Assembly Budget Subcommittee No. 1 Hears CCS and Rejects the Elimination of the CHDP state-only program

The Assembly Budget Subcommittee No. 1 on Health and Human Services convened on Monday, March 27 and took up a number of issues under the Department of Health Care Services (DHCS), including both the repeal of the Child Health and Disability (CHDP) state-only program and the delay for the CCS Whole Child Model.

CCS

Recall, SB 586 was passed last year, creating the Whole Child Model (WCM), which transitions the care coordination and case management functions from the counties to managed care plans in County Organized Health System (COHS) counties. The transitions were to take place no sooner than July 1, 2017, however the Administration is proposing to implement the WCM no sooner than July 1, 2018. Implementation will occur in two phases, with the first no sooner than July of 2018 (CenCal and Central California Alliance counties) and the second no sooner than January 2019 (Partnership and Cal Optima Counties).

CHDP

CHDP provides health assessments for the early detection and prevention of disease and disabilities for low-income children and youth. Currently, the state-only portion of the program covers children under not enrolled in Medi-Cal, which mainly includes ineligible populations such as undocumented children. According to the department, children now have the ability to enroll for coverage under SB 75, which expanded Medi-Cal to children and youth under age 19, regardless of immigration status, and therefore the repeal of the eligibility provisions for state-only CHDP services would not impact beneficiaries.

The proposal however, was met with opposition from several organizations, mainly expressing the need to retain this eligibility given that not 100 percent of children eligible for Medi-Cal or other coverage are enrolled for various reasons. Members also expressed concerns around the timing repealing the state-only eligibility given the uncertainty surrounding the Affordable Care Act. The Subcommittee voted to reject the Administration’s proposal. The proposal is not yet scheduled to be heard by the Senate.