California 2019-2020 Regular Session Status: In Committee

SB 916 — Medi-Cal: health care services.

Last action — Re-referred to Com. on HEALTH.

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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 2019-2020 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 establishes 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 either through a fee-for-service or a managed care delivery system. The Medi-Cal program is, in part, governed by, and funded pursuant to, federal Medicaid program provisions. Under existing law, the Medi-Cal program comprises a department-administered uniform schedule of health care benefits. Existing law limits health care services, for purposes of the Medi-Cal program, to a schedule of benefits, as specified. This bill, commencing July 1, 2021, would add enhanced care management, as described, to the schedule of benefits for a beneficiary to obtain as covered Medi-Cal services. The bill would require these provisions to be implemented only to the extent that federal financial participation is available, and not otherwise jeopardized, and any necessary federal approvals are obtained. The bill would require the department to adopt regulations by July 1, 2023. Commencing January 1, 2022, the bill would require the department to provide a status report to the Legislature on a semiannual basis until regulations have been adopted. The bill would also require each Medi-Cal managed care plan to disclose the availability of in-lieu-of services on its internet website and in its beneficiary handbook and would make a conforming change related to capitation rates for managed care contracts that include in-lieu-of services.

Bill Text

Action History

  1. Re-referred to Com. on HEALTH.

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

  3. Referred to Com. on RLS.

  4. From printer. May be acted upon on or after March 5.

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

Sponsors

  • Pan · Primary

Sponsorship breakdown

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

Sponsors (1)

  • Pan

Co-sponsors (0)

None.

Not signed on (121)

121 members have not signed on to this bill.

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"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

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 916 do?
Existing law establishes 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 either through a fee-for-service or a managed care delivery system. The Medi-Cal program is, in part, governed by, and funded pursuant to, federal Medicaid program provisions. Under existing law, the Medi-Cal program comprises a department-administered uniform schedule of health care benefits. Existing law limits health care services, for purposes of the Medi-Cal program, to a schedule of benefits, as specified. This bill, commencing July 1, 2021, would add enhanced care management, as described, to the schedule of benefits for a beneficiary to obtain as covered Medi-Cal services. The bill would require these provisions to be implemented only to the extent that federal financial participation is available, and not otherwise jeopardized, and any necessary federal approvals are obtained. The bill would require the department to adopt regulations by July 1, 2023. Commencing January 1, 2022, the bill would require the department to provide a status report to the Legislature on a semiannual basis until regulations have been adopted. The bill would also require each Medi-Cal managed care plan to disclose the availability of in-lieu-of services on its internet website and in its beneficiary handbook and would make a conforming change related to capitation rates for managed care contracts that include in-lieu-of services.
Who sponsors SB 916?
SB 916 is sponsored by Pan.
What is the current status of SB 916?
This bill died with 2019-2020 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 916?
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Last checked for changes 3 months ago · updated continuously

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