institution. Existing law limits any claims against the estate of a decedent to only the real and personal property or other assets included in the individuals probate estate that are required to be subject to a claim for recovery under federal law. This bill would authorize the transfer of all amounts in the designated beneficiarys ABLE account to an ABLE account for another individual specified by either the designated beneficiary or the estate of the designated beneficiary upon the death of the designated beneficiary. The bill would prohibit the state from seeking distribution recovery under the Medi-Cal estate recovery provisions of any amount remaining in the designated beneficiarys ABLE account for any amount of medical assistance paid under the states Medicaid plan plan, unless the federal Centers for Medicare and Medicaid Services determines this provision is inconsistent with federal law, and would prohibit the state from filing a claim for the payment, as specified. payment under the ABLE Act. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 4885 is added to the Welfare and Institutions Code, to read:4885. (a) Notwithstanding any other state law, all amounts in the designated beneficiarys ABLE account, upon the death of the designated beneficiary, may be transferred to an ABLE account for another eligible individual specified by either the designated beneficiary or the estate of the designated beneficiary.(b) Following the death of a designated beneficiary, the both of the following shall apply:(1) The state shall not seek distribution recovery pursuant to Section 14009.5 of any amount remaining in the designated beneficiarys ABLE account for any amount of medical assistance paid for the designated beneficiary after the establishment of the account under the states Medicaid plan established under Title XIX of the Social Security Act, and the federal Social Security Act. This paragraph shall remain operative unless the federal Centers for Medicare and Medicaid Services determines this paragraph is inconsistent with federal law. (2) The state shall not file a claim for the payment under subdivision (f) of Section 529A of the Internal Revenue Code. 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 4885 is added to the Welfare and Institutions Code, to read:4885. (a) Notwithstanding any other state law, all amounts in the designated beneficiarys ABLE account, upon the death of the designated beneficiary, may be transferred to an ABLE account for another eligible individual specified by either the designated beneficiary or the estate of the designated beneficiary.(b) Following the death of a designated beneficiary, the both of the following shall apply:(1) The state shall not seek distribution recovery pursuant to Section 14009.5 of any amount remaining in the designated beneficiarys ABLE account for any amount of medical assistance paid for the designated beneficiary after the establishment of the account under the states Medicaid plan established under Title XIX of the Social Security Act, and the federal Social Security Act. This paragraph shall remain operative unless the federal Centers for Medicare and Medicaid Services determines this paragraph is inconsistent with federal law. (2) The state shall not file a claim for the payment under subdivision (f) of Section 529A of the Internal Revenue Code. SECTION 1. Section 4885 is added to the Welfare and Institutions Code, to read: ### SECTION 1. 4885. (a) Notwithstanding any other state law, all amounts in the designated beneficiarys ABLE account, upon the death of the designated beneficiary, may be transferred to an ABLE account for another eligible individual specified by either the designated beneficiary or the estate of the designated beneficiary.(b) Following the death of a designated beneficiary, the both of the following shall apply:(1) The state shall not seek distribution recovery pursuant to Section 14009.5 of any amount remaining in the designated beneficiarys ABLE account for any amount of medical assistance paid for the designated beneficiary after the establishment of the account under the states Medicaid plan established under Title XIX of the Social Security Act, and the federal Social Security Act. This paragraph shall remain operative unless the federal Centers for Medicare and Medicaid Services determines this paragraph is inconsistent with federal law. (2) The state shall not file a claim for the payment under subdivision (f) of Section 529A of the Internal Revenue Code. 4885. (a) Notwithstanding any other state law, all amounts in the designated beneficiarys ABLE account, upon the death of the designated beneficiary, may be transferred to an ABLE account for another eligible individual specified by either the designated beneficiary or the estate of the designated beneficiary.(b) Following the death of a designated beneficiary, the both of the following shall apply:(1) The state shall not seek distribution recovery pursuant to Section 14009.5 of any amount remaining in the designated beneficiarys ABLE account for any amount of medical assistance paid for the designated beneficiary after the establishment of the account under the states Medicaid plan established under Title XIX of the Social Security Act, and the federal Social Security Act. This paragraph shall remain operative unless the federal Centers for Medicare and Medicaid Services determines this paragraph is inconsistent with federal law. (2) The state shall not file a claim for the payment under subdivision (f) of Section 529A of the Internal Revenue Code. 4885. (a) Notwithstanding any other state law, all amounts in the designated beneficiarys ABLE account, upon the death of the designated beneficiary, may be transferred to an ABLE account for another eligible individual specified by either the designated beneficiary or the estate of the designated beneficiary.(b) Following the death of a designated beneficiary, the both of the following shall apply:(1) The state shall not seek distribution recovery pursuant to Section 14009.5 of any amount remaining in the designated beneficiarys ABLE account for any amount of medical assistance paid for the designated beneficiary after the establishment of the account under the states Medicaid plan established under Title XIX of the Social Security Act, and the federal Social Security Act. This paragraph shall remain operative unless the federal Centers for Medicare and Medicaid Services determines this paragraph is inconsistent with federal law. (2) The state shall not file a claim for the payment under subdivision (f) of Section 529A of the Internal Revenue Code. 4885. (a) Notwithstanding any other state law, all amounts in the designated beneficiarys ABLE account, upon the death of the designated beneficiary, may be transferred to an ABLE account for another eligible individual specified by either the designated beneficiary or the estate of the designated beneficiary. (b) Following the death of a designated beneficiary, the both of the following shall apply: (1) The state shall not seek distribution recovery pursuant to Section 14009.5 of any amount remaining in the designated beneficiarys ABLE account for any amount of medical assistance paid for the designated beneficiary after the establishment of the account under the states Medicaid plan established under Title XIX of the Social Security Act, and the federal Social Security Act. This paragraph shall remain operative unless the federal Centers for Medicare and Medicaid Services determines this paragraph is inconsistent with federal law. (2) The state shall not file a claim for the payment under subdivision (f) of Section 529A of the Internal Revenue Code.