Bill Text: CA AB2108 | 2015-2016 | Regular Session | Amended

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Bill Title: Medi-Cal: adult dental services.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Failed) 2016-11-30 - From committee without further action. [AB2108 Detail]

Download: California-2015-AB2108-Amended.html

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BILL NUMBER: AB 2108	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  MARCH 16, 2016

INTRODUCED BY   Assembly Member Waldron

                        FEBRUARY 17, 2016

   An act to  amend Section 38050 of the Health and Safety
Code, relating to human services.   add Section and
repeal Section 14131.09 of the Welfare and Institutions Code,
relating to Medi-Cal. 



	LEGISLATIVE COUNSEL'S DIGEST


   AB 2108, as amended, Waldron.  Human services: dispute
resolution.   Medi-Cal: adult dental services. 

    Existing law provides for the Medi-Cal program, which is
administered by the State Department of Health Care Services, 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 law provides that adult dental
services are excluded from coverage under the program, except for
specified medically necessary services.  
   This bill would require the department, on or before January 1,
2018, to report to the Legislature on the cost and feasibility of
restoring full adult dental services as a covered benefit under the
program, as specified.  
   Existing law finds, among other things, that in contractual
relationships between the California Health and Human Services Agency
and other specified entities, problems arise under cooperative
agreements that end in disputes. Existing law establishes a formal
administrative appeal process available to private, nonprofit human
service organizations seeking resolution of any dispute arising out
of a direct service contract with the California Health and Human
Services Agency or a component department of the agency, except as
provided.  
   This bill would make technical, nonsubstantive changes to those
provisions. 
   Vote: majority. Appropriation: no. Fiscal committee:  no
  yes  . State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    Section 14131.09 is added to the 
 Welfare and Institutions Code   , to read:  
   14131.09.  (a) On or before January 1, 2018, the department shall
report to the Legislature on the cost and feasibility of restoring
full adult dental services as a covered benefit under the Medi-Cal
program.
   (b) The report described in subdivision (a) shall be submitted in
compliance with Section 9795 of the Government Code.
   (c) This section shall remain in effect only until January 1,
2019, and as of that date is repealed, unless a later enacted
statute, that is enacted before January 1, 2019, deletes or extends
that date.  
  SECTION 1.    Section 38050 of the Health and
Safety Code is amended to read:
   38050.  The Legislature hereby finds that in a contractual
relationship between the California Health and Human Services Agency,
its component departments, and private, nonprofit human service
organizations:
   (a)  Problems arise under cooperative agreements that end in
disputes.
   (b)  The intent between the disputing parties is to resolve their
controversy through an informal dispute process. The parties should
set a goal of no more than 60 days from receipt of a complaint to a
resolution.
   (c)  If the parties reach an impasse, then there should be a
logical intermediate appeal authority as the next level in the appeal
process.
   (d)  In California, there exists no process between informal
dispute resolution and judicial review that is available to, and that
can properly address controversies between the California Health and
Human Services Agency and human service organizations.