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CA SB640

CA SB640
Medi-Cal: reimbursement: provider payments.


summary

Introduced
02/22/2013
In Committee
05/24/2013
Crossed Over
Passed
Dead
11/30/2014

Introduced Session

2013-2014 Regular Session

Bill Summary

An act to add Section 14105.194 to the Welfare and Institutions Code, relating to Medi-Cal, and declaring the urgency thereof, to take effect immediately.

AI Summary

This bill, by adding Section 14105.194 to the Welfare and Institutions Code, aims to adjust how Medi-Cal, California's health insurance program for low-income individuals, reimburses providers for services. Specifically, it seeks to remove certain reductions, limitations, and adjustments that have been applied to payments for fee-for-service benefits and to specific provider groups, as well as to managed care health plans, for services rendered on or after June 1, 2011, and for services after the bill's effective date for managed care plans. The bill also includes a provision that for services provided before its effective date, payments will not exceed the rate previously paid by the department. The director is instructed to implement these changes to the maximum extent possible, contingent on obtaining federal approval for federal financial participation, and to seek these approvals promptly, allowing for implementation through provider bulletins or similar notices rather than formal regulations. The bill is declared an urgency statute, meaning it will take effect immediately upon passage to ensure continued access to medically necessary care for Medi-Cal beneficiaries.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (74)

Luis Alejo (D)* Roger Hernandez (D)* Ricardo Lara (D)* Holly Mitchell (D)* Katcho Achadjian (R),  Michael Allen (D),  Tom Ammiano (D),  Joel Anderson (R),  Jim Beall (D),  Frank Bigelow (R),  Marty Block (D),  Susan Bonilla (D),  Rob Bonta (D),  Steve Bradford (D),  Cheryl Brown (D),  Joan Buchanan (D),  Ian Calderon (D),  Ronald Calderon (D),  Anthony Cannella (R),  Rocky Chavez (R),  Wesley Chesbro (D),  Connie Conway (R),  Ken Cooley (D),  Ellen Corbett (D),  Roger Dickinson (D),  Tim Donnelly (R),  Susan Eggman (D),  Cathleen Galgiani (D),  Jimmy Gomez (D),  Richard Gordon (D),  Jeff Gorell (R),  Adam Gray (D),  Shannon Grove (R),  Diane Harkey (R),  Jerry Hill (D),  Chris Holden (D),  Ben Hueso (D),  Reggie Jones-Sawyer (D),  Marc Levine (D),  Ted Lieu (D),  Eric Linder (R),  Daniel Logue (R),  Bonnie Lowenthal (D),  Brian Maienschein (D),  Allan Mansoor (R),  Jose Medina (D),  Melissa Melendez (R),  Mike Morrell (R),  Kevin Mullin (D),  Al Muratsuchi (D),  Adrin Nazarian (D),  Brian Nestande (R),  Kristin Olsen (R),  Richard Pan (D),  Jim Patterson (R),  Fran Pavley (D),  Henry Perea (D),  V. Manuel Pérez (D),  Bill Quirk (D),  Anthony Rendon (D),  Richard Roth (D),  Rudy Salas (D),  Nancy Skinner (D),  Mark Stone (D),  Phil Ting (D),  Donald Wagner (R),  Marie Waldron (R),  Mimi Walters (R),  Shirley Weber (D),  Scott Wilk (R),  Das Williams (D),  Mark Wyland (R),  Mariko Yamada (D),  Leland Yee (D), 

Last Action

Returned to Secretary of Senate pursuant to Joint Rule 56. (on 02/03/2014)

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Document Type Source Location Created
BillText http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130524_amended_sen_v95.html 05/25/2013
Bill http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130524_amended_sen_v95.htm 05/25/2013
Bill http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130524_amended_sen_v95.pdf 05/25/2013
BillText http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130501_amended_sen_v96.html 05/02/2013
Bill http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130501_amended_sen_v96.pdf 05/02/2013
Bill http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130501_amended_sen_v96.htm 05/02/2013
Vote http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_vote_20130424_000002_sen_comm.html 05/02/2013
BillText http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130403_amended_sen_v98.html 05/01/2013
BillText http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130415_amended_sen_v97.html 05/01/2013
Bill http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130415_amended_sen_v97.pdf 04/16/2013
Bill http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130403_amended_sen_v98.pdf 04/04/2013
BillText http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130222_introduced.html 03/06/2013
Bill http://www.leginfo.ca.gov/cgi-bin/postquery?bill_number=sb_640&sess=1314&house=S 03/06/2013
Bill http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0601-0650/sb_640_bill_20130222_introduced.pdf 02/23/2013
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