reglab/housing_qa huggingface dataset:
CA Health & Safety Code § 130521 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 112 - CALIFORNIA DISCOUNT PRESCRIPTION DRUG PROGRAM|CHAPTER 3 - Application, Enrollment, and Outreach|Section 130521.

130521.  (a) The department may conduct an outreach program to inform California residents of their opportunity to participate in the program. The department shall coordinate outreach activities with the California Department of Aging, the Employment Development Department, and other state and local agencies, and nonprofit organizations that serve residents who may be eligible for the program. No outreach material shall contain the name or likeness of a drug.(b) The department may accept on behalf of the state any gift, bequest, or donation of outreach services or materials to inform residents about the program. The name of the organization sponsoring the materials shall in no way appear on the material but shall be reported to the public and the Legislature as otherwise provided by law.(Added by Stats. 2006, Ch. 619, Sec. 2. Effective January 1, 2007. Provisions operative and implemented on or after July 1, 2010, as prescribed in Section 130500. Conditionally inoperative on February 1, 2015. Repealed conditionally on January 1, 2016, pursuant to Section 130500.)
CA Health & Safety Code § 130530 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 112 - CALIFORNIA DISCOUNT PRESCRIPTION DRUG PROGRAM|CHAPTER 4 - Pharmaceutical Manufacturer Patient Assistance Programs|Section 130530.

130530.  (a) The department shall encourage a participating manufacturer to maintain those private discount drug programs that are comparable to or more extensive than those provided prior to the enactment of this division. To the extent possible, the department shall encourage a participating manufacturer to simplify the application and eligibility processes for its private discount drug program.(b) The department may execute agreements with drug manufacturers and other private patient assistance programs to provide a single point of entry for eligibility determination and claims processing for drugs available through those programs to the extent permitted by state and federal law.(c) The department shall develop a system to provide a program participant under this division with the best discounts on prescription drugs that are available to the participant through this program or through a drug manufacturer or other private patient assistance program.(d) (1) The department may require an applicant to provide additional information to determine the applicant’s eligibility for other discount card and patient assistance programs.(2) The department shall not require an applicant to participate in a drug manufacturer patient assistance program or to disclose information that would determine the applicant’s eligibility to participate in a drug manufacturer patient assistance program in order to participate in the California Discount Prescription Drug Program.(e) In order to verify that California residents are being served by drug manufacturer patient assistance programs, the department shall require drug manufacturers to provide the department annually with all of the following information:(1) The total value of the manufacturer’s drugs provided at no or very low cost to California residents during the previous year.(2) The total number of prescriptions or 30-day supplies of the manufacturer’s drugs provided at no or very low cost to California residents during the previous year.(f) The California Discount Prescription Drug Program card issued pursuant to this division shall serve as a single point of entry for drugs available pursuant to subdivision (a), and shall meet all legal requirements for a health benefit card.(Added by Stats. 2006, Ch. 619, Sec. 2. Effective January 1, 2007. Provisions operative and implemented on or after July 1, 2010, as prescribed in Section 130500. Conditionally inoperative on February 1, 2015. Repealed conditionally on January 1, 2016, pursuant to Section 130500.)
CA Health & Safety Code § 130540 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 112 - CALIFORNIA DISCOUNT PRESCRIPTION DRUG PROGRAM|CHAPTER 5 - Administration|Section 130540.

130540.  (a) Contracts, contract amendments, change orders, change requests, and any project or systems development notices, entered into for purposes of this division, shall be subject to the same exemptions provided for in the Medi-Cal drug program and those provided to the department in paragraph (4) of subdivision (c) of Section 124977. In addition, contracts, contract amendments, change orders, change requests, and any project or systems development notices, entered into for purposes of this division, are specifically exempt from:(1) Part 2 (commencing with Section 10100) of Division 2 of the Public Contract Code.(2) The competitive bidding requirements of State Administrative Manual Management Memo 03-10.(3) The project authority requirements of State Administrative Manual, Section 4800 et seq.(4) Section 11.00 and Provision 6 of Item 4260-001-0001 of Section 2 of the Budget Act of 2006 and related Budget letters.(b) Contracts with pharmacies and drug manufacturers may be entered into on a bid or nonbid basis.(c) Change orders entered into pursuant to this division shall not require a contract amendment.(d) To the extent that any exemption set forth in this section conflicts with exemptions set forth in paragraph (4) of subdivision (c) of Section 124977, the exemption in this section shall govern over the conflicting provision in Section 124977.(Added by Stats. 2006, Ch. 619, Sec. 2. Effective January 1, 2007. Provisions operative and implemented on or after July 1, 2010, as prescribed in Section 130500. Conditionally inoperative on February 1, 2015. Repealed conditionally on January 1, 2016, pursuant to Section 130500.)
CA Health & Safety Code § 130541 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 112 - CALIFORNIA DISCOUNT PRESCRIPTION DRUG PROGRAM|CHAPTER 5 - Administration|Section 130541.

130541.  To implement the program, the department may contract with a third-party vendor or utilize existing health care service provider enrollment and payment mechanisms, including the Medi-Cal program’s fiscal intermediary. Drug discount agreements negotiated by a third party shall be subject to review by the department. The department may cancel a contract that it finds not in the best interests of the state or program participants. Participating pharmacy contracts entered into pursuant to Section 130505 shall be considered contracts between the participating pharmacy and the department and shall not be associated with, or leveraged against, other third-party agreements.(Added by Stats. 2006, Ch. 619, Sec. 2. Effective January 1, 2007. Provisions operative and implemented on or after July 1, 2010, as prescribed in Section 130500. Conditionally inoperative on February 1, 2015. Repealed conditionally on January 1, 2016, pursuant to Section 130500.)
CA Health & Safety Code § 130542 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 112 - CALIFORNIA DISCOUNT PRESCRIPTION DRUG PROGRAM|CHAPTER 5 - Administration|Section 130542.

130542.  (a) The department shall deposit all payments the department receives pursuant to this division into the California Discount Prescription Drug Program Fund, which is hereby established in the State Treasury.(b) Notwithstanding Section 13340 of the Government Code, the fund is hereby continuously appropriated to the department without regard to fiscal year for the purpose of providing payment to participating pharmacies pursuant to this division and for defraying the costs of administering this division.(c) Notwithstanding any other provision of law, no money in the fund is available for expenditure for any other purpose or for loaning or transferring to any other fund, including the General Fund, except as provided in Section 130542.1. The fund shall also contain any interest accrued on moneys in the fund.(Amended by Stats. 2008, Ch. 758, Sec. 14. Effective September 30, 2008. Provisions operative and implemented on or after July 1, 2010, as prescribed in Section 130500. Conditionally inoperative on February 1, 2015. Repealed conditionally on January 1, 2016, pursuant to Section 130500.)
CA Health & Safety Code § 130542.1 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 112 - CALIFORNIA DISCOUNT PRESCRIPTION DRUG PROGRAM|CHAPTER 5 - Administration|Section 130542.1.

130542.1.  (a) It is the intent of the Legislature that the program shall be self-financing and that General Fund moneys provided to the fund shall be repaid within five years after implementation of the program begins. The department shall provide the Legislature with a five-year projection of program revenues and expenditures as part of its annual budget request. The projection shall include a projected General Fund repayment schedule.(b) The department may use up to 25 percent of manufacturer rebate revenues to administer the program, including the funding of a float account to finance payments to participating pharmacies in advance of the receipt of manufacturer rebates.(Added by Stats. 2008, Ch. 758, Sec. 15. Effective September 30, 2008. Provisions operative and implemented on or after July 1, 2010, as prescribed in Section 130500. Conditionally inoperative on February 1, 2015. Repealed conditionally on January 1, 2016, pursuant to Section 130500.)
CA Health & Safety Code § 130543 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 112 - CALIFORNIA DISCOUNT PRESCRIPTION DRUG PROGRAM|CHAPTER 5 - Administration|Section 130543.

130543.  (a) The director may adopt regulations as are necessary to implement and administer this division.(b) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the director may implement this division, in whole or in part, by means of a provider bulletin or other similar instructions, without taking regulatory action, provided that no bulletin or other similar instructions shall remain in effect after August 1, 2015. It is the intent that regulations adopted pursuant to this section shall be adopted on or before August 1, 2015.(Amended by Stats. 2010, Ch. 717, Sec. 25. (SB 853) Effective October 19, 2010. Provisions operative and implemented on or after July 1, 2010, as prescribed in Section 130500. Conditionally inoperative on February 1, 2015. Repealed conditionally on January 1, 2016, pursuant to Section 130500.)
CA Health & Safety Code § 130544 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 112 - CALIFORNIA DISCOUNT PRESCRIPTION DRUG PROGRAM|CHAPTER 5 - Administration|Section 130544.

130544.  If any provision of this division, or the application thereof, is for any reason, held invalid, ineffective, or unconstitutional by a court of competent jurisdiction, the remainder of this division, or the application of this provision, shall not be affected thereby, and to this end the provisions of this division are severable.(Added by Stats. 2006, Ch. 619, Sec. 2. Effective January 1, 2007. Provisions operative and implemented on or after July 1, 2010, as prescribed in Section 130500. Conditionally inoperative on February 1, 2015. Repealed conditionally on January 1, 2016, pursuant to Section 130500.)
CA Health & Safety Code § 131500 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 1 - General Provisions|Section 131500.

131500.  This division shall be known and may be cited as the Adult Health Coverage Expansion Program.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)
CA Health & Safety Code § 131501 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 1 - General Provisions|Section 131501.

131501.  It is the intent of the Legislature that the Adult Health Coverage Expansion Program provide health care coverage on a pilot program basis to eligible adults domiciled and employed in Santa Clara County who are without health care coverage.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)
CA Health & Safety Code § 131502 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 1 - General Provisions|Section 131502.

131502.  The following definitions apply for purposes of this division:(a) “Local initiative” has the same meaning as set forth in Section 12693.08 of the Insurance Code.(b) “Program” means the Adult Health Coverage Expansion Program.(c) “Small business” means an entity located in Santa Clara County that employs 50 or fewer persons, with at least 35 percent of the employees earning less than 350 percent of the federal poverty level for a family size of one, and that has not offered health care coverage to its employees for, at minimum, 12 consecutive months, provided that the provisions of any such prior coverage required the employer to contribute at least 50 percent of the total amount of the premium for that coverage. For purposes of the program authorized by this division, a small business shall be a “small employer” pursuant to Article 3.1 (commencing with Section 1357) of Chapter 2.2 of Division 2, subject to the provisions and exceptions of this division. Notwithstanding the company affiliation and tax filing provision of paragraph (1) of subdivision (l) of Section 1357, an individual franchise outlet shall be considered a small business.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)
CA Health & Safety Code § 131510 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 2 - Administration|Section 131510.

131510.  The program may be implemented in Santa Clara County at the option of the local initiative, but if so implemented shall be as a pilot program. A maximum of 5,000 employees may be covered in the county, provided, however, that the number of enrollees may be increased pursuant to the prior approval of the Department of Managed Health Care. The local initiative shall administer the program.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)
CA Health & Safety Code § 131511 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 2 - Administration|Section 131511.

131511.  (a) In implementing the pilot program established pursuant to this division, the local initiative in Santa Clara County shall not be subject to the requirements of subdivision (a) of Section 1357.03. The program shall be otherwise subject to the requirements of Chapter 2.2 (commencing with Section 1340) of Division 2, including Article 3.1 (commencing with Section 1357) thereof, except as otherwise provided in this division, and shall be subject to approval as to regulatory filings with the Department of Managed Health Care as prescribed in Chapter 2.2 (commencing with Section 1340) of Division 2 and in implementing regulations promulgated by the department.(b) Except in the case of a late enrollee or for satisfaction of a preexisting condition clause in the case of initial coverage for an eligible employee, the local initiative may not exclude any eligible employee who would otherwise be eligible for health care coverage under this division on the basis of an actual or expected health care condition. The local initiative may not limit or exclude coverage for any eligible employee by type of illness, treatment, medical condition, or accident, except for preexisting conditions as permitted under Section 1357.06.(c) Coverage provided through the program to an eligible small business shall be renewable with respect to all eligible employees at the option of the participating small business.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)
CA Health & Safety Code § 131520 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 3 - Eligibility|Section 131520.

131520.  Notwithstanding subdivision (b) of Section 1357, only an adult age 19 to 64 years, inclusive, employed by a small business for a minimum of 20 hours per week is eligible to participate in the program if he or she has a gross annual income that is less than 350 percent of the federal poverty level for a family size of one, and his or her employer participates in the program. Dependents, spouses, and domestic partners of employees are not eligible for the program.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)
CA Health & Safety Code § 131521 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 3 - Eligibility|Section 131521.

131521.  (a) A small business may apply to the local initiative that administers the program to obtain coverage for its employees who meet the requirements of Section 131520.(b) At least 50 percent of the employees of an otherwise eligible small business must meet the eligibility requirements of Section 131520, and at least 50 percent of those eligible employees must choose to receive coverage through the program in order for the small business to qualify to participate in the program.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)
CA Health & Safety Code § 131522 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 3 - Eligibility|Section 131522.

131522.  The program shall screen potential enrollees to determine if they meet the eligibility requirements for the Medi-Cal program.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)
CA Health & Safety Code § 131530 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 4 - Benefits|Section 131530.

131530.  The local initiative that establishes a program shall offer health care coverage through the program, and all health care services shall be provided to participants by a provider operated by the county or by a provider with whom or with which the county or the local initiative has contracted to provide health care services, except for emergency or out-of-area care or instances in which a required specialized service is not contracted for by the county or the local initiative.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)
CA Health & Safety Code § 131531 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 4 - Benefits|Section 131531.

131531.  The health care services provided through the program to eligible employees shall, to the extent practicable, be substantially similar to the benefits offered to adults under the Healthy Families Program pursuant to Chapter 5 (commencing with Section 12693.60) of Part 6.2 of the Insurance Code, but shall include at least all of the basic health care services included in subdivision (b) of Section 1345 and in Section 1300.67 of Title 28 of the California Code of Regulations.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)
CA Health & Safety Code § 131540 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 5 - Funding|Section 131540.

131540.  (a) (1) The cost of the health care coverage provided through the program shall be paid through a combination of contributions paid by the small business, premiums paid by participating employees, and county, federal, state, or private sector funding made available for this purpose.(2) The local initiative may determine the amount of the employer contribution for each participating eligible employee, which shall not exceed one hundred fifty dollars ($150) per month, and the amount of the employee premium, which shall not exceed seventy-five dollars ($75) per month. The local initiative may adjust employer contribution and employee premium levels after the first year if necessary for changes in health care costs.(3) The local initiative may structure the required employee premium amounts according to a schedule that takes into account the individual employee’s age or income level, or both, in a manner similar, but not necessarily identical, to that described in Section 12693.43 of the Insurance Code, pertaining to the Healthy Families Program.(4) The local initiative shall establish copayment levels and amounts in a manner substantially similar to that described in Section 12693.615 of the Insurance Code, pertaining to the Healthy Families Program.(5) For purposes of the program, “applicable rate charged for a covered employee” in Section 1366.26 means the total premium amount paid to the health plan on behalf of an employee, including amounts paid by the small business on behalf of the employee, the premium paid by the employee, and any county, federal, state, or private sector funding, which funding shall include the value of the discounted rates negotiated pursuant to subdivision (b), as apportioned to the employee. The program shall submit to the Department of Managed Health Care the procedures the local initiative will use for purposes of establishing the rates to be paid by a person eligible for continuation coverage under Section 1366.26, and the department shall only approve those procedures if it determines that they are consistent with the requirements of the Cal-COBRA program.(b) In order to enhance the affordability of coverage offered through the program to eligible small businesses and employees, the county and the local initiative shall negotiate discounted rates for services provided to participants in the program by providers operated by the county or by providers with whom, or with which, the county has contracted to provide health care services.(Amended by Stats. 2008, Ch. 179, Sec. 164. Effective January 1, 2009.)
CA Health & Safety Code § 131541 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 5 - Funding|Section 131541.

131541.  The local initiative shall be authorized to establish, participate in, or apply to funding sources in the public and private sectors for purposes of providing or securing premium subsidies for eligible employees, pursuant to fair and equitable procedures to be established by the local initiative.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)
CA Health & Safety Code § 131550 (2021)
2021 California Code|Health and Safety Code - HSC|DIVISION 113 - THE ADULT HEALTH COVERAGE EXPANSION PROGRAM|CHAPTER 6 - Evaluation|Section 131550.

131550.  The county and the local initiative shall together evaluate the pilot program after three years, including all of the following: the number of individuals served, the demographics of the individuals served, the number of employees turned away due to the limitation on enrollment in Section 131510, the number of small businesses participating, the number of small businesses turned away due to the limitation on enrollment of individuals, funding sources (including employees, employers, county, state, federal, and other sources), and the health status of enrollees.(Added by Stats. 2007, Ch. 677, Sec. 2. Effective January 1, 2008.)