Bill Text: CA AB1805 | 2013-2014 | Regular Session | Amended

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Bill Title: Medi-Cal: reimbursement: provider payments.

Spectrum: Slight Partisan Bill (Democrat 27-9)

Status: (Introduced - Dead) 2014-05-07 - In committee: Set, first hearing. Hearing canceled at the request of author. [AB1805 Detail]

Download: California-2013-AB1805-Amended.html

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BILL NUMBER: AB 1805	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  APRIL 7, 2014

INTRODUCED BY   Assembly Members Skinner and Pan
    (   Principal coauthor:   Assembly Member
  Alejo   ) 
    (   Principal coauthor:   Senator 
 Lara   ) 
    (   Coauthors:   Assembly Members 
 Allen,   Ammiano,   Bonta,  
Buchanan,   Ian Calderon,   Chesbro,  
Dababneh,   Dahle,   Eggman,   Gonzalez,
  Gorell,   Gray,   Levine,  
Logue,   Lowenthal,   Maienschein,  
Melendez,   Nazarian,   Nestande,   V.
Manuel Pérez,   Quirk,   Ting,   Waldron,
  Weber,   Wilk,   and Williams  
) 
    (   Coauthors:   Senators   Block,
  Hill,   Lieu,   Morrell,  
Pavley,   and Wyland   ) 

                        FEBRUARY 18, 2014

   An act to add Section 14105.194 to the Welfare and Institutions
Code, relating to Medi-Cal, and declaring the urgency thereof, to
take effect immediately.



	LEGISLATIVE COUNSEL'S DIGEST


   AB 1805, as amended, Skinner. Medi-Cal: reimbursement: provider
payments.
   Existing law establishes the Medi-Cal program, administered by the
State Department of Health Care Services, under which basic health
care services are provided to qualified low-income persons. The
Medi-Cal program is, in part, governed and funded by federal Medicaid
Program provisions. Existing law requires, except as otherwise
provided, Medi-Cal provider payments to be reduced by 1% or 5%, and
provider payments for specified non-Medi-Cal programs to be reduced
by 1%, for dates of service on and after March 1, 2009, and until
June 1, 2011. Existing law requires, except as otherwise provided,
Medi-Cal provider payments and payments for specified non-Medi-Cal
programs to be reduced by 10% for dates of service on and after June
1, 2011.
   This bill would, instead, prohibit the application of those
reductions for payments to providers for dates of service on or after
June 1, 2011.  The bill would also require payments for managed
care health plans for dates of service following the effective date
of the bill to be determined without application of some of those
reductions.  The bill would require the Director of Health Care
Services to implement this provision to the maximum extent permitted
by federal law and for the maximum time period for which the director
obtains federal approval for federal financial participation for
those payments.
   This bill would declare that it is to take effect immediately as
an urgency statute.
   Vote: 2/3. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 14105.194 is added to the Welfare and
Institutions Code, to read:
   14105.194.  (a) Notwithstanding Sections 14105.07, 14105.191,
14105.192, and 14105.193, payments to providers for dates of service
on or after June 1, 2011, shall be determined without application of
the reductions in Sections 14105.07, 14105.191, 14105.192, and
14105.193, except as otherwise provided in this section. 
   (b) Notwithstanding Sections 14105.07 and 14105.192, and except as
otherwise provided in this section, for managed care health plans
that contract with the department pursuant to this chapter or Chapter
8 (commencing with Section 14200), payments for dates of service
following the effective date of the act adding this section shall be
determined without application of the reductions, limitations, and
adjustments in Sections 14105.07 and 14105.192.  
   (b) 
    (c)  The director shall implement  subdivision
(a)   this section  to the maximum extent permitted
by federal law and for the maximum time period for which the
director obtains federal approval for federal financial participation
for the payments provided for in this section. 
   (c) 
    (d)  The director shall promptly seek all necessary
federal approvals to implement this section.
  SEC. 2.  This act is an urgency statute necessary for the immediate
preservation of the public peace, health, or safety within the
meaning of Article IV of the Constitution and shall go into immediate
effect. The facts constituting the necessity are:
   In order to ensure access to medically necessary care for Medi-Cal
beneficiaries, it is necessary that this act take effect
immediately.