CA AB2275

Establishes a quality assessment and performance improvement program for all Medi-Cal managed care plans, effective January 1, 2021, requiring plans to meet minimum performance levels that improve quality of care and reduce health disparities.

Requires managed care plans to collect performance measures annually beginning July 1, 2019, including the External Accountability Set, Healthcare Effectiveness Data and Information Set, and Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys with cultural competency questions.

Directs the Department of Health Care Services to develop a value-based financial incentive program to reward high-performing plans that meet quality improvement and health disparity reduction targets, subject to legislative appropriation if additional funding is needed.

Requires the department to establish a public stakeholder process involving consumers, providers, health plans, and public health experts to guide program development, with quarterly meetings and materials posted 24 hours in advance.

Mandates annual public reporting of program results on the department's website, stratified by plan, county, language, race, ethnicity, sex, age, sexual orientation, gender identity, and disability status, and directs development of a Quality Rating System for managed care plans subject to federal approval.