BILL NUMBER: AB 2670	INTRODUCED
	BILL TEXT


INTRODUCED BY   Assembly Member Roger Hernández

                        FEBRUARY 19, 2016

   An act to add Section 14310 to the Welfare and Institutions Code,
relating to Medi-Cal.


	LEGISLATIVE COUNSEL'S DIGEST


   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 1.  Section 14310 is added to the Welfare and Institutions
Code, to read:
   14310.  (a) (1) The department shall 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, including those individuals who are eligible to receive
Medi-Cal benefits pursuant to Section 14005.60. The survey shall be
administered for all Medi-Cal managed care plan models, including
county organized health systems implemented pursuant to Article 2.8
(commencing with Section 14087.5) of Chapter 7 and entities
contracting with the department to provide services pursuant to
Article 2.7 (commencing with Section 14087.3) of Chapter 7 (two-plan
models) and Article 2.91 (commencing with Section 14089) of Chapter 7
(geographic managed care).
   (2) The department shall translate the CAHPS survey in all
Medi-Cal threshold languages and shall administer the surveys in each
county in all Medi-Cal threshold languages in that county.
   (b) In order to identify disparities in the quality of care
provided to Medi-Cal managed care enrollees based on the factors set
forth in this subdivision, the department shall stratify the results
of the surveys described in subdivision (a) by all of the following
factors:
   (1) Geographic region.
   (2) Primary language.
   (3) Race.
   (4) Ethnicity.
   (5) Gender.
   (6) To the extent data is available, sexual orientation and gender
identity.
   (c) The department shall annually prepare and make publicly
available a report on the results of the surveys on the department's
Internet Web site. The report shall include all of the following:
   (1) Aggregated data on Medi-Cal managed care results compared to
national Medicaid data.
   (2) Aggregated Medi-Cal managed care results stratified by the
factors set forth in subdivision (b).
   (3) Plan results at the county level, including results for all
Medi-Cal managed care plan models, such as county organized health
system, geographic managed care, and two-plan models.