California 2009-2010 Regular Session Status: Passed Assembly

AB 511 — Medi-Cal: ambulance transportation services providers: quality assurance fees.

Last action — From Senate committee without further action.

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

This bill died with 2009-2010 Regular Session. It reached “Passed Assembly” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which health care services, including medical transportation services, are provided to qualified low-income persons. The Medi-Cal program is partially governed and funded under federal Medicaid provisions. Existing law establishes a quality assurance fee program for skilled nursing and intermediate care facilities, as prescribed. This bill, as a condition of participation in the Medi-Cal program, commencing July 1, 2010, would impose on each public and private ambulance transportation services provider that bills and receives patient care revenue from the provision of ambulance transportation services, as defined, except as provided, a quality assurance fee for each transport provided, as specified. This bill would require the quality assurance fee to be paid by providers to the State Board of Equalization on a monthly basis on or before the last day of the month following the month for which the fee was imposed, except as specified. The Fee Collection Procedures Law, the violation of which is a crime, provides procedures for the collection of certain fees and surcharges. The bill would require the State Board of Equalization to collect the quality assurance fee in accordance with the Fee Collection Procedures Law. Because the Fee Collection Procedures Law would apply to the collection of the fee, the violation of which is a crime, it would impose a state-mandated local program. This bill would require the State Board of Equalization to deposit the quality assurance fee collected into the Medi-Cal Ambulance Transportation Services Providers Fund, which the bill would create. The bill would provide that moneys in the fund shall, upon appropriation by the Legislature, be available exclusively to enhance federal financial participation for ambulance transportation services under the Medi-Cal program or to provide additional reimbursement to, and to support quality improvement efforts of, ambulance transportation services providers, including increased reimbursement for, and improvement of the quality of, the provision of advanced life support services, as defined. The bill would provide that the above-described provisions are to be implemented only if, and as long as, the state receives federal approval for the fee and legislation is enacted during the 2009–10 Regular Session of the Legislature that makes an appropriation from the fund and from the Federal Trust Fund to fund a Medi-Cal rate increase for ambulance transportation services providers. This bill, commencing August 1, 2010, to July 1, 2016, inclusive, would provide that Medi-Cal reimbursement for ambulance transportation services shall be the amount equal to that established by the federal Medicare Program for the same services, utilizing applicable Medicare standards, definitions, and regional-specific modifiers. This bill would require the department to request approval from the federal Centers for Medicare and Medicaid Services (CMS) for the above-described provisions. This bill would provided that if there is a delay in the implementation of the above-described provisions for any reason, including a delay in the approval of the quality assurance fee and reimbursement methodology by CMS, a provider subject to the fee may be assessed the amount the provider would be required to pay if the methodology were already approved, but shall not be required to pay the fee until the methodology is approved and the department may retroactively increase and make payments of rates to Medi-Cal ambulance transportation services providers. The bill would provide that the provisions of the bill shall cease to be implemented if any of certain conditions, including continued federal approval, is no longer met. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.

Bill Text

Action History

  1. From Senate committee without further action.

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

  3. Re-referred to Coms. on HEALTH and REV. & TAX.

  4. Re-referred to Com. on RLS.

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

  6. In committee: Held under submission.

  7. In committee: Placed on Appropriations suspense file.

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

  9. From committee: Amend, do pass as amended, and re-refer to Com. on APPR. (Ayes 10. Noes 1.) (July 8).

  10. In committee: Hearing postponed by committee.

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

  12. Referred to Com. on HEALTH.

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

  14. Read third time, passed, and to Senate. (Ayes 69. Noes 5. Page 1843.)

  15. Read second time. To third reading.

  16. From committee: Do pass. (Ayes 14. Noes 3.) (May 28).

  17. In committee: Set, first hearing. Referred to APPR. suspense file.

  18. Re-referred to Com. on APPR.

  19. Read second time and amended.

  20. From committee: Amend, do pass as amended, and re-refer to Com. on APPR. (Ayes 19. Noes 0.) (April 28).

  21. Re-referred to Com. on HEALTH.

  22. (Corrected May 1.)

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

  24. Re-referred to Com. on HEALTH.

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

  26. Referred to Com. on HEALTH.

  27. From printer. May be heard in committee March 27.

  28. Read first time. To print.

Sponsors

  • De La Torre · Primary

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 121 not signed on

Sponsors (1)

  • De La Torre

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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

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
Hancock — Yea
Runner — Yea
Corbett — Yea
Kehoe — Yea
Oropeza — Yea
Price — Yea
Leno — Yea
Walters — Yea
Wolk — Yea
Wyland — Yea
Cox — Yea
Denham — Yea

Official roll call →

AB 511 DE LA TORRE Assembly Third Reading

Passed 81 Yea · 5 Nay · 6 Other
Party YeaNayPresentNot Voting
Democratic 3000
Unaffiliated 75506
Republican 3000
Total 81506
% of votes cast 88%5%0%7%
How each member voted (92)
Member Party Vote
Bill — Yea
Tom — Yea
Ammiano — Yea
Beall — Yea
Cook — Not Voting
Duvall — Not Voting
Villines — Nay
Eng — Yea
Evans — Yea
Charles — Yea
Fuentes — Yea
Fuller — Yea
Galgiani — Yea
Garrick — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Yamada — Yea
Fletcher — 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
Audra — Yea
Carter — Yea
Chesbro — Yea
Bass — Yea
Conway — Yea
Coto — Yea
Hagman — Nay
Hall — Yea
Hayashi — Yea
Hernandez — Yea
Huber — Yea
Huffman — Yea
Krekorian — Yea
Lieu — Yea
Mendoza — Yea
Miller — Yea
Monning — Yea
Nava — Yea
Price — Yea
Ruskin — Yea
Silva — Yea
Smyth — Yea
Solorio — Yea
Torlakson — Yea
Torres — Yea
Tran — Yea
Adams — Yea
Anderson — Nay
Blakeslee — Yea
Block — Not Voting
Blumenfield — Yea
Brownley — Yea
Buchanan — Yea
Harkey — Nay
Hill — Yea
Jeffries — Nay
Knight — Not Voting
Logue — Yea
Ma — Yea
Nestande — Yea
Nielsen — Yea
Skinner — Yea
Swanson — Yea
Torrico — Yea
Emmerson — Yea
Feuer — Yea
Davis — Not Voting
DeVore — Not Voting
Furutani — Yea
Gilmore — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Bill Berryhill — Yea
Arambula, Joaquin Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Jones, Brian W. Republican Yea
Niello, Roger W. Republican Yea
Strickland, Tony Republican Yea

Official roll call →

Do pass.

Passed 19 Yea · 3 Nay
Party YeaNayPresentNot Voting
Unaffiliated 17300
Democratic 1000
Republican 1000
Total 19300
% of votes cast 86%14%0%0%
How each member voted (22)
Member Party Vote
Charles — Yea
De — Yea
Leon — Yea
John — Yea
A. — Yea
Perez — Yea
Audra — Yea
Fuentes — Yea
Hall — Yea
Harkey — Nay
Miller — Yea
Price — Yea
Skinner — Yea
Ammiano — Yea
Duvall — Nay
Solorio — Yea
Krekorian — Yea
Nielsen — Nay
Torlakson — Yea
Davis — Yea
Calderon, Lisa Democratic Yea
Strickland, Tony Republican Yea

Official roll call →

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

Passed 26 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 23000
Republican 2000
Democratic 1000
Total 26000
% of votes cast 100%0%0%0%
How each member voted (26)
Member Party Vote
Carter — Yea
Hall — Yea
Hayashi — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Fletcher — Yea
Gaines — Yea
Bonnie — Yea
V. — Yea
Manuel — Yea
Perez — Yea
Salas — Yea
Audra — Yea
Nava — Yea
Adams — Yea
Ammiano — Yea
Block — Yea
Hernandez — Yea
Conway — Yea
Emmerson — Yea
Lowenthal, Josh Democratic Yea
Jones, Brian W. Republican Yea
Strickland, Tony Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does AB 511 do?
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which health care services, including medical transportation services, are provided to qualified low-income persons. The Medi-Cal program is partially governed and funded under federal Medicaid provisions. Existing law establishes a quality assurance fee program for skilled nursing and intermediate care facilities, as prescribed. This bill, as a condition of participation in the Medi-Cal program, commencing July 1, 2010, would impose on each public and private ambulance transportation services provider that bills and receives patient care revenue from the provision of ambulance transportation services, as defined, except as provided, a quality assurance fee for each transport provided, as specified. This bill would require the quality assurance fee to be paid by providers to the State Board of Equalization on a monthly basis on or before the last day of the month following the month for which the fee was imposed, except as specified. The Fee Collection Procedures Law, the violation of which is a crime, provides procedures for the collection of certain fees and surcharges. The bill would require the State Board of Equalization to collect the quality assurance fee in accordance with the Fee Collection Procedures Law. Because the Fee Collection Procedures Law would apply to the collection of the fee, the violation of which is a crime, it would impose a state-mandated local program. This bill would require the State Board of Equalization to deposit the quality assurance fee collected into the Medi-Cal Ambulance Transportation Services Providers Fund, which the bill would create. The bill would provide that moneys in the fund shall, upon appropriation by the Legislature, be available exclusively to enhance federal financial participation for ambulance transportation services under the Medi-Cal program or to provide additional reimbursement to, and to support quality improvement efforts of, ambulance transportation services providers, including increased reimbursement for, and improvement of the quality of, the provision of advanced life support services, as defined. The bill would provide that the above-described provisions are to be implemented only if, and as long as, the state receives federal approval for the fee and legislation is enacted during the 2009–10 Regular Session of the Legislature that makes an appropriation from the fund and from the Federal Trust Fund to fund a Medi-Cal rate increase for ambulance transportation services providers. This bill, commencing August 1, 2010, to July 1, 2016, inclusive, would provide that Medi-Cal reimbursement for ambulance transportation services shall be the amount equal to that established by the federal Medicare Program for the same services, utilizing applicable Medicare standards, definitions, and regional-specific modifiers. This bill would require the department to request approval from the federal Centers for Medicare and Medicaid Services (CMS) for the above-described provisions. This bill would provided that if there is a delay in the implementation of the above-described provisions for any reason, including a delay in the approval of the quality assurance fee and reimbursement methodology by CMS, a provider subject to the fee may be assessed the amount the provider would be required to pay if the methodology were already approved, but shall not be required to pay the fee until the methodology is approved and the department may retroactively increase and make payments of rates to Medi-Cal ambulance transportation services providers. The bill would provide that the provisions of the bill shall cease to be implemented if any of certain conditions, including continued federal approval, is no longer met. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.
Who sponsors AB 511?
AB 511 is sponsored by De La Torre.
What is the current status of AB 511?
This bill died with 2009-2010 Regular Session. It reached “Passed Assembly” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track AB 511?
Track AB 511 free on One Click Politics — get push/email alerts when it moves.

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