California Senate Bill SB1487 Introduced / Bill

 BILL NUMBER: SB 1487INTRODUCED BILL TEXT INTRODUCED BY Senator Hernandez FEBRUARY 24, 2012 An act to amend Section 14105.986 of the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGEST SB 1487, as introduced, Hernandez. Medi-Cal: disproportionate share hospitals: children's hospitals. Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which health care benefits are provided to qualified low-income individuals. The Medi-Cal program is, in part, governed and funded by federal Medicaid provisions. Existing law authorizes a children's hospital that holds a consolidated license, as specified, to be evaluated for eligibility for Medi-Cal payment adjustment amounts under a disproportionate share list using data related to all physical plants appearing on the consolidated license. For purposes of calculating the appropriate amount of the payment adjustment, existing law requires the department to use data relating only to the children's hospital or any other physical plant appearing on the consolidated license that is not more than 15 miles from the children' s hospital. This bill would make technical, nonsubstantive changes to those provisions. Vote: majority. Appropriation: no. Fiscal committee: no. State-mandated local program: no. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS: SECTION 1. Section 14105.986 of the Welfare and Institutions Code is amended to read: 14105.986. (a)  Any   A  children's hospital as defined in Section 10727 that holds a consolidated license issued pursuant to subparagraph (C) of paragraph (4) of subdivision (b) of Section 1250.8 of the Health and Safety Code may be evaluated for eligibility for payments under subdivision (c) of Section 14105.98 no earlier than January 1, 2000, using data related to all physical plants appearing on the consolidated license. For purposes of calculating the appropriate amount of the payment adjustment under subdivision (l) of Section 14105.98 for these children's hospitals, the department shall use data relating only to the children's hospital or  any other   to another  physical plant appearing on the consolidated license  which   that  is not more than 15 miles from the children's hospital  ,  and shall exclude data relating to  any   a  physical plant added to the consolidated license pursuant to subparagraph (C) of paragraph (4) of subdivision (b) of Section 1250.8 of the Health and Safety Code. (b) The department shall not implement this section unless all of the following occur: (1) Federal financial participation is available. (2) The federal  Health Care Financing Administration   Centers for Medicare and Medicaid Services  approves a state plan amendment to implement this section. (3) All data necessary to complete the evaluations and calculations required by subdivision (a) are provided to the department from the same sources described in Section 14105.98 and in the approved state plan existing on July 1, 1998. In no event shall data directly provided by a children's hospital be utilized for these evaluations and calculations.