BILL NUMBER: AB 1805	INTRODUCED
	BILL TEXT


INTRODUCED BY   Assembly Members Skinner and Pan

                        FEBRUARY 18, 2014

   An act to add Section 14105.194 to the Welfare and Institutions
Code, relating to Medi-Cal, and declaring the urgency thereof, to
take effect immediately.



	LEGISLATIVE COUNSEL'S DIGEST


   AB 1805, as introduced, Skinner. Medi-Cal: reimbursement: provider
payments.
   Existing law establishes the Medi-Cal program, administered by the
State Department of Health Care Services, under which basic health
care services are provided to qualified low-income persons. The
Medi-Cal program is, in part, governed and funded by federal Medicaid
Program provisions. Existing law requires, except as otherwise
provided, Medi-Cal provider payments to be reduced by 1% or 5%, and
provider payments for specified non-Medi-Cal programs to be reduced
by 1%, for dates of service on and after March 1, 2009, and until
June 1, 2011. Existing law requires, except as otherwise provided,
Medi-Cal provider payments and payments for specified non-Medi-Cal
programs to be reduced by 10% for dates of service on and after June
1, 2011.
   This bill would, instead, prohibit the application of those
reductions for payments to providers for dates of service on or after
June 1, 2011. The bill would require the Director of Health Care
Services to implement this provision to the maximum extent permitted
by federal law and for the maximum time period for which the director
obtains federal approval for federal financial participation for
those payments.
   This bill would declare that it is to take effect immediately as
an urgency statute.
   Vote: 2/3. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


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

  SECTION 1.  Section 14105.194 is added to the Welfare and
Institutions Code, to read:
   14105.194.  (a) Notwithstanding Sections 14105.07, 14105.191,
14105.192, and 14105.193, payments to providers for dates of service
on or after June 1, 2011, shall be determined without application of
the reductions in Sections 14105.07, 14105.191, 14105.192, and
14105.193, except as otherwise provided in this section.
   (b) The director shall implement subdivision (a) to the maximum
extent permitted by federal law and for the maximum time period for
which the director obtains federal approval for federal financial
participation for the payments provided for in this section.
   (c) The director shall promptly seek all necessary federal
approvals to implement this section.
  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 access to medically necessary care for Medi-Cal
beneficiaries, it is necessary that this act take effect
immediately.