California 2021-2022 Regular Session Status: Passed Senate 3 D cosponsors

SB 1014 — Enhanced Clinically Integrated Program for Federally Qualified Health Centers.

Last action — Ordered to inactive file on request of Assembly Member Boerner Horvath.

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

This bill died with 2021-2022 Regular Session. It reached “Passed Senate” 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 and 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. Under existing law, federally qualified health center (FQHC) services are covered benefits under the Medi-Cal program, to be reimbursed on a per-visit basis, as specified, to the extent that federal financial participation is obtained. Existing federal law authorizes a state plan to provide for payment in any fiscal year to an FQHC for specified services in an amount that is determined under an alternative payment methodology (APM) if it is agreed to by the state and the FQHC and results in a payment to the FQHC of an amount that is at least equal to the amount otherwise required to be paid to the FQHC. Existing state law requires the department to authorize an APM pilot project for FQHCs that agree to participate, for implementation with respect to a county for a period of up to 3 years. This bill would require the department to authorize a new supplemental payment program for FQHCs pursuant to federal law, or as specified, to be named the Enhanced Clinically Integrated Program (ECIP) . Under the bill, ECIP funding would be subject to an appropriation. The bill would require the department to request an amount, as necessary to fund, implement, and maintain ECIP at sufficient capacity, on an ongoing basis in future fiscal years. Under the bill, participation in ECIP would be optional for FQHCs, funding under ECIP would be provided in addition to all other funding received by FQHCs, as specified, and participation in ECIP would result in total payments to participating FQHCs that are greater than the prospective payment system (PPS) rate otherwise required to be paid to the FQHC. The bill would, subject to an appropriation, require the department, no later than July 1, 2023, to make funding available for the purpose of direct compensation of health center workers. The bill would require ECIP to improve quality and access to care by allocating funds, if appropriated, to FQHCs that meet certain standards relating to wage thresholds and commitment to participation in bona fide labor-management cooperation committees (LMCCs) , as specified. The bill would set forth various requirements for funding allocations to, and uses by, participating FQHCs. The bill would require the department to develop eligibility criteria, an application process, a fund distribution process, reporting requirements, and a methodology for adjusting funding allocations based on health care inflation. The bill would authorize the department to choose to implement the program as a state-only funded program, as specified. If the department seeks federal financial participation in the first year of the program, the bill would require the department to apply for federal approval no later than February 1, 2023, but would authorize seeking federal financial participation in subsequent years. If federal financial participation is sought, the department would have discretion to modify the terms of ECIP if necessary to obtain federal approval so long as the modifications further the goals of increasing FQHC workforce compensation particularly for lower-paid workers and furthering the creation of, and participation in, bona fide LMCCs for FQHC worker education and training. The bill would authorize the department to implement these provisions through all-county letters or similar instructions, until any necessary regulations are adopted. The bill would make these provisions severable.

Bill Text

Action History

  1. Ordered to inactive file on request of Assembly Member Boerner Horvath.

  2. Read second time. Ordered to third reading.

  3. From committee: Do pass. (Ayes 12. Noes 4.) (August 11).

  4. Joint Rule 62(a) suspended.

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

  6. August 3 hearing postponed by committee.

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

  8. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 10. Noes 3.) (June 28).

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

  10. Referred to Com. on HEALTH.

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

  12. Read third time. Passed. (Ayes 25. Noes 10. Page 3890.) Ordered to the Assembly.

  13. Read second time. Ordered to third reading.

  14. From committee: Do pass. (Ayes 5. Noes 2. Page 3779.) (May 19).

  15. Set for hearing May 19.

  16. May 2 hearing: Placed on APPR suspense file.

  17. Set for hearing May 2.

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

  19. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 7. Noes 1. Page 3462.) (April 20).

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

  21. Set for hearing April 20.

  22. Referred to Com. on HEALTH.

  23. From printer.

  24. Article IV Section 8(a) of the Constitution and Joint Rule 55 dispensed with February 7, 2022, suspending the 30 calendar day requirement.

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

Sponsors

Sponsorship breakdown

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1 sponsors · 5 co-sponsors · 116 not signed on · 7 voted No

Sponsors (1)

  • Hertzberg

Co-sponsors (5)

Not signed on (116)

116 members have not signed on to this bill.

Show all 116 →

"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.

Passed 12 Yea · 4 Nay
Party YeaNayPresentNot Voting
Unaffiliated 5200
Democratic 7000
Republican 0200
Total 12400
% of votes cast 75%25%0%0%
How each member voted (16)
Member Party Vote
Levine — Yea
Quirk — Yea
Holden — Yea
McCarty — Yea
Bigelow — Nay
Eduardo Garcia — Yea
Vince Fong — Nay
Arambula, Joaquin Democratic Yea
Bryan, Isaac G. Democratic Yea
Calderon, Lisa Democratic Yea
Fong, Mike Democratic Yea
Gabriel, Jesse Democratic Yea
Rivas, Robert Democratic Yea
Weber Pierson, M.D., Akilah Democratic Yea
Dahle, Megan Republican Nay
Davies, Laurie Republican Nay

Official roll call →

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

Passed 10 Yea · 3 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 8201
Democratic 2001
Republican 0100
Total 10302
% of votes cast 67%20%0%13%
How each member voted (15)
Member Party Vote
Maienschein — Yea
McCarty — Yea
Nazarian — Yea
Wood — Yea
Santiago — Yea
Rodriguez — Yea
Waldron — Nay
Bigelow — Nay
Mayes — Not Voting
Luz Rivas — Yea
Wendy Carrillo — Yea
Aguiar-Curry, Cecilia M. Democratic Yea
Arambula, Joaquin Democratic Yea
Weber Pierson, M.D., Akilah Democratic Not Voting
Flora, Heath Republican Nay

Official roll call →

3rd Reading SB1014 Hertzberg et al.

Passed 25 Yea · 10 Nay · 5 Other
Party YeaNayPresentNot Voting
Democratic 9004
Unaffiliated 16601
Republican 0400
Total 251005
% of votes cast 63%25%0%13%
How each member voted (40)
Member Party Vote
Wieckowski — Yea
Newman — Yea
Gonzalez — Yea
Min — Yea
Portantino — Yea
Skinner — Yea
Hueso — Yea
Eggman — Yea
Pan — Yea
Bradford — Yea
Atkins — Yea
Kamlager — Yea
Dodd — Yea
Roth — Yea
Leyva — Yea
Rubio — Yea
Glazer — Nay
Borgeas — Nay
Bates — Nay
Nielsen — Nay
Wilk — Nay
Melendez — Nay
Hertzberg — Not Voting
Allen, Benjamin Democratic Not Voting
Archuleta, Bob Democratic Not Voting
Becker, Josh Democratic Yea
Caballero, Anna M. Democratic Not Voting
Cortese, Dave Democratic Yea
Durazo, Maria Elena Democratic Yea
Hurtado, Melissa Democratic Yea
Laird, John Democratic Yea
Limón, Monique Democratic Yea
McGuire, Mike Democratic Not Voting
Stern, Henry I. Democratic Yea
Umberg, Thomas J. Democratic Yea
Wiener, Scott D. Democratic Yea
Dahle, Megan Republican Nay
Grove, Shannon Republican Nay
Jones, Brian W. Republican Nay
Ochoa Bogh, Rosilicie Republican Nay

Official roll call →

Do pass

Passed 5 Yea · 2 Nay
Party YeaNayPresentNot Voting
Unaffiliated 4100
Democratic 1000
Republican 0100
Total 5200
% of votes cast 71%29%0%0%
How each member voted (7)
Member Party Vote
Portantino — Yea
Kamlager — Yea
Wieckowski — Yea
Bradford — Yea
Bates — Nay
Laird, John Democratic Yea
Jones, Brian W. Republican Nay

Official roll call →

Placed on suspense file

Passed 7 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democratic 1000
Republican 1000
Unaffiliated 5000
Total 7000
% of votes cast 100%0%0%0%
How each member voted (7)
Member Party Vote
Kamlager — Yea
Wieckowski — Yea
Bates — Yea
Bradford — Yea
Portantino — Yea
Laird, John Democratic Yea
Jones, Brian W. Republican Yea

Official roll call →

Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]

Passed 7 Yea · 1 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 5101
Republican 0001
Democratic 2001
Total 7103
% of votes cast 64%9%0%27%
How each member voted (11)
Member Party Vote
Melendez — Nay
Eggman — Not Voting
Pan — Yea
Rubio — Yea
Roth — Yea
Leyva — Yea
Gonzalez — Yea
Hurtado, Melissa Democratic Not Voting
Limón, Monique Democratic Yea
Wiener, Scott D. Democratic Yea
Grove, Shannon Republican Not Voting

Official roll call →

Subjects

healthcare labor health-insurance
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Frequently asked questions

What does SB 1014 do?
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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. Under existing law, federally qualified health center (FQHC) services are covered benefits under the Medi-Cal program, to be reimbursed on a per-visit basis, as specified, to the extent that federal financial participation is obtained. Existing federal law authorizes a state plan to provide for payment in any fiscal year to an FQHC for specified services in an amount that is determined under an alternative payment methodology (APM) if it is agreed to by the state and the FQHC and results in a payment to the FQHC of an amount that is at least equal to the amount otherwise required to be paid to the FQHC. Existing state law requires the department to authorize an APM pilot project for FQHCs that agree to participate, for implementation with respect to a county for a period of up to 3 years. This bill would require the department to authorize a new supplemental payment program for FQHCs pursuant to federal law, or as specified, to be named the Enhanced Clinically Integrated Program (ECIP) . Under the bill, ECIP funding would be subject to an appropriation. The bill would require the department to request an amount, as necessary to fund, implement, and maintain ECIP at sufficient capacity, on an ongoing basis in future fiscal years. Under the bill, participation in ECIP would be optional for FQHCs, funding under ECIP would be provided in addition to all other funding received by FQHCs, as specified, and participation in ECIP would result in total payments to participating FQHCs that are greater than the prospective payment system (PPS) rate otherwise required to be paid to the FQHC. The bill would, subject to an appropriation, require the department, no later than July 1, 2023, to make funding available for the purpose of direct compensation of health center workers. The bill would require ECIP to improve quality and access to care by allocating funds, if appropriated, to FQHCs that meet certain standards relating to wage thresholds and commitment to participation in bona fide labor-management cooperation committees (LMCCs) , as specified. The bill would set forth various requirements for funding allocations to, and uses by, participating FQHCs. The bill would require the department to develop eligibility criteria, an application process, a fund distribution process, reporting requirements, and a methodology for adjusting funding allocations based on health care inflation. The bill would authorize the department to choose to implement the program as a state-only funded program, as specified. If the department seeks federal financial participation in the first year of the program, the bill would require the department to apply for federal approval no later than February 1, 2023, but would authorize seeking federal financial participation in subsequent years. If federal financial participation is sought, the department would have discretion to modify the terms of ECIP if necessary to obtain federal approval so long as the modifications further the goals of increasing FQHC workforce compensation particularly for lower-paid workers and furthering the creation of, and participation in, bona fide LMCCs for FQHC worker education and training. The bill would authorize the department to implement these provisions through all-county letters or similar instructions, until any necessary regulations are adopted. The bill would make these provisions severable.
Who sponsors SB 1014?
SB 1014 is sponsored by Hertzberg, Kalra, Ash (Democratic), Wiener, Scott D. (Democratic), Rivas, Robert (Democratic), Rodriguez, and Wendy Carrillo.
What is the current status of SB 1014?
This bill died with 2021-2022 Regular Session. It reached “Passed Senate” 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 1014?
Track SB 1014 free on One Click Politics — get push/email alerts when it moves.

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