Bill Text: CA AB715 | 2011-2012 | Regular Session | Amended

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Bill Title: Health care programs: provider reimbursement rates.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2012-02-01 - Died pursuant to Art. IV, Sec. 10(c) of the Constitution. From committee: Filed with the Chief Clerk pursuant to Joint Rule 56. [AB715 Detail]

Download: California-2011-AB715-Amended.html

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BILL NUMBER: AB 715	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  MARCH 14, 2011

INTRODUCED BY   Assembly Member Galgiani

                        FEBRUARY 17, 2011

   An act to amend Section 14105.18 of the Welfare and Institutions
Code, relating to health care.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 715, as amended, Galgiani. Health care programs: provider
reimbursement rates.
   Existing law provides for the Medi-Cal program, which is
administered by the State Department of Health Care Services, under
which qualified low-income individuals receive health care benefits.
The Medi-Cal program is, in part, governed and funded by federal
Medicaid Program provisions. Existing law also requires the
department to administer various health programs, including the
California Children's Services Program, Genetically Handicapped
Person's Program, Breast and Cervical Cancer Early Detection Program,
State-Only Family Planning Program, and Family Planning, Access,
Care, and Treatment (Family PACT) Program. Existing law requires
provider rates of payment for services under these programs to be
identical to the rates of payment for the same service performed by
the same provider type pursuant to the Medi-Cal program.
   This bill would revise these provisions to, instead, require
provider rates of payment for services under these programs to be
identical to the rates of payment for the same service performed by
the same provider type pursuant to the Medi-Cal program, except with
regard to hospital inpatient rates of payment, which the bill would
require to be 90%  the of   of the 
Medi-Cal hospital interim rates of payment, as  prescribed
  developed by the department  .
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


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

  SECTION 1.  Section 14105.18 of the Welfare and Institutions Code
is amended to read:
   14105.18.  (a) Notwithstanding any other provision of law,
provider rates of payment for services rendered in all of the
following programs shall be identical to the rates of payment for the
same service performed by the same provider type pursuant to the
Medi-Cal program, except that hospital inpatient rates of payment
shall be 90 percent of the Medi-Cal hospital interim rates 
of payment, as developed by the department, and these hospital rates
shall not be subject to any further reductions to Medi-Cal rates of
payment in effect immediately before September 28, 2008 or enacted
after that date.   of payment, as developed by the 
 department. 
   (1) The California Children's Services Program established
pursuant to Article 5 (commencing with Section 123800) of Chapter 3
of Part 2 of Division 106 of the Health and Safety Code.
   (2) The Genetically Handicapped Person's Program established
pursuant to Article 1 (commencing with Section 125125) of Chapter 2
of Part 5 of Division 106 of the Health and Safety Code.
   (3) The Breast and Cervical Cancer Early Detection Program
established pursuant to Article 1.3 (commencing with Section 104150)
of Chapter 2 of Part 1 of Division 103 of the Health and Safety Code
and the breast cancer programs specified in Section 30461.6 of the
Revenue and Taxation Code.
   (4) The State-Only Family Planning Program established pursuant to
Division 24 (commencing with Section 24000).
   (5) The Family Planning, Access, Care, and Treatment (Family PACT)
Program established pursuant to subdivision (aa) of Section 14132.
   (b) The director may identify in regulations other programs not
listed in subdivision (a) in which providers shall be paid rates of
payment that are identical to the rates of payments in the Medi-Cal
program pursuant to subdivision (a).
   (c) Notwithstanding subdivision (a), services provided under any
of the programs described in subdivisions (a) and (b) may be
reimbursed at rates greater than the Medi-Cal rate that would
otherwise be applicable if those rates are adopted by the director in
regulations. 
   (d) This section shall become operative on January 1, 2011.