Adult day health care centers.

Existing law, the California Adult Day Health Care Act, provides for the licensure and regulation of adult day health care centers, with administrative responsibility shared between the State Department of Public Health, the State Department of Health Care Services, and the California Department of Aging pursuant to an interagency agreement. Existing law provides that a negligent, repeated, or willful violation of a provision of the California Adult Day Health Care Act is a misdemeanor. Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Existing law provides, to the extent permitted by federal law, that adult day health care be excluded from coverage under the Medi-Cal program. Existing law requires, concurrently with the submission of an application for initial licensure as an adult day health care center, an applicant to apply for eligibility certification as a provider of adult day health care services reimbursable under the Medi-Cal program. Existing law also prohibits a license from being issued or renewed for an adult day health care center that is not approved as a Medi-Cal provider of adult day health care services. This bill would remove the requirement that an applicant for initial licensure as an adult day health care center apply for Medi-Cal certification. This bill would also remove the prohibition against issuing or renewing a license for an adult day health care center that is not approved as a Medi-Cal provider of adult day health care services, and would make conforming changes. Existing law provides that if an adult day health care center licensee provides adult day program services, the adult day health care license is the only license required to provide these additional services. This bill would require a provider choosing to add an adult day program within the adult day health care facility to submit a notice to the State Department of Public Health. By changing the definition of a crime, this bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason. This bill would appropriate the sum of $1,000 from the General Fund to the State Department of Public Health for administrative costs. This bill would declare that it is to take effect immediately as a bill providing for appropriations related to the Budget Bill.