California 2017-2018 Regular Session

California Senate Bill SB1154 Compare Versions

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1		-	~~Amended IN Senate April 24, 2018~~ Amended IN Senate April 09, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 1154Introduced by Senator ~~Portantino(Coauthor: Senator Nielsen)February~~ 14, 2018 An act to add Section 14087.306 ~~Sections 14087.9726 and 14301.3~~ to the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTSB 1154, as amended, Portantino. Medi-Cal: beneficiaries with HIV or AIDS~~. AIDS: managed care plans: reimbursement rates~~.Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care plans. ~~Existing law requires~~ the department to determine ~~rates~~ of payment for services provided ~~under this chapter for~~ Medi-Cal beneficiaries ~~enrolled in these plans, as specified. This bill would authorize the department to determine either a separate reimbursement rate for each stage of~~ HIV ~~disease,~~ or ~~a blended rate that covers a person at any stage of the disease~~.Existing law authorizes the Board of Supervisors of the County of Los Angeles to establish a commission for the provision, or arrangement for the provision, of health care services under the Medi-Cal program in all or a portion of the geographic area of the county, on a coordinated managed care basis.This bill would make a beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan ~~in the County of Los Angeles~~ eligible to enroll in a plan that provides comprehensive services to persons with HIV disease in his or her county of residence. The ~~the county.This~~ bill would define HIV disease to include any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention. The bill would authorize the department to determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of the disease.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 14087.9726 is added to the Welfare and Institutions Code, to read:14087.9726. A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan in the county shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.SEC. 2. Section 14301.3 is added to the Welfare and Institutions Code, to read:14301.3. The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.SECTION 1.Section 14087.306 is added to the Welfare and Institutions Code, immediately following Section 14087.305, to read:14087.306.(a)(1)A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease in the beneficiarys county of residence.(2)For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.(b)The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease.
	1	+	Amended IN Senate April 09, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 1154Introduced by Senator PortantinoFebruary 14, 2018 An act to add Section 14124.14 14087.306 to the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTSB 1154, as amended, Portantino. Medi-Cal: beneficiaries with HIV or AIDS.Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care plans.This bill would require the department to determine a per capita rate of payment to a managed care plan for services provided to Medi-Cal beneficiaries with HIV or AIDS. make a beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan eligible to enroll in a plan that provides comprehensive services to persons with HIV disease in his or her county of residence. The bill would define HIV disease to include any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention. The bill would authorize the department to determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of the disease.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 14087.306 is added to the Welfare and Institutions Code, immediately following Section 14087.305, to read:14087.306. (a) (1) A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease in the beneficiarys county of residence.(2) For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.(b) The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease.SECTION 1.Section 14124.14 is added to the Welfare and Institutions Code, to read:14124.14.The department shall determine a per capita rate of payment to a managed care plan for services provided to Medi-Cal beneficiaries with HIV or AIDS.
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3		-	~~Amended IN Senate April 24, 2018~~ Amended IN Senate April 09, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 1154Introduced by Senator ~~Portantino(Coauthor: Senator Nielsen)February~~ 14, 2018 An act to add Section 14087.306 ~~Sections 14087.9726 and 14301.3~~ to the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTSB 1154, as amended, Portantino. Medi-Cal: beneficiaries with HIV or AIDS~~. AIDS: managed care plans: reimbursement rates~~.Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care plans. ~~Existing law requires~~ the department to determine ~~rates~~ of payment for services provided ~~under this chapter for~~ Medi-Cal beneficiaries ~~enrolled in these plans, as specified. This bill would authorize the department to determine either a separate reimbursement rate for each stage of~~ HIV ~~disease,~~ or ~~a blended rate that covers a person at any stage of the disease~~.Existing law authorizes the Board of Supervisors of the County of Los Angeles to establish a commission for the provision, or arrangement for the provision, of health care services under the Medi-Cal program in all or a portion of the geographic area of the county, on a coordinated managed care basis.This bill would make a beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan ~~in the County of Los Angeles~~ eligible to enroll in a plan that provides comprehensive services to persons with HIV disease in his or her county of residence. The ~~the county.This~~ bill would define HIV disease to include any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention. The bill would authorize the department to determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of the disease.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
	3	+	Amended IN Senate April 09, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 1154Introduced by Senator PortantinoFebruary 14, 2018 An act to add Section 14124.14 14087.306 to the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTSB 1154, as amended, Portantino. Medi-Cal: beneficiaries with HIV or AIDS.Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care plans.This bill would require the department to determine a per capita rate of payment to a managed care plan for services provided to Medi-Cal beneficiaries with HIV or AIDS. make a beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan eligible to enroll in a plan that provides comprehensive services to persons with HIV disease in his or her county of residence. The bill would define HIV disease to include any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention. The bill would authorize the department to determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of the disease.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
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5		-	~~Amended IN Senate April 24, 2018~~ Amended IN Senate April 09, 2018
	5	+	Amended IN Senate April 09, 2018
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7		-	Amended IN Senate April 24, 2018
8	7		Amended IN Senate April 09, 2018
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10	9		CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION
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12	11		Senate Bill No. 1154
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14		-	Introduced by Senator ~~Portantino(Coauthor: Senator Nielsen)February~~ 14, 2018
	13	+	Introduced by Senator PortantinoFebruary 14, 2018
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16		-	Introduced by Senator Portantino~~(Coauthor: Senator Nielsen)~~
	15	+	Introduced by Senator Portantino
17	16		February 14, 2018
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19		-	An act to add Section 14087.306 ~~Sections 14087.9726 and 14301.3~~ to the Welfare and Institutions Code, relating to Medi-Cal.
	18	+	An act to add Section 14124.14 14087.306 to the Welfare and Institutions Code, relating to Medi-Cal.
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21	20		LEGISLATIVE COUNSEL'S DIGEST
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23	22		## LEGISLATIVE COUNSEL'S DIGEST
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25		-	SB 1154, as amended, Portantino. Medi-Cal: beneficiaries with HIV or AIDS. ~~AIDS: managed care plans: reimbursement rates.~~
	24	+	SB 1154, as amended, Portantino. Medi-Cal: beneficiaries with HIV or AIDS.
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27		-	Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care plans. ~~Existing law requires~~ the department to determine ~~rates~~ of payment for services provided ~~under this chapter for~~ Medi-Cal beneficiaries ~~enrolled in these plans, as specified. This bill would authorize the department to determine either a separate reimbursement rate for each stage of~~ HIV ~~disease,~~ or ~~a blended rate that covers a person at any stage of the disease~~.Existing law authorizes the Board of Supervisors of the County of Los Angeles to establish a commission for the provision, or arrangement for the provision, of health care services under the Medi-Cal program in all or a portion of the geographic area of the county, on a coordinated managed care basis.This bill would make a beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan ~~in the County of Los Angeles~~ eligible to enroll in a plan that provides comprehensive services to persons with HIV disease in his or her county of residence. The ~~the county.This~~ bill would define HIV disease to include any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention. The bill would authorize the department to determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of the disease.
	26	+	Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care plans.This bill would require the department to determine a per capita rate of payment to a managed care plan for services provided to Medi-Cal beneficiaries with HIV or AIDS. make a beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan eligible to enroll in a plan that provides comprehensive services to persons with HIV disease in his or her county of residence. The bill would define HIV disease to include any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention. The bill would authorize the department to determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of the disease.
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29		-	Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care plans. ~~Existing law requires the department to determine rates of payment for services provided under this chapter for Medi-Cal beneficiaries enrolled in these plans, as specified.~~
	28	+	Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care plans.
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31		-	This bill would authorize the department to determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of the disease.
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33		-	Existing law authorizes the Board of Supervisors of the County of Los Angeles to establish a commission for the provision, or arrangement for the provision, of health care services under the Medi-Cal program in all or a portion of the geographic area of the county, on a coordinated managed care basis.
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35		-	This bill would make a beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan in the County of Los Angeles eligible to enroll in a plan that provides comprehensive services to persons with HIV disease in his or her county of residence. The the county.
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37		-	This bill would define HIV disease to include any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention. The bill would authorize the department to determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of the disease.
	30	+	This bill would require the department to determine a per capita rate of payment to a managed care plan for services provided to Medi-Cal beneficiaries with HIV or AIDS. make a beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan eligible to enroll in a plan that provides comprehensive services to persons with HIV disease in his or her county of residence. The bill would define HIV disease to include any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention. The bill would authorize the department to determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of the disease.
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39	32		## Digest Key
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41	34		## Bill Text
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43		-	The people of the State of California do enact as follows:SECTION 1. Section 14087.9726 is added to the Welfare and Institutions Code, to read:14087.9726. A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan in the county shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.SEC. 2. Section 14301.3 is added to the Welfare and Institutions Code, to read:14301.3. The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.SECTION 1.Section 14087.306 is added to the Welfare and Institutions Code, immediately following Section 14087.305, to read:14087.306.(a)(1)A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease in the beneficiarys county of residence.(2)For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.(b)The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease.
	36	+	The people of the State of California do enact as follows:SECTION 1. Section 14087.306 is added to the Welfare and Institutions Code, immediately following Section 14087.305, to read:14087.306. (a) (1) A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease in the beneficiarys county of residence.(2) For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.(b) The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease.SECTION 1.Section 14124.14 is added to the Welfare and Institutions Code, to read:14124.14.The department shall determine a per capita rate of payment to a managed care plan for services provided to Medi-Cal beneficiaries with HIV or AIDS.
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45	38		The people of the State of California do enact as follows:
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47	40		## The people of the State of California do enact as follows:
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49		-	SECTION 1. Section 14087.~~9726~~ is added to the Welfare and Institutions Code, to read:14087.~~9726~~. A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan ~~in the county~~ shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.
	42	+	SECTION 1. Section 14087.306 is added to the Welfare and Institutions Code, immediately following Section 14087.305, to read:14087.306. (a) (1) A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease in the beneficiarys county of residence.(2) For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.(b) The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease.
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51		-	SECTION 1. Section 14087.~~9726~~ is added to the Welfare and Institutions Code, to read:
	44	+	SECTION 1. Section 14087.306 is added to the Welfare and Institutions Code, immediately following Section 14087.305, to read:
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53	46		### SECTION 1.
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55		-	14087.~~9726~~. A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan ~~in the county~~ shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.
	48	+	14087.306. (a) (1) A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease in the beneficiarys county of residence.(2) For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.(b) The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease.
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57		-	14087.~~9726~~. A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan ~~in the county~~ shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.
	50	+	14087.306. (a) (1) A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease in the beneficiarys county of residence.(2) For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.(b) The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease.
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59		-	14087.~~9726~~. A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan ~~in the county~~ shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.
	52	+	14087.306. (a) (1) A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease in the beneficiarys county of residence.(2) For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.(b) The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease.
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63		-	14087.~~9726~~. A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan ~~in the county~~ shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease~~. For purposes~~ of ~~this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention~~.
	56	+	14087.306. (a) (1) A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease in the beneficiarys county of residence.
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65		-	~~SEC.~~ 2. Section 14301.3 is added to the Welfare and Institutions Code, to read:14301.3. The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.
	58	+	(2) For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.
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67		-	SEC. 2. Section 14301.3 is added to the Welfare and Institutions Code, to read:
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69		-	### SEC. 2.
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71		-	14301.3. The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.
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73		-	14301.3. The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.
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75		-	14301.3. The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.
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79		-	14301.3. The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease. For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.
	60	+	(b) The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease.
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85		-	(a)(1)A beneficiary with HIV disease who is required to enroll in a Medi-Cal managed care plan shall be eligible to enroll in a Medi-Cal managed care plan that provides comprehensive services to persons with HIV disease in the beneficiarys county of residence.
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89		-	(2)For purposes of this section, HIV disease includes any stage of HIV infection, as identified by the federal Centers for Disease Control and Prevention.
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93		-	(b)The department may determine either a separate reimbursement rate for each stage of HIV disease, or a blended rate that covers a person at any stage of HIV disease.
	66	+	The department shall determine a per capita rate of payment to a managed care plan for services provided to Medi-Cal beneficiaries with HIV or AIDS.