BILL ANALYSIS Ó
SENATE COMMITTEE ON APPROPRIATIONS
Senator Ricardo Lara, Chair
2015 - 2016 Regular Session
AB 2053 (Gonzalez) - Primary care clinics
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|Version: March 31, 2016 |Policy Vote: HEALTH 9 - 0 |
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|Urgency: No |Mandate: Yes |
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|Hearing Date: August 1, 2016 |Consultant: Brendan McCarthy |
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This bill does not meet the criteria for referral to the
Suspense File.
Bill
Summary: AB 2053 would require the Department of Public Health
to issue a single, consolidated license to a primary care clinic
that includes more than one physical plant.
Fiscal
Impact: One-time costs of $110,000 to adopt regulations by the
Department of Public Health (Licensing and Certification Fund).
Background: Under current law, the Department of Public Health licenses
and regulates health facilities, including primary care clinics.
Generally, primary care clinics are licensed by location. A
clinic may have multiple locations and operate under as a single
administrative entity, but under current law each physical
location must be separately licensed.
Proposed Law:
AB 2053 (Gonzalez) Page 1 of
?
AB 2053 would require the Department of Public Health to issue
a consolidated license to a primary care clinic that includes
more than one physical plant.
Specific provisions of the bill would:
Require the Department to issue a single, consolidated
license to a primary care clinic that operates more than
one physical plant, upon written notification that the
primary care clinic meets the criteria for licensure;
Permit a primary care clinic that is issued a
consolidated license to use a single National Provider
Identification number for all the licensed physical plants
or individual National Provider Identification numbers for
each physical plant;
Specify the criteria for a clinic to qualify for a
consolidated license;
Exempt a primary care clinic that adds an additional
physical plant from the requirement to seek licensure for
the additional physical plant, but requires notification to
the Department.
Staff
Comments: Under current law, certain primary care clinics that
provide services to Medi-Cal beneficiaries are reimbursed using
the prospective payment system (PPS) which is a cost-based
system for calculating reimbursement rates. Under current law,
PPS rates are site specific. Therefore, whether a clinic seeks
to consolidate more than one clinic under a consolidated license
will not impact the rates that the Medi-Cal program pays for
services.
The only costs that may be incurred by a local agency relate to
crimes and infractions. Under the California Constitution, such
costs are not reimbursable by the state.
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