Medi-Cal: nondesignated public hospitals.
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AB 2213 — Medi-Cal: nondesignated public hospitals.
Last action — In committee: Held under submission.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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2In Committee
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3Passed Assembly
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 2015-2016 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 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 and funded by federal Medicaid Program provisions. Existing law requires carriers and providers of Medi-Cal benefits to utilize uniform accounting and cost-reporting systems as developed by the department, and requires these carriers and providers to provide cost information to the department as is necessary, including copies of any Medicare costs reports and settlements and any Medicare audit reports. Existing law requires amounts paid for services provided to Medi-Cal beneficiaries to be audited by the department in a manner and form prescribed by the department. Existing law requires the department to implement a new Medi-Cal inpatient hospital reimbursement methodology based on diagnosis-related groups that reflects the costs and staffing levels associated with quality of care for private general acute care hospitals admissions on or after July 1, 2013, and for nondesignated public hospitals with admissions on or after January 1, 2014. Existing law requires a hospital to report specified summary financial and utilization data to the Office of Statewide Health Planning and Development (OSHPD) , as specified. This bill would require the department and the OSHPD to administer and implement a demonstration under which the audits of nondesignated public hospitals for reporting periods beginning on and after July 1, 2016, would be evaluated to determine the reimbursement relevancy of cost report data. The bill would require the department and the OSHPD to, among other things, evaluate the data currently being collected through specified data and reports, including financial and utilization data and Medi-Cal cost reports, in order to determine its reimbursement relevancy, as specified. The bill would specify the goals of the demonstration, which includes designing a combined reporting form to collect relevant and useful data for policy making purposes. The bill would authorize nondesignated public hospitals to participate in a 3-year demonstration project for the purpose of evaluating whether the goals under the initial demonstration are met. The bill would require the department and the OSHPD, within one year of the completion date of the 3-year demonstration project, to prepare and submit a report to the Legislature that includes an evaluation regarding the effectiveness of the 3-year demonstration project and recommendations regarding the continuation and expansion of the demonstration project to all hospitals.
Bill Text
- Amended 03/18/16 - Amended Assembly Current pdf March 18, 2016
- Introduced 02/18/16 - Introduced pdf February 18, 2016
- AB2213 View text html
Action History
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In committee: Held under submission.
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In committee: Set, first hearing. Referred to APPR. suspense file.
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From committee: Do pass and re-refer to Com. on APPR. (Ayes 19. Noes 0.) (April 19). Re-referred to Com. on APPR.
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Re-referred to Com. on HEALTH.
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From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
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Referred to Com. on HEALTH.
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From printer. May be heard in committee March 20.
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Read first time. To print.
Sponsors
- Dahle · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 121 not signed on
Sponsors (1)
- Dahle
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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 1 | 0 | 0 | 0 |
| Unaffiliated | 18 | 0 | 0 | 0 |
| Total | 19 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (19)
| Member | Party | Vote |
|---|---|---|
| Olsen | — | Yea |
| Santiago | — | Yea |
| Waldron | — | Yea |
| Gomez | — | Yea |
| Burke | — | Yea |
| Maienschein | — | Yea |
| Bonilla | — | Yea |
| Campos | — | Yea |
| Chiu | — | Yea |
| Dababneh | — | Yea |
| Nazarian | — | Yea |
| Ridley-Thomas | — | Yea |
| Thurmond | — | Yea |
| Rodriguez | — | Yea |
| Steinorth | — | Yea |
| Wood | — | Yea |
| Jim Patterson | — | Yea |
| Roger Hernández | — | Yea |
| Lackey, Tom | Republican | Yea |
Subjects
Frequently asked questions
- What does AB 2213 do?
- 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 and funded by federal Medicaid Program provisions. Existing law requires carriers and providers of Medi-Cal benefits to utilize uniform accounting and cost-reporting systems as developed by the department, and requires these carriers and providers to provide cost information to the department as is necessary, including copies of any Medicare costs reports and settlements and any Medicare audit reports. Existing law requires amounts paid for services provided to Medi-Cal beneficiaries to be audited by the department in a manner and form prescribed by the department. Existing law requires the department to implement a new Medi-Cal inpatient hospital reimbursement methodology based on diagnosis-related groups that reflects the costs and staffing levels associated with quality of care for private general acute care hospitals admissions on or after July 1, 2013, and for nondesignated public hospitals with admissions on or after January 1, 2014. Existing law requires a hospital to report specified summary financial and utilization data to the Office of Statewide Health Planning and Development (OSHPD) , as specified. This bill would require the department and the OSHPD to administer and implement a demonstration under which the audits of nondesignated public hospitals for reporting periods beginning on and after July 1, 2016, would be evaluated to determine the reimbursement relevancy of cost report data. The bill would require the department and the OSHPD to, among other things, evaluate the data currently being collected through specified data and reports, including financial and utilization data and Medi-Cal cost reports, in order to determine its reimbursement relevancy, as specified. The bill would specify the goals of the demonstration, which includes designing a combined reporting form to collect relevant and useful data for policy making purposes. The bill would authorize nondesignated public hospitals to participate in a 3-year demonstration project for the purpose of evaluating whether the goals under the initial demonstration are met. The bill would require the department and the OSHPD, within one year of the completion date of the 3-year demonstration project, to prepare and submit a report to the Legislature that includes an evaluation regarding the effectiveness of the 3-year demonstration project and recommendations regarding the continuation and expansion of the demonstration project to all hospitals.
- Who sponsors AB 2213?
- AB 2213 is sponsored by Dahle.
- What is the current status of AB 2213?
- This bill died with 2015-2016 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 AB 2213?
- Track AB 2213 free on One Click Politics — get push/email alerts when it moves.
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