BILL ANALYSIS Ó
AB 1066
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CONCURRENCE IN SENATE AMENDMENTS
AB 1066 (John A. Pérez)
As Amended June 15, 2011
2/3 vote. Urgency
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|ASSEMBLY: |70-0 |(May 12, 2011) |SENATE: |39-0 |(July 5, 2011) |
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Original Committee Reference: HEALTH
SUMMARY : Enacts technical and conforming statutory changes
necessary to implement the Special Terms and Conditions required
by the federal Centers for Medicaid and Medicare Services in the
approval of California's Section 1115(a) Medi-Cal Demonstration
Project entitled "California's Bridge to Reform," approved on
November 2, 2010.
The Senate amendments are technical and clarifying.
EXISTING LAW :
1)Establishes the Medi-Cal Program, administered by the
Department of Health Care Services (DHCS), to provide
comprehensive health care services and long-term care to
pregnant women, children, and people who are aged, blind, and
disabled.
2)Provides for the payment of hospital services including
fee-for-service, negotiated by contract with California
Medical Assistance Commission or with Medi-Cal managed care
health plans.
3)Authorizes, under federal law, the waiving of specified
Medicaid (Medi-Cal in California) requirements for
demonstration or pilot projects.
4)Requires DHCS to seek federal approval of a comprehensive
Section 1115 Medicaid waiver to replace the 2005 Medi-Cal
Hospital/Uninsured Care Waiver.
AS PASSED BY THE ASSEMBLY , this bill was substantially similar
to the version as passed by the Senate.
FISCAL EFFECT : According to the Senate Appropriations
AB 1066
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Committee:
1)Up to $2.2 billion in federal and local funds annually until
2013-2014, to restructure disproportionate share hospital
funds to designated public hospitals (DPHs) and to maximize
federal financial participation.
2)Up to $1.3 to $1.6 billion in federal and local funds to
restructure the safety net care pool payments to DPHs annually
November 1, 2011, through October 31, 2015.
3)Delivery system reform incentive pool payments up to $1.1 to
$1.4 billion federal and local funds available annually
November 1, 2011, through October 31, 2015.
Analysis Prepared by: Marjorie Swartz / HEALTH / (916)
319-2097 FN: 0001482