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CA AB2203

Bill

Status

Introduced

2/12/2018

Primary Sponsor

Adam Gray

Click for details

Origin

State Assembly

2017-2018 Session

AI Summary

  • Requires Medi-Cal basic rates for primary care services to equal at least 100% of Medicare payment rates, effective July 1, 2019, for both fee-for-service and managed care plans.

  • Applies to primary care service providers, defined as physicians or those supervised by physicians with specialties in family medicine, general internal medicine, or pediatric medicine.

  • Mandates rate adjustments within 90 days of any changes to Medicare payment rates for primary care services.

  • Exempts these primary care payment increases from other provider payment reductions and excludes rates for non-Medi-Cal and non-Family PACT Program eligible individuals.

  • Authorizes the Department of Health Care Services to implement the bill through provider bulletins without formal regulatory action until regulations are adopted.

Legislative Description

Medi-Cal: primary care services.

Last Action

In committee: Held under submission.

5/25/2018

Full Bill Text

No bill text available