AB 59 (2001) allows children who are approved for free lunches to apply for Medi-Cal using the information on the National School Lunch Program (NSLP) application. Effective July 1, 2003, all counties are required to participate in a statewide pilot project to make Medi-Cal determinations using the NSLP application and a supplemental form. School participation in the project is voluntary and schools are not required to share the information on NSLP applications. If a school participates, the school follows a simplified income eligibility process, called “Express Enrollment,” to determine temporary Medi-Cal eligibility. As of the date of the letter, school districts in only five counties were participating: Los Angeles, San Diego, Santa Clara, San Mateo, and Fresno. The NSLP county contact list is attached to the letter. [Download]