CDCAN
CALIFORNIA DISABILITY COMMUNITY ACTION NETWORK
DISABILITY RIGHTS
NEWS REPORT

#045-2006  April 27, 2006 Thursday

Advocacy Without Borders:
Connecting people with disabilities & seniors to rights and unified action

1225 8th Street Suite 480 - Sacramento, CA 95814  916/446-0013  Fax: 916/446-0026
Marty Omoto - director  email: martyomoto@rcip.com    website: www.cdcan.us

 
Breaking News - Assembly Health Committee:

* AB 2607  Medi-Cal Managed Care Pilot Program Passes 10-3
* Calls For Two Step Process & Additional Legislative Approval
* Mandatory Enrollment of People with Disabilities/Seniors Opposed by Advocates
* AB 2979 Aging & Long Term Care Integration Pilot Bill Fails 5-3

SACRAMENTO -   The Assembly Health Committee took action this morning (April 27) on two controversial bills - approving one offered by Assembly Democrats, and rejecting the other proposed by the Schwarzenegger Administration, that call for implementing different pilot programs in specific counties that would require the mandatory enrollment of persons with disabilities and seniors who receive Medi-Cal services into managed care health care programs. 

The committee approved by a vote of 10-3, AB 2607 by Assemblymember Hector De La Torre (Democrat - Southgate) that calls for a two step process implementing a Medi-Cal managed care pilot program, but firmly rejected by a vote of 5-3 the Schwarzenegger Administration's legislation, AB 2979 by Assemblymember Keith Richman (Republican - Northridge) that would authorize implementation of Aging and Long Term Care Integration Pilot Programs in two counties. 

Passage out of the 14 member Assembly Health Committee, chaired by Assemblymember Wilma Chan (Democrat v- Oakland)  requires 8 votes. 
AB 2607, which was passed with amendments to clarify the roles of various state agencies, was referred to the Assembly Appropriations Committee for further action.  AB 2979 remains in the Assembly Health Committee and is eligible for a re-vote. 

Gov. Schwarzenegger proposed last year legislation as part of the State Budget that would have implemented an Aging and Long Term Care Integration Pilot Program, but ran into resistance from Democrats in both houses on the issue and was forced to drop it.  The Governor proposed the Aging and Long Term Care Integration Pilot Program again in January as part of his proposed State budget for 2006-2007. 


Disability Advocates Oppose Mandatory Enrollment of Persons with Disabilities & Seniors
Disability advocates, including Protection and Advocacy (PAI) and the Western Center on Law and Poverty,  strongly opposed passage of both bills largely because of the mandatory enrollment of people with disabilities and seniors into managed care programs in the counties where pilots would be implemented and urged a voluntary enrollment instead.

 Some senior advocates spoke in support of the Richman bill however, and union advocates, primarily the SEIU,  spoke in favor of the De La Torre legislation, mentioning the two step process that required further legislative approval of whether a managed health care plan was "ready" to provide care to persons with disabilities and seniors - though expressed strong reservations about mandatory enrollment of persons with disabilities and seniors into Medi-Cal managed care health plans, and largely opposed the Richman bill, citing a "weakened Medi-Cal system" due to low reimbursement rates to doctors, hospitals and other Medi-Cal providers, and also In-Home Supportive Services workers. 

More details on these bills in a later CDCAN report today. 

CDCAN VOTE RECORD REPORT - ASSEMBLY HEALTH COMMITTEE
Note:  For today's hearing only, Assemblymembers De La Torre and Mullin replaced Assemblymembers Cohn and Jones.  All four are Democrats.  This is the preliminary vote record report for each bill this morning.

AB 2607 - Medi-Cal Managed Care Pilot Program

Author: Assemblymember Hector De La Torre (Democrat - Southgate)
Action 04/2706: Passed 10-3  Assembly Health Committee with amendments and referred to Assembly Appropriations Committee for further action. 
Voting AYE - 10
Democrats (10): Berg,  Chan, De La Torre, Dymally, Frommer, Lieu, Montanez, Mullin, Negrete McLeod, Ridley-Thomas
Republicans (0):  -none-
Voting NO - 3
Democrats (0):  -none-
Republicans (3): Aghazarian, Nakanishi and Richman
Not Voting, Absent or Abstain (1):
Democrats (0): -none-
Republicans (1): Strickland

AB 2979 - Aging and Long Term Care Pilot Program
Author: Assemblymember Keith Richman (R-Northridge) [Schwarzenegger Administration proposal]
Action 04/2706: FAILED passage 5- 3.  Reconsideration for a re-vote granted. 
Voting AYE - 5
Democrats (2): Berg and Montanez,
Republicans (3):
Aghazarian, Nakanishi and Richman
Voting NO - 3
Democrats (3):
Dymally, Frommer,and Mullin
Republicans (0):  -none-
Not Voting, Absent or Abstain:
Democrats (5): Chan, De La Torre, Lieu, Negrete McLeod, Ridley-Thomas
Republicans (1): Strickland


CDCAN Capitol News Reports and Alerts
These CDCAN Reports are partially funded by a small grant from the USC UCEDD, Grant #90DD0540 from the Administration on Developmental Disabilities.  The opinions expressed or content in these reports do not necessarily reflect the views or opinions of the USC UCEDD.
The California Disability Community Action Network is a non-partisan link to tens of thousands of Californians in every community, including people of color, people of every type of disability, including people with physical disabilities, people with developmental and other disabilities, people with traumatic brain and other injures, people with mental health needs, seniors, people with MS, Alzheimer's and others, and all of their families, community organizations and providers, direct care and other workers, and other advocates. These action alerts and news reports is for all of them.   If you would like to get on this distribution (and conversely, get off of  it) please send an email with that  request to:  martyomoto@rcip.com OR sign up via the NEW CDCAN website at www.cdcan.us  Sharing information is part of our organizing effort. Please feel free to forward or copy  this (attribution is nice but not necessary). We're all in this together!
MANY THANKS to Training Toward Self Reliance, UCP, California NAELA, Californians for Disability Rights, Inc (CDR), CHANCE Inc, Parents Helping Parents, Arriba, Strategies Toward Empowering People, Parents Helping Parents, Asian American parents groups, Resources for Independent Living and many other Independent Living Centers, several regional centers, People First chapters, IHSS workers, other self advocacy and family support groups, developmental center families, and hundreds of individuals including Bob Scrivano, Maureen Fitzgerald, Terri Lantz, Christal Hopkins, Lisa Brown, Anna Wang, Dennis Dishaw, Bob Benson, David Engberg, Connie Arnold, and so many others who through their support and contributions, make the non-partisan CDCAN reports and townhall telemeetings possible.  Thanks also to partnerships and the good people with the State Council on Developmental Disabilities, and also the Department of Health Services, the Department of Developmental Services, Department of Social Services and the CA Health and Human Services Agency and other agencies, and the State Legislature and staff, the Legislative Analyst Office.  Good people who do good things can make a difference together.