Section 26605.6 Of Article 1. Duties From California Government Code >> Division 2. >> Title 3. >> Part 3. >> Chapter 2. >> Article 1.
26605.6
. (a) The sheriff, or his or her designee, has the
authority, after conferring with a physician who has oversight for
providing medical care at a county jail, or that physician's
designee, to release from a county correctional facility, a prisoner
sentenced to a county jail if the sheriff determines that the
prisoner would not reasonably pose a threat to public safety and the
prisoner, upon diagnosis by the examining physician, is deemed to
have a life expectancy of six months or less.
(b) Before the release of any prisoner pursuant to this section,
the sheriff shall notify the presiding judge of the superior court of
his or her intention to release the prisoner. This notification
shall include:
(1) The prisoner's name.
(2) The offense or offenses for which the prisoner was
incarcerated, if applicable, and the pending charges, if applicable.
(3) The date of sentence, if applicable.
(4) The physician's diagnosis of the prisoner's condition.
(5) The physician's prognosis for the prisoner's recovery.
(6) The prisoner's address after release.
(c) (1) This section shall be implemented only to the extent that
a county that releases a prisoner pursuant to this section does both
of the following:
(A) Sends a letter to the State Department of Health Care Services
agreeing to do both of the following:
(i) Notify the State Department of Health Care Services, in
writing, when a prisoner released pursuant to this section has
applied for Medi-Cal.
(ii) Notify the State Department of Health Care Services, in
writing, if a prisoner released pursuant to this section, who is
Medi-Cal eligible, is returned to the custody of the sheriff.
(B) For the period of time that the offender would otherwise have
been incarcerated:
(i) Reimburses the State Department of Health Care Services for
the nonfederal share of the Medi-Cal costs and any medical costs paid
by the State Department of Health Care Services that are not
reimbursable pursuant to Title XIX or XXI of the federal Social
Security Act, for an offender released pursuant to this section.
(ii) Provides to the State Department of Health Care Services the
nonfederal share of the state's administrative costs associated with
this section.
(2) It is the intent of the Legislature that the implementation of
this section shall not result in increased costs to the General
Fund.
(3) Participation in the program under this section is voluntary
for purposes of all applicable federal law. This section shall be
implemented only to the extent that federal financial participation
for the Medi-Cal program is not jeopardized.
(d) Before a prisoner's compassionate release from a county jail
pursuant to this section, the sheriff, or his or her designee, shall
secure a placement option for the prisoner in the community and, in
consultation with the county welfare department or another applicable
county agency, examine the prisoner's eligibility for federal
Medicaid benefits or other medical coverage that might assist in
funding the prisoner's medical treatment while in the community.
(e) (1) For any prisoner released pursuant to this section who is
eligible for Medi-Cal, the county shall continue to pay the
nonfederal share of the prisoner's Medi-Cal costs for the period of
time that the offender would have otherwise been incarcerated.
(2) For any prisoner granted compassionate release pursuant to
this section who is ineligible for Medi-Cal, the county shall
consider whether the prisoner has private medical insurance or
sufficient income or assets to provide for his or her own medical
care. If the county determines that the prisoner can provide for his
or her own medical care, the county shall not be required to provide
the prisoner with medical care.
(f) This section shall not be construed as authorizing the sheriff
to refuse to receive and incarcerate a defendant or sentenced
individual who is not in need of immediate medical care or who has a
terminal medical condition.
(g) Notwithstanding any other law, the State Department of Health
Care Services may exempt individuals released pursuant to this
section from mandatory enrollment in managed health care, including
county-organized health plans and, as deemed necessary by the State
Department of Health Care Services, may determine the proper prior
authorization process for individuals who have been released pursuant
to this section.
(h) Notwithstanding Chapter 3.5 (commencing with Section 11340) of
Part 1 of Division 3 of Title 2, the State Department of Health Care
Services, without taking any further regulatory action, shall
implement, interpret, and make specific this section by means of
provider bulletins, all-county letters, manuals, or similar
instructions until the time that regulations are adopted. Thereafter,
the department shall adopt regulations in accordance with Chapter
3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title
2. Six months after the effective date of the act that added this
subdivision, the department shall provide a status update to the
Legislature on its efforts to adopt the regulations. Thereafter,
notwithstanding Section 10231.5, the department shall report on the
status of this effort to the Legislature on an annual basis, until
the regulations have been adopted.