AB 1

  • California Assembly Bill
  • 2015-2016, 2nd Special Session
  • Introduced in Assembly
  • Passed Assembly Aug 31, 2015
  • Passed Senate Sep 09, 2015
  • Signed by Governor Mar 01, 2016

Developmental services: Medi-Cal: funding.

Abstract

The Lanterman Developmental Disabilities Services Act requires the State Department of Developmental Services to contract with regional centers to provide services and supports to individuals with developmental disabilities. Under existing law, regional centers purchase needed services for individuals with developmental disabilities through approved service providers or arrange for those services through other publicly funded agencies. Existing law establishes specified rates and wages to be paid to certain service providers and the rates to be paid for certain developmental services. Existing law requires that rates to be paid to other developmental service providers either be set by the department or negotiated between the regional center and the service provider. Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which basic health care services are provided to qualified low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Existing law requires, except as otherwise provided, Medi-Cal provider payments to be reduced, as specified. This bill would appropriate a specified sum to the State Department of Developmental Services to, commencing July 1, 2016, among other things, increase rates and wages for certain developmental services providers and fund incentive payments for competitive integrated employment opportunities and internships for individuals with developmental disabilities. The bill would require the department to submit a rate study to specified committees of the Legislature on or before March 1, 2019, regarding community-based services for individuals with developmental disabilities. The bill would require each regional center to report specified information to the department regarding increased funding for regional center operations. The bill would, for dates of service on or after August 1, 2016, increase the payment rates for intermediate care facilities and skilled nursing facilities that provide services to developmentally disabled individuals under the Medi-Cal program, as specified. The bill would also prohibit the State Department of Health Care Services from seeking to retroactively implement certain Medi-Cal provider payment reductions and limitations with regards to reimbursements for services provided by skilled nursing facilities that are distinct parts of general acute care hospitals for dates of service on or after June 1, 2011, and on or before September 30, 2013, and from seeking to recoup overpayments, as specified. Existing law requires the department and regional centers to annually collaborate to compile specified data relating to purchase of service authorization, utilization, and expenditure by each regional center. Existing law requires each regional center to annually report to the department regarding the regional center's implementation of these requirements, including whether the data indicates a need to reduce disparities in the purchase of services among consumers in the regional center's catchment area and the regional center's recommendations and plan to promote equity, and reduce disparities, in the purchase of services. Existing law requires the department to consult with specified stakeholders to review the data, develop recommendations to help reduce disparities in purchase of service expenditures, and encourage development and expansion of culturally appropriate services, among other things, and to report the status of its efforts during the 2016–17 legislative budget subcommittee hearing process. The bill would also require the department, subject to available funding, to allocate funding to regional centers to assist in implementing specified recommendations and plans, including the recommendations and plans of the regional centers to promote equity, and reduce disparities, in the purchase of services. Existing law requires an entity that receives payments between $250,000 and $500,000 per year from one or more regional centers to obtain either an independent audit or an independent review report of its financial statements, and requires an entity that receives payments that are equal to or more than $500,000 per year to obtain an independent audit. This bill would instead require an entity that receives payments between $500,000 and $2,000,000 from one or more regional centers to obtain an independent review report of its financial statements, and would authorize these entities to apply for, and require the regional center to grant, a 2-year exemption from this requirement if the regional center does not find issues in the independent review report that have an impact on regional center services. The bill would require an entity that receives payments from one or more regional centers that are equal to or more than $2,000,000 to obtain an independent audit and would authorize these entities to apply for, and require the regional center to grant, a 2-year exemption from the audit requirement if the audit resulted in an unmodified opinion, an unmodified opinion with additional communication, or a qualified opinion with issues that are not material. The bill would require a regional center to annually report to the State Department of Developmental Services any exemptions granted pursuant to these provisions.

Bill Sponsors (89)

Dahle

     
Coauthor

Gray

     
Coauthor

Jones

     
Coauthor

Lopez

     
Coauthor

Salas

     
Coauthor

Allen

     
Coauthor

De León

     
Coauthor

Mitchell

     
Coauthor

Atkins

     
Coauthor

Bonilla

     
Coauthor

Calderon

     
Coauthor

Votes


Actions


Mar 01, 2016

California State Legislature

Approved by the Governor.

California State Legislature

Chaptered by Secretary of State. Chapter 3, Statutes of 2015-16 Second Extraordinary Session.

Feb 29, 2016

Assembly

Ordered to Engrossing and Enrolling.

California State Legislature

Assembly adopts Conference Committee report. (Ayes 78. Noes 0. Page 162.).

California State Legislature

Senate adopted Conference Committee report. (Ayes 40. Noes 0. Page 94.)

California State Legislature

Enrolled and presented to the Governor at 5:30 p.m.

Feb 23, 2016

California State Legislature

From printer.

Feb 22, 2016

California State Legislature

From Conference Committee: Be adopted. (Ayes 10 (Assembly Members Bonta, Bonilla, Gallagher, Patterson, and Santiago) (Senators Hernandez, Anderson, Leno, Mitchell, and Nielsen)). (Noes 0). To print.

Feb 08, 2016

California State Legislature

Senator Anderson appointed to Conference Committee.

Sep 24, 2015

California State Legislature

Senators Hernandez (Co-Chair), Leno, Mitchell, Nielsen, and vacancy appointed to Conference Committee.

Sep 23, 2015

California State Legislature

Assembly Members Bonta (Co-Chair), Bonilla, Gallagher, Patterson, and Santiago appointed to Conference Committee.

Sep 10, 2015

California State Legislature

Assembly refused to concur in Senate amendments. To Conference Committee. (Ayes 3. Noes 50. Page 96.)

Assembly

Assembly Rule 77 suspended. (Page 95.)

Sep 09, 2015

Assembly

In Assembly. Concurrence in Senate amendments pending. May be considered on or after September 11 pursuant to Assembly Rule 77.

Senate

Read third time. Passed. Ordered to the Assembly. (Ayes 24. Noes 14. Page 73.).

Sep 04, 2015

Senate

Withdrawn from committee.

Senate

Ordered to third reading.

Senate

(Ayes 26. Noes 13. Page 66.)

Sep 03, 2015

Senate

From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on RLS.

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

Senate

Referred to Com. on RLS.

  • Referral-Committee
Com. on RLS.

Aug 31, 2015

Assembly

Read third time. Passed. Ordered to the Senate. (Ayes 50. Noes 28. Page 58.)

Senate

In Senate. Read first time. To Com. on RLS. for assignment.

Aug 27, 2015

Assembly

Assembly Rule 63 suspended. (Ayes 51. Noes 27. Page 51.)

Assembly

Read second time. Ordered to third reading.

Assembly

Without reference to committee.

Jul 06, 2015

Assembly

From printer.

Jul 02, 2015

Assembly

Read first time. To print.

Bill Text

Bill Text Versions Format
AB1 HTML
07/02/15 - Introduced PDF
09/03/15 - Amended Senate PDF
02/22/16 - Proposed PDF
02/29/16 - Enrolled PDF
03/01/16 - Chaptered PDF

Related Documents

Document Format
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Sources

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