SB 1014

  • California Senate Bill
  • 2021-2022 Regular Session
  • Introduced in Senate Feb 14, 2022
  • Passed Senate May 24, 2022
  • Assembly
  • Governor

Enhanced Clinically Integrated Program for Federally Qualified Health Centers.

Abstract

Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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. Under existing law, federally qualified health center (FQHC) services are covered benefits under the Medi-Cal program, to be reimbursed on a per-visit basis, as specified, to the extent that federal financial participation is obtained. Existing federal law authorizes a state plan to provide for payment in any fiscal year to an FQHC for specified services in an amount that is determined under an alternative payment methodology (APM) if it is agreed to by the state and the FQHC and results in a payment to the FQHC of an amount that is at least equal to the amount otherwise required to be paid to the FQHC. Existing state law requires the department to authorize an APM pilot project for FQHCs that agree to participate, for implementation with respect to a county for a period of up to 3 years. This bill would require the department to authorize a new supplemental payment program for FQHCs pursuant to federal law, or as specified, to be named the Enhanced Clinically Integrated Program (ECIP) . Under the bill, ECIP funding would be subject to an appropriation. The bill would require the department to request an amount, as necessary to fund, implement, and maintain ECIP at sufficient capacity, on an ongoing basis in future fiscal years. Under the bill, participation in ECIP would be optional for FQHCs, funding under ECIP would be provided in addition to all other funding received by FQHCs, as specified, and participation in ECIP would result in total payments to participating FQHCs that are greater than the prospective payment system (PPS) rate otherwise required to be paid to the FQHC. The bill would, subject to an appropriation, require the department, no later than July 1, 2023, to make funding available for the purpose of direct compensation of health center workers. The bill would require ECIP to improve quality and access to care by allocating funds, if appropriated, to FQHCs that meet certain standards relating to wage thresholds and commitment to participation in bona fide labor-management cooperation committees (LMCCs) , as specified. The bill would set forth various requirements for funding allocations to, and uses by, participating FQHCs. The bill would require the department to develop eligibility criteria, an application process, a fund distribution process, reporting requirements, and a methodology for adjusting funding allocations based on health care inflation. The bill would authorize the department to choose to implement the program as a state-only funded program, as specified. If the department seeks federal financial participation in the first year of the program, the bill would require the department to apply for federal approval no later than February 1, 2023, but would authorize seeking federal financial participation in subsequent years. If federal financial participation is sought, the department would have discretion to modify the terms of ECIP if necessary to obtain federal approval so long as the modifications further the goals of increasing FQHC workforce compensation particularly for lower-paid workers and furthering the creation of, and participation in, bona fide LMCCs for FQHC worker education and training. The bill would authorize the department to implement these provisions through all-county letters or similar instructions, until any necessary regulations are adopted. The bill would make these provisions severable.

Bill Sponsors (6)

Votes


Actions


Aug 30, 2022

Assembly

Ordered to inactive file on request of Assembly Member Boerner Horvath.

Aug 15, 2022

Assembly

Read second time. Ordered to third reading.

Aug 11, 2022

Assembly

From committee: Do pass. (Ayes 12. Noes 4.) (August 11).

Assembly

Joint Rule 62(a) suspended.

Aug 10, 2022

Assembly

August 10 set for first hearing. Placed on suspense file.

Aug 03, 2022

Assembly

August 3 hearing postponed by committee.

Jun 30, 2022

Assembly

Read second time and amended. Re-referred to Com. on APPR.

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

Jun 29, 2022

Assembly

From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 10. Noes 3.) (June 28).

Jun 20, 2022

Assembly

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

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

May 27, 2022

Assembly

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

May 25, 2022

Assembly

In Assembly. Read first time. Held at Desk.

May 24, 2022

Senate

Read third time. Passed. (Ayes 25. Noes 10. Page 3890.) Ordered to the Assembly.

May 19, 2022

Senate

Read second time. Ordered to third reading.

Senate

From committee: Do pass. (Ayes 5. Noes 2. Page 3779.) (May 19).

May 13, 2022

Senate

Set for hearing May 19.

May 02, 2022

Senate

May 2 hearing: Placed on APPR suspense file.

Apr 27, 2022

Senate

Set for hearing May 2.

Apr 25, 2022

Senate

Read second time and amended. Re-referred to Com. on APPR.

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

Apr 21, 2022

Senate

From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 7. Noes 1. Page 3462.) (April 20).

Apr 07, 2022

Senate

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

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

Mar 29, 2022

Senate

Set for hearing April 20.

Feb 23, 2022

Senate

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Feb 15, 2022

Senate

From printer.

Feb 14, 2022

Senate

Article IV Section 8(a) of the Constitution and Joint Rule 55 dispensed with February 7, 2022, suspending the 30 calendar day requirement.

Senate

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

Bill Text

Bill Text Versions Format
SB1014 HTML
02/14/22 - Introduced PDF
04/07/22 - Amended Senate PDF
04/25/22 - Amended Senate PDF
06/20/22 - Amended Assembly PDF
06/30/22 - Amended Assembly PDF

Related Documents

Document Format
04/18/22- Senate Health PDF
05/02/22- Senate Appropriations PDF
05/21/22- Sen. Floor Analyses PDF
06/24/22- Assembly Health PDF
08/09/22- Assembly Appropriations PDF
08/17/22- ASSEMBLY FLOOR ANALYSIS PDF

Sources

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