Robert M. Hertzberg
- Democratic
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.
Ordered to inactive file on request of Assembly Member Boerner Horvath.
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 12. Noes 4.) (August 11).
Joint Rule 62(a) suspended.
August 10 set for first hearing. Placed on suspense file.
August 3 hearing postponed by committee.
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 10. Noes 3.) (June 28).
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
In Assembly. Read first time. Held at Desk.
Read third time. Passed. (Ayes 25. Noes 10. Page 3890.) Ordered to the Assembly.
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 5. Noes 2. Page 3779.) (May 19).
Set for hearing May 19.
May 2 hearing: Placed on APPR suspense file.
Set for hearing May 2.
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 7. Noes 1. Page 3462.) (April 20).
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
Set for hearing April 20.
From printer.
Article IV Section 8(a) of the Constitution and Joint Rule 55 dispensed with February 7, 2022, suspending the 30 calendar day requirement.
Introduced. Read first time. To Com. on RLS. for assignment. To print.
Bill Text Versions | Format |
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SB1014 | HTML |
02/14/22 - Introduced | |
04/07/22 - Amended Senate | |
04/25/22 - Amended Senate | |
06/20/22 - Amended Assembly | |
06/30/22 - Amended Assembly |
Document | Format |
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04/18/22- Senate Health | |
05/02/22- Senate Appropriations | |
05/21/22- Sen. Floor Analyses | |
06/24/22- Assembly Health | |
08/09/22- Assembly Appropriations | |
08/17/22- ASSEMBLY FLOOR ANALYSIS |
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