AB 369

  • California Assembly Bill
  • 2021-2022 Regular Session
  • Introduced in Assembly
  • Passed Assembly May 27, 2021
  • Passed Senate Aug 30, 2021
  • Governor

Medi-Cal services: persons experiencing homelessness.

Abstract

Existing law provides for the Medi-Cal program, 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. Existing law requires the department to provide presumptive Medi-Cal eligibility to pregnant women and children. Existing law authorizes a qualified hospital to make presumptive eligibility determinations if it complies with specified requirements. Existing law authorizes the department, on a regional pilot project basis, to issue an identification card to a person who is eligible for Medi-Cal program benefits, but does not possess a valid California driver's license or identification card issued by the Department of Motor Vehicles. Existing law requires the department, in consultation with the board governing the California Health Benefit Exchange, to develop a single paper, electronic, and telephone application for insurance affordability programs, including Medi-Cal. This bill would require the department to implement a program of presumptive eligibility for persons experiencing homelessness, under which a person would receive full-scope Medi-Cal benefits without a share of cost. The bill would require the department to authorize an enrolled Medi-Cal provider to issue a temporary Medi-Cal benefits identification card to a person experiencing homelessness, and would prohibit the department from requiring a person experiencing homelessness to present a valid California driver's license or identification card issued by the Department of Motor Vehicles to receive Medi-Cal services if the provider verifies the person's eligibility. This bill would authorize an enrolled Medi-Cal provider to make a presumptive eligibility determination for a person experiencing homelessness. The bill would require the department to reimburse an enrolled Medi-Cal provider who bills the Medi-Cal program for Medi-Cal services provided off the premises to a person experiencing homelessness, as specified. The bill would require a Medi-Cal managed care plan to allow a beneficiary to seek those services and to reimburse a provider for providing those services, but would authorize a Medi-Cal managed care plan to establish reasonable requirements governing network participation. The bill would require a Medi-Cal managed care plan to reimburse a participating Medi-Cal provider providing covered services, without requiring the provider to obtain prior approval, as specified. The bill would authorize an enrolled Medi-Cal provider to refer a Medi-Cal beneficiary who is experiencing homelessness for specialist care and diagnostics. The bill would require the department to seek any necessary federal approvals to implement the above provisions, and would condition their implementation on receipt of those federal approvals and the availability of federal financial participation. The bill would require the insurance affordability program's application to include information collection means for the applicant to indicate if they are experiencing homelessness at the time of application. If Medi-Cal covered health care services covered by a Medi-Cal managed care plan are not provided within the first 60 calendar days of enrollment to a Medi-Cal beneficiary who has indicated that they are a person experiencing homelessness at the time of application, the bill would require the department to deduct the capitation payments made by the department to the plan from subsequent payments due to the plan for the time period from when the person was initially enrolled into a plan until the first receipt of plan-covered services. If a person experiencing homelessness who is assigned a primary care provider (PCP) receives services by another provider off the premises of the assigned PCP, the bill would require the department or the Medi-Cal managed care plan to notify the assigned PCP that their patient was seen by another provider.

Bill Sponsors (13)

Votes


Actions


Feb 03, 2022

Assembly

Consideration of Governor's veto stricken from file.

Jan 03, 2022

Assembly

Consideration of Governor's veto pending.

Oct 08, 2021

Assembly

Vetoed by Governor.

Sep 10, 2021

California State Legislature

Enrolled and presented to the Governor at 4 p.m.

Sep 02, 2021

Assembly

Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 72. Noes 0. Page 2705.).

Sep 01, 2021

Assembly

Assembly Rule 77 suspended. (Ayes 58. Noes 17. Page 2625.)

Aug 31, 2021

Assembly

In Assembly. Concurrence in Senate amendments pending. May be considered on or after September 2 pursuant to Assembly Rule 77.

Aug 30, 2021

Senate

Read third time. Passed. Ordered to the Assembly. (Ayes 32. Noes 0. Page 2233.).

Aug 26, 2021

Senate

From committee: Do pass. (Ayes 5. Noes 0.) (August 26).

Senate

Read second time. Ordered to third reading.

Aug 16, 2021

Senate

In committee: Referred to suspense file.

  • Referral-Committee
suspense file.

Jul 14, 2021

Senate

From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 0.) (July 14). Re-referred to Com. on APPR.

  • Committee-Passage
  • Committee-Passage-Favorable
  • Referral-Committee
Com. on APPR.

Jul 07, 2021

Senate

In committee: Set, first hearing. Testimony taken. Further hearing to be set.

Jun 15, 2021

Senate

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

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

Jun 09, 2021

Senate

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

May 28, 2021

Senate

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

May 27, 2021

Assembly

Read third time. Passed. Ordered to the Senate. (Ayes 74. Noes 0. Page 1627.)

May 24, 2021

Assembly

Read second time. Ordered to third reading.

May 20, 2021

Assembly

From committee: Do pass. (Ayes 15. Noes 0.) (May 20).

Assembly

Coauthors revised.

Assembly

Joint Rule 62(a), file notice suspended. (Page 1460.)

May 19, 2021

Assembly

In committee: Set, first hearing. Referred to APPR. suspense file.

  • Referral-Committee
APPR APPR. suspense file.

Apr 27, 2021

Assembly

Re-referred to Com. on APPR.

  • Referral-Committee
Com. on APPR.

Apr 26, 2021

Assembly

Read second time and amended.

Apr 22, 2021

Assembly

From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 14. Noes 0.) (April 20).

Apr 13, 2021

Assembly

Re-referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Apr 12, 2021

Assembly

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

Mar 22, 2021

Assembly

Re-referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Mar 18, 2021

Assembly

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

Feb 12, 2021

Assembly

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Feb 02, 2021

Assembly

From printer. May be heard in committee March 4.

Feb 01, 2021

Assembly

Read first time. To print.

Bill Text

Bill Text Versions Format
AB369 HTML
02/01/21 - Introduced PDF
03/18/21 - Amended Assembly PDF
04/12/21 - Amended Assembly PDF
04/26/21 - Amended Assembly PDF
06/15/21 - Amended Senate PDF
09/07/21 - Enrolled PDF

Related Documents

Document Format
04/16/21- Assembly Health PDF
05/17/21- Assembly Appropriations PDF
05/24/21- ASSEMBLY FLOOR ANALYSIS PDF
07/05/21- Senate Health PDF
08/13/21- Senate Appropriations PDF
08/30/21- Sen. Floor Analyses PDF
08/31/21- ASSEMBLY FLOOR ANALYSIS PDF
10/13/21- ASSEMBLY FLOOR ANALYSIS PDF

Sources

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