BILL NUMBER: SB 1493	CHAPTERED  09/12/02

	CHAPTER  486
	FILED WITH SECRETARY OF STATE  SEPTEMBER 12, 2002
	APPROVED BY GOVERNOR  SEPTEMBER 11, 2002
	PASSED THE SENATE  AUGUST 22, 2002
	PASSED THE ASSEMBLY  AUGUST 21, 2002
	AMENDED IN ASSEMBLY  AUGUST 12, 2002
	AMENDED IN SENATE  MAY 7, 2002
	AMENDED IN SENATE  APRIL 24, 2002
	AMENDED IN SENATE  APRIL 11, 2002

INTRODUCED BY   Senator Alpert
   (Principal coauthor:  Assembly Member Wayne)

                        FEBRUARY 19, 2002

   An act to add Section 14105.115 to the Welfare and Institutions
Code, relating to Medi-Cal, and declaring the urgency thereof, to
take effect immediately.



	LEGISLATIVE COUNSEL'S DIGEST


   SB 1493, Alpert.   Medi-Cal:  reimbursement procedures.
   Existing law provides for the Medi-Cal program, administered by
the State Department of Health Services, under which qualified
low-income persons are provided with health care services.
   Existing law establishes procedures for the reimbursement of
providers under the Medi-Cal program.
   This bill would authorize the department to negotiate or
renegotiate settlements with any acute care hospital in San Diego
County that has a distinct part pediatric convalescent facility, and
that has violated any Medi-Cal reimbursement policy or procedure
governing the operation of acute care hospitals.  It would authorize
the department, in a settlement negotiated or renegotiated pursuant
to the bill, to waive all or part of any Medi-Cal overpayment that
would otherwise be reimbursable to the department by an acute care
hospital.
   This bill would declare that it is to take effect immediately as
an urgency statute.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:


  SECTION 1.  Section 14105.115 is added to the Welfare and
Institutions Code, to read:
   14105.115.  (a) The department may negotiate or renegotiate
settlements with any acute care hospital in San Diego County that has
a distinct part pediatric convalescent facility and that has
violated any Medi-Cal reimbursement policy or procedure governing the
operation of acute care hospitals.
   (b) In any settlement negotiated or renegotiated pursuant to this
section, the department may waive all or part of any overpayment made
under this chapter to any acute care hospital described in
subdivision (a) that would otherwise be reimbursable to the
department by that acute care hospital.
  SEC. 2.  This act is an urgency statute necessary for the immediate
preservation of the public peace, health, or safety within the
meaning of Article IV of the Constitution and shall go into immediate
effect.  The facts constituting the necessity are:
   In order to ensure the continuity of essential health care
services under the Medi-Cal program to children in distinct part
pediatric convalescent facilities of acute care hospitals at the
earliest possible time, it is necessary that this act take effect
immediately.