Bill Text: CA AB900 | 2013-2014 | Regular Session | Amended

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Bill Title: Medi-Cal: reimbursement: distinct part nursing facilities.

Spectrum: Slight Partisan Bill (Democrat 4-2)

Status: (Engrossed - Dead) 2013-08-30 - In committee: Held under submission. [AB900 Detail]

Download: California-2013-AB900-Amended.html

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BILL NUMBER: AB 900	AMENDED
	BILL TEXT

	AMENDED IN SENATE  JUNE 25, 2013
	AMENDED IN ASSEMBLY  MAY 24, 2013
	AMENDED IN ASSEMBLY  APRIL 19, 2013

INTRODUCED BY   Assembly Member Alejo
    (   Principal coauthor:   Senator 
 Nielsen   ) 
   (Coauthors: Assembly Members Ammiano, Chesbro, and Perea)
    (   Coauthor:   Senator   Anderson
  ) 

                        FEBRUARY 22, 2013

   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 900, as amended, Alejo. Medi-Cal: reimbursement: distinct part
nursing facilities.
    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 services.
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 require that this payment reduction not
apply to skilled nursing facilities that are a distinct part of a
general acute care hospital, for dates of service on or after July 1,
2013  , subject to necessary federal approvals  .
   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 14105.191 and 14105.192,
reimbursement for services provided by skilled nursing facilities
that are distinct parts of general acute care hospitals shall be
determined, for dates of service on or after July 1, 2013, without
application of the reductions  and limitations  set forth in
Sections 14105.191 and 14105.192. 
   (b) The director shall do all of the following in the event that
he or she is prevented from implementing subdivision (a) for any
dates of service on or after July 1, 2013:  
   (1) Implement subdivision (a) to the maximum extent permitted by
law.  
   (2) Increase payments to facilities described in subdivision (a)
for services provided on or after July 1, 2013, or on or after the
first date of service permitted by law and for which federal
financial participation is available.  
   (c) 
    (   b)  The director shall promptly seek all
necessary federal approvals to implement this section. 
   (d) 
    (   c)  Notwithstanding Chapter 3.5 (commencing
with Section 11340) of Part 1 of Division 3 of Title 2 of the
Government Code, the department may implement this section by means
of provider bulletins or notices, policy letters, or other similar
instructions, without taking regulatory action.
  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 and maintain access to medically necessary care
for the patients and residents needing skilled nursing services, it
is necessary that this act take effect immediately.