California 2013-2014 Regular Session Status: Passed Assembly

AB 468 — Medi-Cal: nondesignated public hospitals.

Last action — From Senate committee without further action.

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

This bill died with 2013-2014 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Existing law requires the department to seek a successor demonstration project or federal waiver of Medicaid law to implement specified objectives, which may include better care coordination for seniors, persons with disabilities, and children with special health care needs. Existing law provides that beginning with services provided on or after July 1, 2013, to the extent that additional federal funding is made available pursuant to the Special Terms and Conditions of the demonstration project or waiver, nondesignated public hospitals shall be eligible to receive safety net care pool payments for uncompensated care costs. This bill would require nondesignated public hospitals to report and certify specified information for the 2012–13 fiscal year and each fiscal year thereafter. Existing law authorizes a transferring entity, as defined, to make an intergovernmental transfer (IGT) to the state, and authorizes the department to accept all IGTs from a transferring entity for the purpose of providing support for the nonfederal share of risk-based payments to managed care health plans to enable those plans to compensate providers designated by the transferring entity for Medi-Cal health care services and support of the Medi-Cal program. Existing law, with some exceptions, authorizes the state to assess a fee of 20% on each IGT to reimburse the department for the administrative costs of operating the IGT program and for the support of the Medi-Cal program. This bill would provide that the 20% assessment shall not apply to nondesignated public hospitals. The bill would also require the department to pay rate range increases, as defined, to Medi-Cal managed care plans that contract with the department to provide Medi-Cal services in specified counties for the purpose of providing additional payments to nondesignated public hospitals for purposes of equaling the amount of reimbursement the nondesignated public hospital would have received through certified public expenditures under the fee-for-service payment methodology.

Bill Text

Action History

  1. From Senate committee without further action.

  2. Re-referred to Com. on RLS.

  3. Withdrawn from committee.

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

  5. In committee: Hearing postponed by committee.

  6. From committee: Do pass and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (June 25). Re-referred to Com. on APPR.

  7. Re-referred to Com. on HEALTH.

  8. Re-referred to Com. on RLS.

  9. Withdrawn from committee.

  10. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on N.R. & W.

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

  12. Referred to Com. on N.R. & W.

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

  14. Read third time. Passed. Ordered to the Senate. (Ayes 78. Noes 0. Page 3726.)

  15. Read second time. Ordered to consent calendar.

  16. From committee: Do pass. To consent calendar. (Ayes 16. Noes 0.) (January 23).

  17. From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (January 13). Re-referred to Com. on APPR.

  18. From committee: Be re-referred to Com. on NAT. RES. Re-referred. (Ayes 9. Noes 0.) (January 6). Re-referred to Com. on NAT. RES.

  19. Re-referred to Com. on RLS. pursuant to Assembly Rule 96.

  20. Re-referred to Com. on NAT. RES.

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

  22. Re-referred to Com. on NAT. RES.

  23. Read second time and amended.

  24. From committee: With amendments, but without recommendation, and be re-referred to Com. on NAT. RES. (Ayes 8. Noes 0.) (April 29).

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

  26. From committee: Be re-referred to Coms. on NAT. RES. and INS. (Ayes 10. Noes 0.) (April 11). Re-referred to Com. on NAT. RES.

  27. Re-referred to Com. on RLS. pursuant to Assembly Rule 96.

  28. Re-referred to Com. on NAT. RES.

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

  30. Referred to Com. on NAT. RES.

  31. From printer. May be heard in committee March 22.

  32. Read first time. To print.

Sponsors

  • Dahle · Cosponsor
  • Chesbro · Cosponsor
  • Chávez · Primary

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 2 co-sponsors · 119 not signed on

Sponsors (1)

  • Chávez

Co-sponsors (2)

  • Dahle
  • Chesbro

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

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

Passed 8 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 8001
Total 8001
% of votes cast 89%0%0%11%
How each member voted (9)
Member Party Vote
Hernandez — Yea
Nielsen — Yea
Wolk — Not Voting
Beall — Yea
De León — Yea
Monning — Yea
Morrell — Yea
Evans — Yea
DeSaulnier — Yea

Official roll call →

AB 468 CHESBRO Consent Calendar Second Day

Passed 78 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 71002
Democratic 4000
Republican 3000
Total 78002
% of votes cast 98%0%0%3%
How each member voted (80)
Member Party Vote
Achadjian — Yea
Bigelow — Yea
Bradford — Yea
Brown — Yea
Buchanan — Yea
Harkey — Yea
Linder — Yea
Mansoor — Yea
Melendez — Yea
Nestande — Yea
Olsen — Yea
Rendon — Yea
Wagner — Yea
Wieckowski — Yea
Campos — Yea
Frazier — Yea
Gordon — Yea
Gray — Yea
Alejo — Yea
Ammiano — Yea
Bloom — Yea
Daly — Yea
Holden — Yea
Mullin — Yea
Nazarian — Yea
Quirk — Yea
Rodriguez — Yea
Ting — Yea
Weber — Yea
Wilk — Yea
Allen — Yea
Bonilla — Yea
Eggman — Yea
Chau — Yea
Chávez — Yea
Conway — Yea
Cooley — Yea
Hall — Yea
Jones-Sawyer — Yea
Levine — Yea
Maienschein — Yea
Medina — Yea
Donnelly — Yea
Pan — Yea
Waldron — Yea
Williams — Yea
Bocanegra — Yea
John A. Pérez — Yea
Salas — Yea
Lowenthal — Yea
Garcia — Yea
Atkins — Yea
Fong — Yea
Chesbro — Yea
Dababneh — Yea
Hagman — Yea
Morrell — Yea
Ridley-Thomas — Yea
Skinner — Yea
Logue — Not Voting
Perea — Not Voting
Dickinson — Yea
Fox — Yea
Gatto — Yea
Yamada — Yea
Gomez — Yea
Gorell — Yea
Beth Gaines — Yea
Jim Patterson — Yea
Lorena Gonzalez — Yea
Mark Stone — Yea
Roger Hernández — Yea
V. Manuel Pérez — Yea
Bonta, Mia Democratic Yea
Calderon, Lisa Democratic Yea
Muratsuchi, Al Democratic Yea
Quirk-Silva, Sharon Democratic Yea
Dahle, Megan Republican Yea
Grove, Shannon Republican Yea
Jones, Brian W. Republican Yea

Official roll call →

Do pass, to Consent Calendar.

Passed 16 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 15001
Democratic 1000
Total 16001
% of votes cast 94%0%0%6%
How each member voted (17)
Member Party Vote
Bradford — Yea
Linder — Yea
Quirk — Yea
Wagner — Yea
Gomez — Yea
Bocanegra — Yea
Allen — Yea
Holden — Yea
Pan — Yea
Campos — Yea
Ridley-Thomas — Yea
Bigelow — Yea
Eggman — Yea
Weber — Yea
Donnelly — Not Voting
Gatto — Yea
Calderon, Lisa Democratic Yea

Official roll call →

With amendments but without recommendation, and be re-referred to Committee on Natural Resources.

Passed 8 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 5000
Democratic 1001
Republican 2000
Total 8001
% of votes cast 89%0%0%11%
How each member voted (9)
Member Party Vote
Bigelow — Yea
Skinner — Yea
Stone — Yea
Chesbro — Yea
Williams — Yea
Garcia, Robert Democratic Not Voting
Muratsuchi, Al Democratic Yea
Grove, Shannon Republican Yea
Patterson, Joe Republican Yea

Official roll call →

Be referred to Committee on Natural Resources.

Passed 10 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 10001
Total 10001
% of votes cast 91%0%0%9%
How each member voted (11)
Member Party Vote
Bigelow — Not Voting
Brown — Yea
Wilk — Yea
Chau — Yea
Donnelly — Yea
Nazarian — Yea
Quirk — Yea
Skinner — Yea
Weber — Yea
Hagman — Yea
V. Manuel Pérez — Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does AB 468 do?
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Existing law requires the department to seek a successor demonstration project or federal waiver of Medicaid law to implement specified objectives, which may include better care coordination for seniors, persons with disabilities, and children with special health care needs. Existing law provides that beginning with services provided on or after July 1, 2013, to the extent that additional federal funding is made available pursuant to the Special Terms and Conditions of the demonstration project or waiver, nondesignated public hospitals shall be eligible to receive safety net care pool payments for uncompensated care costs. This bill would require nondesignated public hospitals to report and certify specified information for the 2012–13 fiscal year and each fiscal year thereafter. Existing law authorizes a transferring entity, as defined, to make an intergovernmental transfer (IGT) to the state, and authorizes the department to accept all IGTs from a transferring entity for the purpose of providing support for the nonfederal share of risk-based payments to managed care health plans to enable those plans to compensate providers designated by the transferring entity for Medi-Cal health care services and support of the Medi-Cal program. Existing law, with some exceptions, authorizes the state to assess a fee of 20% on each IGT to reimburse the department for the administrative costs of operating the IGT program and for the support of the Medi-Cal program. This bill would provide that the 20% assessment shall not apply to nondesignated public hospitals. The bill would also require the department to pay rate range increases, as defined, to Medi-Cal managed care plans that contract with the department to provide Medi-Cal services in specified counties for the purpose of providing additional payments to nondesignated public hospitals for purposes of equaling the amount of reimbursement the nondesignated public hospital would have received through certified public expenditures under the fee-for-service payment methodology.
Who sponsors AB 468?
AB 468 is sponsored by Dahle, Chesbro, and Chávez.
What is the current status of AB 468?
This bill died with 2013-2014 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 468?
Track AB 468 free on One Click Politics — get push/email alerts when it moves.

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