California 2009-2010 Regular Session Status: Enacted

AB 1142 — Medi-Cal: proof of eligibility.

Last action — Chaptered by Secretary of State - Chapter 511, Statutes of 2009.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Assembly
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 27, 2009. Enacted.

Prognosis

Likely to advance 70% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 8 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Existing law establishes 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 services. Existing law provides that it is the responsibility of the Medi-Cal beneficiary to provide information and evidence of Medi-Cal eligibility to that person's health care provider if that information is requested by the provider prior to rendering services to that beneficiary. Existing law provides that it is the responsibility of the provider prior to rendering Medi-Cal reimbursable services to persons presenting themselves as Medi-Cal beneficiaries to make a good faith effort to verify the person's identity, if the person is not known to the provider, otherwise payment for those services may later be disallowed by the department. This bill would provide, if a hospital obtains proof of Medi-Cal eligibility for a patient subsequent to the date of service, that it is the responsibility of a hospital to provide all information regarding that person's Medi-Cal eligibility to certain providers that bill separately for all services associated with the person's treatment in the hospital rendered during the same time period for which the hospital is submitting a claim, as specified. Existing law prohibits any provider of health care services who obtains a label or copy from the Medi-Cal card or other proof of eligibility from seeking reimbursement or attempting to obtain payment for the cost of the covered health care services from the eligible applicant or recipient, or any person other than the department or a 3rd-party payor who provides a contractual or legal entitlement to health care services. This bill would require a Medi-Cal provider, if the provider receives proof of a patient's Medi-Cal eligibility and has previously referred an unpaid bill for services rendered to the patient to a debt collector, to promptly notify the debt collector of the patient's Medi-Cal coverage, instruct the debt collector to cease collection efforts on the unpaid bill for covered services, and notify the patient accordingly. This bill would provide that a provider of health care services who obtains a label from, or copy of, the Medi-Cal card or other proof of eligibility and who subsequently pursues reimbursement or payment for the cost of covered services from the beneficiary or fails to cease collection efforts against the beneficiary for covered services, as prescribed, may be subject to a penalty, payable to the department, not to exceed 3 times the amount payable by the Medi-Cal program. The bill would also require that prescribed mitigating circumstances be considered when assessing the penalty. The bill would require that a provider have the right to appeal the assessed penalty, as specified. Existing law prohibits a person furnishing information on a specific transaction or experience to any consumer credit reporting agency if the person knows or should know the information is incomplete or inaccurate. This bill would provide that if a Medi-Cal provider or debt collector receives proof of Medi-Cal coverage for services rendered and then reports the services rendered to a consumer credit reporting agency or fails to provide corrections of, or instructions to delete, as appropriate, information regarding Medi-Cal covered services to a consumer reporting agency, the provider or debt collector shall be deemed to be in violation of the above-described provisions.

Bill Text

Action History

  1. Chaptered by Secretary of State - Chapter 511, Statutes of 2009.

  2. Approved by the Governor.

  3. Enrolled and to the Governor at 5 p.m.

  4. Senate amendments concurred in. To enrollment. (Ayes 46. Noes 30. Page 3279.)

  5. In Assembly. Concurrence in Senate amendments pending.

  6. Read third time, passed, and to Assembly. (Ayes 26. Noes 13. Page 2297.)

  7. Read second time. To third reading.

  8. Read third time, amended. To second reading.

  9. Read second time and amended. Ordered to third reading.

  10. From committee: Amend, and do pass as amended. (Ayes 8. Noes 5.) (August 27).

  11. In committee: Placed on Appropriations suspense file.

  12. In committee: Set, first hearing. Hearing canceled at the request of author.

  13. (Corrected August 17.)

  14. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR.

  15. Read second time, amended, and re-referred to Com. on APPR.

  16. From committee: Amend, do pass as amended, and re-refer to Com. on APPR. (Ayes 8. Noes 3.) (June 24).

  17. In committee: Hearing postponed by committee.

  18. Referred to Com. on HEALTH.

  19. In Senate. Read first time. To Com. on RLS. for assignment.

  20. Read third time, passed, and to Senate. (Ayes 47. Noes 29. Page 1682.)

  21. Read second time. To third reading.

  22. From committee: Do pass. (Ayes 11. Noes 5.) (May 13).

  23. Re-referred to Com. on APPR.

  24. Read second time and amended.

  25. From committee: Amend, do pass as amended, and re-refer to Com. on APPR. (Ayes 13. Noes 4.) (April 21).

  26. Re-referred to Com. on HEALTH.

  27. From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.

  28. In committee: Set, first hearing. Hearing canceled at the request of author.

  29. Referred to Com. on HEALTH.

  30. Read first time.

  31. From printer. May be heard in committee March 30.

  32. Introduced. To print.

Sponsors

  • Price · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 121 not signed on · 4 voted No

Sponsors (1)

  • Price

Co-sponsors (0)

None.

Not signed on (121)

121 members have not signed on to this bill.

Show all 121 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Votes

AB 1142 Concurrence in Senate Amendments By HALL

Passed 55 Yea · 33 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 513104
Democratic 3000
Republican 1200
Total 553304
% of votes cast 60%36%0%4%
How each member voted (92)
Member Party Vote
Yamada — Yea
Carter — Yea
Coto — Yea
Eng — Yea
Feuer — Yea
Fuentes — Yea
Charles — Yea
Hall — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Fong — Yea
Bonnie — Yea
Lowenthal — Yea
V. — Yea
Manuel — Yea
Perez — Yea
John — Yea
A. — Yea
Perez — Yea
Portantino — Yea
Salas — Yea
Saldana — Yea
Davis — Yea
Bass — Yea
Block — Yea
Hayashi — Yea
Hill — Yea
Huffman — Yea
Krekorian — Yea
Lieu — Yea
Monning — Yea
Nava — Yea
Skinner — Yea
Solorio — Yea
Swanson — Yea
Torres — Yea
Torrico — Yea
Bill — Nay
Tom — Nay
Fletcher — Nay
Audra — Nay
Garrick — Nay
Chesbro — Not Voting
Conway — Nay
Gilmore — Nay
Hagman — Nay
Harkey — Nay
Jeffries — Nay
Knight — Nay
Miller — Nay
Nestande — Nay
Silva — Nay
Smyth — Nay
Tran — Nay
Villines — Nay
Blakeslee — Nay
Cook — Nay
DeVore — Nay
Duvall — Not Voting
Adams — Nay
Ammiano — Yea
Anderson — Nay
Beall — Yea
Blumenfield — Yea
Bradford — Not Voting
Brownley — Yea
Buchanan — Nay
Hernandez — Yea
Huber — Nay
Logue — Nay
Ma — Yea
Mendoza — Yea
Nielsen — Nay
Ruskin — Yea
Torlakson — Yea
Emmerson — Nay
Evans — Yea
Fuller — Nay
Furutani — Yea
Galgiani — Not Voting
Beth Gaines — Nay
Bill Berryhill — Nay
Bill Berryhill — Nay
Arambula, Joaquin Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Jones, Brian W. Republican Yea
Niello, Roger W. Republican Nay
Strickland, Tony Republican Nay

Official roll call →

Assembly 3rd Reading AB1142 Price

Passed 27 Yea · 13 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 251201
Democratic 2000
Republican 0100
Total 271301
% of votes cast 66%32%0%2%
How each member voted (41)
Member Party Vote
Yee — Yea
Cedillo — Yea
Cogdill — Nay
Lowenthal — Yea
Negrete — Yea
Hancock — Yea
Harman — Nay
Hollingsworth — Nay
Huff — Nay
Runner — Nay
Ducheny — Yea
Kehoe — Yea
Liu — Yea
McLeod — Yea
Dutton — Nay
Benoit — Nay
Oropeza — Yea
Pavley — Yea
Price — Yea
Romero — Yea
Simitian — Yea
Steinberg — Yea
Walters — Nay
Wolk — Yea
Wright — Yea
Aanestad — Yea
Alquist — Yea
Ashburn — Nay
Leno — Yea
Maldonado — Not Voting
Wiggins — Yea
Wyland — Nay
Corbett — Yea
Correa — Yea
Cox — Nay
DeSaulnier — Yea
Denham — Nay
Florez — Yea
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Nay

Official roll call →

Do pass as amended.

Passed 8 Yea · 5 Nay
Party YeaNayPresentNot Voting
Unaffiliated 8500
Total 8500
% of votes cast 62%38%0%0%
How each member voted (13)
Member Party Vote
Yee — Yea
Hancock — Yea
Runner — Nay
Corbett — Yea
Leno — Yea
Price — Yea
Walters — Nay
Wolk — Yea
Kehoe — Yea
Oropeza — Yea
Wyland — Nay
Cox — Nay
Denham — Nay

Official roll call →

Placed on Appropriations Suspense file.

Passed 13 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 13000
Total 13000
% of votes cast 100%0%0%0%
How each member voted (13)
Member Party Vote
Yee — Yea
Runner — Yea
Corbett — Yea
Hancock — Yea
Kehoe — Yea
Leno — Yea
Price — Yea
Walters — Yea
Wolk — Yea
Oropeza — Yea
Wyland — Yea
Cox — Yea
Denham — Yea

Official roll call →

AB 1142 PRICE Assembly Third Reading

Passed 56 Yea · 32 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 503004
Democratic 5000
Republican 1200
Total 563204
% of votes cast 61%35%0%4%
How each member voted (92)
Member Party Vote
Hagman — Nay
Carter — Yea
Coto — Yea
Charles — Yea
Bonnie — Yea
V. — Yea
Manuel — Yea
Perez — Yea
John — Yea
A. — Yea
Perez — Yea
Portantino — Yea
Salas — Yea
Saldana — Yea
Chesbro — Not Voting
Conway — Nay
Cook — Nay
Bill — Nay
Berryhill — Nay
Tom — Nay
Berryhill — Nay
Evans — Yea
Feuer — Yea
Fuller — Nay
Furutani — Yea
Garrick — Nay
Gaines — Nay
Audra — Nay
Gilmore — Nay
Hall — Yea
Fletcher — Not Voting
DeVore — Nay
Duvall — Nay
Adams — Nay
Anderson — Nay
Bass — Yea
Harkey — Nay
Hernandez — Yea
Hill — Yea
Huber — Nay
Jeffries — Nay
Krekorian — Yea
Lieu — Yea
Logue — Nay
Mendoza — Yea
Monning — Yea
Nava — Yea
Price — Yea
Ruskin — Yea
Silva — Nay
Smyth — Nay
Solorio — Yea
Torlakson — Yea
Torres — Yea
Tran — Nay
Villines — Nay
De — Yea
La — Yea
Torre — Yea
De — Yea
Beall — Yea
Block — Yea
Ammiano — Yea
Blakeslee — Nay
Blumenfield — Yea
Brownley — Yea
Buchanan — Not Voting
Hayashi — Yea
Huffman — Yea
Knight — Nay
Ma — Yea
Miller — Nay
Nestande — Nay
Nielsen — Nay
Skinner — Yea
Swanson — Yea
Torrico — Yea
Leon — Yea
Emmerson — Nay
Eng — Yea
Davis — Yea
Yamada — Yea
Fuentes — Not Voting
Galgiani — Yea
Arambula, Joaquin Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Fong, Mike Democratic Yea
Lowenthal, Josh Democratic Yea
Jones, Brian W. Republican Yea
Niello, Roger W. Republican Nay
Strickland, Tony Republican Nay

Official roll call →

Do pass.

Passed 15 Yea · 6 Nay
Party YeaNayPresentNot Voting
Unaffiliated 14500
Democratic 1000
Republican 0100
Total 15600
% of votes cast 71%29%0%0%
How each member voted (21)
Member Party Vote
Ammiano — Yea
Davis — Yea
Duvall — Nay
Hall — Yea
Harkey — Nay
Krekorian — Yea
Miller — Nay
Nielsen — Nay
Price — Yea
Skinner — Yea
Torlakson — Yea
Charles — Yea
De — Yea
Leon — Yea
John — Yea
A. — Yea
Perez — Yea
Audra — Nay
Solorio — Yea
Calderon, Lisa Democratic Yea
Strickland, Tony Republican Nay

Official roll call →

Do pass as amended and be re-referred to the Committee on Appropriations.

Passed 19 Yea · 5 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 17402
Republican 1100
Democratic 1000
Total 19502
% of votes cast 73%19%0%8%
How each member voted (26)
Member Party Vote
Hall — Yea
Carter — Yea
Hayashi — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Bonnie — Yea
V. — Yea
Manuel — Yea
Perez — Yea
Salas — Yea
Conway — Nay
Hernandez — Yea
Audra — Nay
Fletcher — Not Voting
Gaines — Not Voting
Block — Yea
Adams — Nay
Ammiano — Yea
Nava — Yea
Emmerson — Nay
Lowenthal, Josh Democratic Yea
Jones, Brian W. Republican Yea
Strickland, Tony Republican Nay

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does AB 1142 do?
Existing law establishes 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 services. Existing law provides that it is the responsibility of the Medi-Cal beneficiary to provide information and evidence of Medi-Cal eligibility to that person's health care provider if that information is requested by the provider prior to rendering services to that beneficiary. Existing law provides that it is the responsibility of the provider prior to rendering Medi-Cal reimbursable services to persons presenting themselves as Medi-Cal beneficiaries to make a good faith effort to verify the person's identity, if the person is not known to the provider, otherwise payment for those services may later be disallowed by the department. This bill would provide, if a hospital obtains proof of Medi-Cal eligibility for a patient subsequent to the date of service, that it is the responsibility of a hospital to provide all information regarding that person's Medi-Cal eligibility to certain providers that bill separately for all services associated with the person's treatment in the hospital rendered during the same time period for which the hospital is submitting a claim, as specified. Existing law prohibits any provider of health care services who obtains a label or copy from the Medi-Cal card or other proof of eligibility from seeking reimbursement or attempting to obtain payment for the cost of the covered health care services from the eligible applicant or recipient, or any person other than the department or a 3rd-party payor who provides a contractual or legal entitlement to health care services. This bill would require a Medi-Cal provider, if the provider receives proof of a patient's Medi-Cal eligibility and has previously referred an unpaid bill for services rendered to the patient to a debt collector, to promptly notify the debt collector of the patient's Medi-Cal coverage, instruct the debt collector to cease collection efforts on the unpaid bill for covered services, and notify the patient accordingly. This bill would provide that a provider of health care services who obtains a label from, or copy of, the Medi-Cal card or other proof of eligibility and who subsequently pursues reimbursement or payment for the cost of covered services from the beneficiary or fails to cease collection efforts against the beneficiary for covered services, as prescribed, may be subject to a penalty, payable to the department, not to exceed 3 times the amount payable by the Medi-Cal program. The bill would also require that prescribed mitigating circumstances be considered when assessing the penalty. The bill would require that a provider have the right to appeal the assessed penalty, as specified. Existing law prohibits a person furnishing information on a specific transaction or experience to any consumer credit reporting agency if the person knows or should know the information is incomplete or inaccurate. This bill would provide that if a Medi-Cal provider or debt collector receives proof of Medi-Cal coverage for services rendered and then reports the services rendered to a consumer credit reporting agency or fails to provide corrections of, or instructions to delete, as appropriate, information regarding Medi-Cal covered services to a consumer reporting agency, the provider or debt collector shall be deemed to be in violation of the above-described provisions.
Who sponsors AB 1142?
AB 1142 is sponsored by Price.
What is the current status of AB 1142?
This bill has been enacted into law. Introduced February 27, 2009. Enacted.
Where can I track AB 1142?
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