SB 1150

  • California Senate Bill
  • 2013-2014 Regular Session
  • Introduced in Senate Feb 20, 2014
  • Senate
  • Assembly
  • Governor

Medi-Cal: federally qualified health centers and rural health clinics.

Abstract

Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services pursuant to which medical benefits are provided to public assistance recipients and certain other low-income persons. Existing law provides that federally qualified health center (FQHC) services and rural health clinic (RHC) services, as defined, are covered benefits under the Medi-Cal program, to be reimbursed, to the extent that federal financial participation is obtained, to providers on a per-visit basis. "Visit" is defined as a face-to-face encounter between a patient of an FQHC or RHC and specified health care professionals. Existing law allows an FQHC or RHC to apply for an adjustment to its per-visit rate based on a change in the scope of services it provides. This bill would provide that a maximum of 2 visits, as defined, taking place on the same day at a single location shall be reimbursed when either after the first visit the patient suffers illness or injury requiring additional diagnosis or treatment or the patient has a medical visit, as defined, and another health visit, as defined, or both. The bill would require an FQHC or RHC that currently includes the cost of encounters with more than one health professional that take place on the same day at a single location as constituting a single visit for purposes of establishing its FQHC or RHC rate to, by January 1, 2016, apply for an adjustment to its per-visit rate, and, after the rate adjustment has been approved by the department, require the FQHC or RHC to bill a medical visit and another health visit that take place on the same day at a single location as separate visits. The bill would make other conforming changes. This bill would require the department, by January 15, 2015, to submit a state plan amendment to the federal Centers for Medicare and Medicaid Services reflecting the changes described above.

Bill Sponsors (2)

Votes


Actions


Nov 30, 2014

Senate

From committee without further action.

May 23, 2014

Senate

Held in committee and under submission.

May 16, 2014

Senate

Set for hearing May 23.

May 05, 2014

Senate

Placed on APPR. suspense file.

Apr 25, 2014

Senate

Set for hearing May 5.

Apr 21, 2014

Senate

Hearing postponed by committee.

Apr 11, 2014

Senate

Set for hearing April 28.

Apr 02, 2014

Senate

From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0. Page 3038.) (April 2). Re-referred to Com. on APPR.

  • Committee-Passage-Favorable
  • Referral-Committee
  • Committee-Passage
Com. on APPR.

Mar 26, 2014

Senate

From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.

  • Committee-Passage
  • Amendment-Passage
  • Reading-2
  • Reading-1
  • Referral-Committee
Com. on HEALTH.

Mar 19, 2014

Senate

Set for hearing April 2.

Mar 06, 2014

Senate

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Feb 21, 2014

Senate

From printer. May be acted upon on or after March 23.

Feb 20, 2014

Senate

Introduced. Read first time. To Com. on RLS. for assignment. To print.

Bill Text

Bill Text Versions Format
SB1150 HTML
02/20/14 - Introduced PDF
03/26/14 - Amended Senate PDF

Related Documents

Document Format
No related documents.

Sources

Data on Open States is updated periodically throughout the day from the official website of the California State Legislature.

If you notice any inconsistencies with these official sources, feel free to file an issue.