California 2017-2018 Regular Session Status: To Executive 1 D cosponsors

AB 2275 — Medi-Cal managed care: quality assessment and performance improvement.

Last action — Vetoed by Governor.

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

This bill died with 2017-2018 Regular Session. It reached “To Executive” 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care health plans, including through a county organized health system and geographic managed care. This bill would require the department to establish a quality assessment and performance improvement program for all Medi-Cal managed care plans, through which the plans, commencing January 1, 2021, would be required to meet a minimum performance level (MPL) that improves quality of care and reduces health disparities for beneficiaries, as specified. The bill would require managed care plans that meet the performance targets to receive specified financial incentives. The bill would require the department, in consultation with stakeholders, to develop a plan for a value-based financial incentive program. The bill would make the implementation of the plan subject to an appropriation of funds by the Legislature to the extent that additional funding is required to implement that plan, as specified. The bill would require the department to establish the measures by which the MPL and performance targets would be assessed and would require the measures to be collected annually, commencing July 1, 2019. The bill would also require the department to establish a public stakeholder process in the planning, development, and ongoing oversight of the program and in the planning of the financial incentive program. The bill would require the department to annually and publicly report the program results on its Internet Web site. The bill would require the department to utilize the program results to develop a Quality Rating System for Medi-Cal managed care plans, subject to federal approval. The department would not be required to report data that would result in statistically unreliable information or the disclosure of personally identifiable information, or to establish requirements mandated by the bill based solely on data that is determined to be statistically unreliable.

Bill Text

Action History

  1. Vetoed by Governor.

  2. Enrolled and presented to the Governor at 3 p.m.

  3. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 56. Noes 23. Page 6726.).

  4. In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 24 pursuant to Assembly Rule 77.

  5. Read third time. Passed. Ordered to the Assembly. (Ayes 26. Noes 12. Page 5590.).

  6. Read second time. Ordered to third reading.

  7. From committee: Do pass. (Ayes 6. Noes 1.) (August 16).

  8. In committee: Referred to APPR. suspense file.

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

  10. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (June 20).

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

  12. Referred to Com. on HEALTH.

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

  14. Read third time. Passed. Ordered to the Senate. (Ayes 53. Noes 23. Page 5477.)

  15. Read second time. Ordered to third reading.

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

  17. From committee: Amend, and do pass as amended. (Ayes 12. Noes 4.) (May 25).

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

  19. Re-referred to Com. on APPR.

  20. Read second time and amended.

  21. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 12. Noes 3.) (April 17).

  22. Re-referred to Com. on HEALTH.

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

  24. Referred to Com. on HEALTH.

  25. From printer. May be heard in committee March 16.

  26. Read first time. To print.

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 121 not signed on · 10 voted No

Sponsors (1)

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

AB 2275 ARAMBULA Concurrence in Senate Amendments

Passed 56 Yea · 23 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 401701
Democratic 16000
Republican 0600
Total 562301
% of votes cast 70%29%0%1%
How each member voted (80)
Member Party Vote
Acosta — Nay
Baker — Nay
Bigelow — Nay
Brough — Nay
Maienschein — Yea
Mathis — Nay
McCarty — Yea
Nazarian — Yea
O'Donnell — Yea
Rendon — Yea
Santiago — Yea
Steinorth — Nay
Waldron — Nay
Eggman — Yea
Daly — Yea
Burke — Yea
Friedman — Yea
Gloria — Yea
Holden — Yea
Jones-Sawyer — Yea
Rivas — Yea
Rubio — Yea
Low — Yea
Medina — Yea
Salas — Yea
Bloom — Yea
Chiu — Yea
Chu — Yea
Cooper — Yea
Mullin — Yea
Thurmond — Yea
Weber — Yea
Wood — Yea
Gray — Yea
Chau — Yea
Gonzalez Fletcher — Yea
Frazier — Yea
Fong — Nay
Harper — Nay
Kamlager-Dove — Yea
Chávez — Nay
Kiley — Not Voting
Levine — Yea
Cooley — Yea
Cunningham — Nay
Mayes — Nay
Melendez — Nay
Obernolte — Nay
Quirk — Yea
Rodriguez — Yea
Ting — Yea
Voepel — Nay
Cristina Garcia — Yea
Eduardo Garcia — Yea
Jim Patterson — Nay
Mark Stone — Yea
Travis Allen — Nay
Wendy Carrillo — Yea
Aguiar-Curry, Cecilia M. Democratic Yea
Arambula, Joaquin Democratic Yea
Berman, Marc Democratic Yea
Bonta, Mia Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Cervantes, Sabrina Democratic Yea
Gabriel, Jesse Democratic Yea
Gipson, Mike A. Democratic Yea
Grayson, Timothy S. Democratic Yea
Irwin, Jacqui Democratic Yea
Kalra, Ash Democratic Yea
Limón, Monique Democratic Yea
Muratsuchi, Al Democratic Yea
Quirk-Silva, Sharon Democratic Yea
Reyes, Eloise Gómez Democratic Yea
Chen, Phillip Republican Nay
Choi, Steven S. Republican Nay
Dahle, Megan Republican Nay
Flora, Heath Republican Nay
Gallagher, James Republican Nay
Lackey, Tom Republican Nay

Official roll call →

3rd Reading AB2275 Arambula By Pan

Passed 26 Yea · 12 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 211202
Democratic 5000
Total 261202
% of votes cast 65%30%0%5%
How each member voted (40)
Member Party Vote
Beall — Yea
Bradford — Yea
Leyva — Yea
Monning — Yea
Nielsen — Nay
Wilk — Nay
Delgado — Yea
Allen — Yea
De León — Yea
Portantino — Yea
Atkins — Yea
Mitchell — Yea
Fuller — Nay
Cannella — Nay
Galgiani — Not Voting
Glazer — Yea
Chang — Nay
Hernandez — Yea
Hertzberg — Yea
Hill — Yea
Anderson — Nay
Bates — Nay
Dodd — Yea
Hueso — Yea
Lara — Yea
Moorlach — Nay
Morrell — Nay
Pan — Yea
Roth — Yea
Skinner — Yea
Vidak — Nay
Wieckowski — Yea
Beth Gaines — Nay
Bill Berryhill — Not Voting
Mark Stone — Nay
Jackson, Corey A. Democratic Yea
McGuire, Mike Democratic Yea
Nguyen, Stephanie Democratic Yea
Stern, Henry I. Democratic Yea
Wiener, Scott D. Democratic Yea

Official roll call →

Do pass

Passed 6 Yea · 1 Nay
Party YeaNayPresentNot Voting
Unaffiliated 5100
Democratic 1000
Total 6100
% of votes cast 86%14%0%0%
How each member voted (7)
Member Party Vote
Bradford — Yea
Nielsen — Yea
Hill — Yea
Portantino — Yea
Bates — Nay
Beall — Yea
Wiener, Scott D. Democratic Yea

Official roll call →

Placed on suspense file

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
Bradford — Yea
Nielsen — Yea
Hill — Yea
Portantino — Yea
Bates — Yea
Beall — Yea
Wiener, Scott D. Democratic Yea

Official roll call →

AB 2275 ARAMBULA Assembly Third Reading

Passed 53 Yea · 23 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 381702
Democratic 15000
Republican 0600
Total 532302
% of votes cast 68%29%0%3%
How each member voted (78)
Member Party Vote
Acosta — Nay
Bigelow — Nay
Bloom — Yea
Brough — Nay
Harper — Nay
Jones-Sawyer — Yea
Kiley — Not Voting
Mathis — Nay
Nazarian — Yea
Obernolte — Nay
Rodriguez — Yea
Voepel — Nay
Eggman — Yea
Frazier — Yea
Friedman — Yea
Gloria — Yea
Chiu — Yea
Chu — Yea
Cooper — Yea
Holden — Yea
Low — Yea
Mullin — Yea
Thurmond — Yea
Rubio — Yea
Salas — Yea
Gray — Yea
Burke — Yea
Gonzalez Fletcher — Yea
Kamlager-Dove — Yea
Fong — Nay
Chau — Yea
Levine — Yea
Maienschein — Nay
Mayes — Nay
McCarty — Yea
Medina — Yea
Baker — Nay
Chávez — Nay
Cooley — Yea
Cunningham — Nay
Daly — Not Voting
Melendez — Nay
O'Donnell — Yea
Quirk — Yea
Rendon — Yea
Santiago — Yea
Steinorth — Nay
Ting — Yea
Waldron — Yea
Weber — Yea
Wood — Yea
Cristina Garcia — Yea
Eduardo Garcia — Yea
Jim Patterson — Nay
Mark Stone — Yea
Travis Allen — Nay
Wendy Carrillo — Yea
Aguiar-Curry, Cecilia M. Democratic Yea
Arambula, Joaquin Democratic Yea
Berman, Marc Democratic Yea
Bonta, Mia Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Cervantes, Sabrina Democratic Yea
Gipson, Mike A. Democratic Yea
Grayson, Timothy S. Democratic Yea
Irwin, Jacqui Democratic Yea
Kalra, Ash Democratic Yea
Limón, Monique Democratic Yea
Muratsuchi, Al Democratic Yea
Quirk-Silva, Sharon Democratic Yea
Reyes, Eloise Gómez Democratic Yea
Chen, Phillip Republican Nay
Choi, Steven S. Republican Nay
Dahle, Megan Republican Nay
Flora, Heath Republican Nay
Gallagher, James Republican Nay
Lackey, Tom Republican Nay

Official roll call →

Do pass as amended.

Passed 12 Yea · 4 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 9301
Democratic 3000
Republican 0100
Total 12401
% of votes cast 71%24%0%6%
How each member voted (17)
Member Party Vote
Bloom — Yea
Brough — Not Voting
Eggman — Yea
Friedman — Yea
Gonzalez Fletcher — Yea
Chau — Yea
Quirk — Yea
Fong — Nay
Bigelow — Nay
Nazarian — Yea
Obernolte — Nay
Eduardo Garcia — Yea
Wendy Carrillo — Yea
Bonta, Mia Democratic Yea
Calderon, Lisa Democratic Yea
Reyes, Eloise Gómez Democratic Yea
Gallagher, James Republican Nay

Official roll call →

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

Passed 12 Yea · 3 Nay
Party YeaNayPresentNot Voting
Democratic 3000
Unaffiliated 9200
Republican 0100
Total 12300
% of votes cast 80%20%0%0%
How each member voted (15)
Member Party Vote
Santiago — Yea
Waldron — Yea
Burke — Yea
Mayes — Nay
McCarty — Yea
Bigelow — Nay
Nazarian — Yea
Rodriguez — Yea
Thurmond — Yea
Wood — Yea
Wendy Carrillo — Yea
Aguiar-Curry, Cecilia M. Democratic Yea
Bonta, Mia Democratic Yea
Limón, Monique Democratic Yea
Flora, Heath Republican Nay

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does AB 2275 do?
Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care health plans, including through a county organized health system and geographic managed care. This bill would require the department to establish a quality assessment and performance improvement program for all Medi-Cal managed care plans, through which the plans, commencing January 1, 2021, would be required to meet a minimum performance level (MPL) that improves quality of care and reduces health disparities for beneficiaries, as specified. The bill would require managed care plans that meet the performance targets to receive specified financial incentives. The bill would require the department, in consultation with stakeholders, to develop a plan for a value-based financial incentive program. The bill would make the implementation of the plan subject to an appropriation of funds by the Legislature to the extent that additional funding is required to implement that plan, as specified. The bill would require the department to establish the measures by which the MPL and performance targets would be assessed and would require the measures to be collected annually, commencing July 1, 2019. The bill would also require the department to establish a public stakeholder process in the planning, development, and ongoing oversight of the program and in the planning of the financial incentive program. The bill would require the department to annually and publicly report the program results on its Internet Web site. The bill would require the department to utilize the program results to develop a Quality Rating System for Medi-Cal managed care plans, subject to federal approval. The department would not be required to report data that would result in statistically unreliable information or the disclosure of personally identifiable information, or to establish requirements mandated by the bill based solely on data that is determined to be statistically unreliable.
Who sponsors AB 2275?
AB 2275 is sponsored by Arambula, Joaquin (Democratic).
What is the current status of AB 2275?
This bill died with 2017-2018 Regular Session. It reached “To Executive” 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 2275?
Track AB 2275 free on One Click Politics — get push/email alerts when it moves.

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