BILL ANALYSIS
AB 1098
Page 1
ASSEMBLY THIRD READING
AB 1098 (Romero)
As Amended January 3, 2000
Majority vote
HEALTH 14-0 APPROPRIATIONS 21-0
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|Ayes:|Gallegos, Strickland, |Ayes:|Migden, Campbell, |
| |Aanestad, Bates, Corbett, | |Ackerman, Ashburn, |
| |Firebaugh, Kuehl, Runner, | |Leonard, Cedillo, Davis, |
| |Steinberg, Thomson, | |Hertzberg, Kuehl, |
| |Honda, Wayne, Wildman, | |Maldonado, Papan, Romero, |
| |Zettel | |Runner, Shelley, |
| | | |Steinberg, Thomson, |
| | | |Wesson, Wiggins, Wright, |
| | | |Zettel, Aroner |
|-----+--------------------------+-----+--------------------------|
| | | | |
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SUMMARY : Amends existing law to conform the definition of
"provider" as established by AB 784 (Romero), Chapter 993,
Statutes of 1999, to the definition established in the 1999-2000
omnibus health budget trailer bill, AB 1107 (Cedillo), Chapter
146, Statutes of 1999.
EXISTING LAW :
1)Establishes the Medi-Cal program, administered by the
Department of Health Services (DHS), to provide comprehensive
health care services to qualified low-income, aged, blind and
disabled individuals.
2)Defines, pursuant to Chapter 146, "provider" for the purposes
of certain provider certification activities as any
individual, partnership, group, association, corporation,
institution, or entity, and the officers, directors,
employees, or agents thereof, that provides services, goods,
supplies, or merchandise, directly or indirectly, to a
Medi-Cal beneficiary and that has been enrolled in the
Medi-Cal program.
3)Defines, pursuant to Chapter 993, "provider" for the purposes
of certain provider audit and reimbursement requirements as
AB 1098
Page 2
any individual, partnership, clinic, group, association,
corporation, institution, or public agency, as specified,
which meets applicable standards for participation with the
Medi-Cal program, as specified.
FISCAL EFFECT : According to the Assembly Appropriations
Committee analyses, negligible fiscal effect.
COMMENTS : This bill has been recently amended in response to a
request by the Davis Administration for subsequent legislation
"conforming" these definitions.
Chapter 993 requires certain Medi-Cal providers to provide DHS
with a bond or security, requires certain Medi-Cal suppliers to
maintain specified accounting records, and requires certain
providers to pay interest charges and penalties under certain
circumstances when an audit uncovers improper claims. Chapter
146 authorizes DHS, upon reliable evidence of fraud or willful
misrepresentation by a provider, to collect any overpayment
identified through an audit examination from any provider or
withhold payment for any goods or services owing to the
provider.
Analysis Prepared by : Teri Boughton / HEALTH / (916) 319-2097
FN: 0004154