California 2009-2010 Regular Session Status: Enacted

AB 1383 — Medi-Cal: hospital payments: quality assurance fees.

Last action — Chaptered by Secretary of State - Chapter 627, Statutes of 2009.

  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

Advancing 58% · 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.

  • 3 sponsors

    1 primary, 2 co-sponsors signed on.

  • Mixed recorded votes

    10 passed, 2 failed in 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, administered by the State Department of Health Care Services, under which basic health care services are provided to qualified low-income persons. The Medi‑Cal program is partially governed and funded as part of the federal Medicaid Program. Under existing law, the Medi-Cal Hospital/Uninsured Care Demonstration Project Act, specified hospital reimbursement methodologies are applied in order to maximize the use of federal funds consistent with federal Medicaid law and stabilize the distribution of funding for hospitals that provide care to Medi-Cal beneficiaries and uninsured patients. This bill would require the department to make supplemental payments for certain services, as specified, to private hospitals, nondesignated public hospitals, and designated public hospitals, as defined, for subject federal fiscal years, which this bill would define to mean federal fiscal years that end after the latest effective date all federal approvals or waivers necessary for the implementation of these supplemental payments and begin before December 31, 2010. This bill would also require the department to pay direct grants in support of health care expenditures to designated public hospitals for each subject federal fiscal year, as specified. This bill would require the department to make enhanced payments to managed health care plans, as defined, and would require the state to make enhanced payments to mental health plans, as defined, for each subject federal fiscal year, as specified. This bill would require the managed health care plans and mental health plans that received enhanced payments to make supplemental payments to subject hospitals, as defined, pursuant to specified formulas. This bill would provide that the above-described payments shall be made only from the quality assurance fee that is due and payable on or before December 31, 2010, and related matching federal funds. This bill would require the Director of Health Care Services to submit any state plan amendment or waiver request that may be necessary to implement the above provisions. This bill would provide for the imposition, as a condition of participation in state-funded health insurance programs, other than the Medi-Cal program, of a quality assurance fee, as specified, on certain general acute care hospitals through, and including, December 31, 2010. This bill would require the department to seek federal approval, as defined, for assessment of the fee. This bill would provide that no hospital shall be required to pay the quality assurance fee to the department unless and until the state receives and maintains federal approval of the quality assurance fee for the above-described additional payments from the federal Centers for Medicare and Medicaid Services (CMS) . The bill would require hospitals, for calendar quarters prior to federal approval of the fee, and in the calendar quarter in which the department receives notice of federal approval of the fee, to certify to the best of its knowledge, on a form provided by the department, that the hospital is prepared to pay the fee. The bill would provide that within 30 days of when federal approval is received, the hospitals shall pay the amount they certified they were prepared to pay multiplied by certain applicable fee percentages, except that, in the event that the director has made modifications to the fee model to secure federal approval, the hospital shall pay the above-described amount adjusted to reflect the director's modifications. This bill would create the Hospital Quality Assurance Revenue Fund in the State Treasury and require the money collected from the quality assurance fee be deposited into the fund. This bill would provide that the moneys in the fund shall, upon appropriation by the Legislature, be available only for certain purposes, including providing the above-described supplemental payments and health care coverage for children. This bill would require the department to provide the Joint Legislative Budget Committee and the fiscal and appropriate policy committees of the Legislature a status update of the implementation of the above-described provisions, on January 1, 2010, and quarterly thereafter. This bill would provide that the above provisions shall not be implemented with respect to the 2009–10 and 2010–11 federal fiscal years until the earlier of April 30, 2010, or the date the federal government approves a federal waiver for a demonstration that will replace the Medi-Cal Hospital/Uninsured Care Demonstration Project Act. This bill would, under specified conditions, provide that the above provisions shall become inoperative if, among other things, CMS denies approval for, or does not approve before January 1, 2012, the implementation of the above provisions. This bill would, in the event certain conditions occur, retroactively invalidate the requirements for supplemental payments or other payments made pursuant to this bill. This bill would repeal the above provisions on January 1, 2013. This bill would specify that a quality assurance fee is to be imposed pursuant to a subsequent statute, effective January 1, 2011, and subject to federal approval in a manner necessary to obtain federal matching funds, that shall be due and payable to the department by each general acute care hospital at a specified rate for the purpose of making Medi-Cal payments to hospitals.

Bill Text

Action History

  1. Chaptered by Secretary of State - Chapter 627, Statutes of 2009.

  2. Approved by the Governor.

  3. Enrolled and to the Governor at 3:30 p.m.

  4. Senate amendments concurred in. To enrollment. (Ayes 52. Noes 22. Page 3418.)

  5. In Assembly. Concurrence in Senate amendments pending.

  6. Read third time, passed, and to Assembly. (Ayes 24. Noes 5. Page 2462.)

  7. Withdrawn from committee. Ordered placed on third reading file.

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

  9. (Ayes 21. Noes 10. Page 2461.)

  10. Senate Rule 29.3 suspended.

  11. (Ayes 22. Noes 12. Page 2452.)

  12. Re-referred to Com. on RLS.

  13. Reconsideration granted. (Ayes 39. Noes 0. Page 2451.)

  14. Motion to reconsider made by Senator Alquist.

  15. Read third time. Urgency clause refused adoption. (Ayes 24. Noes 5. Page 2451.)

  16. Withdrawn from committee. Ordered placed on third reading file.

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

  18. Senate Rule 29.3 suspended.

  19. Re-referred to Com. on RLS.

  20. Read second time. To third reading.

  21. From committee: Do pass. (Ayes 9. Noes 2.) (September 11).

  22. From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 9. Noes 1.) (September 9).

  23. (Ayes 4. Noes 0.)

  24. Re-referred to Com. on HEALTH pursuant to Senate Rule 29.10.

  25. Re-referred to Com. on RLS. pursuant to Senate Rule 29.10.

  26. Read second time. To third reading.

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

  28. Read second time. To third reading.

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

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

  31. From committee: Amend, and do pass as amended. (Ayes 8. Noes 5.) (July 23).

  32. (Page 1804.)

  33. Joint Rule 62(a) suspended.

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

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

  36. From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 7. Noes 3.) (July 8).

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

  38. In committee: Hearing postponed by committee.

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

  40. In committee: Hearing postponed by committee.

  41. In committee: Hearing postponed by committee.

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

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

  44. Referred to Com. on HEALTH.

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

  46. Read third time. Urgency clause adopted. Passed and to Senate. (Ayes 71. Noes 3. Page 1969.)

  47. Read second time. To third reading.

  48. Read second time and amended. Ordered returned to second reading.

  49. From committee: Amend, and do pass as amended. (Ayes 12. Noes 4.) (May 28).

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

  51. Re-referred to Com. on APPR.

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

  53. From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 15. Noes 0.) (May 5).

  54. Re-referred to Com. on HEALTH.

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

  56. Referred to Com. on HEALTH.

  57. Read first time.

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

  59. Introduced. To print.

Sponsors

  • Alquist · Cosponsor
  • Jones · Primary
  • De Leon · Cosponsor

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 2 co-sponsors · 119 not signed on · 3 voted No

Sponsors (1)

  • Jones

Co-sponsors (2)

  • Alquist
  • De Leon

Not signed on (119)

119 members have not signed on to this bill.

Show all 119 →

"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

Assembly 3rd Supp 2 AB1383 Jones Urgency Clause

Failed 24 Yea · 5 Nay · 12 Other
Party YeaNayPresentNot Voting
Unaffiliated 225011
Democratic 2000
Republican 0001
Total 245012
% of votes cast 59%12%0%29%
How each member voted (41)
Member Party Vote
Yee — Yea
Wyland — Nay
Cedillo — Yea
Lowenthal — Yea
Hancock — Yea
Cogdill — Not Voting
Harman — Not Voting
Huff — Not Voting
Leno — Yea
Liu — Yea
Negrete — Not Voting
Runner — Not Voting
Corbett — Yea
Correa — Nay
McLeod — Not Voting
Oropeza — Yea
Pavley — Yea
Price — Yea
Simitian — Yea
Alquist — Yea
Ashburn — Not Voting
Benoit — Not Voting
Ducheny — Yea
Dutton — Not Voting
Steinberg — Yea
Wiggins — Yea
Wolk — Yea
Aanestad — Nay
Hollingsworth — Nay
Kehoe — Yea
Maldonado — Yea
Romero — Yea
Walters — Nay
Wright — Yea
Cox — Not Voting
DeSaulnier — Yea
Denham — Not Voting
Florez — Yea
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Not Voting

Official roll call →

Assembly 3rd Supp 2 AB1383 Jones By Alquist

Passed 24 Yea · 5 Nay · 12 Other
Party YeaNayPresentNot Voting
Unaffiliated 224012
Democratic 2000
Republican 0100
Total 245012
% of votes cast 59%12%0%29%
How each member voted (41)
Member Party Vote
Wyland — Not Voting
Negrete — Not Voting
Runner — Not Voting
Correa — Not Voting
Cedillo — Yea
Yee — Yea
Hancock — Yea
Hollingsworth — Nay
Huff — Nay
Leno — Yea
Lowenthal — Yea
Liu — Yea
Corbett — Yea
Alquist — Yea
Benoit — Not Voting
Ducheny — Yea
Dutton — Nay
Pavley — Yea
Romero — Yea
Simitian — Yea
Steinberg — Yea
Wright — Yea
Oropeza — Not Voting
Walters — Not Voting
Wolk — Not Voting
Aanestad — Not Voting
Ashburn — Yea
Harman — Not Voting
Kehoe — Yea
Maldonado — Yea
McLeod — Not Voting
Price — Yea
Wiggins — Yea
Cogdill — Not Voting
Cox — Yea
DeSaulnier — Yea
Denham — Nay
Florez — Yea
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Nay

Official roll call →

AB 1383 JONES Concurrence in Senate Amendments

Passed 60 Yea · 24 Nay · 7 Other
Party YeaNayPresentNot Voting
Unaffiliated 562405
Democratic 2001
Republican 2001
Total 602407
% of votes cast 66%26%0%8%
How each member voted (91)
Member Party Vote
Yamada — Yea
Carter — Yea
Chesbro — Yea
Evans — Yea
Feuer — Yea
Fuentes — Yea
Furutani — Yea
Hall — Yea
Hayashi — 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
Conway — Nay
Cook — Nay
Coto — Yea
Bill — Nay
Tom — Nay
Hernandez — Yea
Hill — Yea
Huber — Yea
Anderson — Nay
Bass — Yea
Blakeslee — Nay
Davis — Yea
Huffman — Yea
Lieu — Yea
Ma — Yea
Monning — Yea
Ruskin — Yea
Skinner — Yea
Solorio — Yea
Torlakson — Yea
Torrico — Yea
Fletcher — Nay
Charles — Not Voting
Audra — Not Voting
Fuller — Not Voting
Garrick — Nay
Hagman — Nay
Knight — Nay
Miller — Nay
Nestande — Nay
Smyth — Nay
Tran — Not Voting
Villines — Nay
Adams — Nay
Ammiano — Yea
Beall — Yea
Block — Yea
Blumenfield — Yea
Bradford — Yea
Brownley — Yea
Buchanan — Yea
Harkey — Nay
Jeffries — Nay
Krekorian — Yea
Logue — Nay
Mendoza — Yea
Nava — Yea
Nielsen — Nay
Silva — Nay
Swanson — Yea
Torres — Yea
Emmerson — Yea
Eng — Yea
DeVore — Nay
Galgiani — Yea
Gilmore — Not Voting
Beth Gaines — Nay
Bill Berryhill — Nay
Bill Berryhill — Nay
Arambula, Joaquin Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Not Voting
Jones, Brian W. Republican Yea
Niello, Roger W. Republican Yea
Strickland, Tony Republican Not Voting

Official roll call →

Assembly 3rd Supp 2 AB1383 Jones Re-Refer

Failed 22 Yea · 12 Nay · 7 Other
Party YeaNayPresentNot Voting
Unaffiliated 201107
Democratic 2000
Republican 0100
Total 221207
% of votes cast 54%29%0%17%
How each member voted (41)
Member Party Vote
Yee — Yea
Florez — Yea
Lowenthal — Yea
Cedillo — Yea
Hancock — Yea
Harman — Nay
Hollingsworth — Nay
Kehoe — Yea
Leno — Yea
Negrete — Not Voting
Runner — Not Voting
Cogdill — Nay
Corbett — Yea
Correa — Yea
McLeod — Not Voting
Oropeza — Yea
Pavley — Yea
Price — Not Voting
Simitian — Yea
Steinberg — Yea
Walters — Nay
Alquist — Yea
Ashburn — Nay
Ducheny — Yea
Dutton — Nay
Wiggins — Yea
Wright — Not Voting
Aanestad — Nay
Benoit — Nay
Huff — Nay
Liu — Yea
Maldonado — Not Voting
Romero — Yea
Wolk — Yea
Wyland — Not Voting
Cox — Nay
DeSaulnier — Yea
Denham — Nay
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Nay

Official roll call →

Assembly 3rd Supp 2 AB1383 Jones Reconsider

Passed 39 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 36002
Democratic 2000
Republican 1000
Total 39002
% of votes cast 95%0%0%5%
How each member voted (41)
Member Party Vote
Yee — Yea
Cedillo — Yea
Ashburn — Yea
Benoit — Yea
Florez — Yea
Wyland — Yea
Lowenthal — Yea
Runner — Yea
Negrete — Not Voting
Hancock — Yea
Harman — Yea
Huff — Yea
Kehoe — Yea
Cogdill — Yea
Corbett — Yea
Correa — Yea
Ducheny — Yea
Dutton — Yea
Leno — Yea
Liu — Yea
McLeod — Not Voting
Oropeza — Yea
Pavley — Yea
Price — Yea
Simitian — Yea
Steinberg — Yea
Wiggins — Yea
Wolk — Yea
Aanestad — Yea
Alquist — Yea
Hollingsworth — Yea
Maldonado — Yea
Romero — Yea
Walters — Yea
Wright — Yea
Cox — Yea
DeSaulnier — Yea
Denham — Yea
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Yea

Official roll call →

Do pass.

Passed 9 Yea · 2 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 9202
Total 9202
% of votes cast 69%15%0%15%
How each member voted (13)
Member Party Vote
Hancock — Yea
Yee — Yea
Runner — Not Voting
Kehoe — Yea
Corbett — Yea
Cox — Yea
Oropeza — Yea
Price — Yea
Walters — Nay
Wolk — Yea
Leno — Yea
Wyland — Not Voting
Denham — Nay

Official roll call →

Do pass, but re-refer to the Committee on Appropriations.

Passed 10 Yea · 1 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 9101
Republican 1000
Total 10101
% of votes cast 83%8%0%8%
How each member voted (12)
Member Party Vote
Negrete — Yea
Cedillo — Yea
Cox — Yea
Leno — Yea
McLeod — Yea
Alquist — Yea
Aanestad — Nay
Maldonado — Not Voting
Pavley — Yea
Wolk — Yea
DeSaulnier — Yea
Strickland, Tony Republican Yea

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

Official roll call →

Do pass, but re-refer to the Committee on Appropriations.

Passed 7 Yea · 4 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 7400
Republican 0001
Total 7401
% of votes cast 58%33%0%8%
How each member voted (12)
Member Party Vote
Negrete — Nay
McLeod — Nay
Aanestad — Nay
Alquist — Yea
Leno — Yea
Maldonado — Yea
Pavley — Yea
Wolk — Yea
Cedillo — Yea
Cox — Nay
DeSaulnier — Yea
Strickland, Tony Republican Not Voting

Official roll call →

AB 1383 JONES Third Reading Urgency

Passed 82 Yea · 3 Nay · 7 Other
Party YeaNayPresentNot Voting
Unaffiliated 76307
Democratic 3000
Republican 3000
Total 82307
% of votes cast 89%3%0%8%
How each member voted (92)
Member Party Vote
Hagman — Not Voting
Adams — Yea
Ammiano — Yea
Beall — Yea
Carter — Yea
Chesbro — Yea
Conway — Yea
Cook — Yea
Tom — Yea
Charles — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Eng — Yea
Evans — Yea
Yamada — 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
DeVore — Yea
Duvall — Yea
Bill — Not Voting
Feuer — Yea
Fletcher — Not Voting
Fuller — Yea
Furutani — Yea
Bass — Yea
Block — Not Voting
Garrick — Yea
Gilmore — Yea
Hall — Yea
Harkey — Not Voting
Hernandez — Yea
Hill — Yea
Huffman — Yea
Jeffries — Yea
Krekorian — Yea
Logue — Yea
Mendoza — Yea
Miller — Yea
Nava — Yea
Nestande — Yea
Price — Yea
Ruskin — Yea
Silva — Yea
Skinner — Yea
Solorio — Yea
Swanson — Yea
Torres — Yea
Torrico — Yea
Villines — Yea
Anderson — Nay
Blakeslee — Yea
Blumenfield — Yea
Brownley — Yea
Buchanan — Yea
Hayashi — Yea
Huber — Yea
Knight — Nay
Lieu — Yea
Ma — Yea
Monning — Yea
Nielsen — Nay
Smyth — Yea
Torlakson — Yea
Tran — Not Voting
Emmerson — Yea
Coto — Yea
Davis — Yea
Fuentes — Yea
Galgiani — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Bill Berryhill — Not Voting
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 as amended.

Passed 16 Yea · 5 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 15401
Republican 0100
Democratic 1000
Total 16501
% of votes cast 73%23%0%5%
How each member voted (22)
Member Party Vote
Fuentes — Yea
Hall — Yea
Krekorian — Yea
Audra — Nay
Duvall — Not Voting
Miller — Nay
Nielsen — Nay
Torlakson — Yea
Charles — Yea
De — Yea
Leon — Yea
John — Yea
A. — Yea
Perez — Yea
Ammiano — Yea
Price — Yea
Skinner — Yea
Solorio — Yea
Harkey — Nay
Davis — Yea
Calderon, Lisa Democratic Yea
Strickland, Tony Republican Nay

Official roll call →

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

Passed 21 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 19004
Republican 1001
Democratic 1000
Total 21005
% of votes cast 81%0%0%19%
How each member voted (26)
Member Party Vote
Hall — Yea
Carter — Yea
Conway — Not Voting
Hayashi — Yea
Hernandez — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Bonnie — Yea
V. — Yea
Manuel — Yea
Perez — Yea
Salas — Yea
Fletcher — Not Voting
Gaines — Not Voting
Audra — Not Voting
Adams — Yea
Ammiano — Yea
Block — Yea
Nava — Yea
Emmerson — Yea
Lowenthal, Josh Democratic Yea
Jones, Brian W. Republican Yea
Strickland, Tony Republican Not Voting

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does AB 1383 do?
Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which basic health care services are provided to qualified low-income persons. The Medi‑Cal program is partially governed and funded as part of the federal Medicaid Program. Under existing law, the Medi-Cal Hospital/Uninsured Care Demonstration Project Act, specified hospital reimbursement methodologies are applied in order to maximize the use of federal funds consistent with federal Medicaid law and stabilize the distribution of funding for hospitals that provide care to Medi-Cal beneficiaries and uninsured patients. This bill would require the department to make supplemental payments for certain services, as specified, to private hospitals, nondesignated public hospitals, and designated public hospitals, as defined, for subject federal fiscal years, which this bill would define to mean federal fiscal years that end after the latest effective date all federal approvals or waivers necessary for the implementation of these supplemental payments and begin before December 31, 2010. This bill would also require the department to pay direct grants in support of health care expenditures to designated public hospitals for each subject federal fiscal year, as specified. This bill would require the department to make enhanced payments to managed health care plans, as defined, and would require the state to make enhanced payments to mental health plans, as defined, for each subject federal fiscal year, as specified. This bill would require the managed health care plans and mental health plans that received enhanced payments to make supplemental payments to subject hospitals, as defined, pursuant to specified formulas. This bill would provide that the above-described payments shall be made only from the quality assurance fee that is due and payable on or before December 31, 2010, and related matching federal funds. This bill would require the Director of Health Care Services to submit any state plan amendment or waiver request that may be necessary to implement the above provisions. This bill would provide for the imposition, as a condition of participation in state-funded health insurance programs, other than the Medi-Cal program, of a quality assurance fee, as specified, on certain general acute care hospitals through, and including, December 31, 2010. This bill would require the department to seek federal approval, as defined, for assessment of the fee. This bill would provide that no hospital shall be required to pay the quality assurance fee to the department unless and until the state receives and maintains federal approval of the quality assurance fee for the above-described additional payments from the federal Centers for Medicare and Medicaid Services (CMS) . The bill would require hospitals, for calendar quarters prior to federal approval of the fee, and in the calendar quarter in which the department receives notice of federal approval of the fee, to certify to the best of its knowledge, on a form provided by the department, that the hospital is prepared to pay the fee. The bill would provide that within 30 days of when federal approval is received, the hospitals shall pay the amount they certified they were prepared to pay multiplied by certain applicable fee percentages, except that, in the event that the director has made modifications to the fee model to secure federal approval, the hospital shall pay the above-described amount adjusted to reflect the director's modifications. This bill would create the Hospital Quality Assurance Revenue Fund in the State Treasury and require the money collected from the quality assurance fee be deposited into the fund. This bill would provide that the moneys in the fund shall, upon appropriation by the Legislature, be available only for certain purposes, including providing the above-described supplemental payments and health care coverage for children. This bill would require the department to provide the Joint Legislative Budget Committee and the fiscal and appropriate policy committees of the Legislature a status update of the implementation of the above-described provisions, on January 1, 2010, and quarterly thereafter. This bill would provide that the above provisions shall not be implemented with respect to the 2009–10 and 2010–11 federal fiscal years until the earlier of April 30, 2010, or the date the federal government approves a federal waiver for a demonstration that will replace the Medi-Cal Hospital/Uninsured Care Demonstration Project Act. This bill would, under specified conditions, provide that the above provisions shall become inoperative if, among other things, CMS denies approval for, or does not approve before January 1, 2012, the implementation of the above provisions. This bill would, in the event certain conditions occur, retroactively invalidate the requirements for supplemental payments or other payments made pursuant to this bill. This bill would repeal the above provisions on January 1, 2013. This bill would specify that a quality assurance fee is to be imposed pursuant to a subsequent statute, effective January 1, 2011, and subject to federal approval in a manner necessary to obtain federal matching funds, that shall be due and payable to the department by each general acute care hospital at a specified rate for the purpose of making Medi-Cal payments to hospitals.
Who sponsors AB 1383?
AB 1383 is sponsored by Alquist, Jones, and De Leon.
What is the current status of AB 1383?
This bill has been enacted into law. Introduced February 27, 2009. Enacted.
Where can I track AB 1383?
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