California 2017-2018 Regular Session Status: Enacted

SB 4 — Medi-Cal: county organized health system: County of Orange.

Last action — Chaptered by Secretary of State. Chapter 479, Statutes of 2017.

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

This bill has been enacted into law. Introduced December 05, 2016. Enacted.

Prognosis

Likely to advance 70% · 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.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 10 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

Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, 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. Existing law authorizes a county board of supervisors, by ordinance, to establish a commission to negotiate an exclusive contract with the department to provide, or arrange for the provision of, health care services under the Medi-Cal program. This system of services provided by or through a county under these provisions is known as a county organized health system. Existing law requires the enabling ordinance to, among other things, specify the membership of the county commission, the qualifications for individual members, the manner of appointment, and how long they will serve. Pursuant to this authority, the County of Orange, by ordinance, established a commission to provide health care services under the Medi-Cal program. This bill would codify those provisions of the enabling ordinance that prescribe the membership composition, the qualifications for individual members, tenure of the members, and the procedure for removing a member of the governing body of the commission established in the County of Orange, known as the Orange County Health Authority. The bill would authorize the governing body of the commission established in the County of Orange, subject to a 23 vote of the full membership of the governing body, to increase the number of public members, or the number of current CalOptima members or family members of current CalOptima members who may serve as a member of the governing body, subject to an affirmative vote by a majority of the Board of Supervisors of the County of Orange. The bill would prescribe the duties and responsibilities of the governing body, including to serve the public interest of the CalOptima members and to ensure the operational well-being and fiscal solvency of the Orange County Health Authority, and would require the Orange County Health Authority to work to earn the public's trust through its commitment to accountability, responsiveness, transparency, reliability, and cooperation. These provisions would remain in effect until January 1, 2023, and as of that date would be repealed. This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Orange. This bill would declare that it is to take effect immediately as an urgency statute.

Bill Text

Action History

  1. Chaptered by Secretary of State. Chapter 479, Statutes of 2017.

  2. Approved by the Governor.

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

  4. Assembly amendments concurred in. (Ayes 38. Noes 0. Page 2920.) Ordered to engrossing and enrolling.

  5. Urgency clause adopted.

  6. From committee: That the Assembly amendments be concurred in. (Ayes 9. Noes 0. Page 2866.)

  7. From committee: Be re-referred to Com. on HEALTH pursuant to Senate Rule 29.10(d). (Ayes 5. Noes 0. Page 2726.) Re-referred to Com. on HEALTH.

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

  9. In Senate. Concurrence in Assembly amendments pending.

  10. Read third time. Urgency clause adopted. Passed. (Ayes 73. Noes 1. Page 3152.) Ordered to the Senate.

  11. Ordered to third reading.

  12. Read third time and amended.

  13. Read second time. Ordered to third reading.

  14. Read second time and amended. Ordered to second reading.

  15. From committee: Do pass as amended. (Ayes 9. Noes 0.) (July 12).

  16. From committee: Do pass and re-refer to Com. on L. GOV. (Ayes 15. Noes 0.) (July 11). Re-referred to Com. on L. GOV.

  17. Assembly Rule 56 suspended.

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

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

  20. Referred to Coms. on HEALTH and L. GOV.

  21. In Assembly. Read first time. Held at Desk.

  22. Read third time. Passed. (Ayes 27. Noes 13. Page 1400.) Ordered to the Assembly.

  23. Published May 26 at 10 a.m.

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

  25. From committee: Do pass as amended. (Ayes 5. Noes 2. Page 1175.) (May 25).

  26. Set for hearing May 25.

  27. May 15 hearing: Placed on APPR. suspense file.

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

  29. Set for hearing May 15.

  30. May 8 hearing postponed by committee.

  31. Set for hearing May 8.

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

  33. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 5. Noes 1. Page 744.) (April 19).

  34. Set for hearing April 19.

  35. From committee: Do pass and re-refer to Com. on GOV. & F. (Ayes 4. Noes 2. Page 536.) (March 29). Re-referred to Com. on GOV. & F.

  36. Set for hearing March 29.

  37. From committee: Do pass and re-refer to Com. on EQ. (Ayes 8. Noes 4. Page 327.) (March 7). Re-referred to Com. on EQ.

  38. Set for hearing March 7.

  39. Referred to Coms. on T. & H., EQ., and GOV. & F.

  40. From printer. May be acted upon on or after January 5.

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

Sponsors

  • Mendoza · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 121 not signed on · 5 voted No

Sponsors (1)

  • Mendoza

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

Unfinished Business SB4 Mendoza Urgency Clause Concurrence

Passed 38 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 34001
Democratic 4001
Total 38002
% of votes cast 95%0%0%5%
How each member voted (40)
Member Party Vote
Anderson — Yea
Beall — Yea
Hill — Yea
Dodd — Yea
Portantino — Yea
Atkins — Yea
De León — Yea
Mitchell — Yea
Allen — Yea
Cannella — Yea
Galgiani — Yea
Hernandez — Yea
Hertzberg — Yea
Bates — Yea
Bradford — Yea
Hueso — Yea
Lara — Yea
Leyva — Yea
Mendoza — Yea
Monning — Yea
Moorlach — Not Voting
Morrell — Yea
Newman — Yea
Nielsen — Yea
Pan — Yea
Roth — Yea
Skinner — Yea
Vidak — Yea
Wieckowski — Yea
Wilk — Yea
Fuller — Yea
Glazer — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Mark Stone — Yea
Jackson, Corey A. Democratic Not Voting
McGuire, Mike Democratic Yea
Nguyen, Stephanie Democratic Yea
Stern, Henry I. Democratic Yea
Wiener, Scott D. Democratic Yea

Official roll call →

SB 4 Mendoza Third Reading Urgency By QUIRK-SILVA

Passed 73 Yea · 1 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 52105
Democratic 15000
Republican 6000
Total 73105
% of votes cast 92%1%0%6%
How each member voted (79)
Member Party Vote
Acosta — Not Voting
Bigelow — Yea
Bloom — Yea
Brough — Yea
Harper — Yea
Jones-Sawyer — Yea
Levine — Yea
Mathis — Yea
Mullin — Yea
Obernolte — Yea
Ridley-Thomas — Yea
Thurmond — Yea
Waldron — Yea
Eggman — Yea
Medina — Yea
Gonzalez Fletcher — Yea
Chau — Yea
Rodriguez — Yea
Salas — Yea
Burke — Yea
Friedman — Yea
Gloria — Yea
Gray — Yea
Bocanegra — Yea
Holden — Yea
Rubio — Yea
Kiley — Not Voting
Low — Yea
Maienschein — Yea
Mayes — Yea
McCarty — Yea
Fong — Not Voting
Melendez — Yea
Chiu — Yea
Baker — Yea
Chu — Yea
Chávez — Not Voting
Cooley — Yea
Cooper — Yea
Nazarian — Yea
O'Donnell — Yea
Quirk — Yea
Rendon — Yea
Santiago — Yea
Steinorth — Yea
Ting — Yea
Voepel — Yea
Weber — Yea
Wood — Yea
Cunningham — Yea
Dababneh — Yea
Daly — Yea
Frazier — Not Voting
Cristina Garcia — Yea
Eduardo Garcia — Yea
Jim Patterson — Yea
Mark Stone — Yea
Travis Allen — Nay
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 Yea
Choi, Steven S. Republican Yea
Dahle, Megan Republican Yea
Flora, Heath Republican Yea
Gallagher, James Republican Yea
Lackey, Tom Republican Yea

Official roll call →

Do pass and be re-referred to the Committee on [Local Government]

Passed 15 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 12000
Democratic 2000
Republican 1000
Total 15000
% of votes cast 100%0%0%0%
How each member voted (15)
Member Party Vote
Maienschein — Yea
Wood — Yea
Burke — Yea
Gloria — Yea
McCarty — Yea
Nazarian — Yea
Ridley-Thomas — Yea
Rodriguez — Yea
Santiago — Yea
Thurmond — Yea
Waldron — Yea
Jim Patterson — Yea
Bonta, Mia Democratic Yea
Limón, Monique Democratic Yea
Gallagher, James Republican Yea

Official roll call →

3rd Reading

Passed 27 Yea · 13 Nay
Party YeaNayPresentNot Voting
Unaffiliated 231200
Democratic 4100
Total 271300
% of votes cast 68%33%0%0%
How each member voted (40)
Member Party Vote
Anderson — Nay
Bates — Nay
Hill — Yea
Lara — Yea
Mendoza — Yea
Morrell — Nay
Nielsen — Nay
Skinner — Yea
Wieckowski — Yea
Cannella — Nay
Atkins — Yea
Mitchell — Yea
Allen — Yea
De León — Yea
Galgiani — Yea
Portantino — Yea
Hernandez — Yea
Hertzberg — Yea
Hueso — Yea
Leyva — Yea
Monning — Yea
Moorlach — Nay
Newman — Yea
Pan — Yea
Roth — Yea
Vidak — Nay
Wilk — Nay
Beall — Yea
Bradford — Yea
Dodd — Yea
Fuller — Nay
Glazer — Yea
Beth Gaines — Nay
Bill Berryhill — Nay
Mark Stone — Nay
Jackson, Corey A. Democratic Yea
McGuire, Mike Democratic Yea
Nguyen, Stephanie Democratic Nay
Stern, Henry I. Democratic Yea
Wiener, Scott D. Democratic Yea

Official roll call →

Do pass as amended

Passed 5 Yea · 2 Nay
Party YeaNayPresentNot Voting
Unaffiliated 4200
Democratic 1000
Total 5200
% of votes cast 71%29%0%0%
How each member voted (7)
Member Party Vote
Bates — Nay
Hill — Yea
Lara — Yea
Nielsen — Nay
Beall — Yea
Bradford — 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
Hill — Yea
Lara — Yea
Nielsen — Yea
Bates — Yea
Beall — Yea
Wiener, Scott D. Democratic Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB 4 do?
Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, 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. Existing law authorizes a county board of supervisors, by ordinance, to establish a commission to negotiate an exclusive contract with the department to provide, or arrange for the provision of, health care services under the Medi-Cal program. This system of services provided by or through a county under these provisions is known as a county organized health system. Existing law requires the enabling ordinance to, among other things, specify the membership of the county commission, the qualifications for individual members, the manner of appointment, and how long they will serve. Pursuant to this authority, the County of Orange, by ordinance, established a commission to provide health care services under the Medi-Cal program. This bill would codify those provisions of the enabling ordinance that prescribe the membership composition, the qualifications for individual members, tenure of the members, and the procedure for removing a member of the governing body of the commission established in the County of Orange, known as the Orange County Health Authority. The bill would authorize the governing body of the commission established in the County of Orange, subject to a 23 vote of the full membership of the governing body, to increase the number of public members, or the number of current CalOptima members or family members of current CalOptima members who may serve as a member of the governing body, subject to an affirmative vote by a majority of the Board of Supervisors of the County of Orange. The bill would prescribe the duties and responsibilities of the governing body, including to serve the public interest of the CalOptima members and to ensure the operational well-being and fiscal solvency of the Orange County Health Authority, and would require the Orange County Health Authority to work to earn the public's trust through its commitment to accountability, responsiveness, transparency, reliability, and cooperation. These provisions would remain in effect until January 1, 2023, and as of that date would be repealed. This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Orange. This bill would declare that it is to take effect immediately as an urgency statute.
Who sponsors SB 4?
SB 4 is sponsored by Mendoza.
What is the current status of SB 4?
This bill has been enacted into law. Introduced December 05, 2016. Enacted.
Where can I track SB 4?
Track SB 4 free on One Click Politics — get push/email alerts when it moves.

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