Carol Liu
- Democratic
Author
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 the department is authorized to contract with local governmental agencies and local educational consortia 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. Existing law provides that specified services provided by local educational agencies (LEAs) are covered Medi-Cal benefits and requires the department to perform various activities with respect to the billing option for services provided by LEAs, including amendment of the Medicaid state plan to ensure that schools shall be reimbursed for all eligible services they provide. Existing law requires the department to file an annual report with the Legislature that provides information related to these activities, as specified. Existing law requires the department to regularly consult with the State Department of Education, school district representatives, county offices of education, the local educational consortium, and local educational agencies to assist in formulating those state plan amendments. Existing law funds these activities by requiring the department to proportionately reduce federal Medicaid payments allocable to LEAs, collect the reductions, and deposit them into the Local Educational Agency Medi-Cal Recovery Fund, as specified. This bill would additionally require the department to contract directly with an LEA, if the LEA chooses and the department has developed a process governing direct contracting, to perform school-based administrative activities necessary for the proper and efficient administration of the Medi-Cal program, as specified. The bill would designate the contracting between the department and participating local educational agencies, local educational consortia, and local governmental agencies to perform those school-based administrative activities as the School-Based Administrative Claiming process program. The bill would authorize the department to administer or oversee the administration of a single statewide random moment time survey, or a reduction in the number of quarterly random moment time surveys conducted in the state, for the purposes of the program. The bill would make related legislative findings and declarations. This bill would require the department to prepare and post on its Internet Web site an annual report of the costs of administering the School-Based Administrative Claiming process program and the LEA billing option and list local educational agency participation in each. The bill would also require the department to include in that report the annual report related to the LEA billing option. This bill would require the department to enter into an interagency agreement or memorandum of understanding (MOU) with the State Department of Education to coordinate the efforts of both departments with respect to the LEA billing option and the School-Based Administrative Claiming process program. The bill would require the department to develop an appeals process, as specified, to contest an action of the department. This bill would require the department and the State Department of Education to establish and jointly administer a School-Based Health Program and Policy Workgroup, as specified, in order to assist the department in formulating state plan amendments required to implement the LEA billing option described above and for the purpose of advising the department on issues related to the delivery of school-based Medi-Cal services to students in the state, as specified. The bill would require the department to consult with the advisory group in connection with developing the interagency agreement or MOU described above. The bill would authorize the department and the State Department of Education to use moneys collected by the department to fund the LEA Medi-Cal billing option program activities and amounts withheld from LEAs by agreement with the department to meet the requirements of the interagency agreement or MOU described above and to fund staffing requirements for the workgroup.
In Senate. Consideration of Governor's veto pending.
Vetoed by the Governor.
Enrolled and presented to the Governor at 5 p.m.
Assembly amendments concurred in. (Ayes 39. Noes 0. Page 5494.) Ordered to engrossing and enrolling.
From committee: That the Assembly amendments be concurred in. (Ayes 9. Noes 0. Page 5456.)
Set for hearing August 26.
From committee: Be re-referred to Com. on ED. pursuant to Senate Rule 29.10(d). (Ayes 5. Noes 0. Page 5326.) Re-referred to Com. on ED.
Re-referred to Com. on RLS. pursuant to Senate Rule 29.10(d).
In Senate. Concurrence in Assembly amendments pending.
Read third time. Passed. (Ayes 79. Noes 0. Page 6098.) Ordered to the Senate.
Ordered to third reading.
Read third time and amended.
Read second time. Ordered to third reading.
Read second time and amended. Ordered to second reading.
From committee: Do pass as amended. (Ayes 20. Noes 0.) (August 11).
Joint Rule 62(a) suspended.
August 10 set for first hearing. Placed on APPR. suspense file.
August 3 hearing postponed by committee.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR.
Read second time and amended. Re-referred to Com. on APPR.
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 5. Noes 0.) (June 22).
From committee with author's amendments. Read second time and amended. Re-referred to Com. on ED.
From committee: Do pass and re-refer to Com. on ED. (Ayes 11. Noes 0.) (June 14). Re-referred to Com. on ED.
From committee: Be re-referred to Coms. on HEALTH and ED. (Ayes 9. Noes 0.) . Re-referred to Com. on HEALTH.
Re-referred to Com. on RLS. pursuant to Assembly Rule 96.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on ED.
From committee: Do pass and re-refer to Com. on ED. with recommendation: To consent calendar. (Ayes 19. Noes 0.) (June 23). Re-referred to Com. on ED.
In Assembly. Read first time. Held at Desk.
Read third time. Passed. (Ayes 39. Noes 0. Page 1196.) Ordered to the Assembly.
From committee: Do pass. (Ayes 7. Noes 0. Page 1147.) (May 28).
Read second time. Ordered to third reading.
Set for hearing May 28.
May 18 hearing: Placed on APPR. suspense file.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR.
Set for hearing May 18.
From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 9. Noes 0. Page 860.) (April 29). Re-referred to Com. on APPR.
Set for hearing April 29.
From committee: Do pass and re-refer to Com. on HEALTH with recommendation: To consent calendar. (Ayes 9. Noes 0. Page 721.) (April 22). Re-referred to Com. on HEALTH.
Set for hearing April 22.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS.
From printer. May be acted upon on or after February 15.
Introduced. Read first time. To Com. on RLS. for assignment. To print.
| Bill Text Versions | Format |
|---|---|
| SB123 | HTML |
| 01/15/15 - Introduced | |
| 04/06/15 - Amended Senate | |
| 05/12/15 - Amended Senate | |
| 05/16/16 - Amended Assembly | |
| 06/16/16 - Amended Assembly | |
| 06/30/16 - Amended Assembly | |
| 08/01/16 - Amended Assembly | |
| 08/15/16 - Amended Assembly | |
| 08/18/16 - Amended Assembly | |
| 09/02/16 - Enrolled |
| Document | Format |
|---|---|
| No related documents. |
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