BILL NUMBER: SB 1459	AMENDED
	BILL TEXT

	AMENDED IN SENATE  MARCH 28, 2008

INTRODUCED BY   Senator Yee

                        FEBRUARY 21, 2008

   An act  to amend Sections 12693.43, 12693.70, 12693.73,
12693.765, and 12696.05 of, and to add Part 6.25 (commencing with
Section 12694.10) to Division 2 of, the Insurance Code, 
relating to health care coverage.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 1459, as amended, Yee.  Healthy Families Program.
  Health care coverage: children.  
   Existing law provides for creation of various programs to provide
health care services to persons with limited incomes and meeting
various eligibility requirements. These programs include the Healthy
Families Program administered by the Managed Risk Medical Insurance
Board and the Medi-Cal program administered by the State Department
of Health Care Services and county welfare departments.  
   This bill would create the Cal-Health Program, which would provide
coordination of the Healthy Families and Medi-Cal programs by the
board and the department relative to coverage for children under 19
years of age. The bill would authorize providers, contingent upon
specified financial conditions, to screen and temporarily enroll
children in Medi-Cal and the Healthy Families Program at the time
medical care is provided, and would require reimbursement of the
provider to the same extent as if the child were fully enrolled in
the program in which he or she is temporarily enrolled. The bill
would require licensed hospitals, clinics, and other health
facilities to inform children and parents or caretakers about
Cal-Health, and in the case of urgent or emergency services, the bill
would require that these persons be informed about the program and
given an opportunity to apply after services have been rendered. The
bill would enact other related provisions, including a requirement
that the department and board report to the Legislature prior to
March 1, 2009, their recommendations to make Cal-Health procedures
the same, to the extent permitted by federal law, as those in the
Medi-Cal and Healthy Families programs.  
   This bill would require the board, by January 1, 2010, to submit
written recommendations to the Legislature identifying the benefits
and suggesting the design of a standard uniform benefit package that
would provide an affordable alternative to health benefit coverages
currently available in the private market.  
   Existing law sets forth the eligibility requirements for the
Healthy Families Program, including required family contributions for
children covered under the program. Under these provisions,
eligibility for the program is generally limited to children with a
household income equal to or less than 200% of the federal poverty
level, with certain household incomes above that level to be
disregarded.  
   This bill, subject to future appropriation of funds, would extend
eligibility under the program to children with a household income
equal to or less than 300% of the federal poverty level. The bill
would make various other changes.  
   Existing law establishes the Healthy Families Program,
administered by the Managed Risk Medical Insurance Board, to arrange
for the provision of health care services to children under 19 years
of age who meet specified requirements.  
   This bill would state the intent of the Legislature to ensure
maximum enrollment in that program. 
   Vote: majority. Appropriation: no. Fiscal committee:  no
  yes  . State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    Section 12693.43 of the  
Insurance Code   is amended to read: 
   12693.43.  (a) Applicants applying to the purchasing pool shall
agree to pay family contributions, unless the applicant has a family
contribution sponsor. Family contribution amounts consist of the
following two components:
   (1) The flat fees described in subdivision (b) or (d).
   (2) Any amounts that are charged to the program by participating
health, dental, and vision plans selected by the applicant that
exceed the cost to the program of the highest cost Family Value
Package in a given geographic area.
   (b) In each geographic area, the board shall designate one or more
Family Value Packages for which the required total family
contribution is:
   (1) Seven dollars ($7) per child with a maximum required
contribution of fourteen dollars ($14) per month per family for
applicants with  an  annual household  incomes
  income  up to and including 150 percent of the
federal poverty level.
   (2) Nine dollars ($9) per child with a maximum required
contribution of twenty-seven dollars ($27) per month per family for
applicants with  an  annual household  incomes
  income  greater than 150 percent and up to and
including 200 percent of the federal poverty level and for applicants
on behalf of children described in  clause (ii) of 
subparagraph  (A)   (B)  of paragraph (6)
of subdivision (a) of Section 12693.70.
   (3)  On and after July 1, 2005, fifteen  
Fifteen  dollars ($15) per child with a maximum required
contribution of forty-five dollars ($45) per month per family for
applicants with  an  annual household  income to
which subparagraph (B) of paragraph (6) of subdivision (a) of Section
12693.70 is applicable. Notwithstanding any other provision of law,
if an application with an effective date prior to July 1, 2005, was
based on annual household income to which subparagraph (B) of
paragraph (6) of subdivision (a) of Section 12693.70 is applicable,
then this subparagraph shall be applicable to the applicant on July
1, 2005, unless subparagraph (B) of paragraph (6) of subdivision (a)
of Section 12693.70 is no longer applicable to the relevant family
income. The program shall provide prior notice to any applicant for
currently enrolled subscribers whose premium will increase on July 1,
2005, pursuant to this subparagraph and, prior to the date the
premium increase takes effect, shall provide that applicant with an
opportunity to demonstrate that subparagraph (B) of paragraph (6) of
subdivision (a) of Section 12693.70 is no longer applicable to the
relevant family income   income greater than 200 percent
and up to and including 300 percent of the federal poverty level
 .
   (c) Combinations of health, dental, and vision plans that are more
expensive to the program than the highest cost Family Value Package
may be offered to and selected by applicants. However, the cost to
the program of those combinations that exceeds the price to the
program of the highest cost Family Value Package shall be paid by the
applicant as part of the family contribution.
   (d) The board shall provide a family contribution discount to
those applicants who select the health plan in a geographic area that
has been designated as the Community Provider Plan. The discount
shall reduce the portion of the family contribution described in
subdivision (b) to the following:
   (1) A family contribution of four dollars ($4) per child with a
maximum required contribution of eight dollars ($8) per month per
family for applicants with  an  annual household 
incomes   income  up to and including 150 percent
of the federal poverty level.
   (2) Six dollars ($6) per child with a maximum required
contribution of eighteen dollars ($18) per month per family for
applicants with  an  annual household  incomes
  income  greater than 150 percent and up to and
including 200 percent of the federal poverty level and for applicants
on behalf of children described in  clause (ii) of 
subparagraph  (A)   (B) of paragraph (6)
of subdivision (a) of Section 12693.70.
   (3)  On and after July 1, 2005, twelve  
Twelve  dollars ($12) per child with a maximum required
contribution of thirty-six dollars ($36) per month per family for
applicants with  an  annual household income  to
which subparagraph (B) of paragraph (6) of subdivision (a) of Section
12693.70 is applicable. Notwithstanding any other provision of law,
if an application with an effective date prior to July 1, 2005, was
based on annual household income to which subparagraph (B) of
paragraph (6) of subdivision (a) of Section 12693.70 is applicable,
then this subparagraph shall be applicable to the applicant on July
1, 2005, unless subparagraph (B) of paragraph (6) of subdivision (a)
of Section 12693.70 is no longer applicable to the relevant family
income. The program shall provide prior notice to any applicant for
currently enrolled subscribers whose premium will increase on July 1,
2005, pursuant to this subparagraph and, prior to the date the
premium increase takes effect, shall provide that applicant with an
opportunity to demonstrate that subparagraph (B) of paragraph (6) of
subdivision (a) of Section 12693.70 is no longer applicable to the
relevant family income   greater than 200 percent 
 and up to and including 300 percent of the federal poverty level
 .
   (e) Applicants, but not family contribution sponsors, who pay
three months of required family contributions in advance shall
receive the fourth consecutive month of coverage with no family
contribution required.
   (f) Applicants, but not family contribution sponsors, who pay the
required family contributions by an approved means of electronic fund
transfer shall receive a 25-percent discount from the required
family contributions.
   (g) It is the intent of the Legislature that the family
contribution amounts described in this section comply with the
premium cost sharing limits contained in Section 2103 of Title XXI of
the Social Security Act. If the amounts described in subdivision (a)
are not approved by the federal government, the board may adjust
these amounts to the extent required to achieve approval of the state
plan.
   (h) The adoption and one readoption of regulations to implement
paragraph (3) of subdivision (b) and paragraph (3) of subdivision (d)
shall be deemed to be an emergency and necessary for the immediate
preservation of public peace, health, and safety, or general welfare
for purposes of Sections 11346.1 and 11349.6 of the Government Code,
and the board is hereby exempted from the requirement that it
describe specific facts showing the need for immediate action and
from review by the Office of Administrative Law. For purpose of
subdivision (e) of Section 11346.1 of the Government code, the
120-day period, as applicable to the effective period of an emergency
regulatory action and submission of specified materials to the
Office of Administrative law, is hereby extended to 180 days.
   SEC. 2.    Section 12693.70 of the 
Insurance Code   is amended to read: 
   12693.70.  To be eligible to participate in the program, an
applicant shall meet all of the following requirements:
   (a) Be an applicant applying on behalf of an eligible child, which
means a child who is all of the following:
   (1) Less than 19 years of age. An application may be made on
behalf of a child not yet born up to three months prior to the
expected date of delivery. Coverage shall begin as soon as
administratively feasible, as determined by the board, after the
board receives notification of the birth. However, no child less than
12 months of age shall be eligible for coverage until 90 days after
the enactment of the Budget Act of 1999.
   (2) Not eligible for no-cost full-scope Medi-Cal or Medicare
coverage at the time of application.
   (3) In compliance with Sections 12693.71 and 12693.72.
   (4) A child who meets citizenship and immigration status
requirements that are applicable to persons participating in the
program established by Title XXI of the Social Security Act, except
as specified in Section 12693.76.
   (5) A resident of the State of California pursuant to Section 244
of the Government Code; or, if not a resident pursuant to Section 244
of the Government Code, is physically present in California and
entered the state with a job commitment or to seek employment,
whether or not employed at the time of application to or after
acceptance in, the program.
   (6)  (A)    In either of the
following: 
   (i) 
    (A)  In a family with an annual or monthly household
income equal to or less than  200   300 
percent of the federal poverty level. 
   (ii) 
    (B)  When implemented by the board, subject to
subdivision (b) of Section 12693.765 and pursuant to this section, a
child under the age of two years who was delivered by a mother
enrolled in the Access for Infants and Mothers Program as described
in Part 6.3 (commencing with Section 12695). Commencing July 1, 2007,
eligibility under this subparagraph shall not include infants during
any time they are enrolled in employer-sponsored health insurance or
are subject to an exclusion pursuant to Section 12693.71 or
12693.72, or are enrolled in the full scope of benefits under the
Medi-Cal program at no share of cost. For purposes of this clause,
any infant born to a woman whose enrollment in the Access for Infants
and Mothers Program begins after June 30, 2004, shall be
automatically enrolled in the Healthy Families Program, except during
any time on or after July 1, 2007, that the infant is enrolled in
employer-sponsored health insurance or is subject to an exclusion
pursuant to Section 12693.71 or 12693.72, or is enrolled in the full
scope of benefits under the Medi-Cal program at no share of cost.
Except as otherwise specified in this section, this enrollment shall
cover the first 12 months of the infant's life. At the end of the 12
months, as a condition of continued eligibility, the applicant shall
provide income information. The infant shall be disenrolled if the
gross annual household income exceeds the income eligibility standard
that was in effect in the Access for Infants and Mothers Program at
the time the infant's mother became eligible, or following the
two-month period established in Section 12693.981 if the infant is
eligible for Medi-Cal with no share of cost. At the end of the second
year, infants shall again be screened for program eligibility
pursuant to this section, with income eligibility evaluated pursuant
to  clause (i), subparagraphs (B) and (C),  
subparagraph (A),  and paragraph (2) of subdivision (a).

   (B) All income over 200 percent of the federal poverty level but
less than or equal to 250 percent of the federal poverty level shall
be disregarded in calculating annual or monthly household income.

   (C) In a family with an annual or monthly household income greater
than  250   300  percent of the federal
poverty level, any income deduction that is applicable to a child
under Medi-Cal shall be applied in determining the annual or monthly
household income.  If the income deductions reduce the annual
or monthly household income to 250 percent or less of the federal
poverty level, subparagraph (B) shall be applied. 
   (b) The applicant shall agree to remain in the program for six
months, unless other coverage is obtained and proof of the coverage
is provided to the program.
   (c) An applicant shall enroll all of the applicant's eligible
children in the program.
   (d) In filing documentation to meet program eligibility
requirements, if the applicant's income documentation cannot be
provided, as defined in regulations promulgated by the board, the
applicant's signed statement as to the value or amount of income
shall be deemed to constitute verification.
   (e) An applicant shall pay in full any family contributions owed
in arrears for any health, dental, or vision coverage provided by the
program within the prior 12 months.
   (f) By January 2008, the board, in consultation with stakeholders,
shall implement processes by which applicants for subscribers may
certify income at the time of annual eligibility review, including
rules concerning which applicants shall be permitted to certify
income and the circumstances in which supplemental information or
documentation may be required. The board may terminate using these
processes not sooner than 90 days after providing notification to the
Chair of the Joint Legislative Budget Committee. This notification
shall articulate the specific reasons for the termination and shall
include all relevant data elements that are applicable to document
the reasons for the termination. Upon the request of the Chair of the
Joint Legislative Budget Committee, the board shall promptly provide
any additional clarifying information regarding implementation of
the processes required by this subdivision.
   SEC. 3.    Section 12693.73 of the  
Insurance Code   is amended to read: 
   12693.73.  Notwithstanding any other provision of law, children
excluded from coverage under Title XXI of the Social Security Act are
not eligible for coverage under the program, except as specified in
 clause (ii) of  subparagraph  (A) 
 (B)  of paragraph (6) of subdivision (a) of Section
12693.70 and Section 12693.76.
   SEC. 4.    Section 12693.765 of the  
Insurance Code   is amended to read: 
   12693.765.  (a) Notwithstanding any other provision of law and
subject to subdivision (b), a child described in  clause (ii)
of  subparagraph  (A)   (B)  of
paragraph (6) of subdivision (a) of Section 12693.70 shall be deemed
eligible to participate in the program at birth.
   (b) Notwithstanding any other provision of law, subdivision (a)
and  clause (ii) of  subparagraph  (A)
  (B)  of paragraph (6) of subdivision (a) of
Section 12693.70 may only be implemented to the extent that funds are
appropriated for that purpose in the annual Budget Act or other
statute.
   SEC. 5.    Part 6.25 (commencing with Section
12694.10) is added to Division 2 of the   Insurance Code
  , to read:  

      PART 6.25.  CAL-HEALTH PROGRAM


   12694.10.  It shall be the responsibility of the State of
California to make its best efforts to provide that all children
under 19 years of age who are eligible for the Healthy Families or
Medi-Cal programs, or for other governmental health care coverage or
assistance, are enrolled in programs and services for which they are
eligible.
   12694.11.  There is hereby created the California Health Care
Program (Cal-Health) to coordinate the Medi-Cal program (Chapter 7
(commencing with Section 14000) of Part 3 of Division 9 of the
Welfare and Institutions Code) and the Healthy Families Program (Part
6.2 (commencing with Section 12693) for the purpose of reducing
administrative costs by simplifying and streamlining income and
resource methodologies and other eligibility rules and application,
enrollment, retention, and seamless bridging procedures between the
two programs to ensure no disruption in coverage for eligible
children, as provided in Sections 12694.13, 12694.15, and 12694.16
and to otherwise implement this section and Section 12694.21. The
duties and functions of Cal-Health shall be carried out by the State
Department of Health Care Services, which is defined for the purposes
of this part, as the "department," and the Managed Risk Medical
Insurance Board, which is defined for the purposes of this part, as
the "board." The coordinated Medi-Cal and Healthy Families programs
established by this part for children shall be known as Cal-Health.
   12694.13.  (a) In addition to any electronic application process,
there shall be a simple, uniform mail-in application and enrollment
process for all children covered by Cal-Health.
   (b) Participating providers may screen and temporarily enroll
eligible children and initiate the accelerated enrollment process to
be completed at that time by the department and the board for the
Medi-Cal and Healthy Families programs, as provided in subdivisions
(c) and (d). During the period of temporary enrollment, providers
shall be reimbursed for services to the same extent as if the
eligible child were fully enrolled in the program in which he or she
is temporarily enrolled. A purpose of temporary enrollment under this
section is to facilitate and accelerate the final eligibility
determination by the department and the board.
   (c) To the extent permitted by Section 1396r-1a of Title 42 of the
United States Code and Section 457.355 of Title 42 of the Code of
Federal Regulations, the state shall exercise its option to allow
providers to temporarily enroll children who meet initial screening
requirements into the Medi-Cal and Healthy Families programs for 60
days pending a final eligibility determination by the department or
the board. No child shall be temporarily enrolled into the programs
more than one time during a 12-month period. The procedures governing
the 60-day "presumptive eligibility" program for pregnant women
pursuant to Section 14148.7 of the Welfare and Institutions Code,
including, but not limited to, the requirement that providers be
certified by the state and that a Medi-Cal application be submitted
on the child's behalf within 60 days after the date the child is
temporarily enrolled into the programs shall be used to implement the
temporary enrollment of children under this subdivision.
   (d) By July 1, 2009, the state shall submit a federal waiver under
Section 1115 of the Social Security Act (42 U.S.C. Sec. 1315) or
exercise other options available under federal law to permit
providers to screen and temporarily enroll children who meet initial
screening requirements into the Medi-Cal and Healthy Families
programs for 90 days pending submission of an application and a final
eligibility determination by the department or the board. No child
shall be temporarily enrolled into the programs under this
subdivision more than one time during a 12-month period. In
implementing this subdivision, the department and the board shall use
procedures that are similar to the extent feasible to the
accelerated enrollment procedures of the Family Planning, Access,
Care and Treatment (PACT) waiver program under subdivision (aa) of
Section 14132 of the Welfare and Institutions Code. This subdivision
is contingent upon the approval of a federal waiver or other source
of federal financial participation and an appropriation in the annual
Budget Act or other statute and shall not be funded through a
reduction in benefits or services or by an increase in cost-sharing
for any person eligible for Medi-Cal under Chapter 7 (commencing with
Section 14000) of Part 3 of Division 9 of the Welfare and
Institutions Code or for the Healthy Families Program under Part 6.2
(commencing with Section 12693) as that program existed on January 1,
2008.
   (e) The Cal-Health enrollment and application process shall secure
sufficient information to ensure that Cal-Health is able to perform
screening and referral for persons not eligible for Cal-Health
programs, but potentially eligible for other state health care
programs.
   12694.14.  The California Health and Human Services Agency shall
convene a working group including, but not limited to,
representatives of low-income persons and representatives of the
department and the board. The working group shall advise Cal-Health
on simplifying, streamlining, and coordinating the Medi-Cal and
Healthy Families programs and on income and resource methodologies
and other eligibility rules and application, enrollment, retention,
and seamless bridging procedures. The working group shall be convened
no later than February 1, 2009.
   12694.15.  To the extent permitted by federal law and
notwithstanding any other provision of law there shall not be an
assets test for Section 1931(b) of the Medi-Cal program for children.

   12694.16.  By March 1, 2009, the department and the board shall
report to the Legislature their recommendations to make the
Cal-Health income and resources methodologies and other eligibility
rules and application, enrollment, retention, and seamless bridging
procedures for the Medi-Cal and Healthy Families programs the same to
the extent permitted by federal law, except for income eligibility
under Section 14005.30 of the Welfare and Institutions Code. Where
differences exist between the programs, other than income
eligibility, the department and the board shall determine and
recommend the less restrictive rule, unless the less restrictive rule
is precluded by federal law.
   12694.17.  Preschools and public elementary and secondary schools,
with respect to each enrolled child, shall inform the parent or
primary caretaker living with the child at least once each year about
Cal-Health and its eligibility requirements, and shall allow an
application to be submitted at the preschool or school.
   12694.18.  (a) All licensed hospitals, clinics, and other health
facilities shall inform an uninsured child who is seen or admitted
and shall inform the parent or primary caretaker of a child who is
seen or admitted, about Cal-Health and its eligibility requirements
at the time the child is seen or admitted, and may participate in the
temporary eligibility and accelerated enrollment process described
in Section 12694.13.
   (b) In the case of urgent or emergency services, children and
parents or primary caretakers of children shall be informed about
Cal-Health and given an opportunity to apply after services have been
rendered and, in the case of in-patient admission, during discharge
planning.
   12694.19.  Cal-Health shall study the feasibility of simplifying
the Medi-Cal Health Insurance Premium Payment Program and the
Medi-Cal Employer Group Health Program to increase participation by
employees and employers in private market coverage and
employer-sponsored coverage relative to children's coverage.
Cal-Health shall present a written report to the Legislature on the
results of this study no later than January 1, 2010. Cal-Health shall
consult with counties, providers, managed health care service plans,
consumers, small group marketing cooperatives, small group
purchasing alliances, and representatives of small businesses in
implementing the requirements of this section.
   12694.20.  Under Cal-Health, the department and the board shall
undertake a pilot project to assist small businesses in learning
about health insurance products and costs, administering
employer-sponsored coverage, and enrolling eligible children in
Cal-Health. The purpose of the pilot project shall be to assist
businesses with fewer than 50 employees to provide health insurance
to dependents of their employees by providing information,
administrative services, and enrollment assistance for Cal-Health.
This pilot project shall be implemented no later than January 1,
2010. Cal-Health shall consult with counties, providers, managed
heath care service plans, consumers, small group marketing
cooperative, small group purchasing alliances, and representatives of
small businesses in meeting the requirements of this section.
   12694.21.  With respect to children eligible for Cal-Health
programs, the State of California shall be responsible for all
medically necessary health care services rendered to those children,
and shall reimburse health care providers for those services at the
reimbursement rates applicable to those programs as otherwise
required by law.
   12694.22.  By January 1, 2010, the board shall submit written
recommendations to the Legislature identifying the benefits and
suggesting the design of a privately sold and marketed standard
uniform benefit package that is more affordable and less expensive
than products currently available in the private market. These
recommendations shall include, but not be limited to, the coverage
provided, copayments and deductibles to be charged, if any, the
number of uninsured children who either have a family income over 250
percent of the federal poverty level or who are otherwise ineligible
for the Medi-Cal or Healthy Families programs and who could afford
to pay for the standard uniform benefit package , and the changes to
existing law that are required to implement the recommended standard
uniform benefit package. 
   SEC. 6.    Section 12696.05 of the  
Insurance Code   is amended to read: 
   12696.05.  The board may do all of the following:
   (a) Determine eligibility criteria for the program. These criteria
shall include the requirements set forth in Section 12698.
   (b) Determine the eligibility of applicants.
   (c) Determine when subscribers are covered and the extent and
scope of coverage.
   (d) Determine subscriber contribution amounts schedules.

  (1) Subscriber contribution amounts for care provided to the
subscriber shall be indexed to the federal poverty level and shall
not exceed 2 percent of a subscriber's annual gross family income.
   (2) In addition to any other subscriber contribution specified in
this subdivision, for subscribers enrolled on or after July 1, 2007,
the board may also assess an additional subscriber contribution to
cover the AIM-linked infant enrolled in the Healthy Families Program
pursuant to  clause (ii) of  subparagraph 
(A)   (B)  of paragraph (6) of subdivision (a) of
Section 12693.70 for two months, using all applicable discounts
pursuant to Section 12693.43.
   (3) The board shall determine the manner in which the subscriber
contributions are to be applied, including the order in which they
are applied.
   (e) Provide coverage through participating health plans or through
coordination with other state programs, and contract for the
processing of applications and the enrollment of subscribers. Any
contract entered into pursuant to this part shall be exempt from any
provision of law relating to competitive bidding, and shall be exempt
from the review or approval of any division of the Department of
General Services. The board shall not be required to specify the
amounts encumbered for each contract, but may allocate funds to each
contract based on projected and actual subscriber enrollments in a
total amount not to exceed the amount appropriated for the program.
   (f) Authorize expenditures from the fund to pay program expenses
which exceed subscriber contributions, and to administer the program
as necessary.
   (g) Develop a promotional component of the program to make
Californians aware of the program and the opportunity that it
presents.
   (h) Issue rules and regulations as necessary to administer the
program. All rules and regulations issued pursuant to this
subdivision that manage program integrity, revise the benefit
package, or reduce the eligibility criteria below 300 percent of the
federal poverty level may be adopted as emergency regulations in
accordance with the Administrative Procedure Act (Chapter 3.5
(commencing with Section 11340) of Part 1 of Division 3 of Title 2 of
the Government Code). The adoption of these regulations shall be
deemed an emergency and necessary for the immediate preservation of
the public peace, health, and safety, or general welfare. The
regulations shall become effective immediately upon filing with the
Secretary of State.
   (i) Exercise all powers reasonably necessary to carry out the
powers and responsibilities expressly granted or imposed by this
part.
   SEC. 7.    Notwithstanding any other provision of
law, the Managed Risk Medical Insurance Board may implement the
provisions of this act expanding the Healthy Families Program only to
the extent that funds are appropriated for those purposes in the
annual Budget Act or in another statute.  
  SECTION 1.    It is the intent of the Legislature
to ensure maximum enrollment in the Healthy Families Program.