Bill > AB1672

This bill modifies how the state's Medi-Cal program, which provides health services to low-income individuals, negotiates payment rates with organizations that provide comprehensive care for the elderly, known as PACE (Program of All-Inclusive Care for the Elderly) programs. Currently, the state department is required to consult with these PACE organizations when developing their payment rates, which are determined using actuarial methods. This bill removes the requirement for consultation and instead mandates that the department negotiate these capitation rates, which are fixed per-person payments, directly with each PACE organization. As part of this negotiation process, the department must respond in writing to any comments from PACE organizations about proposed rates, explain the reasoning behind their rate calculations upon request, and make a genuine effort to reach an agreement, all in accordance with federal law.

https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202520260AB1672