AB 2670, as introduced, Roger Hernández. Medi-Cal: managed care health plans: Consumer Assessment of Health Care Providers and Systems (CAHPS) Health Plan surveys.
Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which 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. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care health plans, including through a county organized health system and geographic managed care.
This bill would require the State Department of Health Care Services to annually administer the Consumer Assessment of Health Care Providers and Systems (CAHPS) Health Plan surveys, which are developed by the federal Agency for Healthcare Research and Quality, for all Medi-Cal managed care plan populations, and would require the CAHPS survey to be administered for all Medi-Cal managed care plan models, including county organized health systems and geographic managed care. The bill would require the department to translate the CAHPS survey in all Medi-Cal threshold languages, and administer the CAHPS survey in each county in all Medi-Cal threshold languages in that county. The bill would require the department to stratify the results of the CAHPS surveys by specified factors, including geographic region and primary language, as specified. The bill would require the department to annually prepare and make publicly available a report on the results of the CAHPS surveys on the department’s Internet Web site, and would require the report to include specified information.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
Section 14310 is added to the Welfare and
2Institutions Code, to read:
(a) (1) The department shall annually administer the
4Consumer Assessment of Health Care Providers and Systems
5(CAHPS) Health Plan surveys, which are developed by the federal
6Agency for Healthcare Research and Quality, for all Medi-Cal
7managed care plan populations, including those individuals who
8are eligible to receive Medi-Cal benefits pursuant to Section
914005.60. The survey shall be administered for all Medi-Cal
10managed care plan models, including county organized health
11systems implemented pursuant to Article 2.8 (commencing with
12Section 14087.5) of Chapter 7 and entities contracting with the
13department to provide services pursuant to Article 2.7
14(commencing with Section 14087.3) of Chapter 7 (two-plan
15models) and Article 2.91 (commencing with Section 14089) of
16Chapter 7 (geographic
managed care).
17(2) The department shall translate the CAHPS survey in all
18Medi-Cal threshold languages and shall administer the surveys in
19each county in all Medi-Cal threshold languages in that county.
20(b) In order to identify disparities in the quality of care provided
21to Medi-Cal managed care enrollees based on the factors set forth
22in this subdivision, the department shall stratify the results of the
23surveys described in subdivision (a) by all of the following factors:
24(1) Geographic region.
25(2) Primary language.
26(3) Race.
27(4) Ethnicity.
28(5) Gender.
P3 1(6) To the extent data is available, sexual orientation and gender
2identity.
3(c) The department shall annually prepare and make publicly
4available a report on the results of the surveys on the department’s
5Internet Web site. The report shall include all of the following:
6(1) Aggregated data on Medi-Cal managed care results compared
7to national Medicaid data.
8(2) Aggregated Medi-Cal managed care results stratified by the
9factors set forth in subdivision (b).
10(3) Plan results at the county level, including results for all
11Medi-Cal managed care plan models, such as county organized
12health system, geographic managed care, and two-plan models.
O
99