Health and human services.

(1) Existing federal law provides for allocation of federal funds through the federal Temporary Assistance for Needy Families (TANF) block grant program to eligible states, with California's version of this program being known as the California Work Opportunity and Responsibility to Kids (CalWORKs) program. Under the CalWORKs program, each county provides cash assistance and other benefits to qualified low-income families and individuals who meet specified eligibility criteria, including participating in specified welfare-to-work activities. This bill would increase aid payments by 5% as of March 1, 2014, and would specify a process by which additional grant increases could be made depending on projected revenue and costs. (2) Existing law establishes the Local Revenue Fund, a continuously appropriated fund, that allocates Vehicle License Fund moneys and sales tax moneys. Existing law creates various accounts and subaccounts within that fund, including the Health Subaccount and the Social Services Subaccount, each of which get funding from the Local Revenue Fund. This bill would make an appropriation by reallocating funds in the 2012–13 fiscal year and subsequent fiscal years to change the relative percentages of funds from those 2 sources that are allocated to the Health Subaccount and the Social Services Subaccount. (3) Existing law provides for the establishment of the Sales Tax Growth Account in the continuously appropriated Local Revenue Fund for the allocation of sales and use tax growth revenues to local government. This bill would delete specified subaccounts in the Sales Tax Growth Account and would add a Family Support Subaccount and a Child Poverty and Family Supplemental Support Subaccount to the Sales Tax Account. The bill would provide funding for the Child Poverty and Family Supplemental Support Subaccount from the Sales Tax Growth Account in the 2013–14 fiscal year and from sales tax in later fiscal years. The bill would require the transfer of funds from the Child Poverty and Family Services Supplemental Support Subaccount to the counties for use to support the CalWORKs program, as specified. This bill would establish funding for the Family Support Subaccount from the Health Subaccount. The bill would require the transfer of funds from the Family Services Support Subaccount to the counties for use to support the CalWORKs program, as specified. Under existing law, cities and counties that receive funds from the Local Revenue Fund are required to establish and maintain a local health and welfare trust fund comprised of specified accounts. This bill would also require counties to establish a family support account in their local health and welfare trust accounts. By requiring additional duties from the counties, this bill would impose a state-mandated local program. (4) Existing law requires counties, through a choice of methodologies, including County Medical Services Programs, nonpublic hospitals, and public hospitals, to provide specified health services eligible county residents who are indigent. Funding for this program, under existing law, has come from the Health Subaccount. This bill would allow counties to receive funding from the Health Subaccount by either proving actual costs or by electing to receive 60% of the funds that would otherwise have been allocated to them, and would establish a default contribution for counties that fail to make a choice or to inform the Director of Health Care Services by December 4, 2013. The bill would place the difference between prior fiscal year contributions to counties from the Health Subaccount and the new contributions to counties in the Family Support Subaccount, to be used by counties for CalWORKs, as specified. This bill would establish processes by which the counties prove actual costs to the Department of Health Care Services, as specified. (5) 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. Under existing law, eligibility for the Medi-Cal program is expanding. This bill would require specified percentages of newly eligible beneficiaries to be assigned to public hospital health systems in an eligible county, if applicable, until the county public hospital health system meets its enrollment target, as defined. The bill would also require, subject to specified criteria, Medi-Cal managed care plans serving newly eligible beneficiaries to pay county public hospital health systems for services provided to newly eligible beneficiaries in amounts that are no less than the cost of providing those services, as specified. (6) 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, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to these statutory provisions. (7) This bill would declare that it is to take effect immediately as a bill providing for appropriations related to the Budget Bill.