Gonzalez Fletcher
Author
Existing law establishes 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 and funded by federal Medicaid program provisions. Existing law authorizes the department to adopt regulations for the certification of each applicant and each provider in the Medi-Cal program. Existing law requires a provider that is not currently enrolled at a location where the provider intends to provide services, goods, supplies, or merchandise to a Medi-Cal beneficiary, to submit a complete application package for enrollment at a new location or a change in location. Existing law exempts an applicant or a provider that meets specified requirements and is operated by a licensed primary care clinic, including an affiliated mobile health care unit, from this requirement and from a requirement to enroll in the Medi-Cal program as a separate provider, if the licensed primary care clinic operating the applicant, provider clinic, or mobile health care unit notifies the department of its separate locations, premises, or mobile health care units. This bill would exempt a primary care clinic with an additional physical plant added to its primary care clinic license from the requirement to separately enroll the additional physical plant as a separate provider and from the requirement to submit a complete application package, as described above, if the primary care clinic has notified the department of its additional physical plant. 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 establishes the reimbursement rate for an FQHC or RHC that is a newly licensed facility at a new location added to an existing FQHC or RHC on a per-visit basis in an amount, among other methods, equal to the average of the per-visit rates of 3 comparable FQHCs or RHCs located in the same or adjacent area with a similar caseload. This bill would authorize an FQHC or RHC that adds a new licensed location to its existing primary care license to elect to have the reimbursement rate for the new location determined in accordance with existing rates or to have one prospective payment system rate, as described, for all locations that appear on the primary care license, as specified. The bill would make conforming and technical changes. This bill would incorporate additional changes to Section 14132.100 of the Welfare and Institutions Code proposed by SB 1125 to be operative only if this bill and SB 1125 are enacted and this bill is enacted last.
Chaptered by Secretary of State - Chapter 762, Statutes of 2018.
Approved by the Governor.
Enrolled and presented to the Governor at 12 p.m.
Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0. Page 6140.).
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 76. Noes 0.).
In Assembly. Concurrence in Senate amendments pending.
Withdrawn from committee.
Ordered to third reading.
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on RLS.
Senate Rule 29.3(b) suspended. (Ayes 28. Noes 11. Page 5853.)
Read second time. Ordered to third reading.
Read third time and amended. Ordered to second reading.
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 7. Noes 0.) (August 16).
Read second time and amended. Re-referred to Com. on APPR.
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (June 13).
Read third time. Passed. Ordered to the Senate. (Ayes 73. Noes 0. Page 5215.)
In Senate. Read first time. To Com. on RLS. for assignment.
Read second time. Ordered to Consent Calendar.
From committee: Do pass. To Consent Calendar. (Ayes 16. Noes 0.) (May 9).
From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 15. Noes 0.) (April 17). Re-referred to Com. on APPR.
From printer. May be heard in committee March 17.
Read first time. To print.
| Bill Text Versions | Format |
|---|---|
| AB2428 | HTML |
| 02/14/18 - Introduced | |
| 06/20/18 - Amended Senate | |
| 08/24/18 - Amended Senate | |
| 08/28/18 - Amended Senate | |
| 09/05/18 - Enrolled | |
| 09/26/18 - Chaptered |
| Document | Format |
|---|---|
| No related documents. |
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