November 18, 2016 Edition

Plans to Repeal the ACA

Since the election, there has been much uncertainty surrounding the fate of the Affordable Care Act (ACA) under President-Elect Trump’s Administration and with a Republican-controlled Congress. President-Elect Trump has stated that on day one, the Trump Administration would ask Congress to immediately deliver a full repeal of the ACA. Additionally, both Senate and House Republicans have shared their plans on a repeal and replace of the ACA. However, details regarding how this would be implemented are still to be determined.

CHEAC is increasingly aware of the impacts to California and our local jurisdictions and will continue to provide updates as things progress.

For your reference, respective plans have been linked below:

LAO Releases their Fiscal Outlook

This week, the Legislative Analyst’s Office (LAO) released their annual forecast for upcoming fiscal years. With the current economic projections and budget commitments, the LAO projects 2017-18 will continue to be a positive year, with an estimate of $11.5 billion in total reserves. Medi-Cal spending and General Fund costs are predicted to increase, in 2017-18 largely due to caseload growth and per-enrollee costs and the start of state share of cost for the ACA optional expansion population, which begins in 2017.

It is important to note that this report does not reflect potential changes in federal policy in light of the recent election. The LAO does recognize that federal policy changes would significantly impact these projections.

The Governor will release his budget plan in January.

Medi-Cal Inmate Claiming Program Webinar

Due to the technical issues occurring on this week’s webinar, the Department of Health Care Services (DHCS) will host a second webinar discussing the Medi-Cal County Inmate Program (MCIP) on Thursday, December 8, at 10:00 am. DHCS will provide information on MCIP. Additionally, the department will also be distributing the Q&A’s from this week’s webinar at a later date. To register for the MCIP Webinar, please click here.

If you would like to receive these updates from DHCS related to MCIP, please send your request to:

Request for Proposals (RFP) for the Law Enforcement Assisted Diversion (LEAD) Grant Program

The Board of State and Community Corrections (BSCC) just released a new request for proposals for the Law Enforcement Assisted Diversion (LEAD) Grant Program.  Modeled after the LEAD Project in Seattle, Washington, up to three jurisdictions will be selected for a two-year pilot program that would divert low-level drug offenders and those arrested for prostitution to social service providers in lieu of prosecution.  Local health departments are active participants in the model, and the BSCC wanted to ensure health departments were aware of the RFP’s release.  More information can be found here.

Nondiscrimination in Health Programs and Activities

Local health departments should be mindful of new rules adopted by the federal Health and Human Services Agency (HHS) through Section 1557 of the federal Affordable Care Act (ACA), which took effect in October of this year. The new rule requires health care programs or activities that receive federal funding incorporate nondiscrimination provisions by posting nondiscrimination notices and taglines in multiple languages in conspicuous locations and in significant publications and materials.

The posted notice is also required to include a statement that the entity provides – free of charge and in a timely manner – appropriate auxiliary aids and services to individuals with disabilities and language assistance services to individuals with limited-English Proficiencies (LEP). The final rule also requires covered entities with 15 or more employees, to have a grievance procedure and a compliance officer for this section.

Taglines are short statements written in non-English languages indicating the availability of language assistance services free of change. For larger-sized publications, taglines must be written in at least the top 15 languages spoken by individuals with LEP in the relevant state. On smaller publications, the taglines are required in at least the top two languages spoken by individuals with LEP in the relevant state.

HHS provides a sample nondiscrimination notice and tagline in English and 64 other languages, which can be found here.