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	<ns0:Description>
		<ns0:Id>20250SB__043396AMD</ns0:Id>
		<ns0:VersionNum>96</ns0:VersionNum>
		<ns0:History>
			<ns0:Action>
				<ns0:ActionText>INTRODUCED</ns0:ActionText>
				<ns0:ActionDate>2025-02-18</ns0:ActionDate>
			</ns0:Action>
			<ns0:Action>
				<ns0:ActionText>AMENDED_SENATE</ns0:ActionText>
				<ns0:ActionDate>2025-04-01</ns0:ActionDate>
			</ns0:Action>
			<ns0:Action>
				<ns0:ActionText>AMENDED_ASSEMBLY</ns0:ActionText>
				<ns0:ActionDate>2025-06-17</ns0:ActionDate>
			</ns0:Action>
			<ns0:Action>
				<ns0:ActionText>AMENDED_ASSEMBLY</ns0:ActionText>
				<ns0:ActionDate>2025-07-17</ns0:ActionDate>
			</ns0:Action>
		</ns0:History>
		<ns0:LegislativeInfo>
			<ns0:SessionYear>2025</ns0:SessionYear>
			<ns0:SessionNum>0</ns0:SessionNum>
			<ns0:MeasureType>SB</ns0:MeasureType>
			<ns0:MeasureNum>433</ns0:MeasureNum>
			<ns0:MeasureState>AMD</ns0:MeasureState>
		</ns0:LegislativeInfo>
		<ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Senator Wahab</ns0:AuthorText>
		<ns0:AuthorText authorType="COAUTHOR_ORIGINATING">(Coauthor: Senator Allen)</ns0:AuthorText>
		<ns0:AuthorText authorType="COAUTHOR_OPPOSITE">(Coauthors: Assembly Members Bennett, Garcia, Harabedian, and Quirk-Silva)</ns0:AuthorText>
		<ns0:Authors>
			<ns0:Legislator>
				<ns0:Contribution>LEAD_AUTHOR</ns0:Contribution>
				<ns0:House>SENATE</ns0:House>
				<ns0:Name>Wahab</ns0:Name>
			</ns0:Legislator>
			<ns0:Legislator>
				<ns0:Contribution>COAUTHOR</ns0:Contribution>
				<ns0:House>SENATE</ns0:House>
				<ns0:Name>Allen</ns0:Name>
			</ns0:Legislator>
			<ns0:Legislator>
				<ns0:Contribution>COAUTHOR</ns0:Contribution>
				<ns0:House>ASSEMBLY</ns0:House>
				<ns0:Name>Bennett</ns0:Name>
			</ns0:Legislator>
			<ns0:Legislator>
				<ns0:Contribution>COAUTHOR</ns0:Contribution>
				<ns0:House>ASSEMBLY</ns0:House>
				<ns0:Name>Garcia</ns0:Name>
			</ns0:Legislator>
			<ns0:Legislator>
				<ns0:Contribution>COAUTHOR</ns0:Contribution>
				<ns0:House>ASSEMBLY</ns0:House>
				<ns0:Name>Harabedian</ns0:Name>
			</ns0:Legislator>
			<ns0:Legislator>
				<ns0:Contribution>COAUTHOR</ns0:Contribution>
				<ns0:House>ASSEMBLY</ns0:House>
				<ns0:Name>Quirk-Silva</ns0:Name>
			</ns0:Legislator>
		</ns0:Authors>
		<ns0:Title>An act to amend Section 1569.147 of the Health and Safety Code, and to add Section 14005.395 to the Welfare and Institutions Code, relating to health and care facilities. </ns0:Title>
		<ns0:RelatingClause>health and care facilities</ns0:RelatingClause>
		<ns0:GeneralSubject>
			<ns0:Subject>Residential care facilities for the elderly: assisted living waiver rental rate protection.</ns0:Subject>
		</ns0:GeneralSubject>
		<ns0:DigestText>
			<html:p>Existing law, the California Residential Care Facilities for the Elderly Act, regulates residential care facilities for the elderly. A violation of the act is a crime.</html:p>
			<html:p>Existing law provides for the Medi-Cal program, administered by the State Department of Health Care Services, under which qualified low-income persons are provided with health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions.</html:p>
			<html:p>Existing law provides for the State Supplementary Program for the Aged, Blind and Disabled (SSP), which requires the State Department of Social Services to contract with the United States Secretary of Health and Human Services to make payments to SSP recipients to supplement Supplemental Security Income (SSI) payments made available pursuant to the federal Social Security Act. Under existing regulation, residential facilities for the elderly are prohibited from charging recipients of SSI payments more than a specific set rate for basic services. Existing law requires an individual under these provisions to satisfy certain financial eligibility requirements to be eligible for Medi-Cal, including, among other things, that the individual’s countable income does not exceed an income standard equal to a specified amount, plus an income disregard of specified amounts, subject to certain exceptions.</html:p>
			<html:p>This bill would prohibit a
			 residential care facility for the elderly that is contracted to receive Medi-Cal reimbursement for services provided to a resident enrolled in Medi-Cal from charging that resident a room and board rate exceeding the difference between their income, as defined, and the personal and incidental needs allowance set by the department for recipients of SSI/SSP in nonmedical out-of-home care. By creating a new crime, this bill would impose a state-mandated local program.</html:p>
			<html:p>This bill would, for the purposes of determining Medi-Cal eligibility, exclude the difference between the resident’s income and the rate charged by a residential care facility for the elderly and
			 retained by the resident from countable income. The bill would state that the exclusion does not apply to the portion of the difference retained by the resident that exceeds the personal and incidental needs allowance set by the department for recipients of SSI/SSP in nonmedical out-of-home care. Because counties are required to make Medi-Cal eligibility determinations, and this bill would alter Medi-Cal eligibility by changing the income disregard amounts and would increase the responsibility of counties in determining Medi-Cal eligibility, the bill would impose a state-mandated local program.</html:p>
			<html:p>The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.</html:p>
			<html:p>This bill would provide that with regard to certain mandates no reimbursement is required by this act for a
			 specified reason.</html:p>
			<html:p>With regard to any other mandates, this bill would provide that, if the Commission on State Mandates determines that the bill contains costs so mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.</html:p>
		</ns0:DigestText>
		<ns0:DigestKey>
			<ns0:VoteRequired>MAJORITY</ns0:VoteRequired>
			<ns0:Appropriation>NO</ns0:Appropriation>
			<ns0:FiscalCommittee>YES</ns0:FiscalCommittee>
			<ns0:LocalProgram>YES</ns0:LocalProgram>
		</ns0:DigestKey>
		<ns0:MeasureIndicators>
			<ns0:ImmediateEffect>NO</ns0:ImmediateEffect>
			<ns0:ImmediateEffectFlags>
				<ns0:Urgency>NO</ns0:Urgency>
				<ns0:TaxLevy>NO</ns0:TaxLevy>
				<ns0:Election>NO</ns0:Election>
				<ns0:UsualCurrentExpenses>NO</ns0:UsualCurrentExpenses>
				<ns0:BudgetBill>NO</ns0:BudgetBill>
				<ns0:Prop25TrailerBill>NO</ns0:Prop25TrailerBill>
			</ns0:ImmediateEffectFlags>
		</ns0:MeasureIndicators>
	</ns0:Description>
	<ns0:Bill id="bill">
		<ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
		<ns0:BillSection id="id_11069F70-5141-43DB-92E4-4499AA856CAD">
			<ns0:Num>SECTION 1.</ns0:Num>
			<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:HSC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'3.2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'1569.147.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
				Section 1569.147 of the 
				<ns0:DocName>Health and Safety Code</ns0:DocName>
				 is amended to read:
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			<ns0:Fragment>
				<ns0:LawSection id="id_420F6394-5726-48D0-8BCF-89C0119CB695">
					<ns0:Num>1569.147.</ns0:Num>
					<ns0:LawSectionVersion id="id_E14FC9D1-6A0C-44B8-87A5-07F90CD1D630">
						<ns0:Content>
							<html:p>
								(a)
								<html:span class="EnSpace"/>
								Except as otherwise provided in this section, this chapter does not authorize the imposition of rent regulations or controls for licensed residential care facilities for the elderly.
							</html:p>
							<html:p>
								(b)
								<html:span class="EnSpace"/>
								Licensed residential care facilities for the elderly are not subject to controls on rent imposed by any state or local agency or other local government entity.
							</html:p>
							<html:p>
								(c)
								<html:span class="EnSpace"/>
								Notwithstanding subdivisions (a) and (b), a licensed residential care facility for the elderly contracted to receive Medi-Cal reimbursement for services provided to a resident enrolled in Medi-Cal shall not charge that resident a room and board rate exceeding the difference between the resident’s income and the personal and incidental needs allowance set for a recipient of SSI/SSP in nonmedical out-of-home care, as established by the department pursuant to Section 13921 of the Welfare and Institutions Code. For the purposes of this section, the resident’s income is the income used by the Medi-Cal program for the purpose of determining eligibility for covered
						services.
							</html:p>
						</ns0:Content>
					</ns0:LawSectionVersion>
				</ns0:LawSection>
			</ns0:Fragment>
		</ns0:BillSection>
		<ns0:BillSection id="id_7656AC60-29EE-46FA-83C0-AD5DD77644EA">
			<ns0:Num>SEC. 2.</ns0:Num>
			<ns0:ActionLine action="IS_ADDED" ns3:href="urn:caml:codes:WIC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2F%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'14005.395'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
				Section 14005.395 is added to the 
				<ns0:DocName>Welfare and Institutions Code</ns0:DocName>
				, to read:
			</ns0:ActionLine>
			<ns0:Fragment>
				<ns0:LawSection id="id_1262C899-7827-41D9-B496-592FE7AFD706">
					<ns0:Num>14005.395.</ns0:Num>
					<ns0:LawSectionVersion id="id_C6F8D5C1-CC7A-4BE2-87A1-162E575FDF39">
						<ns0:Content>
							<html:p>
								(a)
								<html:span class="EnSpace"/>
								Except as provided in subdivision (b), for the purposes of determining an individual’s eligibility for the Medi-Cal program pursuant to this chapter, the difference retained by the resident of a residential care facility for the elderly pursuant to subdivision (c) of Section 1569.147 of the Health and Safety Code shall be excluded from their countable income, as defined in Section 14005.40.
							</html:p>
							<html:p>
								(b)
								<html:span class="EnSpace"/>
								Subdivision (a) does not apply to the portion of the difference retained by a resident of a
						residential care facility for the elderly pursuant to subdivision (c) of Section 1569.147 of the Health and Safety Code that exceeds the personal and incidental needs allowance set for a recipient of SSI/SSP in nonmedical out-of-home care, as established by the department pursuant to Section 13921.
							</html:p>
							<html:p>
								(c)
								<html:span class="EnSpace"/>
								This section applies in addition to any other deductions or calculations to determine financial eligibility pursuant to this chapter.
							</html:p>
							<html:p>
								(d)
								<html:span class="EnSpace"/>
								This section shall be implemented only if, and to the extent that, any necessary federal approvals have been obtained and federal financial participation is not
						jeopardized.
							</html:p>
						</ns0:Content>
					</ns0:LawSectionVersion>
				</ns0:LawSection>
			</ns0:Fragment>
		</ns0:BillSection>
		<ns0:BillSection id="id_323E95D6-54B5-4E74-A19C-779D71D2B5B9">
			<ns0:Num>SEC. 3.</ns0:Num>
			<ns0:Content>
				<html:p>
					No reimbursement is required by this act pursuant to Section 6 of Article XIII
					<html:span class="ThinSpace"/>
					B of the California Constitution for certain costs that may be incurred by a local agency or school district because, in that regard, this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIII
					<html:span class="ThinSpace"/>
					B of the California Constitution.
				</html:p>
				<html:p>However, if the Commission on State Mandates determines that this act contains other costs
				mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.</html:p>
			</ns0:Content>
		</ns0:BillSection>
	</ns0:Bill>
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