Bill Text: CA AB1759 | 2013-2014 | Regular Session | Amended

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Bill Title: California Coastal Commission: appointments.

Sponsorship: Partisan Bill (Democrat 1)

Status: (Engrossed - Dead) 2014-08-19 - Withdrawn from committee. Re-referred to Com. on RLS. [AB1759 Detail]

Download: California-2013-AB1759-Amended.html

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BILL NUMBER: AB 1759	AMENDED
	BILL TEXT

	AMENDED IN SENATE  AUGUST 18, 2014
	AMENDED IN SENATE  JULY 1, 2014
	AMENDED IN ASSEMBLY  MAY 23, 2014
	AMENDED IN ASSEMBLY  APRIL 21, 2014
	AMENDED IN ASSEMBLY  MARCH 25, 2014

INTRODUCED BY   Assembly  Members   Pan
    and Skinner  
Member   Rendon 
    (   Coauthor:  
Assembly Member   Bonta   )


                        FEBRUARY 14, 2014

   An act to  add Section 14105.197 to the Welfare and
Institutions   amend Section 30301.2 of   the
Public Resources  Code, relating to  health care
services   coastal resources  .


	LEGISLATIVE COUNSEL'S DIGEST


   AB 1759, as amended,  Pan   Rendon  .
 Medi-Cal: reimbursement rates: care: independent assessment.
  California Coastal Commission: appointments. 

   Existing law, the California Coastal Act of 1976, prescribes the
membership and functions and duties of the California Coastal
Commission, and prescribes procedures for the appointment of members
to the commission. The act requires that the board of supervisors and
the city selection committee in each county within specified regions
each nominate one or more supervisors and one or more city council
members for appointment, as specified.  
   This bill would, for purposes of the above provisions governing
commission appointments, specify that a "city council member" may
also include a locally elected mayor of a charter city. 

   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
provisions. Existing law requires the director of the department to
prescribe policies regarding the Medi-Cal program, including polices
regarding rates of payment for health care services. 

   This bill would require the department to contract with an
independent entity for purposes of conducting an independent
assessment of Medi-Cal provider reimbursement rates, access to care,
and the quality of care received in the Medi-Cal program, reflecting
the variety of providers and services offered in the program. The
bill would exempt contracts entered into pursuant to these provisions
from generally applicable provisions of law governing contracts for
the acquisition of goods and services by state entities. The bill
would also require the director to annually review the findings and
recommendations of that assessment and suggest adjustments to the
reimbursement rates as necessary to ensure that quality and access in
the Medi-Cal fee-for-service program and in Medi-Cal managed care
plans are adequate to meet applicable state and federal standards.
The bill would require that the findings and recommendations of the
independent assessment and the director's suggested adjustments to
provider reimbursement rates be submitted to the Legislature annually
as part of the Governor's Budget. The bill would also create an
advisory committee composed of 16 members appointed by the Governor
and the Legislature, as specified, to provide input on the selection
of the independent entity and the work of the independent entity. The
bill would require the advisory committee to meet periodically with
the independent entity selected and provide input on the assessment
conducted pursuant to the bill's provisions. The bill would require
meetings of the advisory committee to be open. 
   Vote: majority. Appropriation: no. Fiscal committee:  yes
  no  . State-mandated local program: no.


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

   SECTION 1.    Section 30301.2 of the  
Public Resources Code   is amended to read: 
   30301.2.  (a)    (1)  The appointments of the
Governor, the Senate Committee on Rules, and the Speaker of the
Assembly, pursuant to subdivision (e) of Section 30301, shall be made
as prescribed in this section. Within 45 days from the date of
receipt of a request for nominations by the appointing authority, the
board of supervisors and city selection committee of each county
within the region shall nominate supervisors or city council members
who reside in the region from which the Governor, the Senate
Committee on Rules, or the Speaker of the Assembly shall appoint a
replacement. In regions composed of three counties, the board of
supervisors and the city selection committee in each county within
the region shall each nominate one or more supervisors and one or
more city council members. In regions composed of two counties, the
board of supervisors and the city selection committee in each county
within the region shall each nominate not less than two supervisors
and not less than two city council members. In regions composed of
one county, the board of supervisors and the city selection committee
in the county shall each nominate not less than three supervisors
and not less than three city council members. Immediately upon
selecting the nominees, the board of supervisors and the city
selection committee shall send the names of the nominees to either
the Governor, the Senate Committee on Rules, or the Speaker of the
Assembly, whoever will appoint the replacement. 
   (2) For purposes of this subdivision, a "city council member" may
also include a locally elected mayor of a charter city. 
   (b) Within 30 days from the date of receipt of the names of the
nominees pursuant to subdivision (a), the Governor, the Speaker of
the Assembly, or the Senate Committee on Rules, whoever will appoint
the replacement, shall either appoint one of the nominees or notify
the boards of supervisors and city selection committees within the
region that none of the nominees are acceptable and request the
boards of supervisors and city selection committees to make
additional nominations. Within 45 days from the date of receipt of a
notice rejecting all of the nominees, the boards of supervisors and
city selection committees within the region shall nominate and send
to the appointing authority the names of additional nominees in
accordance with subdivision (a). Upon receipt of the names of those
additional nominees, the appointing authority shall appoint one of
the nominees. 
  SECTION 1.    Section 14105.197 is added to the
Welfare and Institutions Code, to read:
   14105.197.  (a) The department shall contract with an independent
entity for purposes of conducting an annual independent assessment of
Medi-Cal provider reimbursement rates, access to care, and the
quality of care received in the Medi-Cal program, which shall include
the different geographic areas of the state and the access to care
and quality received by different populations enrolled in the
Medi-Cal program. The independent entity assessment shall include,
but not be limited to, the use of existing quality measures and
existing requirements for access to care and timeliness of care. The
assessment should reflect the variety of providers and services
offered in the Medi-Cal program.
   (b) (1) An advisory committee is hereby created to be composed of
16 members representing health care stakeholders, including, but not
limited to, patients, providers, public and private health delivery
systems, payers, and state officials to provide input on the
selection of the independent entity and the work of the independent
entity. The Governor shall appoint eight members, the Senate
Committee on Rules shall appoint four members, and the Speaker of the
Assembly shall appoint four members.
   (2) Except for the initial appointments described in paragraph
(3), members of the committee shall be appointed for a term of four
years, and each member shall hold office until the appointment and
qualification of his or her successor or until one year has elapsed
since the expiration of the term for which he or she was appointed,
whichever occurs first.
   (3) (A) Of the initial members appointed by the Governor, two
shall serve a term of one year, two shall serve a term of two years,
two shall serve a term of three years, and two shall serve a term of
four years.
   (B) Of the initial members appointed by the Senate Committee on
Rules, one shall serve a term of one year, one shall serve a term of
two years, one shall serve a term of three years, and one shall serve
a term of four years.
   (C) Of the initial members appointed by the Speaker of the
Assembly, one shall serve a term of one year, one shall serve a term
of two years, one shall serve a term of three years, and one shall
serve a term of four years.
   (4) Members of the committee shall publicly report financial and
other potential conflicts of interest.
   (5) The committee shall establish an open process for the conduct
of its affairs that enables all health care stakeholders to provide
feedback on those affairs.
   (6) The committee shall meet periodically with the independent
entity selected and provide input to the independent entity on the
assessment conducted pursuant to subdivision (a).
   (c) The director shall annually review the findings and
recommendations of the assessment conducted under subdivision (a) and
suggest adjustments to the reimbursement rates as necessary to
ensure that quality and access in the Medi-Cal fee-for-service
program and in Medi-Cal managed care plans are adequate to meet
applicable state and federal standards.
   (d) Meetings of the advisory committee shall be open for
presentation, discussion, and public comment on each agenda item, and
in accordance with the Bagley-Keene Open Meeting Act (Article 9
(commencing with Section 11120) of Chapter 1 of Part 1 of Division 3
of Title 2 of the Government Code).
   (e) In order to provide for quicker implementation of the
independent assessment required by this section, contracts made under
this section are exempt from Chapter 2 (commencing with Section
10290) of Part 2 of Division 2 of the Public Contract Code.
   (f) Notwithstanding Section 10231.5 of the Government Code, the
findings and recommendations of the independent assessment conducted
under subdivision (a) and the director's suggested adjustments to
provider reimbursement rates provided pursuant to subdivision (c)
shall be submitted to the Legislature annually as part of the
Governor's Budget submitted pursuant to Section 13337 of the
Government Code.