SB 123, as introduced, Liu. Superintendent of Public Instruction: report: School-Based Medi-Cal Administrative Activities program.
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 by, and funded pursuant to, federal Medicaid Program provisions. Existing law establishes an administrative claiming process under which local governmental agencies and local educational consortia contract with the department for the purpose of obtaining federal matching funds to assist with the performance of administrative activities relating to the Medi-Cal program. Existing law defines a local educational agency for these purposes as a local educational agency that participates under the process as a subcontractor to the local educational consortium in its service region.
This bill would require the Superintendent of Public Instruction to review and prepare specific recommendations relative to the administration and oversight of the School-Based Medi-Cal Administrative Activities program. The bill would require the Superintendent to submit a report containing the specific recommendations to the Legislature and the Governor by July 1, 2016, and would require the report to include, but not necessarily be limited to, an evaluation of specified entities, administrative structures, and 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 33134 is added to the Education Code,
2to read:
(a) The Superintendent shall review and prepare
4specific recommendations relative to the administration and
5oversight of the School-Based Medi-Cal Administrative Activities
6program. A report containing the specific recommendations shall
7be submitted to the Legislature and the Governor by July 1, 2016.
8The Superintendent’s report shall consider the report on the
9School-Based Medi-Cal Administrative Activities program issued
10by the California State Auditor in 2015, and shall include, but not
11necessarily be limited to, an evaluation of all of the following:
12(1) The appropriate state agency or agencies to administer the
13program.
14(2) Oversight of the administration of the program,
including
15oversight of the state agency, local governmental agencies, and
16local educational consortia.
17(3) The structure of the program and role of each entity,
18including the local governmental agencies and local educational
19consortia, how the structures and roles vary across the state, and
20the efficiency of those structures and roles in providing funds to
21local educational agencies.
22(4) The relationships, interactions, and communications state
23agencies have with the federal Centers for Medicare and Medicaid
24Services, and the process used to disseminate information from
25the federal Centers for Medicare and Medicaid Services to local
26educational agencies.
27(5) The process for reimbursing claims submitted by local
28educational agencies, including the amount reimbursed compared
29to the amount claimed, the time between
submission of a claim
30and the reimbursement of that claim, and how the claim and
31reimbursement process varies across the state.
32(6) The purposes for which local educational agencies use
33program funds.
P3 1(7) The relationship between local governmental agencies or
2local educational consortia and the private or public entities that
3have been subcontracted to assist with the performance of
4administrative activities.
5(8) The rates charged by the local governmental agency and
6local educational consortia, how those rates vary across the state,
7and how rates are determined.
8(9) The ability of a local educational agency to contract with a
9local governmental agency or a local educational consortium of
10its choosing.
11(10) The feasibility of convening a local educational agency
12advisory body for the purposes of providing technical assistance
13to local educational agencies and communicating with the
14administering state agency.
15(11) The extent to which the state is maximizing federal funds
16available for the program.
17(12) How capacity to operate the program can be built within
18local educational agencies.
19(b) For purposes of this section, “local governmental agency”
20shall have the same meaning as specified in subdivision (n) of
21Section 14132.47 of the Welfare and Institutions Code, “local
22educational agency” shall have the same meaning as specified in
23subdivision (o) of Section 14132.47 of the Welfare and Institutions
24Code, and “local educational consortium” shall have the same
25
meaning as specified in subdivision (p) of Section 14132.47 of the
26Welfare and Institutions Code.
27(c) (1) A report to be submitted to the Legislature pursuant to
28subdivision (a) shall be submitted in compliance with Section 9795
29of the Government Code.
30(2) Pursuant to Section 10231.5 of the Government Code, this
31section is repealed on January 1, 2021.
O
99