Mike Gipson
- Democratic
- Assemblymember
- District 65
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 and funded by federal Medicaid program provisions. Existing law provides that Medi-Cal funding be made available to a new hospital, now known as the Martin Luther King, Jr. Community Hospital, to serve the population of South Los Angeles. This bill would require the department, in consultation with the hospital, to create a directed payment program in Medi-Cal managed care for outpatient hospital services to provide that total Medi-Cal managed care reimbursement received for services is approximately equal to the hospital's costs for those services, as specified. The bill would establish funding provisions if those minimum reimbursements required under the program would result in payments above the level of compensation the hospital would have otherwise received, and if a nonfederal share is necessary with respect to the additional compensation. The bill would require that the hospital's projected costs be based on specified principles. The bill would also require the department, in consultation with the hospital, to develop an alternative mechanism for ensuring inpatient services payment levels from Medi-Cal managed care plans, as specified. The bill would authorize the department to develop value-based quality directed payment, for use in payments to the hospital. The bill would authorize the department to implement those provisions by means of, among other things, all-facility letters. The bill would require the department to obtain federal approvals or waivers as necessary to implement those provisions, to obtain federal matching funds to the maximum extent permitted by federal law, and would condition the implementation of those provisions on obtaining federal approval. This bill would make related findings and declarations. The bill would also make the implementation of its provisions contingent upon appropriation by the Legislature. This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Los Angeles.
Vetoed by Governor.
Enrolled and presented to the Governor at 4 p.m.
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 76. Noes 0.).
Assembly Rule 77(a) suspended.
Read third time. Passed. Ordered to the Assembly. (Ayes 37. Noes 0. Page 5018.).
In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 25 pursuant to Assembly Rule 77.
Read second time. Ordered to third reading.
From committee: Amend, and do pass as amended. (Ayes 5. Noes 0.) (August 11).
Read second time and amended. Ordered returned to second reading.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (June 22). Re-referred to Com. on APPR.
In Senate. Read first time. To Com. on RLS. for assignment.
Read third time. Passed. Ordered to the Senate. (Ayes 75. Noes 0.)
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 16. Noes 0.) (May 19).
In committee: Set, first hearing. Referred to suspense file.
Read second time and amended.
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (March 29).
From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
From printer. May be heard in committee March 20.
Read first time. To print.
| Bill Text Versions | Format |
|---|---|
| AB2426 | HTML |
| 02/17/22 - Introduced | |
| 03/21/22 - Amended Assembly | |
| 03/31/22 - Amended Assembly | |
| 08/11/22 - Amended Senate | |
| 08/26/22 - Enrolled |
| Document | Format |
|---|---|
| 03/25/22- Assembly Health | |
| 05/02/22- Assembly Appropriations | |
| 05/20/22- ASSEMBLY FLOOR ANALYSIS | |
| 06/20/22- Senate Health | |
| 07/29/22- Senate Appropriations | |
| 08/11/22- Senate Appropriations | |
| 08/15/22- Sen. Floor Analyses | |
| 08/23/22- ASSEMBLY FLOOR ANALYSIS | |
| 10/10/22- ASSEMBLY FLOOR ANALYSIS |
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