MIPPA (Medicare Improvements for Patients and Providers Act of 2008) is primarily known for eliminating cuts in payments to Medicare Providers. It also contains a great deal if improvements to the Medicare Savings Programs (MSPs) that pay the Medicare Part B Premium ($96.40 per month) who do not qualify for that to be paid directly by Medi-Cal.
There is also information regarding the elimination of Medi-Cal's Estate Recovery Program for anyone enrolled in a Medicare Savings Program.
In fact, in California, anyone already with an MSP is not subject to the Estate Recovery Program. Who knew?
Here's a link to a document that breaks it all down quite well.