May 4, 2018 Edition
The California Legislature continued this week with a number of policy committee hearings, moving bills along through the legislative process. A number of bills have met their fate by either missing last week’s fiscal bill deadline or failing passage in policy committees. Senate and Assembly policy committees face another deadline on next Friday, May 11 to advance non-fiscal bills in their house of origin.
Below, we highlight actions that were taken on several other bills this week. Our full CHEAC Weekly Bill Chart is available here.
Lead-Related Measures. Notably this week, the Assembly Judiciary Committee heard several measures related to lead-based paint, blood lead testing, and ongoing litigation between several cities and counties and industry corporations. Our partners at Hurst Brooks Espinosa (HBE) provide a detailed write-up of the background and summary of lead-related measures, several of which CHEAC is tracking, available here.
AB 3067 (Chau) as introduced on February 16, 2018 – Support
AB 3067 by Assembly Member Ed Chau was heard in the Assembly Privacy and Consumer Protections Committee on Tuesday. The measure would require advertising services to not market cannabis, cannabis products or businesses, or associated cannabis paraphernalia when an internet service, online service, or mobile application is directed to minors. AB 3067 was unanimously advanced to the Assembly Floor.
Chronic Disease Prevention and Wellness Promotion
AB 1871 (Bonta) as amended on April 19, 2018 – Support
Assembly Member Rob Bonta’s AB 1871 was set for hearing on Wednesday in the Assembly Appropriations Committee. The measure would require all California public charter schools to provide needy pupils with one nutritionally adequate free or reduced-price meal per school day. Since 1975, low-income students at all traditional public schools in California have been guaranteed at least one meal each school day, but students attending public charter schools have not been guaranteed the same right. Assembly Member Bonta waived presentation on Wednesday, and the measure has been placed on the Suspense File to be reconsidered at a later date.
Next week, the Governor is expected to reveal his May Revision to his January budget proposal, though by statute, the Administration has until May 14 to do so. The Governor’s January Budget Proposal alluded to areas where updated estimates would be provided in the May Revision, such as the impact related to the passage of federal tax reform, the reauthorization of the Children’s Health Insurance Program (CHIP), and budget proposals related to Proposition 64 cannabis revenues. CHEAC will monitor the release of the May Revision closely and will provide a summary shortly thereafter.
Oral Health Rollover and Elimination of the 340B Program Heard in Assembly Budget Sub. 1
Oral Health Rollover. On Monday, CHEAC presented our stakeholder request to rollover unexpended funding to subsequent fiscal years before the Assembly Budget Subcommittee No. 1 on Health and Human Services. CHEAC has been working with a coalition of partners consisting of the California Dental Association, California Health+ Advocates, California Pan-Ethnic Health Network, Children Now, The Children’s Partnership, and the University of Pacific Dugoni School of Dentistry Pacific Center for Special Care. The proposal had a noticeable show of support in committee from coalition partners, CSAC, and others. While there were no questions regarding the proposal, Assembly Member Joaquin Arambula, Chair of the Subcommittee, indicated his support for the proposal and agreement, that in keeping with the original intent of the Proposition, the funding should continue to be made available to local health departments. No action was taken at this time.
340B Program Elimination. The Administration’s proposal to eliminate the 340B Drug Purchasing Program in Medi-Cal was also heard in Assembly Budget Subcommittee No. 1 on Health and Human Services. Rene Mollow, Deputy Director for Health Care Benefits and Eligibility at the Department of Health Care Services (DHCS), presented the proposal as necessary to comply with federal regulations and indicated that their continued work to build a savings estimate associated with the proposal. The Department and indicated their intent to include saving projections in the May Revision. There was a strong display of opposition, including CHEAC and our other county partners – CSAC, CAPH and CBHDA, individual counties, hospitals and clinics, and specialty care centers.
Assembly Member Blanca Rubio raised concerns with communities that would be impacted, even despite a potential augmentation to that could be considered to minimize the impact. She noted that the elimination seemed premature and encouraged the Administration to work with stakeholders to find alternative solutions for coming into compliance.
Assembly Member Arambula underscored many of Assembly Member Rubio’s comments and further noted that the federal law does not require elimination, but instead requires accountability and program integrity. He also mentioned that had he had a quorum, he may have asked for an action on the proposal at that time. He too urged the Administration to find an alternative that would be best for the state. No action was taken.
CHEAC, in partnership with CAPH/SNI, CSAC, and CBHDA, will be hosting a Whole Person Care (WPC) Data Sharing Convening on Tuesday, May 22 from 9:30 am – 4:00 pm at the Hilton Hotel – Oakland Airport. The convening will bring together WPC leads, behavioral health leads, county counsel, and other team members to share legal, technological, and cultural solutions that facilitate the exchange of WPC data and improve overall care integration.
Faculty from the law firm of Pillsbury Winthrop Shaw Pittman LLP and the IT consulting firm Intrepid Ascent will present tools to improve data sharing and will be available throughout the day to provide legal and technical expertise. The convening is generously sponsored by the California Health Care Foundation (CHCF) and is not part of the state-led WPC learning collaborative.
Registration is due by May 15. Additional information and registration are available here.