California Legislature—2015–16 Regular Session

Assembly BillNo. 344


Introduced by Assembly Member Chávez

February 13, 2015


An act to add Section 14166.156 to the Welfare and Institutions Code, relating to Medi-Cal.

LEGISLATIVE COUNSEL’S DIGEST

AB 344, as introduced, 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 to a peer grouping inpatient reimbursement limitation 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:

P1    1

SECTION 1.  

Section 14166.156 is added to the Welfare and
2Institutions Code
, to read:

P2    1

14166.156.  

If a payment to a nondesignated public hospital is
2made pursuant to Section 14166.151, the reimbursement shall not
3be subject to a peer grouping inpatient reimbursement limitation
4established by the department, unless otherwise required by federal
5law.



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