Marc Levine
- Democratic
Author
Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law establishes hearing procedures for an applicant for, or recipient of, public social services who is dissatisfied with certain actions regarding those services to request a hearing from the State Department of Social Services or the State Department of Health Care Services, as applicable, under specified circumstances. After an administrative law judge has held a hearing and issued a proposed decision, within 30 days after the department has received a copy of the administrative law judge's proposed decision, or within the 3 business days for an expedited resolution of an appeal of an adverse benefit determination for a Medi-Cal managed care plan beneficiary, as specified, existing law authorizes the director to take specified action under prescribed timeframes. These actions include adopting the decision in its entirety, deciding the matter themselves on the record, including the transcript, with or without taking additional evidence, or ordering a further hearing to be conducted by the director or another administrative law judge on their behalf. Under existing law, failure of the director to take certain actions is deemed an affirmation of the proposed decision. This bill would instead authorize the director to adopt the decision in its entirety, decide the matter on the record after reviewing the transcript or recording of the hearing without taking additional evidence, or order a further hearing to be conducted by the director or another administrative law judge on their behalf that affords the parties the opportunity to present and respond to additional evidence. The bill would clarify that a proposed decision would be deemed affirmed and adopted if the director fails to take prescribed action, and would require the director's alternated decision to contain a statement of the facts and evidence, including references to the applicable provisions of law and regulations, and the analysis that supports their decision.
Approved by the Governor.
Chaptered by Secretary of State - Chapter 944, Statutes of 2022.
Enrolled and presented to the Governor at 4 p.m.
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 80. Noes 0.).
In Assembly. Concurrence in Senate amendments pending.
Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0. Page 5366.).
Ordered to special consent calendar.
Read second time. Ordered to third reading.
Read third time and amended. Ordered to second reading.
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 11).
From committee: Do pass and re-refer to Com. on APPR with recommendation: To Consent Calendar. (Ayes 11. Noes 0.) (June 14). Re-referred to Com. on APPR.
From committee: Do pass and re-refer to Com. on JUD. (Ayes 9. Noes 0.) (June 1). Re-referred to Com. on JUD.
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
In Senate. Read first time. To Com. on RLS. for assignment.
Read third time. Passed. Ordered to the Senate. (Ayes 68. Noes 0. Page 3408.)
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 15. Noes 0.) (January 20).
From committee chair, with author's amendments: Amend, and re-refer to Com. on APPR. Read second time and amended.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (January 11). Re-referred to Com. on APPR.
From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
Read first time.
From printer. May be heard in committee March 22.
Introduced. To print.
| Bill Text Versions | Format |
|---|---|
| AB1355 | HTML |
| 02/19/21 - Introduced | |
| 01/03/22 - Amended Assembly | |
| 01/13/22 - Amended Assembly | |
| 05/05/22 - Amended Senate | |
| 05/23/22 - Amended Senate | |
| 08/16/22 - Amended Senate | |
| 08/22/22 - Amended Senate | |
| 09/02/22 - Enrolled | |
| 09/30/22 - Chaptered |
| Document | Format |
|---|---|
| 01/07/22- Assembly Health | |
| 01/18/22- Assembly Appropriations | |
| 01/24/22- ASSEMBLY FLOOR ANALYSIS | |
| 05/31/22- Senate Health | |
| 06/10/22- Senate Judiciary | |
| 06/24/22- Senate Appropriations | |
| 08/23/22- Sen. Floor Analyses | |
| 08/31/22- ASSEMBLY FLOOR ANALYSIS |
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