AB 498

  • California Assembly Bill
  • 2021-2022 Regular Session
  • Introduced in Assembly
  • Passed Assembly May 27, 2021
  • Passed Senate Aug 30, 2022
  • Became Law Sep 19, 2022

Medi-Cal: county organized health system: Orange County Health Authority.

Abstract

Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which 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 authorizes a county board of supervisors, by ordinance, to establish a commission to negotiate an exclusive contract with the department and to arrange for the provision of health care services under the Medi-Cal program. This system of services provided by or through a county under these provisions is known as a county organized health system. Pursuant to this authority, the County of Orange, by ordinance, established a commission, known as the Orange County Health Authority, or CalOptima, to provide health care services under the Medi-Cal program. Existing law codifies the establishment of the Orange County Health Authority and vests governance of the authority in a 10-member governing body. Existing law prescribes the membership of the governing body, which includes, among others, 2 members of the Board of Supervisors of the County of Orange, one member who is a current or former hospital administrator, and one member who is a representative of a community clinic. Existing law requires a member of the governing body to serve a 4-year term, except for a member who is a member of the Board of Supervisors of the County of Orange, who is required to serve a one-year term. Existing law prohibits a member of the governing body, except for a member of the Board of Supervisors of the County of Orange, from serving more than 2 consecutive terms. This bill would prohibit an individual who served a one-year term on the governing body as a member of the board of supervisors from being appointed to serve a 4-year term under any of the other categories within 12 months of the expiration of their one-year term. Under existing law, the voting members are nominated by the Orange County Health Care Agency and are appointed by a majority vote of the board of supervisors. This bill would require the board of supervisors to consult with stakeholders in the County of Orange, as specified, for purposes of identifying qualified individuals to be considered as members of the governing body. Existing law requires members of the governing body to, among other things, strive to improve health care quality, promote prevention and wellness, ensure the provision of cost-effective health and mental health care services, and reduce health disparities. This bill would require the members of the governing body to ensure the provision of cost-effective behavioral health care services, rather than mental health care services, and would additionally require the members to address the needs of Medi-Cal members who are affected by homelessness and housing instability, improve quality outcomes, and manage the risk and needs of Medi-Cal beneficiaries through whole-person care approaches and addressing social determinants of health. This bill would require a member of the governing body who has a financial interest in a decision of the governing body to, upon identifying a conflict of interest or a potential conflict of interest, take certain actions, including publicly identifying the financial interest that gives rise to the conflict of interest or potential conflict of interest, recusing the member's own self from discussing and voting on the matter, and leaving the room until after the discussion, vote, and any other disposition of the matter is concluded. This bill would prohibit members of the governing body, for a period of one year after leaving office, from acting as an agent or attorney for, or otherwise representing, for compensation, any other person, by making any appearance before, or by making any communication to, the commission, as specified, if the appearance or communication is made for the purpose of influencing the commission to take certain actions. The bill would also prohibit specified members of the governing body, for a period of one year after leaving office, from serving as an employee, agent, or attorney for, or otherwise representing, for compensation, the Orange County Health Authority or any other entity that received an expenditure of Medi-Cal funds from the Orange County Health Authority during the prior 5 years, with exceptions, including if the member is returning to or continuing a role they held when appointed to the governing body. This bill would eliminate the January 1, 2023, repeal date for the authority, thereby extending the authorization for the authority indefinitely. The bill would make other clarifying changes. This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Orange.

Bill Sponsors (10)

Votes


Actions


Sep 19, 2022

California State Legislature

Chaptered by Secretary of State - Chapter 430, Statutes of 2022.

California State Legislature

Approved by the Governor.

Sep 13, 2022

California State Legislature

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

Aug 31, 2022

Assembly

Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 80. Noes 0.).

Aug 30, 2022

Senate

Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0. Page 5235.).

Assembly

In Assembly. Concurrence in Senate amendments pending.

Assembly

From committee: That the Senate amendments be concurred in. (Ayes 13. Noes 0.) (August 30).

Assembly

Joint Rule 62(a), file notice suspended.

Assembly

Re-referred to Com. on HEALTH. pursuant to Assembly Rule 77.2.

  • Referral-Committee
Com. on HEALTH. pursuant to Assembly Rule 77.2.

Aug 23, 2022

Senate

Read second time. Ordered to third reading.

Aug 22, 2022

Senate

Read third time and amended. Ordered to second reading.

Aug 09, 2022

Senate

Read second time. Ordered to third reading.

Aug 08, 2022

Senate

From committee: Be ordered to second reading pursuant to Senate Rule 28.8.

Aug 01, 2022

Senate

Read second time and amended. Re-referred to Com. on APPR.

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

Jun 30, 2022

Senate

From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 5. Noes 0.) (June 29).

Jun 23, 2022

Senate

From committee: Do pass and re-refer to Com. on GOV. & F. (Ayes 9. Noes 0.) (June 22). Re-referred to Com. on GOV. & F.

  • Committee-Passage
  • Committee-Passage-Favorable
  • Referral-Committee
Com. on GOV. & F.

Senate

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

  • Amendment-Introduction
  • Amendment-Passage
  • Reading-1
  • Reading-2
  • Referral-Committee
Com. on GOV. & F.

Jun 16, 2022

Senate

Re-referred to Coms. on HEALTH and GOV. & F.

  • Referral-Committee
Coms. on HEALTH and GOV. & F.

Jun 13, 2022

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.

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

Sep 10, 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 APPR.

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

Senate

Re-referred to Com. on RLS.

  • Referral-Committee
Com. on RLS.

Senate

Withdrawn from committee.

Senate

Senate Rules Suspended

Aug 16, 2021

Senate

In committee: Set, first hearing. Hearing canceled at the request of author.

Jul 07, 2021

Senate

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

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

Jun 22, 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 ED.

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

Jun 09, 2021

Senate

Referred to Com. on ED.

  • Referral-Committee
Com. on ED.

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 78. Noes 0. Page 1605.)

May 24, 2021

Assembly

Read second time. Ordered to third reading.

May 20, 2021

Assembly

From committee: Do pass. (Ayes 16. Noes 0.) (May 20).

Apr 28, 2021

Assembly

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

  • Referral-Committee
APPR. suspense file. APPR

Apr 15, 2021

Assembly

Re-referred to Com. on APPR.

  • Referral-Committee
Com. on APPR.

Apr 14, 2021

Assembly

Read second time and amended.

Apr 13, 2021

Assembly

From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 7. Noes 0.) (April 7).

Feb 18, 2021

Assembly

Referred to Com. on ED.

  • Referral-Committee
Com. on ED.

Feb 10, 2021

Assembly

From printer. May be heard in committee March 12.

Feb 09, 2021

Assembly

Read first time. To print.

Bill Text

Bill Text Versions Format
AB498 HTML
02/09/21 - Introduced PDF
04/14/21 - Amended Assembly PDF
06/22/21 - Amended Senate PDF
09/10/21 - Amended Senate PDF
06/13/22 - Amended Senate PDF
06/23/22 - Amended Senate PDF
08/01/22 - Amended Senate PDF
08/22/22 - Amended Senate PDF
09/02/22 - Enrolled PDF
09/19/22 - Chaptered PDF

Related Documents

Document Format
04/05/21- Assembly Education PDF
04/26/21- Assembly Appropriations PDF
05/24/21- ASSEMBLY FLOOR ANALYSIS PDF
07/05/21- Senate Education PDF
06/22/22- Senate Health PDF
06/27/22- Senate Governance and Finance PDF
08/23/22- Sen. Floor Analyses PDF
08/30/22- ASSEMBLY FLOOR ANALYSIS PDF

Sources

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