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CA AB1338

Bill

Status

Failed

2/1/2024

Primary Sponsor

Cottie Petrie-Norris

Click for details

Origin

State Assembly

2023-2024 Session

AI Summary

  • Adds fitness, physical activity, or recreational sports programs, activities, or memberships to the list of approved community supports that Medi-Cal managed care plans may cover as cost-effective and medically appropriate alternatives to standard Medi-Cal services.

  • Allows these community supports to be offered only to beneficiaries enrolled in Medi-Cal managed care plans with comprehensive risk contracts, and participation is voluntary for enrollees.

  • Requires the State Department of Health Care Services to publicly post which community supports each Medi-Cal managed care plan offers and to annually publish utilization data stratified by age, sex, race, ethnicity, and languages spoken.

  • Mandates that Medi-Cal managed care plans inform members about available community supports through member handbooks and plan websites, including any limitations on those supports.

  • Requires the department to conduct independent evaluation of community supports effectiveness and account for actual costs when developing capitation rates.

Legislative Description

Medi-Cal: community supports.

Last Action

From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.

2/1/2024

Committee Referrals

Appropriations4/19/2023
Health3/2/2023

Full Bill Text

No bill text available