SB 123 — Medi-Cal: school-based administrative activities.

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 by, and funded pursuant to, federal Medicaid program provisions. Existing law establishes an administrative claiming process under which the department is authorized to contract with local governmental agencies and local educational consortia for the purpose of obtaining federal matching funds to assist with the performance of administrative activities relating to the Medi-Cal program. Existing law defines a local educational agency for these purposes as a local educational agency that participates under the process as a subcontractor to the local educational consortium in its service region. Existing law provides that specified services provided by local educational agencies (LEAs) are covered Medi-Cal benefits and requires the department to perform various activities with respect to the billing option for services provided by LEAs, including amendment of the Medicaid state plan to ensure that schools shall be reimbursed for all eligible services they provide. Existing law requires the department to file an annual report with the Legislature that provides information related to these activities, as specified. Existing law requires the department to regularly consult with the State Department of Education, school district representatives, county offices of education, the local educational consortium, and local educational agencies to assist in formulating those state plan amendments. Existing law funds these activities by requiring the department to proportionately reduce federal Medicaid payments allocable to LEAs, collect the reductions, and deposit them into the Local Educational Agency Medi-Cal Recovery Fund, as specified. This bill would additionally require the department to contract directly with an LEA, if the LEA chooses and the department has developed a process governing direct contracting, to perform school-based administrative activities necessary for the proper and efficient administration of the Medi-Cal program, as specified. The bill would designate the contracting between the department and participating local educational agencies, local educational consortia, and local governmental agencies to perform those school-based administrative activities as the School-Based Administrative Claiming process program. The bill would authorize the department to administer or oversee the administration of a single statewide random moment time survey, or a reduction in the number of quarterly random moment time surveys conducted in the state, for the purposes of the program. The bill would make related legislative findings and declarations. This bill would require the department to prepare and post on its Internet Web site an annual report of the costs of administering the School-Based Administrative Claiming process program and the LEA billing option and list local educational agency participation in each. The bill would also require the department to include in that report the annual report related to the LEA billing option. This bill would require the department to enter into an interagency agreement or memorandum of understanding (MOU) with the State Department of Education to coordinate the efforts of both departments with respect to the LEA billing option and the School-Based Administrative Claiming process program. The bill would require the department to develop an appeals process, as specified, to contest an action of the department. This bill would require the department and the State Department of Education to establish and jointly administer a School-Based Health Program and Policy Workgroup, as specified, in order to assist the department in formulating state plan amendments required to implement the LEA billing option described above and for the purpose of advising the department on issues related to the delivery of school-based Medi-Cal services to students in the state, as specified. The bill would require the department to consult with the advisory group in connection with developing the interagency agreement or MOU described above. The bill would authorize the department and the State Department of Education to use moneys collected by the department to fund the LEA Medi-Cal billing option program activities and amounts withheld from LEAs by agreement with the department to meet the requirements of the interagency agreement or MOU described above and to fund staffing requirements for the workgroup.

Bill Text

• Enrolled 09/02/16 - Enrolled Current pdf September 02, 2016
• Amended 08/18/16 - Amended Assembly pdf August 18, 2016
• Amended 08/15/16 - Amended Assembly pdf August 15, 2016
• Amended 08/01/16 - Amended Assembly pdf August 01, 2016
• Amended 06/30/16 - Amended Assembly pdf June 30, 2016
• Amended 06/16/16 - Amended Assembly pdf June 16, 2016
• Amended 05/16/16 - Amended Assembly pdf May 16, 2016
• Amended 05/12/15 - Amended Senate pdf May 12, 2015
• Amended 04/06/15 - Amended Senate pdf April 06, 2015
• Introduced 01/15/15 - Introduced pdf January 15, 2015
• SB123 View text html

Action History

1. September 29, 2016

   In Senate. Consideration of Governor's veto pending.

2. September 29, 2016

   Vetoed by the Governor.

3. September 08, 2016

   Enrolled and presented to the Governor at 5 p.m.

4. August 29, 2016

   Assembly amendments concurred in. (Ayes 39. Noes 0. Page 5494.) Ordered to engrossing and enrolling.

5. August 26, 2016

   From committee: That the Assembly amendments be concurred in. (Ayes 9. Noes 0. Page 5456.)

6. August 25, 2016

   Set for hearing August 26.

7. August 24, 2016

   From committee: Be re-referred to Com. on ED. pursuant to Senate Rule 29.10(d). (Ayes 5. Noes 0. Page 5326.) Re-referred to Com. on ED.

8. August 24, 2016

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

9. August 23, 2016

   In Senate. Concurrence in Assembly amendments pending.

10. August 23, 2016

    Read third time. Passed. (Ayes 79. Noes 0. Page 6098.) Ordered to the Senate.

11. August 18, 2016

    Ordered to third reading.

12. August 18, 2016

    Read third time and amended.

13. August 16, 2016

    Read second time. Ordered to third reading.

14. August 15, 2016

    Read second time and amended. Ordered to second reading.

15. August 12, 2016

    From committee: Do pass as amended. (Ayes 20. Noes 0.) (August 11).

16. August 11, 2016

    Joint Rule 62(a) suspended.

17. August 10, 2016

    August 10 set for first hearing. Placed on APPR. suspense file.

18. August 03, 2016

    August 3 hearing postponed by committee.

19. August 01, 2016

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR.

20. June 30, 2016

    Read second time and amended. Re-referred to Com. on APPR.

21. June 29, 2016

    From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 5. Noes 0.) (June 22).

22. June 16, 2016

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on ED.

23. June 15, 2016

    From committee: Do pass and re-refer to Com. on ED. (Ayes 11. Noes 0.) (June 14). Re-referred to Com. on ED.

24. June 06, 2016

    From committee: Be re-referred to Coms. on HEALTH and ED. (Ayes 9. Noes 0.) . Re-referred to Com. on HEALTH.

25. June 02, 2016

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

26. May 16, 2016

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on ED.

27. June 24, 2015

    From committee: Do pass and re-refer to Com. on ED. with recommendation: To consent calendar. (Ayes 19. Noes 0.) (June 23). Re-referred to Com. on ED.

28. June 11, 2015

    Referred to Coms. on HEALTH and ED.

29. June 02, 2015

    In Assembly. Read first time. Held at Desk.

30. June 01, 2015

    Read third time. Passed. (Ayes 39. Noes 0. Page 1196.) Ordered to the Assembly.

31. May 28, 2015

    Read second time. Ordered to third reading.

32. May 28, 2015

    From committee: Do pass. (Ayes 7. Noes 0. Page 1147.) (May 28).

33. May 23, 2015

    Set for hearing May 28.

34. May 18, 2015

    May 18 hearing: Placed on APPR. suspense file.

35. May 12, 2015

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR.

36. May 08, 2015

    Set for hearing May 18.

37. April 30, 2015

    From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 9. Noes 0. Page 860.) (April 29). Re-referred to Com. on APPR.

38. April 24, 2015

    Set for hearing April 29.

39. April 22, 2015

    From committee: Do pass and re-refer to Com. on HEALTH with recommendation: To consent calendar. (Ayes 9. Noes 0. Page 721.) (April 22). Re-referred to Com. on HEALTH.

40. April 10, 2015

    Set for hearing April 22.

41. April 09, 2015

    Re-referred to Coms. on ED. and HEALTH.

42. April 06, 2015

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS.

43. February 05, 2015

    Referred to Com. on RLS.

44. January 16, 2015

    From printer. May be acted upon on or after February 15.

45. January 15, 2015

    Introduced. Read first time. To Com. on RLS. for assignment. To print.

Sponsors

• Liu · Primary
• Santiago · Cosponsor
• Thurmond · Cosponsor

Votes

Subjects