AB 498, as amended, Chávez. Medi-Cal.
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, subject to federal approval, modifies the inpatient fee-for-service reimbursement methodology for nondesignated public hospitals, as defined, under a specified demonstration project for services on or after July 1, 2012.
This bill would prohibit a payment made to a nondesignated public hospital pursuant to these provisions from being subject tobegin delete payment limitationsend deletebegin insert a peer grouping
inpatient reimbursement limitationend insert established by the department, unless otherwise required by federal law.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
Section 14166.156 is added to the Welfare and
2Institutions Code, to read:
If a payment to a nondesignated public hospital is
4made pursuant to Section 14166.151, the reimbursement shall not
5be subject tobegin delete payment limitationsend deletebegin insert a peer grouping inpatient
6reimbursement limitationend insert established by the department, unless
7otherwise required by federal law.
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