Includes all politicians who were in office at any point during the 2015-2016 Legislature.

SB 243 - An Act to Amend Section 14105.28 Of, and to Add Sections 14105.194 and 14105.196 To, the Welfare and Institutions Code, Relating to Medi-Cal, and Declaring the Urgency Thereof, to Take Effect Immediately.

Medi-Cal: reimbursement: provider rates. 2015-2016 Legislature. View bill details
Author(s):
Summary:
(1)Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid provisions. Existing law requires the department to develop and implement a Medi-Cal inpatient hospital reimbursement payment… More
(1)Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid provisions. Existing law requires the department to develop and implement a Medi-Cal inpatient hospital reimbursement payment methodology based on diagnosis-related groups, subject to federal approval, that reflects the costs and staffing levels associated with quality of care for patients in all general acute care hospitals, as specified. Existing law generally requires the diagnosis-related group-based payments to apply to all claims.

This bill would require claims for payments pursuant to the inpatient hospital reimbursement methodology described above to be increased by 16% for the 2015–16 fiscal year, and would require, commencing July 1, 2016, and annually thereafter, the department to increase each diagnosis-related group payment claim amount based, at a minimum, on increases in the medical component of the California Consumer Price Index. Commencing with the 2015–16 fiscal year, and annually thereafter, the bill would require managed care rates for Medi-Cal managed care health plans to be increased by a proportionately equal amount for increased payments for hospital services.

(2)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, prohibit the application of those reductions for payments to providers for dates of service on or after June 1, 2011. The bill would also require payments for managed care health plans for dates of service following the effective date of the bill to be determined without application of some of those reductions. The bill would require the Director of Health Care Services to implement this provision to the maximum extent permitted by federal law and for the maximum time period for which the director obtains federal approval for federal financial participation for those payments.

(3)Prior law required, beginning January 1, 2013, through and including December 31, 2014, that payments for primary care services provided by specified physicians be no less than 100% of the payment rate that applies to those services and physicians as established by the Medicare program, for both fee-for-service and managed care plans.

This bill, commencing January 1, 2016, would require payments for specified medical care services to not be less than 100% of the payment rate that applies to those services as established by the Medicare program for services rendered by fee-for-service providers, and would require rates paid to Medi-Cal managed care plans to be actuarially equivalent to payment rates established by the Medicare program. The bill, commencing January 1, 2016, would require rates paid to Denti-Cal providers for dental services provided to adults and children to be increased by the equivalent percentage as the percentage increase required for other fee-for-service Medi-Cal providers. The bill would require those provisions to be implemented only to the extent permitted by federal law and that federal financial participation is available. The bill would authorize the department to implement those provisions through provider bulletins without taking regulatory action until regulations are adopted, and would require the department to adopt those regulations by July 1, 2018. The bill would require, commencing July 1, 2016, the department to provide a status report to the Legislature on a semiannual basis until regulations have been adopted.

(4)This bill would declare that it is to take effect immediately as an urgency statute. Hide
 
Status:
The bill was voted on by a Senate committee on May 18, 2015. 
There have been no votes on passage on this bill.
Other Votes:

An Act to Amend Section 14105.28 Of, and to Add Sections 14105.194 and 14105.196 To, the Welfare and Institutions Code, Relating to Medi-Cal, and Declaring the Urgency Thereof, to Take Effect Immediately.

SB 243 — 2015-2016 Legislature

Summary
(1)Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid provisions. Existing law requires the department to develop and implement a Medi-Cal inpatient hospital reimbursement payment methodology based on diagnosis-related groups, subject to federal approval, that reflects the costs and staffing levels associated with quality of care for patients in all general acute care hospitals, as specified. Existing law generally requires the diagnosis-related group-based payments to apply to all claims.

This bill would require claims for payments pursuant to the inpatient hospital reimbursement methodology described above to be increased by 16% for the 2015–16 fiscal year, and would require, commencing July 1, 2016, and annually thereafter, the department to increase each diagnosis-related group payment claim amount based, at a minimum, on increases in the medical component of the California Consumer Price Index. Commencing with the 2015–16 fiscal year, and annually… More
(1)Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid provisions. Existing law requires the department to develop and implement a Medi-Cal inpatient hospital reimbursement payment methodology based on diagnosis-related groups, subject to federal approval, that reflects the costs and staffing levels associated with quality of care for patients in all general acute care hospitals, as specified. Existing law generally requires the diagnosis-related group-based payments to apply to all claims.

This bill would require claims for payments pursuant to the inpatient hospital reimbursement methodology described above to be increased by 16% for the 2015–16 fiscal year, and would require, commencing July 1, 2016, and annually thereafter, the department to increase each diagnosis-related group payment claim amount based, at a minimum, on increases in the medical component of the California Consumer Price Index. Commencing with the 2015–16 fiscal year, and annually thereafter, the bill would require managed care rates for Medi-Cal managed care health plans to be increased by a proportionately equal amount for increased payments for hospital services.

(2)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, prohibit the application of those reductions for payments to providers for dates of service on or after June 1, 2011. The bill would also require payments for managed care health plans for dates of service following the effective date of the bill to be determined without application of some of those reductions. The bill would require the Director of Health Care Services to implement this provision to the maximum extent permitted by federal law and for the maximum time period for which the director obtains federal approval for federal financial participation for those payments.

(3)Prior law required, beginning January 1, 2013, through and including December 31, 2014, that payments for primary care services provided by specified physicians be no less than 100% of the payment rate that applies to those services and physicians as established by the Medicare program, for both fee-for-service and managed care plans.

This bill, commencing January 1, 2016, would require payments for specified medical care services to not be less than 100% of the payment rate that applies to those services as established by the Medicare program for services rendered by fee-for-service providers, and would require rates paid to Medi-Cal managed care plans to be actuarially equivalent to payment rates established by the Medicare program. The bill, commencing January 1, 2016, would require rates paid to Denti-Cal providers for dental services provided to adults and children to be increased by the equivalent percentage as the percentage increase required for other fee-for-service Medi-Cal providers. The bill would require those provisions to be implemented only to the extent permitted by federal law and that federal financial participation is available. The bill would authorize the department to implement those provisions through provider bulletins without taking regulatory action until regulations are adopted, and would require the department to adopt those regulations by July 1, 2018. The bill would require, commencing July 1, 2016, the department to provide a status report to the Legislature on a semiannual basis until regulations have been adopted.

(4)This bill would declare that it is to take effect immediately as an urgency statute. Hide
Learn More
At LegInfo.ca.gov
Title
An Act to Amend Section 14105.28 Of, and to Add Sections 14105.194 and 14105.196 To, the Welfare and Institutions Code, Relating to Medi-Cal, and Declaring the Urgency Thereof, to Take Effect Immediately.
Author(s)
Ed Hernandez
Co-Authors
Subjects
  • Medi-Cal: reimbursement: provider rates
Major Actions
Introduced2/17/2015
Referred to Committee
Passed Senate Committee on Health4/22/2015
Passed Senate Committee on Appropriations5/18/2015
Bill History
Chamber/CommitteeMotionDateResult
select this voteSenate Committee on HealthDo pass, but first be re-referred to the Committee on [Appropriations]4/22/2015This motion PASSED the Senate Committee on Health
8 voted YES 0 voted NO 0 voted present/not voting
select this voteSenate Committee on AppropriationsPlaced on suspense file5/18/2015This motion PASSED the Senate Committee on Appropriations
7 voted YES 0 voted NO 0 voted present/not voting
ActionDateDescription
Introduced2/17/2015
2/17/2015Introduced. Read first time. To Com. on RLS. for assignment. To print.
2/18/2015From printer. May be acted upon on or after March 20.
2/26/2015Referred to Com. on HEALTH.
3/18/2015Set for hearing April 22.
4/13/2015From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
select this voteVote4/22/2015Do pass, but first be re-referred to the Committee on [Appropriations]
4/23/2015From committee: Do pass and re-refer to Com. on APPR. (Ayes 8. Noes 0. Page 757.) (April 22). Re-referred to Com. on APPR.
5/01/2015Set for hearing May 11.
5/04/2015May 11 hearing postponed by committee.
5/08/2015Set for hearing May 18.
5/12/2015From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR.
select this voteVote5/18/2015Placed on suspense file
5/18/2015May 18 hearing: Placed on APPR. suspense file.
5/23/2015Set for hearing May 28.
5/28/2015May 28 hearing: Held in committee and under submission.
2/01/2016Returned to Secretary of Senate pursuant to Joint Rule 56.

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An Act to Amend Section 14105.28 Of, and to Add Sections 14105.194 and 14105.196 To, the Welfare and Institutions Code, Relating to Medi-Cal, and Declaring the Urgency Thereof, to Take Effect Immediately.

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Includes reported contributions to campaigns of Senators in office during the 2015-2016 California State Legislature, from interest groups invested in the vote according to MapLight, January 1, 2009 – December 31, 2012.
Contributions data source: FollowTheMoney.org

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Legislator Filters
Legislator Filters
NamePartyDistrict$ From Interest Groups
That Support
$ From Interest Groups
That Oppose
Benjamin AllenDCA-26$0$0
Joel AndersonRCA-38$0$0
Patricia C. BatesRCA-36$0$0
Jim BeallDCA-15$0$0
Tom BerryhillRCA-8$0$0
Marty BlockDCA-39$0$0
Anthony CannellaRCA-12$0$0
Jean FullerRCA-16$0$0
Ted GainesRCA-1$0$0
Cathleen GalgianiDCA-5$0$0
Isadore HallDCA-35$0$0
Loni HancockDCA-9$0$0
Ed HernandezDCA-22$0$0
Robert M. HertzbergDCA-18$0$0
Jerry HillDCA-13$0$0
Ben HuesoDCA-40$0$0
Bob HuffRCA-29$0$0
Hannah-Beth JacksonDCA-19$0$0
Ricardo LaraDCA-33$0$0
Mark LenoDCA-11$0$0
Connie M. LeyvaDCA-20$0$0
Carol LiuDCA-25$0$0
Mike McGuireDCA-2$0$0
Tony MendozaDCA-32$0$0
Holly J. MitchellDCA-30$0$0
Bill MonningDCA-17$0$0
Mike MorrellRCA-23$0$0
Janet NguyenRCA-34$0$0
Jim NielsenRCA-4$0$0
Richard PanDCA-6$0$0
Fran PavleyDCA-27$0$0
Richard D. RothDCA-31$0$0
Jeff StoneRCA-28$0$0
Andy VidakRCA-14$0$0
Bob WieckowskiDCA-10$0$0
Lois WolkDCA-3$0$0
Kevin de LeonDCA-24$0$0

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