CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 990Introduced by Assembly Member GallagherFebruary 21, 2019 An act to add Section 14197.25 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTAB 990, as introduced, Gallagher. Medi-Cal: Medi-Cal managed care plans: financial incentives.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. 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 health plans. Existing law authorizes a Medi-cal managed care contractor to offer nonmonetary incentives to promote good health practices by its Medi-cal enrollees.This bill would express the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans to offer financial incentives to enrollees for their improved wellness activities, as specified.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 14197.25 is added to the Welfare and Institutions Code, to read:14197.25. (a) It is the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans, subject to federal approval, to offer financial incentives to enrollees for their improved wellness activities.(b) The purpose of subdivision (a) is to achieve cost containment in the Medi-Cal managed care delivery system, due to an increase in wellness and a decrease in medical interventions, while improving the lives of Medi-Cal beneficiaries through preventative care and disease management.
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 990Introduced by Assembly Member GallagherFebruary 21, 2019 An act to add Section 14197.25 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTAB 990, as introduced, Gallagher. Medi-Cal: Medi-Cal managed care plans: financial incentives.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. 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 health plans. Existing law authorizes a Medi-cal managed care contractor to offer nonmonetary incentives to promote good health practices by its Medi-cal enrollees.This bill would express the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans to offer financial incentives to enrollees for their improved wellness activities, as specified.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION
Assembly Bill No. 990
Introduced by Assembly Member GallagherFebruary 21, 2019
Introduced by Assembly Member Gallagher
February 21, 2019
An act to add Section 14197.25 to the Welfare and Institutions Code, relating to Medi-Cal.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 990, as introduced, Gallagher. Medi-Cal: Medi-Cal managed care plans: financial incentives.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. 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 health plans. Existing law authorizes a Medi-cal managed care contractor to offer nonmonetary incentives to promote good health practices by its Medi-cal enrollees.This bill would express the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans to offer financial incentives to enrollees for their improved wellness activities, as specified.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. 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 health plans. Existing law authorizes a Medi-cal managed care contractor to offer nonmonetary incentives to promote good health practices by its Medi-cal enrollees.
This bill would express the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans to offer financial incentives to enrollees for their improved wellness activities, as specified.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 14197.25 is added to the Welfare and Institutions Code, to read:14197.25. (a) It is the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans, subject to federal approval, to offer financial incentives to enrollees for their improved wellness activities.(b) The purpose of subdivision (a) is to achieve cost containment in the Medi-Cal managed care delivery system, due to an increase in wellness and a decrease in medical interventions, while improving the lives of Medi-Cal beneficiaries through preventative care and disease management.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Section 14197.25 is added to the Welfare and Institutions Code, to read:14197.25. (a) It is the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans, subject to federal approval, to offer financial incentives to enrollees for their improved wellness activities.(b) The purpose of subdivision (a) is to achieve cost containment in the Medi-Cal managed care delivery system, due to an increase in wellness and a decrease in medical interventions, while improving the lives of Medi-Cal beneficiaries through preventative care and disease management.
SECTION 1. Section 14197.25 is added to the Welfare and Institutions Code, to read:
### SECTION 1.
14197.25. (a) It is the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans, subject to federal approval, to offer financial incentives to enrollees for their improved wellness activities.(b) The purpose of subdivision (a) is to achieve cost containment in the Medi-Cal managed care delivery system, due to an increase in wellness and a decrease in medical interventions, while improving the lives of Medi-Cal beneficiaries through preventative care and disease management.
14197.25. (a) It is the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans, subject to federal approval, to offer financial incentives to enrollees for their improved wellness activities.(b) The purpose of subdivision (a) is to achieve cost containment in the Medi-Cal managed care delivery system, due to an increase in wellness and a decrease in medical interventions, while improving the lives of Medi-Cal beneficiaries through preventative care and disease management.
14197.25. (a) It is the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans, subject to federal approval, to offer financial incentives to enrollees for their improved wellness activities.(b) The purpose of subdivision (a) is to achieve cost containment in the Medi-Cal managed care delivery system, due to an increase in wellness and a decrease in medical interventions, while improving the lives of Medi-Cal beneficiaries through preventative care and disease management.
14197.25. (a) It is the intent of the Legislature to enact legislation that would require Medi-Cal managed care plans, subject to federal approval, to offer financial incentives to enrollees for their improved wellness activities.
(b) The purpose of subdivision (a) is to achieve cost containment in the Medi-Cal managed care delivery system, due to an increase in wellness and a decrease in medical interventions, while improving the lives of Medi-Cal beneficiaries through preventative care and disease management.