Bill Text: CA AB719 | 2023-2024 | Regular Session | Enrolled
Bill Title: Medi-Cal: nonmedical and nonemergency medical transportation.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Vetoed) 2024-01-25 - Consideration of Governor's veto stricken from file. [AB719 Detail]
Download: California-2023-AB719-Enrolled.html
|
Enrolled
September 14, 2023 |
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Passed
IN
Senate
September 11, 2023 |
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Passed
IN
Assembly
September 12, 2023 |
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Amended
IN
Senate
July 10, 2023 |
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Amended
IN
Senate
June 26, 2023 |
CALIFORNIA LEGISLATURE—
2023–2024 REGULAR SESSION
Assembly Bill
No. 719
| Introduced by Assembly Member Boerner |
February 13, 2023 |
An act to add Section 14197.06 to the Welfare and Institutions Code, relating to Medi-Cal.
LEGISLATIVE COUNSEL'S DIGEST
AB 719, Boerner.
Medi-Cal: nonmedical and nonemergency medical transportation.
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. Existing law establishes a schedule of benefits under the Medi-Cal program, including medical transportation and nonmedical transportation for a beneficiary to obtain covered Medi-Cal services. Existing law requires nonmedical transportation to be provided by the beneficiary’s managed care plan or by the department for a Medi-Cal fee-for-service beneficiary.
This bill would require the department to require Medi-Cal managed care plans that are contracted to provide nonmedical
transportation or nonemergency medical transportation to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonmedical and nonemergency medical transportation trips provided by a public paratransit service operator. The bill would require the rates reimbursed by the managed care plan to the public paratransit service operator to be based on the department’s fee-for-service rates for nonmedical and nonemergency medical transportation service, as specified. The bill would condition implementation of these provisions on receipt of any necessary federal approvals and the availability of federal financial participation.
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NOBill Text
The people of the State of California do enact as follows:
SECTION 1.
Section 14197.06 is added to the Welfare and Institutions Code, to read:14197.06.
(a) The department shall require Medi-Cal managed care plans that are contracted to provide nonemergency medical transportation or nonmedical transportation pursuant to Section 14132 to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonemergency medical transportation and nonmedical transportation trips provided by a public paratransit service operator.(b) Notwithstanding any other law, rates reimbursed by the managed care plan to the public paratransit service operator shall be based on the department’s fee-for-service rates for nonemergency medical transportation or nonmedical transportation service that does not include fixed-route
transportation service. The Legislature finds and declares that the reimbursement of the passenger’s fare does not equal the fee-for-service rate.
(c) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available and not otherwise jeopardized.
