BILL NUMBER: SB 1487	INTRODUCED
	BILL TEXT


INTRODUCED BY   Senator Hernandez

                        FEBRUARY 24, 2012

   An act to amend Section 14105.986 of the Welfare and Institutions
Code, relating to Medi-Cal.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 1487, as introduced, Hernandez. Medi-Cal: disproportionate
share hospitals: children's hospitals.
   Existing law provides for the Medi-Cal program, which is
administered by the State Department of Health Care Services and
under which health care benefits are provided to qualified low-income
individuals. The Medi-Cal program is, in part, governed and funded
by federal Medicaid provisions. Existing law authorizes a children's
hospital that holds a consolidated license, as specified, to be
evaluated for eligibility for Medi-Cal payment adjustment amounts
under a disproportionate share list using data related to all
physical plants appearing on the consolidated license. For purposes
of calculating the appropriate amount of the payment adjustment,
existing law requires the department to use data relating only to the
children's hospital or any other physical plant appearing on the
consolidated license that is not more than 15 miles from the children'
s hospital.
   This bill would make technical, nonsubstantive changes to those
provisions.
   Vote: majority. Appropriation: no. Fiscal committee: no.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 14105.986 of the Welfare and Institutions Code
is amended to read:
   14105.986.  (a)  Any   A  children's
hospital as defined in Section 10727 that holds a consolidated
license issued pursuant to subparagraph (C) of paragraph (4) of
subdivision (b) of Section 1250.8 of the Health and Safety Code may
be evaluated for eligibility for payments under subdivision (c) of
Section 14105.98 no earlier than January 1, 2000, using data related
to all physical plants appearing on the consolidated license. For
purposes of calculating the appropriate amount of the payment
adjustment under subdivision (l) of Section 14105.98 for these
children's hospitals, the department shall use data relating only to
the children's hospital or  any other   to
another  physical plant appearing on the consolidated license
 which   that  is not more than 15 miles
from the children's hospital  ,  and shall exclude data
relating to  any   a  physical plant added
to the consolidated license pursuant to subparagraph (C) of paragraph
(4) of subdivision (b) of Section 1250.8 of the Health and Safety
Code.
   (b) The department shall not implement this section unless all of
the following occur:
   (1) Federal financial participation is available.
   (2) The federal  Health Care Financing Administration
  Centers for Medicare and Medicaid Services 
approves a state plan amendment to implement this section.
   (3) All data necessary to complete the evaluations and
calculations required by subdivision (a) are provided to the
department from the same sources described in Section 14105.98 and in
the approved state plan existing on July 1, 1998. In no event shall
data directly provided by a children's hospital be utilized for these
evaluations and calculations.