BILL ANALYSIS
AB 896
Page 1
CONCURRENCE IN SENATE AMENDMENTS
AB 896 (Galgiani)
As Amended September 10, 2009
Majority vote
-----------------------------------------------------------------
|ASSEMBLY: |78-0 |(June 1, 2009) |SENATE: | |(September 12, |
| | | | | |2009) |
-----------------------------------------------------------------
(vote not available)
Original Committee Reference: HEALTH
SUMMARY : Requires hospital inpatient rates for the California
Children's Services Program (CCS Program), the Genetically
Handicapped Persons Program (GHPP), the Breast and Cervical Cancer
Early Detection Program (BCCEDP), the State-Only Family Planning
Program (State-Only FPP), and the Family Planning, Access, Care, and
Treatment (Family PACT) to be paid at 90% of the Medi-Cal hospital
interim rate until January 1, 2011.
The Senate amendments : Delay the repeal, until January 1, 2011, a
requirement that hospital inpatient services payment rates for the
CCS Program, GHPP, BCCEDP, State-Only FPP and Family PACT Waiver
Program be identical to the rates of payment for the same service
performed by the same provider type in the Medi-Cal program, and
instead require payment at 90% of the Medi-Cal hospital interim
rate.
EXISTING LAW requires:
1)Provider payment rates for services rendered in the CCS Program,
the GHPP, the BCCEDP, State-Only FPP, and the Family PACT to be
identical to the rates of payment for the same service performed
by the same provider type pursuant to the Medi-Cal program, except
that hospital inpatient rates of payment are required to be 90% of
the Medi-Cal hospital interim rates of payment, as developed by
the Department of Health Care Services (DHCS). The requirement
that inpatient rates of payment be 90% of the Medi-Cal hospital
interim rate sunsets January 1, 2010.
2)Provider payment rates for services rendered in CCS Program, GHPP,
BCCEDP, State-Only FPP, and Family PACT to be identical to the
rates of payment for the same service performed by the same
provider type pursuant to the Medi-Cal program. This provision
takes effect January 1, 2010.
AB 896
Page 2
3)Authorizes services provided under the programs in 1) and 2) above
to be reimbursed at rates greater than the Medi-Cal rate that
would otherwise be applicable if those rates are increased by the
DHCS director in regulations.
AS PASSED BY THE ASSEMBLY , this bill repealed a requirement due to
take effect January 1, 2010, that hospital inpatient payment rates
for the CCS Program, GHPP, BCCEDP, State-Only FPP and Family PACT
Waiver Program be identical to payment rates for the same service
performed by the same provider type under the Medi-Cal program.
FISCAL EFFECT : This bill has not been analyzed by a fiscal
committee.
COMMENTS : This bill efectively only applies to inpatient
reimbursement in the CCS Program and GHPP for non-Medi-Cal
individuals enrolled in those programs because the other programs
(BCCEDP, State-Only FFP, Family PACT) do not reimburse for inpatient
services.
Analysis Prepared by : Marjorie Swartz / HEALTH / (916) 319-2097
FN: 0003218