Bill Text: CA SB728 | 2011-2012 | Regular Session | Amended

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

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Bill Title: Medi-Cal: durable medical equipment reimbursement.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Passed) 2012-09-22 - Chaptered by Secretary of State. Chapter 451, Statutes of 2012. [SB728 Detail]

Download: California-2011-SB728-Amended.html

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BILL NUMBER: SB 728	AMENDED
	BILL TEXT

	AMENDED IN SENATE  MARCH 25, 2011

INTRODUCED BY   Senator Hernandez

                        FEBRUARY 18, 2011

    An act to amend Section 128805 of the Health and Safety
Code, relating to public health.   An act to add Section
100522 to the Government Code, relating to health care coverage.




	LEGISLATIVE COUNSEL'S DIGEST


   SB 728, as amended, Hernandez.  Health data reports:
contracts.   Health care coverage.  
   Existing law, the federal Patient Protection and Affordable Care
Act, requires each state to, by January 1, 2014, establish an
American Health Benefit Exchange that makes available qualified
health plans to qualified individuals and employers. Existing state
law establishes the California Health Benefit Exchange within state
government, specifies the powers and duties of the board governing
the Exchange relative to determining eligibility for enrollment in
the Exchange and arranging for coverage under qualified health plans,
and requires the board to facilitate the purchase of qualified
health plans through the Exchange by qualified individuals and small
employers by January 1, 2014.  
   The federal Patient Protection and Affordable Care Act also
requires that risk adjustments be made with regard to health insurers
and health plans providing coverage in the individual or small group
market within the state. 
   Existing law establishes the Office of Statewide Health Planning
and Development and sets forth its powers and duties with respect to
health facility construction, health policy and planning, and health
professions development.  Existing law, the Health Data and
Advisory Council Consolidation Act, requires the office, under
contract with a qualified consulting firm, to conduct a comprehensive
review of the financial and utilization reports that hospitals are
required to file with the office, and authorizes the office to enter
into necessary agreements and contracts. 
   This bill would  make a technical, nonsubstantive change
  require the board of the California Health Benefit
Exchange to work with the Office of Statewide Health Planning and
Development, the Department of Insurance, and the Department of
Managed Health Care to develop a risk adjustment system for products
sold in the Exchange and outside of the Exchange, as specified 
.
   Vote: majority. Appropriation: no. Fiscal committee:  no
  yes  . State-mandated local program: no.


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

   SECTION 1.    Section 100522 is added to the 
 Government Code   , to read:  
   100522.  (a) Pursuant to the requirements imposed under Section
1343 of the federal act, the board shall collaborate with the Office
of Statewide Health Planning and Development, the Department of
Insurance, and the Department of Managed Health Care to develop a
risk adjustment system for products sold in the Exchange and outside
of the Exchange.
   (b) In developing the risk adjustment system, the board shall be
subject to the criteria and methods specified in Section 1343 of the
federal act. The board shall also consider different data collection
processes for purposes of the risk adjustment system.
   (c) "Risk adjustment" shall have the same meaning as described in
Section 1343 of the federal act.  
  SECTION 1.    Section 128805 of the Health and
Safety Code is amended to read:
   128805.  The office may enter into agreements and contracts with
any person, department, agency, corporation, or legal entity as
necessary to carry out the functions vested in the office by this
chapter or any other law.