California 2013-2014 Regular Session Status: In Committee

SB 645 — Diagnosis-related group methodology.

Last action — Returned to Secretary of Senate pursuant to Joint Rule 56.

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

This bill died with 2013-2014 Regular Session. It reached “In Committee” 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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, subject to federal approval, to develop and implement a payment methodology based on diagnosis-related groups that reflects that costs and staffing levels associated with quality of care for patients in all general acute care hospitals, as specified. Existing law requires that the methodology developed pursuant to these provisions be implemented on July 1, 2012, or on the date upon which the director executes a declaration certifying that all necessary federal approvals have been obtained and the methodology is sufficient for formal implementation, whichever is later. This bill would require the department, before the diagnosis-related group methodology can be implemented, to develop a methodology, in consultation with the hospital community, for hospitals to review base payment rates proposed by the department. The bill would require the department, commencing July 1, 2013, to begin collecting diagnosis codes and procedure codes to establish a database from which to develop base payment rates and would require the department to develop an education and training program for hospital Medi-Cal billing staff, in consultation with the hospital community, to be conducted between April 1, 2014, and May 13, 2014. This bill would declare that it is to take effect immediately as an urgency statute.

Bill Text

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Action History

  1. Returned to Secretary of Senate pursuant to Joint Rule 56.

  2. Held in committee and under submission.

  3. Set for hearing May 23.

  4. Placed on APPR. suspense file.

  5. Set for hearing May 6.

  6. Hearing postponed by committee.

  7. Set for hearing April 29.

  8. From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 0. Page 617.) (April 17). Re-referred to Com. on APPR.

  9. Set for hearing April 17.

  10. Hearing postponed by committee.

  11. Set for hearing April 3.

  12. Referred to Com. on HEALTH.

  13. Read first time.

  14. From printer. May be acted upon on or after March 26.

  15. Introduced. To Com. on RLS. for assignment. To print.

Sponsors

  • Nielsen · Primary

Sponsorship breakdown

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

Sponsors (1)

  • Nielsen

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

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

Passed 7 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 7002
Total 7002
% of votes cast 78%0%0%22%
How each member voted (9)
Member Party Vote
Anderson — Yea
Pavley — Not Voting
Hernandez — Yea
DeSaulnier — Yea
De León — Yea
Beall — Yea
Monning — Not Voting
Nielsen — Yea
Wolk — Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 645 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, subject to federal approval, to develop and implement a payment methodology based on diagnosis-related groups that reflects that costs and staffing levels associated with quality of care for patients in all general acute care hospitals, as specified. Existing law requires that the methodology developed pursuant to these provisions be implemented on July 1, 2012, or on the date upon which the director executes a declaration certifying that all necessary federal approvals have been obtained and the methodology is sufficient for formal implementation, whichever is later. This bill would require the department, before the diagnosis-related group methodology can be implemented, to develop a methodology, in consultation with the hospital community, for hospitals to review base payment rates proposed by the department. The bill would require the department, commencing July 1, 2013, to begin collecting diagnosis codes and procedure codes to establish a database from which to develop base payment rates and would require the department to develop an education and training program for hospital Medi-Cal billing staff, in consultation with the hospital community, to be conducted between April 1, 2014, and May 13, 2014. This bill would declare that it is to take effect immediately as an urgency statute.
Who sponsors SB 645?
SB 645 is sponsored by Nielsen.
What is the current status of SB 645?
This bill died with 2013-2014 Regular Session. It reached “In Committee” 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 SB 645?
Track SB 645 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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