Latest Morning Briefing Stories
Federal Approval of Duals Plan May Come Soon
At a budget subcommittee hearing yesterday, Department of Health Care Services Director Toby Douglas said he hopes to get federal approval for the Coordinated Care Initiative within weeks.
The CCI, also known as the duals demonstration project, is a plan to move half a million Californians with dual eligibility in both Medicare and Medicaid into Medi-Cal managed care programs. The plan calls for consolidating disparate health care services and funding streams to improve and integrate care for seniors and persons with disabilities, while saving the state money as well.
“We hope it’s imminent,” Douglas said at yesterday’s Budget Subcommittee on Health and Human Services, when he was asked for an approval timeline by Assembly member Mariko Yamada (D-Davis).
Healthy Families’ First Phase Done, Now Comes the Harder Part
California is in the thick of moving almost one million children from Healthy Families to Medi-Cal managed care. With a shortened first phase of 178,000 kids successfully completed, attention turns to the next two phases that will shift coverage for about 485,000 children.
Floor Votes in Favor of Expansion Bills
The state Assembly and Senate yesterday passed companion bills to expand Medi-Cal eligibility to more than one million Californians making up to 138% of federal poverty level. The bills also simplify the Medi-Cal enrollment process.
“This bill takes an important step to make sure California remains a leader in health care reform,” said Assembly Speaker John Pérez (D-Los Angeles), author of ABX1-1. “And this also helps bring billions of dollars in federal funds into California.”
The Senate passed its version of the legislation, SBX1-1, authored by Sen. Ed Hernandez (D-West Covina). The expansion will be fully funded with federal money for the first three years, declining to 90% in 2020.
Expansion Hearing Highlights County-State Struggle
California health officials and legislators yesterday had a lively discussion over the two proposed choices for the optional Medi-Cal expansion.
At the onset, yesterday’s discussion in the Budget Subcommittee on Health and Human Services centered on the Brown Administration’s choices for a state-based or county-based approach to implementing expansion of Medi-Cal to adults up to 138% of federal poverty level, which is expected to open eligibility to as many as 1.4 million Californians.
But the meat of the conversation evolved into something else. Since counties have pretty firmly asserted they’re in favor of the state-based plan, and state officials have not stated a preference for either option, choosing one approach over another was not really the main issue during yesterday’s hearing.
Appropriations Approves Medi-Cal Expansion
The state Senate Committee on Appropriations endorsed a bill expanding Medi-Cal eligibility to 1.4 million Californians and to simplify the enrollment process for all Medi-Cal beneficiaries.
The special session approval Monday means SBX1-1 by Sen. Ed Hernandez (D-West Covina) is headed to the Senate floor as soon as the end of this week. The Assembly version of the legislation — ABX1-1 by John Pérez (D-Los Angeles) — won committee approval last week is pending a floor vote now.
“This is very important because we want to make sure we get as many individuals with coverage so they don’t utilize the system the way they utilize it now — which is, those who don’t have insurance would go to the emergency rooms,” Hernandez said.
Bridge Plan Approved by Exchange Board
California’s Health Benefit Exchange board yesterday approved a plan to seamlessly allow low-income Medi-Cal managed care beneficiaries to choose a health plan offered by the exchange, now known as Covered California.
The idea is to allow movement between Medi-Cal and Covered California when beneficiaries’ circumstances change, so more people can stay insured without disruption. The exchange plans to launch the program in April 2014.
Up to 840,000 Californians could be eligible for it, according to David Panush, director of government relations for Covered California.
How Many States Are Really Opting Into ACA? Devil’s in the Details
From Rick Scott to Chris Christie, more governors are changing their minds and opting into the Affordable Care Act’s Medicaid expansion, but state legislators are proving a tougher sell — and in at least eight states, may have the clout to derail an expansion.
State-Based Expansion Makes More Sense, LAO Says
After conducting a review of the two choices California officials are considering for optional Medi-Cal expansion, the state Legislative Analyst’s Office yesterday strongly recommended the state-based option, rather than a county-based plan.
On a busy Tuesday for health care policy in Sacramento, the Assembly Committee on Health yesterday convened the first hearing of the legislative special session on health care reform and passed the first component of it, AB 1X-1 by Assembly Speaker John Peréz (D-Los Angeles).
The proposed bill establishes the framework to expand Medi-Cal to childless adults under age 65 in California, up to 138% of federal poverty level. It would streamline the eligibility and enrollment process to follow the mandate of the Affordable Care Act, and offer California’s version of federally-required essential health benefits.
Higher Cost, Inferior Care: Dental Health in Emergency Departments
More people are seeking dental care in emergency departments as dentists turn away Medicaid patients. Does the Affordable Care Act present a solution to this costly trend, or must states look elsewhere?
California Lagging in Percentage of Children Who Receive Regular Dental Screenings, Care
Jim Crall of UCLA School of Dentistry, Parvathi Pokala of Rady Children’s Hospital, dentist Paul Reggiardo of Huntington Beach and Lindsey Robinson of the California Dental Association spoke with California Healthline about efforts to increase the percentage of California children who receive regular dental care.