Bill Text: CA AB990 | 2019-2020 | Regular Session | Introduced

California Assembly Bill 990 (Prior Session Legislation)

NOTE: There are more recent revisions of this legislation. Read Latest Draft

Bill Title: Medi-Cal managed care plans: financial incentives.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Failed) 2020-02-03 - From committee: Filed with the Chief Clerk pursuant to Joint Rule 56. [AB990 Detail]

Download: California-2019-AB990-Introduced.html

CALIFORNIA LEGISLATURE— 2019–2020 REGULAR SESSION

Assembly Bill

No. 990

Introduced by Assembly Member Gallagher

February 21, 2019

An act to add Section 14197.25 to the Welfare and Institutions Code, relating to Medi-Cal.

LEGISLATIVE COUNSEL'S DIGEST

AB 990, as introduced, Gallagher. Medi-Cal: Medi-Cal managed care plans: financial incentives.

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. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care health plans. Existing law authorizes a Medi-cal managed care contractor to offer nonmonetary incentives to promote good health practices by its Medi-cal enrollees.

This bill would express the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans to offer financial incentives to enrollees for their improved wellness activities, as specified.

Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO

The people of the State of California do enact as follows:

SECTION 1.

Section 14197.25 is added to the Welfare and Institutions Code, to read:

14197.25.

(a) It is the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans, subject to federal approval, to offer financial incentives to enrollees for their improved wellness activities.

(b) The purpose of subdivision (a) is to achieve cost containment in the Medi-Cal managed care delivery system, due to an increase in wellness and a decrease in medical interventions, while improving the lives of Medi-Cal beneficiaries through preventative care and disease management.