BILL NUMBER:  SB 1300
  VETOED	DATE: 09/27/2016




To the Members of the California State Senate:

I am returning Senate Bill 1300 without my signature.

This bill creates a new ambulance quality assurance fee to be
collected by the Department of Health Care Services. This fee would
be used to claim additional federal funding necessary to increase
Medi-Cal reimbursements for ambulance services.

I support establishing a quality assurance fee to bring in additional
federal funding to support emergency transportation services.
However, the structure of the rate increase in this bill is unlike
any other fee structure supported by health care related quality
assurance fees. I am concerned this structure puts the state general
fund at risk for paying the increased rate if the revenue falls short
or if the fee is reduced or removed in the future.

I urge the Legislature and ambulance providers to work with the
Departments of Health Care Services and Finance to restructure this
fee in a way that protects the general fund and allows for an
increase in reimbursement for emergency transportation services.

Sincerely,



Edmund G. Brown Jr.