Existing law establishes the Medi-Cal program, which is 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. Under existing law, federally qualified health center (FQHC) services are covered benefits under the Medi-Cal program, to be reimbursed on a per-visit basis, as specified, to the extent that federal financial participation is obtained. Existing federal law authorizes a state plan to provide for payment in any fiscal year to an FQHC for specified services in an amount that is determined under an alternative payment methodology (APM) if it is agreed to by the state and the FQHC and results in a payment to the FQHC of an amount that is at least equal to the amount otherwise required to be paid to the FQHC. Existing state law requires the department to authorize an APM pilot project for FQHCs that agree to participate, for implementation with respect to a county for a period of up to 3 years. This bill would require the department to authorize a new supplemental payment program for FQHCs pursuant to federal law, or as specified, to be named the Enhanced Clinically Integrated Program (ECIP) . Under the bill, ECIP funding would be subject to an appropriation. The bill would require the department to request an amount, as necessary to fund, implement, and maintain ECIP at sufficient capacity, on an ongoing basis in future fiscal years. Under the bill, participation in ECIP would be optional for FQHCs, funding under ECIP would be provided in addition to all other funding received by FQHCs, as specified, and participation in ECIP would result in total payments to participating FQHCs that are greater than the prospective payment system (PPS) rate otherwise required to be paid to the FQHC. The bill would, subject to an appropriation, require the department, no later than July 1, 2023, to make funding available for the purpose of direct compensation of health center workers. The bill would require ECIP to improve quality and access to care by allocating funds, if appropriated, to FQHCs that meet certain standards relating to wage thresholds and commitment to participation in bona fide labor-management cooperation committees (LMCCs) , as specified. The bill would set forth various requirements for funding allocations to, and uses by, participating FQHCs. The bill would require the department to develop eligibility criteria, an application process, a fund distribution process, reporting requirements, and a methodology for adjusting funding allocations based on health care inflation. The bill would authorize the department to choose to implement the program as a state-only funded program, as specified. If the department seeks federal financial participation in the first year of the program, the bill would require the department to apply for federal approval no later than February 1, 2023, but would authorize seeking federal financial participation in subsequent years. If federal financial participation is sought, the department would have discretion to modify the terms of ECIP if necessary to obtain federal approval so long as the modifications further the goals of increasing FQHC workforce compensation particularly for lower-paid workers and furthering the creation of, and participation in, bona fide LMCCs for FQHC worker education and training. The bill would authorize the department to implement these provisions through all-county letters or similar instructions, until any necessary regulations are adopted. The bill would make these provisions severable.
Sponsored bills
This measure would celebrate the history and culture of cruising and encourage local officials and law enforcement to work with local car clubs to conduct safe cruising events.
This measure would commend the Congress of the United States for enacting legislation that will alleviate and remedy the congestion of California's ports. The measure also would urge the Congress of the United States to enact further legislation to ensure that the state's importing and exporting capabilities are returned to prepandemic levels.
This measure would proclaim December 8, 2022, as Latina Equal Pay Day in California, in recognition of the need to eliminate the gender gap in earnings by women and to promote policies to ensure equal pay for all.
This measure would urge the President and the Congress of the United States to amend specified provisions of the federal Social Security Act to allow recipients of disabled adult child benefits under the act to continue to receive those benefits upon marriage.
This measure, among other things, would declare the last week of September 2022, and each year thereafter, as Sacramento-San Joaquin Delta Week, with the purpose of expanding the acknowledgment of the Sacramento-San Joaquin Delta region's contributions to a higher quality of life for all Californians.
This measure would designate a specified portion of State Route 710 in the City of Long Beach as the Long Beach International Gateway Bridge. The measure would request the Department of Transportation to determine the cost for appropriate signs showing this special designation and, upon receiving donations from nonstate sources covering that cost, to erect those signs.
This measure would recognize October 12, 2021, as the 20th anniversary of the enactment of the exemption from nonresident tuition for qualified students during the 2001–02 Regular Session. The measure would also call on the United States Congress to pass the American Families Plan and provide financial resources for undocumented students through the budget reconciliation process, and to adopt comprehensive immigration reform.
This measure would affirm the Legislature's support for expanding Social Security and requests California Representatives in Congress to support expanding Social Security by voting in favor of the Social Security 2100 Act: A Sacred Trust.