Bill Text: CA SB1033 | 2023-2024 | Regular Session | Amended
Bill Title: Medi-Cal cost reporting: private duty nursing and congregate living health facilities.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Engrossed) 2024-06-25 - June 25 set for first hearing canceled at the request of author. [SB1033 Detail]
Download: California-2023-SB1033-Amended.html
Amended
IN
Senate
May 16, 2024 |
Amended
IN
Senate
April 15, 2024 |
Amended
IN
Senate
March 11, 2024 |
Introduced by Senator Menjivar |
February 06, 2024 |
LEGISLATIVE COUNSEL'S DIGEST
Existing law provides for the licensure and regulation by the State Department of Public Health of health facilities, including, congregate living health facilities. Existing law defines “congregate living health facility” as a residential home with a capacity of 18 beds that provides inpatient and skilled nursing care, as specified. Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services. The Medi-Cal Long-Term Care Reimbursement Act requires the department to implement a facility-specific ratesetting system using a cost-based reimbursement rate methodology and to update these rates annually.
This bill would require, beginning January 10, 2026, and every 3 years thereafter, the State Department of Health Care Services to prepare and submit a cost study to the appropriate fiscal and policy committees of the Legislature. The bill would require the cost study to evaluate all financial and operational costs associated with licensed congregate living health facilities, as specified. The bill would require the department to consult with congregate living health facility providers, patients or families, caregivers, and other relevant parties in preparing the study. The bill would require the department to adjust rates in a manner consistent with the study. The bill would require, after January 10, 2026, and each year thereafter, rate changes to be included in the Medi-Cal estimate, consistent with the annual Budget Act released on or before January 10 of each year, and are to be indexed to the previous fiscal year.
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NOBill Text
The people of the State of California do enact as follows:
SECTION 1.
Section 14105.14 is added to the Welfare and Institutions Code, to read:14105.14.
(a) By January 10, 2026, the department shall develop and submit a cost estimate, on private duty nursing services provided to pediatric patients, to the appropriate fiscal and policy committees of the Legislature. The cost estimate shall be submitted in accordance with Section 9795 of the Government Code.SECTION 1.SEC. 2.
Article 3.87 (commencing with Section 14127) is added to Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code, to read:Article 3.87. Congregate Living Health Facilities Cost Study
14127.
(a)(c)Notwithstanding any other law, the department shall adjust rates in a manner consistent with the triennial rate study required by subdivision (a). After January 10, 2026, and each year thereafter, rate changes shall be included in the Medi-Cal estimate, consistent with the annual Budget Act released on or before January 10 of each year, and shall be indexed to the previous fiscal year.