Bill Text: CA SB815 | 2015-2016 | Regular Session | Introduced

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

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Bill Title: Medi-Cal: demonstration project.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Passed) 2016-07-25 - Chaptered by Secretary of State. Chapter 111, Statutes of 2016. [SB815 Detail]

Download: California-2015-SB815-Introduced.html

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BILL NUMBER: SB 815	INTRODUCED
	BILL TEXT


INTRODUCED BY   Senators Hernandez and De León

                        JANUARY 4, 2016

   An act to add Article 5.5 (commencing with Section 14184) to
Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions
Code, relating to Medi-Cal, and declaring the urgency thereof, to
take effect immediately.



	LEGISLATIVE COUNSEL'S DIGEST


   SB 815, as introduced, Hernandez. Medi-Cal: demonstration project.

   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 persons receive health care benefits
and services. The Medi-Cal program is, in part, governed and funded
by federal Medicaid Program provisions. Existing law provides for a
demonstration project under the Medi-Cal program until October 31,
2015, to implement specified objectives, including better care
coordination for seniors and persons with disabilities and
maximization of opportunities to reduce the number of uninsured
individuals.
   This bill would require the State Department of Health Care
Services to implement a waiver or demonstration project authorized
under a specified federal waiver that, among other things, includes a
delivery system transformation and alignment incentive program for
designated public hospital systems and district municipal hospitals.
The bill would require the department to consult with interested
stakeholders and the Legislature in implementing this waiver or
demonstration project.
   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.  Article 5.5 (commencing with Section 14184) is added to
Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions
Code, to read:

      Article 5.5.  Renewal of Health Care Coordination, Improvement,
and Long-Term Cost Containment Waiver or Demonstration Project


   14184.  (a) The department shall implement a waiver or a
demonstration project authorized under Section 1115 of the federal
Social Security Act that includes all of the following:
   (1) A global payment program for services to the uninsured in
designated public hospital systems that converts existing
disproportionate share hospital funding and safety net care pool
uncompensated care funding to a system focused on value and improved
care delivery.
   (2) Delivery system transformation and alignment incentive program
for designated public hospital systems and district municipal
hospitals, which shall be known as Public Hospital Redesign and
Incentives in Medi-Cal (PRIME).
   (3) A dental transformation incentive program.
   (4) A whole person care pilot program, which would be a voluntary,
county-based program to target providing more integrated care for
high-risk, vulnerable populations.
   (5) An independent assessment of access to care and network
adequacy for Medi-Cal managed care beneficiaries.
   (6) An independent study of uncompensated care and hospital
financing.
   (b) In implementing this waiver or demonstration project, the
department shall consult with interested stakeholders and the
Legislature.
  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 make changes to state-funded health care programs at
the earliest possible time, it is necessary that this act take effect
immediately.