California 2013-2014 Regular Session Status: Enacted

AB 498 — Medi-Cal.

Last action — Chaptered by Secretary of State - Chapter 672, Statutes of 2013.

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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 20, 2013. Enacted.

Prognosis

Likely to advance 80% · 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.

  • 6 sponsors

    1 primary, 5 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 11 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

(1) 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. Existing law provides that a health facility is eligible to receive supplemental reimbursement under the Medi‑Cal program if the facility has specified characteristics, including that the facility is owned or operated by the state, a county, a city, a city and county, or a health care district. Existing law prohibits claimed expenditures for specified nursing facility services, when combined with the amount received from all other sources of reimbursement from the Medi-Cal program, from exceeding 100% of projected costs, as determined pursuant to the Medi-Cal State Plan, for skilled nursing services at each facility. This bill would, instead, prohibit those claimed expenditures from exceeding 100% of allowable costs. The bill would require that supplemental reimbursement be subject to a reconciliation process established in the state plan to ensure that supplemental reimbursement is not made in excess of allowable costs, and to ensure that it is made up to allowable costs. (2) The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Existing law, subject to federal approval, modifies the inpatient fee-for-service reimbursement methodology for nondesignated public hospitals, as defined, under a specified demonstration project for services on or after July 1, 2012. Existing law provides that beginning with the 2012–13 fiscal year, and if specified conditions are met, nondesignated public hospitals, or governmental entities with which the hospitals are affiliated, shall be eligible to receive safety net care pool payments for uncompensated care from the Health Care Support Fund. Existing law provides that these provisions shall become operative on the date that all necessary federal approvals have been obtained to implement these and other related provisions. Existing law requires designated public hospitals to report and certify specified information for each successor demonstration year beginning with the 2012−13 fiscal year. This bill would revise and recast those provisions. This bill would instead authorize the department to seek necessary federal approvals or waivers to separately implement the safety net care pool payments for uncompensated care provisions for the 2013–14 and 2014–15 fiscal years. The bill would require the state, if the state receives federal safety net care pool funds for uncompensated care under these provisions, to retain 12 of the funds for Medi-Cal related expenditures. (3) Under existing law, nondesignated public hospitals may receive fee-for-service payments for inpatient services, as specified. Under existing law, beginning with the 2012–13 fiscal year, subject to federal approval and if specified conditions are met, nondesignated public hospitals may receive delivery system reform incentive pool funding, as specified. This bill would eliminate those provisions.

Bill Text

Action History

  1. Chaptered by Secretary of State - Chapter 672, Statutes of 2013.

  2. Approved by the Governor.

  3. Enrolled and presented to the Governor at 4:30 p.m.

  4. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 77. Noes 0. Page 3339.).

  5. Assembly Rule 63 suspended. (Page 3339.)

  6. From committee: That the Senate amendments be concurred in. (Ayes 18. Noes 0.) (September 12).

  7. Joint Rule 62(a), file notice suspended. (Page 3337.)

  8. Re-referred to Com. on HEALTH. pursuant to Assembly Rule 77.2.

  9. In Assembly. Concurrence in Senate amendments pending.

  10. Read third time. Passed. Ordered to the Assembly. (Ayes 34. Noes 0. Page 2399.).

  11. Ordered to third reading.

  12. From committee: Return to Senate floor for consideration. (Ayes 7. Noes 0.) (September 11).

  13. From committee: Pursuant to Senate Rule 29.10, that the measure be re-referred to Com. on APPR pursuant to Joint Rule 10.5. (Ayes 7. Noes 0.) (September 11). Re-referred to Com. on APPR.

  14. From committee: Be re-referred to Com. on HEALTH pursuant to Senate Rule 29.10. (Ayes 4. Noes 0.) Re-referred to Com. on HEALTH.

  15. Re-referred to Com. on RLS. pursuant to Senate Rule 29.10(b).

  16. Read second time. Ordered to third reading.

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

  18. Read second time. Ordered to third reading.

  19. From committee: Do pass. (Ayes 7. Noes 0.) (August 30).

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

  21. In committee: Placed on APPR. suspense file.

  22. In committee: Hearing postponed by committee.

  23. From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (July 3). Re-referred to Com. on APPR.

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

  25. Referred to Com. on HEALTH.

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

  27. Read third time. Passed. Ordered to the Senate. (Ayes 74. Noes 0. Page 1567.)

  28. Read second time. Ordered to third reading.

  29. From committee: Do pass. (Ayes 17. Noes 0.) (May 15).

  30. Re-referred to Com. on APPR.

  31. Read second time and amended.

  32. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 18. Noes 0.) (April 30).

  33. Re-referred to Com. on HEALTH.

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

  35. Re-referred to Com. on HEALTH.

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

  37. Referred to Com. on HEALTH.

  38. From printer. May be heard in committee March 23.

  39. Read first time. To print.

Sponsors

  • Alejo · Cosponsor
  • Bigelow · Cosponsor
  • Chesbro · Cosponsor
  • Chávez · Primary
  • Conway · Cosponsor
  • Nielsen · Cosponsor

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 5 co-sponsors · 116 not signed on

Sponsors (1)

  • Chávez

Co-sponsors (5)

  • Alejo
  • Bigelow
  • Chesbro
  • Conway
  • Nielsen

Not signed on (116)

116 members have not signed on to this bill.

Show all 116 →

"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

AB 498 CHÁVEZ Concurrence in Senate Amendments

Passed 77 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 70001
Democratic 4000
Republican 3000
Total 77001
% of votes cast 99%0%0%1%
How each member voted (78)
Member Party Vote
Achadjian — Yea
Alejo — Yea
Ammiano — Yea
Bigelow — Yea
Bloom — Yea
Bradford — Yea
Brown — Yea
Buchanan — Yea
Jones-Sawyer — Yea
Levine — Yea
Linder — Yea
Mansoor — Yea
Medina — Yea
Morrell — Yea
Mullin — Yea
Olsen — Yea
Rendon — Yea
Skinner — Yea
Weber — Yea
Conway — Yea
Daly — Yea
Nazarian — Yea
Holden — Yea
Campos — Yea
Allen — Yea
Ting — Yea
Wagner — Yea
Chau — Yea
Bonilla — Yea
Quirk — Yea
Wieckowski — Yea
Wilk — Yea
Chávez — Yea
Cooley — Yea
Donnelly — Yea
Gray — Yea
Mitchell — Yea
Hagman — Yea
Harkey — Yea
Logue — Yea
Pan — Yea
Chesbro — Yea
Bocanegra — Yea
John A. Pérez — Yea
Salas — Yea
Lowenthal — Yea
Garcia — Yea
Atkins — Yea
Fong — Yea
Gatto — Yea
Maienschein — Yea
Melendez — Yea
Nestande — Yea
Perea — Yea
Waldron — Yea
Williams — Yea
Dickinson — Yea
Eggman — Yea
Fox — Yea
Frazier — Yea
Yamada — Yea
Gomez — Yea
Gordon — Yea
Gorell — Yea
Hall — Yea
Beth Gaines — Yea
Jim Patterson — Yea
Lorena Gonzalez — Yea
Mark Stone — Yea
Roger Hernández — Not Voting
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 →

3rd Reading AB498 Chávez By Nielsen

Passed 34 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 32004
Democratic 2001
Total 34005
% of votes cast 87%0%0%13%
How each member voted (39)
Member Party Vote
Beall — Yea
Block — Yea
Hueso — Not Voting
Knight — Yea
Lieu — Yea
Vidak — Yea
Walters — Yea
Wolk — Yea
Emmerson — Yea
Correa — Not Voting
DeSaulnier — Yea
Wright — Yea
Wyland — Yea
Evans — Yea
Cannella — Yea
Fuller — Yea
De León — Yea
Hernandez — Not Voting
Hill — Yea
Anderson — Yea
Corbett — Yea
Huff — Yea
Lara — Not Voting
Leno — Yea
Liu — Yea
Monning — Yea
Nielsen — Yea
Pavley — Yea
Roth — Yea
Steinberg — Yea
Torres — Yea
Galgiani — Yea
Yee — Yea
Hancock — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Calderon, Lisa Democratic Not Voting
Jackson, Corey A. Democratic Yea
Padilla, Stephen C. Democratic Yea

Official roll call →

amendments be concurred in.

Passed 18 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democratic 1000
Unaffiliated 17001
Total 18001
% of votes cast 95%0%0%5%
How each member voted (19)
Member Party Vote
Logue — Yea
Maienschein — Yea
Mansoor — Yea
Nestande — Yea
Wagner — Yea
Wieckowski — Yea
Wilk — Yea
Chesbro — Yea
Nazarian — Yea
Bonilla — Yea
Mitchell — Yea
Lowenthal — Yea
Atkins — Yea
Ammiano — Yea
Pan — Yea
Gomez — Yea
Roger Hernández — Not Voting
V. Manuel Pérez — Yea
Bonta, Mia Democratic Yea

Official roll call →

Do pass.

Passed 7 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 6000
Democratic 1000
Total 7000
% of votes cast 100%0%0%0%
How each member voted (7)
Member Party Vote
Lara — Yea
Hill — Yea
De León — Yea
Steinberg — Yea
Walters — Yea
Beth Gaines — Yea
Padilla, Stephen C. Democratic Yea

Official roll call →

AB 498 CHÁVEZ Assembly Third Reading

Passed 74 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 65002
Democratic 7000
Republican 2002
Total 74004
% of votes cast 95%0%0%5%
How each member voted (78)
Member Party Vote
Achadjian — Yea
Bloom — Yea
Blumenfield — Yea
Bradford — Yea
Brown — Yea
Buchanan — Yea
Jones-Sawyer — Yea
Linder — Yea
Mansoor — Yea
Morrell — Yea
Nestande — Yea
Wilk — Yea
Daly — Yea
Hagman — Yea
Logue — Yea
Skinner — Yea
Stone — Yea
Bigelow — Yea
Nazarian — Yea
Lowenthal — Yea
Gray — Yea
Atkins — Yea
Mitchell — Yea
Campos — Yea
Chau — Yea
Bonilla — Yea
Frazier — Yea
Alejo — Yea
Ammiano — Yea
Chesbro — Yea
Gatto — Yea
Gomez — Yea
Gordon — Yea
Hall — Yea
Harkey — Yea
Bocanegra — Yea
Holden — Not Voting
Levine — Yea
John A. Pérez — Yea
Maienschein — Yea
Salas — Yea
Medina — Yea
Melendez — Yea
Chávez — Yea
Mullin — Yea
Olsen — Yea
Pan — Yea
Conway — Yea
Cooley — Yea
Dickinson — Yea
Donnelly — Yea
Eggman — Yea
Perea — Yea
Quirk — Yea
Rendon — Yea
Ting — Yea
Wagner — Yea
Waldron — Not Voting
Weber — Yea
Wieckowski — Yea
Williams — Yea
Fox — Yea
Yamada — Yea
Gorell — Yea
Beth Gaines — Yea
Roger Hernández — Yea
V. Manuel Pérez — Yea
Allen, Benjamin Democratic Yea
Bonta, Mia Democratic Yea
Calderon, Lisa Democratic Yea
Fong, Mike Democratic Yea
Garcia, Robert Democratic Yea
Muratsuchi, Al Democratic Yea
Quirk-Silva, Sharon Democratic Yea
Dahle, Megan Republican Yea
Grove, Shannon Republican Not Voting
Jones, Brian W. Republican Not Voting
Patterson, Joe Republican Yea

Official roll call →

Do pass.

Passed 17 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 16000
Democratic 1000
Total 17000
% of votes cast 100%0%0%0%
How each member voted (17)
Member Party Vote
Bradford — Yea
Linder — Yea
Pan — Yea
Rendon — Yea
Gatto — Yea
Bocanegra — Yea
Gomez — Yea
Hall — Yea
Harkey — Yea
Campos — Yea
Bigelow — Yea
Donnelly — Yea
Eggman — Yea
Quirk — Yea
Wagner — Yea
Weber — Yea
Calderon, Lisa Democratic Yea

Official roll call →

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

Passed 18 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 17001
Democratic 1000
Total 18001
% of votes cast 95%0%0%5%
How each member voted (19)
Member Party Vote
Ammiano — Yea
Maienschein — Yea
Mansoor — Yea
Wagner — Yea
Chesbro — Yea
Logue — Yea
Nazarian — Yea
Nestande — Yea
Pan — Yea
Mitchell — Yea
Lowenthal — Yea
Atkins — Yea
Bonilla — Not Voting
Wieckowski — Yea
Wilk — Yea
Gomez — Yea
Roger Hernández — Yea
V. Manuel Pérez — Yea
Bonta, Mia Democratic Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does AB 498 do?
(1) 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. Existing law provides that a health facility is eligible to receive supplemental reimbursement under the Medi‑Cal program if the facility has specified characteristics, including that the facility is owned or operated by the state, a county, a city, a city and county, or a health care district. Existing law prohibits claimed expenditures for specified nursing facility services, when combined with the amount received from all other sources of reimbursement from the Medi-Cal program, from exceeding 100% of projected costs, as determined pursuant to the Medi-Cal State Plan, for skilled nursing services at each facility. This bill would, instead, prohibit those claimed expenditures from exceeding 100% of allowable costs. The bill would require that supplemental reimbursement be subject to a reconciliation process established in the state plan to ensure that supplemental reimbursement is not made in excess of allowable costs, and to ensure that it is made up to allowable costs. (2) The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Existing law, subject to federal approval, modifies the inpatient fee-for-service reimbursement methodology for nondesignated public hospitals, as defined, under a specified demonstration project for services on or after July 1, 2012. Existing law provides that beginning with the 2012–13 fiscal year, and if specified conditions are met, nondesignated public hospitals, or governmental entities with which the hospitals are affiliated, shall be eligible to receive safety net care pool payments for uncompensated care from the Health Care Support Fund. Existing law provides that these provisions shall become operative on the date that all necessary federal approvals have been obtained to implement these and other related provisions. Existing law requires designated public hospitals to report and certify specified information for each successor demonstration year beginning with the 2012−13 fiscal year. This bill would revise and recast those provisions. This bill would instead authorize the department to seek necessary federal approvals or waivers to separately implement the safety net care pool payments for uncompensated care provisions for the 2013–14 and 2014–15 fiscal years. The bill would require the state, if the state receives federal safety net care pool funds for uncompensated care under these provisions, to retain 12 of the funds for Medi-Cal related expenditures. (3) Under existing law, nondesignated public hospitals may receive fee-for-service payments for inpatient services, as specified. Under existing law, beginning with the 2012–13 fiscal year, subject to federal approval and if specified conditions are met, nondesignated public hospitals may receive delivery system reform incentive pool funding, as specified. This bill would eliminate those provisions.
Who sponsors AB 498?
AB 498 is sponsored by Alejo, Bigelow, Chesbro, Chávez, Conway, and Nielsen.
What is the current status of AB 498?
This bill has been enacted into law. Introduced February 20, 2013. Enacted.
Where can I track AB 498?
Track AB 498 free on One Click Politics — get push/email alerts when it moves.

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