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.
Chapter 3Eligibility
Section § 131520
This law states that only adults aged 19 to 64 who work at least 20 hours a week for a small business can join a specific program. To qualify, they must earn less than 350% of the federal poverty level for a single person, and their employer must be part of the program. Family members like dependents, spouses, and domestic partners aren't allowed to join.
small business employee eligibility income limit federal poverty level program participation minimum work hours adult age eligibility employer participation dependents exclusion spouse exclusion domestic partner exclusion
Section § 131521
This law section explains that small businesses can apply to a local program to get coverage for their employees, but there are specific conditions. First, at least half of the employees must meet certain eligibility criteria. Second, at least half of those eligible employees must choose to receive coverage through the program for the business to qualify.
(a)CA Health and Safety Code § 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)CA Health and Safety Code § 131521(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.
small business coverage employee eligibility local initiative program program participation criteria employee coverage requirements percentage of eligible employees choose coverage qualify for program business eligibility requirements Section 131520 eligibility
Section § 131522
This section requires a program to check whether potential participants qualify for the Medi-Cal program, which provides healthcare services for eligible individuals.
The program shall screen potential enrollees to determine if they meet the eligibility requirements for the Medi-Cal program.
Medi-Cal eligibility potential enrollees eligibility screening healthcare services program requirements Medi-Cal program enrollment screening qualifying criteria healthcare eligibility participant qualification Medi-Cal participation program screening process eligibility determination health program Medi-Cal beneficiaries
