CDCAN
CALIFORNIA DISABILITY COMMUNITY ACTION NETWORK
DISABILITY RIGHTS
NEWS REPORT

#046-2006  May 16, 2006 - Tuesday

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

 
Medicare Part D Drug Program Crisis

* Governor Signs Bill By Nunez Extending Emergency Drug Coverage
*  Emergency Drug Coverage for People On Both Medi-Cal & Medicare
* Thousands of People with Disabilities & Seniors Impacted
* Several Legislative Republicans Opposed Bill

SACRAMENTO -   Gov. Arnold Schwarzenegger signed AB 813 by Assembly Speaker Fabian Nunez  (Democrat - Los Angeles) that extends emergency drug coverage impacting hundreds of thousands of people with disabilities and seniors who are eligible for both Medi-Cal and Medicare and but unable to receive needed medications under the new federal Medicare prescription drug program.  AB 813, co-authored by Senate President Pro Tem Don Perata (Democrat - Oakland)  extends the emergency drug coverage, which was set to expire at the end of today (May 16)  through January 31, 2007.  

State officials believe that the extension of the emergency drug coverage provides "ample time" for the federal government and other parties to resolve issues with the Medicare Part D Drug Program that has been plagued with problems since it began at the beginning of the year. 

On January 1, 2006, under the federal  Medicare Modernization Act passed by the US Congress in 2003, the federal government took responsibility for prescription drug coverage for the nearly one million Californians dually eligible for Medi-Cal and Medicare. The transition of these individuals to federal Medicare drug plans in just one day resulted in an error rate of 20% according to the California Department of Health Services.

Bi-Partisan Support - But Several Republicans Oppose Bill

AB 813, passed the Assembly Monday (May 15) 66-5, with all 48 Democrats supporting it, including 18 of the 32 Republicans in the lower house. Five Republicans however voted to oppose the bill: Assemblymembers
DeVore, Haynes, Huff, Keene and La Malfa. The bill passed the State Senate May 11 by a vote of 29-7, with 24 of the Senate's 25 Democrats and 5 of the 15 Senate Republicans backing it.  The nine opposition votes were all from Republicans - Senators Aanestad, Ashburn, Battin, Hollingsworth, Margett, McClintock and George Runner

Over 1 Million Prescriptions Filled For 252,000 Californians With Disabilities/Seniors
According to the Schwarzenegger Administration, as of midnight, May 15, 2006, the State has filled more than one million prescriptions, serving more than 252,000 Californians, at a cost of nearly $68 million. AB 813 caps emergency drug coverage program costs at $120 million. That funding was appropriated in AB 132, when the emergency program began in January 2006.  The federal government has committed to reimbursing California for all costs through March 31, 2006, and most administrative costs of the program.

A new Medi-Cal provider bulletin was issued  today by the California Department of Health Services and is available at the official Medi-Cal website at http://www.medi-cal.ca.gov OR visit the CDCAN website at www.cdcan.us for a copy of the latest Medi-Cal bulletins, or see the special CDCAN Bulletin that will be issued. 

Governor, Legislative Leaders Say AB 813 Critical to Vulnerable Californians
The Governor said that persons with disabilities and seniors who are required by the new federal law to use the new Medicare Part D Drug Program"....are still facing problems when filling prescriptions for lifesaving medications," and that AB 813 "... ensures vulnerable Californians do not suffer when the federal Medicare prescription drug program fails. In addition, this new law contains safeguards to ensure the state only pays when there is no other option."

Assembly Speaker Nunez said that “This legislation provides a safety net for California’s most vulnerable so they don’t have to suffer while the federal government tries to fix its missteps. Continuing emergency prescription drug coverage to our most vulnerable – the frail, elderly and the disabled – allows them to stay on important medical regimes and frankly, survive Washington DC’s failures. While the President and Congress have surely failed the people of our state by implementing this dubious ‘coverage’ program, I applaud my colleagues on the other side of the aisle for joining us in this effort."

Senate President Pro Tem Perata observed that AB 813 “...goes the extra mile to safeguard vital medications for California’s poor, disabled and disadvantaged. By extending this program through the end of the year, we are giving the federal government time to iron out the kinks in its new Medicare plan while ensuring that if it doesn’t, the Legislature will be able to step in.”

Advocates Praise Action By Governor and Legislature

Disability and senior advocates across the State - many at odds with the Schwarzenegger Administration on other issues, have widely praised the Governor's actions in creating and then extending the emergency program that potentially impacts over 1 million persons with disabilities (including people with developmental disabilities) and seniors who are eligible for both Medi-Cal and Medicare services and unable to obtain medications under the new federal Medicare Part D Drug Program that began January 1.  Advocates also praised the swift action by the Legislature in approving AB 813, including previous bills that extended the program since January - but harshly criticized the federal government for its response in implementing the Medicare Part D Drug program. 

Hundreds of Thousands of People With Disabilities & Seniors Impacted

* In mid-January, the California Department of Health Services, which oversees the state's Medicaid program (called Medi-Cal) estimated that over 200,000 of the State's 1 million persons with developmental or other disabilities and seniors who are dually eligible for both Medi-Cal and Medicare,  were unable to obtain their needed medications or had significant problems - an error rate by the federal government of over 20%. 
* The California Department of Health Services says that most of these people have received their medications through the emergency drug coverage program.   Adding to that number, at the beginning of each month (February 1, March 1, April 1, etc), the number of Californians who could be impacted by the Medicare Part D Drug Program crisis increases by 10,000 persons with disabilities and seniors who are newly eligible for both Medicare and Medi-Cal. These newly eligible persons are likely to experience problems due to backlog by the federal government and/or by the eight designated drug plans in California.
* As of January 19, 2006,  the State had filled 77,514 prescriptions under the emergency drug plan. 
* As of January 25, 2006,  the State had filled 141,211 prescriptions at a cost of $11.4 million
* As of February 8, 2006,  the State had filled 278,929 prescriptions at a cost of $20.3 million in state general fund dollars.
* As of March 16, 2006,  the State had filled 585,864 prescriptions for 190,846 people who are eligible for both Medi-Cal and Medicare with at a cost of nearly $39.7 million under the emergency drug coverage plan (the cost being reimbursed by the federal government).
* As of April 14, the state has spent over $53 million on the emergency drug program - of which about $47 million the Department of Health Services says will be reimbursed by the federal government (which covers emergency drug coverage costs up to and including March 31). 
* As of midnight May 15, 2006, the State has filled more than one million prescriptions, serving more than 252,000 Californians, at a cost of nearly $68 million.  

CDCAN VOTE RECORD REPORT - ASSEMBLY FLOOR VOTE
AB 813 - Emergency Drug Coverage Program Extension
Author: Assemblymember Fabian Nunez (Democrat - Los Angeles, 46th District)
Action 05/15/06: Passed by Assembly 66-5 (approves amendments made in Senate). Sent To Governor.
Voting AYE - 66
Democrats (48): Arambula, Baca, Bass, Berg, Bermundez,  Calderon, Canciamilla, Chan, Chavez, Chu, Cohn, Coto, De La Torre, Dymally, Evans, Frommer, Goldberg, Jerome Horton, Hancock, Jones, Karnette, Klehs, Koretz, Laird, Leno, Levine, Lieber, Lieu,  Liu, Matthews, Montanez, Mullin, Nation, Nava, Negrete McLeod, Nunez (Assembly Speaker), Oropeza, Parra, Pavley, Ridley-Thomas, Ruskin, Saldana, Salinas, Torrico, Umberg, Vargas, Wolk, and Yee
Republicans (18): Aghazarian, Benoit, Bogh, Daucher, Emmerson, Garcia, Harman, Shirley Horton, Houston, Mountjoy, Nakanishi, Plescia (Assembly Republican Leader), Richman, Sharon Runner, Strickland, Tran, Walters, and Wyland
Voting NO - 5
Democrats (0):  -none-
Republicans (5): DeVore, Haynes, Huff, Keene and La Malfa
Not Voting, Absent or Abstain (9):
Democrats (0): -none-
Republicans (9): Blakeslee, Cogdill, La Suer, Leslie, Maze, McCarthy, Niello, Spitzer and Villines


CDCAN VOTE RECORD REPORT - SENATE FLOOR VOTE
AB 813 - Emergency Drug Coverage Program Extension
Author: Assemblymember Fabian Nunez (Democrat - Los Angeles, 46th District)
Action 05/11/06: Passed by Senate 29-7. To Assembly for approval (concurrence) in amendments made in Senate.  .
Voting AYE - 29
Democrats (24): Alarcon, Alquist, Bowen, Cedillo, Chesbro, Ducheny, Dunn, Escutia, Figueroa, Florez, Kehoe, Kuehl, Lowenthal, Machado, Migden, Murray, Ortiz, Perata (Senate President Pro Tem), Romero, Scott, Simitian, Speier, Torlakson, and Vincent
Republicans (5): Ackerman (Senate Republican Leader), Cox, Denham, Maldonado, and Poochigian
Voting NO - 7
Democrats (0):  -none-
Republicans (7): Aanestad, Ashburn, Battin, Hollingsworth, Margett, McClintock and George Runner
Not Voting, Absent or Abstain (4):
Democrats (1): Soto
Republicans (9): Dutton, Morrow
Note: also one vacancy (35th Senate District)

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.