Amended IN Senate April 29, 2020 Amended IN Senate March 19, 2020 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Senate Bill No. 1029Introduced by Senator PanFebruary 14, 2020 An act to amend Section 14089.07 of, and to add Section 14087.385 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTSB 1029, as amended, Pan. Medi-Cal: County of Sacramento.(1) Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified low-income persons under various health care delivery systems, including fee-for-service and managed care. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter into various types of contracts for the provision of services to beneficiaries, including contracts with Medi-Cal managed care plans.Existing law provides that in counties selected by the Director of Health Care Services with the concurrence of the county, a special county health authority may be established, and in any county, by ordinance, a special commission may be established, in order to meet the problems of delivery of publicly assisted medical care in each county, and to demonstrate ways of promoting quality care and cost efficiency. Existing law authorizes several counties, including the County of Alameda, to establish, by ordinance, a health authority, and specified counties, such as the Counties of San Joaquin and Tulare, to establish, by ordinance, a special county health commission.This bill would authorize the Board of Supervisors of the County of Sacramento to establish, by ordinance, a health authority to perform specified duties, including negotiating and entering into contracts with health plans that the health authority designates to contract with the department. The bill would provide that any participating health plans shall be designated by the county for approval by the department, and that health plans approved by the department shall be eligible to contract with the department. The bill would require the health authority to be governed by a commission, would require the board to appoint an unspecified number of commission members, and would require those members to include specified individuals, including staff members of the Sacramento County Department of Health Services and representatives of Medi-Cal managed care plans operating federally qualified health centers and hospital systems that operate in the County of Sacramento. The bill would authorize the commission to establish advisory committees, such as an executive committee, and would prohibit members of the commission and advisory committees from receiving compensation for activities relating to their duties, except as specified. The bill would provide that a member of the commission shall not be deemed to be interested in a contract entered into by the department if the member is a Medi-Cal recipient or if certain facts apply, including that the member was appointed to represent the interests of physicians, health care practitioners, hospitals, or other health care organizations.(2) Existing law authorizes the Sacramento County Department of Health and Human Services to establish a stakeholder advisory committee to provide input on the delivery of health care services provided in the county. Existing law requires the advisory committee to include specified individuals, such as representatives of Medi-Cal managed care health plans, and authorizes the advisory committee to submit written input to the department on various policies, including those that improve coordination with traditional and safety net providers.This bill would make these provisions inoperative upon the establishment of a health authority in the County of Sacramento.(3) This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Sacramento.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 14087.385 is added to the Welfare and Institutions Code, immediately following Section 14087.38, to read:14087.385. (a) The following definitions apply for purposes of this section:(1) Board means the Board of Supervisors of the County of Sacramento.(2) Commission means the governing body of the health authority.(3) County means the County of Sacramento.(4) Health authority means a separate public entity established by the board that meets the requirements of state and federal law and criteria established by the department and engages in activities authorized by this section.(b) The Legislature finds and declares that it is necessary that a health authority be established in the county to meet the problems of delivery of publicly assisted medical care in the county and to demonstrate ways of promoting quality care and cost efficiency.(c) By ordinance, the board may establish a health authority to do all of the following:(1) Designate a number of Knox-Keene licensed health plans, which shall be approved by the department, as the only Medi-Cal managed care health plans authorized to operate within the county, as specified under subdivision (e).(2) Negotiate and enter into contracts with health plans that the health authority designates to contract with the department.(3) Establish advisory committees to the commission, as specified under paragraph (3) (4) of subdivision (d).(4) Provide the option in the future for the health authority to establish a county-sponsored plan as described in Section 14087.38.(d) (1) The health authority shall be governed by a commission. Commission members shall be appointed by the board and shall reflect the diversity of the community. Notwithstanding this chapter, the commission shall be compromised of ____ voting members and ____ 18 voting members, at least 2 nonvoting members, and 3 nonvoting ex officio members. The voting members shall consist of all of the following:(A) ____ Four members shall be individuals who advocate on behalf of consumers and Medi-Cal beneficiaries. or represent the interests of Medi-Cal beneficiaries in the county.(B)____ members shall be individuals who are Medi-Cal beneficiaries.(B) Two members shall be individuals who, at the time of being nominated, are Medi-Cal beneficiaries in the county.(C) ____ Two members shall be representatives of federally qualified health centers. centers operating in the county.(D)____ members shall be staff members of the Sacramento County Department of Health Services. (E)____ members shall be individuals who represent Medi-Cal managed care plans operating in the county.(F)____(D) Four members shall be individuals who represent hospital systems operating in the county. The board shall appoint no more than one individual representing each hospital system.(G)____(E) Two members shall be individuals who represent independent physicians practice associations operating in the county.(H)____(F) Two members shall be individuals who represent physicians physicians, nominated by the Sierra Sacramento Valley Medical Society, or any successor organization, who serve Medi-Cal beneficiaries in the county.(2)Ex officio members shall include, but not be limited to, a designee of the board.(G) One member shall be a behavioral health services provider who serves Medi-Cal beneficiaries in the county.(H) One member shall be an individual who represents pharmacies that serve Medi-Cal beneficiaries enrolled in all Medi-Cal managed care plans in the county.(2) Nonvoting members shall include at least two members who represent Medi-Cal managed care plans operating in the county.(3) The nonvoting ex officio members shall include a member of the board, the director of the County Department of Health Services, and the director of County Behavioral Health Services, or their respective designees.(3)(4) The commission may establish advisory committees, which shall include, but not be limited to, an executive committee, and committees on consumer protection, finance, policies, and process, in order to improve care coordination and quality improvement. Except for the executive committee, advisory committees may consist of individuals who are not members of the commission.(4)(5) Members of the commission and its advisory committees shall not be paid compensation for activities relating to their duties as members, but members who are Medi-Cal recipients shall be reimbursed an appropriate amount by the county for travel and childcare expenses incurred in performing their duties related to the commission and those committees.(5)(6) Notwithstanding any other law, a member of the commission shall not be deemed to be interested in a contract entered into by the department within the meaning of Article 4 (commencing with Section 1090) of Chapter 1 of Division 4 of Title 1 of the Government Code if the member is a Medi-Cal recipient or if all of the following apply:(A) The member was appointed to represent the interests of physicians, health care practitioners, hospitals, or other health care organizations.(B) The contract authorizes the member or the organization the member represents to provide Medi-Cal services in the county.(C) The contract contains substantially the same terms and conditions as contracts entered into with other individuals or organizations the member was appointed to represent.(D) The member does not influence nor attempt to influence the commission or another member of the commission to recommend that the department enter into the contract in which the member is interested.(E) The member discloses the interest to the commission and abstains from voting on any recommendation on the contract.(F) The commission notes the members disclosure and abstention in its official records.(e) (1) Participating health plans shall first be designated by the health authority for approval by the department. Health plans approved by the department shall be eligible to contract with the department. Designation by the health authority and approval by the department provides the health plan only with the opportunity to compete for a contract and does not guarantee a contract with the state.(2) Designation requirements imposed by the health authority shall not conflict with the requirements imposed by the department, the federal Medicaid program, and the Medi-Cal program, and may not impose stricter requirements, without the departments approval, than those imposed by the department, the federal Medicaid program, and the Medi-Cal program.(3) Designation of health plans by the health authority shall continue for the term of the Medi-Cal contract.(f) Notwithstanding this section, the health authority, as established by ordinance by the board, may pursue any other activities set forth under Section 14087.38.SEC. 2. Section 14089.07 of the Welfare and Institutions Code is amended to read:14089.07. (a) The Sacramento County Department of Health and Human Services may establish a stakeholder advisory committee to provide input on the delivery of health care services provided in the county pursuant to this article, article and Section 14182. The advisory committee shall include, but not be limited to, Medi-Cal beneficiaries, patient representatives, health care providers, and representatives of Medi-Cal managed care health plans.(b) The advisory committee may submit written input to the department on policies that improve coordination with traditional and safety net providers, enhance the capacity of the countys health care delivery system, and improve health care services and health outcomes.(c) The advisory committee may request, in writing, and receive final reports submitted to the department by any managed care health plan operating in the County of Sacramento as long as the report is not exempt from disclosure pursuant to Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code, or any other contractual, statutory, or legal exemption, or privilege. The advisory committee may review and provide written comments to the department on these reports, and these reports may include issues such as evaluation of access, quality, and consumer protections.(d) State General Fund moneys shall not be used to fund advisory committee costs, nor to fund any related administrative costs incurred by the county.(e) Upon the establishment of a health authority in the County of Sacramento, as specified under Section 14087.385, the requirements of this section shall become inoperative.SEC. 3. The Legislature finds and declares that a special statute is necessary and that a general statute cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique circumstances in the County of Sacramento with respect to the operation and governance of the publicly assisted medical care program in the county.
Amended IN Senate April 29, 2020 Amended IN Senate March 19, 2020 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Senate Bill No. 1029Introduced by Senator PanFebruary 14, 2020 An act to amend Section 14089.07 of, and to add Section 14087.385 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTSB 1029, as amended, Pan. Medi-Cal: County of Sacramento.(1) Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified low-income persons under various health care delivery systems, including fee-for-service and managed care. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter into various types of contracts for the provision of services to beneficiaries, including contracts with Medi-Cal managed care plans.Existing law provides that in counties selected by the Director of Health Care Services with the concurrence of the county, a special county health authority may be established, and in any county, by ordinance, a special commission may be established, in order to meet the problems of delivery of publicly assisted medical care in each county, and to demonstrate ways of promoting quality care and cost efficiency. Existing law authorizes several counties, including the County of Alameda, to establish, by ordinance, a health authority, and specified counties, such as the Counties of San Joaquin and Tulare, to establish, by ordinance, a special county health commission.This bill would authorize the Board of Supervisors of the County of Sacramento to establish, by ordinance, a health authority to perform specified duties, including negotiating and entering into contracts with health plans that the health authority designates to contract with the department. The bill would provide that any participating health plans shall be designated by the county for approval by the department, and that health plans approved by the department shall be eligible to contract with the department. The bill would require the health authority to be governed by a commission, would require the board to appoint an unspecified number of commission members, and would require those members to include specified individuals, including staff members of the Sacramento County Department of Health Services and representatives of Medi-Cal managed care plans operating federally qualified health centers and hospital systems that operate in the County of Sacramento. The bill would authorize the commission to establish advisory committees, such as an executive committee, and would prohibit members of the commission and advisory committees from receiving compensation for activities relating to their duties, except as specified. The bill would provide that a member of the commission shall not be deemed to be interested in a contract entered into by the department if the member is a Medi-Cal recipient or if certain facts apply, including that the member was appointed to represent the interests of physicians, health care practitioners, hospitals, or other health care organizations.(2) Existing law authorizes the Sacramento County Department of Health and Human Services to establish a stakeholder advisory committee to provide input on the delivery of health care services provided in the county. Existing law requires the advisory committee to include specified individuals, such as representatives of Medi-Cal managed care health plans, and authorizes the advisory committee to submit written input to the department on various policies, including those that improve coordination with traditional and safety net providers.This bill would make these provisions inoperative upon the establishment of a health authority in the County of Sacramento.(3) This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Sacramento.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO
Amended IN Senate April 29, 2020 Amended IN Senate March 19, 2020
Amended IN Senate April 29, 2020
Amended IN Senate March 19, 2020
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION
Senate Bill
No. 1029
Introduced by Senator PanFebruary 14, 2020
Introduced by Senator Pan
February 14, 2020
An act to amend Section 14089.07 of, and to add Section 14087.385 to the Welfare and Institutions Code, relating to Medi-Cal.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
SB 1029, as amended, Pan. Medi-Cal: County of Sacramento.
(1) Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified low-income persons under various health care delivery systems, including fee-for-service and managed care. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter into various types of contracts for the provision of services to beneficiaries, including contracts with Medi-Cal managed care plans.Existing law provides that in counties selected by the Director of Health Care Services with the concurrence of the county, a special county health authority may be established, and in any county, by ordinance, a special commission may be established, in order to meet the problems of delivery of publicly assisted medical care in each county, and to demonstrate ways of promoting quality care and cost efficiency. Existing law authorizes several counties, including the County of Alameda, to establish, by ordinance, a health authority, and specified counties, such as the Counties of San Joaquin and Tulare, to establish, by ordinance, a special county health commission.This bill would authorize the Board of Supervisors of the County of Sacramento to establish, by ordinance, a health authority to perform specified duties, including negotiating and entering into contracts with health plans that the health authority designates to contract with the department. The bill would provide that any participating health plans shall be designated by the county for approval by the department, and that health plans approved by the department shall be eligible to contract with the department. The bill would require the health authority to be governed by a commission, would require the board to appoint an unspecified number of commission members, and would require those members to include specified individuals, including staff members of the Sacramento County Department of Health Services and representatives of Medi-Cal managed care plans operating federally qualified health centers and hospital systems that operate in the County of Sacramento. The bill would authorize the commission to establish advisory committees, such as an executive committee, and would prohibit members of the commission and advisory committees from receiving compensation for activities relating to their duties, except as specified. The bill would provide that a member of the commission shall not be deemed to be interested in a contract entered into by the department if the member is a Medi-Cal recipient or if certain facts apply, including that the member was appointed to represent the interests of physicians, health care practitioners, hospitals, or other health care organizations.(2) Existing law authorizes the Sacramento County Department of Health and Human Services to establish a stakeholder advisory committee to provide input on the delivery of health care services provided in the county. Existing law requires the advisory committee to include specified individuals, such as representatives of Medi-Cal managed care health plans, and authorizes the advisory committee to submit written input to the department on various policies, including those that improve coordination with traditional and safety net providers.This bill would make these provisions inoperative upon the establishment of a health authority in the County of Sacramento.(3) This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Sacramento.
(1) Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified low-income persons under various health care delivery systems, including fee-for-service and managed care. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter into various types of contracts for the provision of services to beneficiaries, including contracts with Medi-Cal managed care plans.
Existing law provides that in counties selected by the Director of Health Care Services with the concurrence of the county, a special county health authority may be established, and in any county, by ordinance, a special commission may be established, in order to meet the problems of delivery of publicly assisted medical care in each county, and to demonstrate ways of promoting quality care and cost efficiency. Existing law authorizes several counties, including the County of Alameda, to establish, by ordinance, a health authority, and specified counties, such as the Counties of San Joaquin and Tulare, to establish, by ordinance, a special county health commission.
This bill would authorize the Board of Supervisors of the County of Sacramento to establish, by ordinance, a health authority to perform specified duties, including negotiating and entering into contracts with health plans that the health authority designates to contract with the department. The bill would provide that any participating health plans shall be designated by the county for approval by the department, and that health plans approved by the department shall be eligible to contract with the department. The bill would require the health authority to be governed by a commission, would require the board to appoint an unspecified number of commission members, and would require those members to include specified individuals, including staff members of the Sacramento County Department of Health Services and representatives of Medi-Cal managed care plans operating federally qualified health centers and hospital systems that operate in the County of Sacramento. The bill would authorize the commission to establish advisory committees, such as an executive committee, and would prohibit members of the commission and advisory committees from receiving compensation for activities relating to their duties, except as specified. The bill would provide that a member of the commission shall not be deemed to be interested in a contract entered into by the department if the member is a Medi-Cal recipient or if certain facts apply, including that the member was appointed to represent the interests of physicians, health care practitioners, hospitals, or other health care organizations.
(2) Existing law authorizes the Sacramento County Department of Health and Human Services to establish a stakeholder advisory committee to provide input on the delivery of health care services provided in the county. Existing law requires the advisory committee to include specified individuals, such as representatives of Medi-Cal managed care health plans, and authorizes the advisory committee to submit written input to the department on various policies, including those that improve coordination with traditional and safety net providers.
This bill would make these provisions inoperative upon the establishment of a health authority in the County of Sacramento.
(3) This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Sacramento.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 14087.385 is added to the Welfare and Institutions Code, immediately following Section 14087.38, to read:14087.385. (a) The following definitions apply for purposes of this section:(1) Board means the Board of Supervisors of the County of Sacramento.(2) Commission means the governing body of the health authority.(3) County means the County of Sacramento.(4) Health authority means a separate public entity established by the board that meets the requirements of state and federal law and criteria established by the department and engages in activities authorized by this section.(b) The Legislature finds and declares that it is necessary that a health authority be established in the county to meet the problems of delivery of publicly assisted medical care in the county and to demonstrate ways of promoting quality care and cost efficiency.(c) By ordinance, the board may establish a health authority to do all of the following:(1) Designate a number of Knox-Keene licensed health plans, which shall be approved by the department, as the only Medi-Cal managed care health plans authorized to operate within the county, as specified under subdivision (e).(2) Negotiate and enter into contracts with health plans that the health authority designates to contract with the department.(3) Establish advisory committees to the commission, as specified under paragraph (3) (4) of subdivision (d).(4) Provide the option in the future for the health authority to establish a county-sponsored plan as described in Section 14087.38.(d) (1) The health authority shall be governed by a commission. Commission members shall be appointed by the board and shall reflect the diversity of the community. Notwithstanding this chapter, the commission shall be compromised of ____ voting members and ____ 18 voting members, at least 2 nonvoting members, and 3 nonvoting ex officio members. The voting members shall consist of all of the following:(A) ____ Four members shall be individuals who advocate on behalf of consumers and Medi-Cal beneficiaries. or represent the interests of Medi-Cal beneficiaries in the county.(B)____ members shall be individuals who are Medi-Cal beneficiaries.(B) Two members shall be individuals who, at the time of being nominated, are Medi-Cal beneficiaries in the county.(C) ____ Two members shall be representatives of federally qualified health centers. centers operating in the county.(D)____ members shall be staff members of the Sacramento County Department of Health Services. (E)____ members shall be individuals who represent Medi-Cal managed care plans operating in the county.(F)____(D) Four members shall be individuals who represent hospital systems operating in the county. The board shall appoint no more than one individual representing each hospital system.(G)____(E) Two members shall be individuals who represent independent physicians practice associations operating in the county.(H)____(F) Two members shall be individuals who represent physicians physicians, nominated by the Sierra Sacramento Valley Medical Society, or any successor organization, who serve Medi-Cal beneficiaries in the county.(2)Ex officio members shall include, but not be limited to, a designee of the board.(G) One member shall be a behavioral health services provider who serves Medi-Cal beneficiaries in the county.(H) One member shall be an individual who represents pharmacies that serve Medi-Cal beneficiaries enrolled in all Medi-Cal managed care plans in the county.(2) Nonvoting members shall include at least two members who represent Medi-Cal managed care plans operating in the county.(3) The nonvoting ex officio members shall include a member of the board, the director of the County Department of Health Services, and the director of County Behavioral Health Services, or their respective designees.(3)(4) The commission may establish advisory committees, which shall include, but not be limited to, an executive committee, and committees on consumer protection, finance, policies, and process, in order to improve care coordination and quality improvement. Except for the executive committee, advisory committees may consist of individuals who are not members of the commission.(4)(5) Members of the commission and its advisory committees shall not be paid compensation for activities relating to their duties as members, but members who are Medi-Cal recipients shall be reimbursed an appropriate amount by the county for travel and childcare expenses incurred in performing their duties related to the commission and those committees.(5)(6) Notwithstanding any other law, a member of the commission shall not be deemed to be interested in a contract entered into by the department within the meaning of Article 4 (commencing with Section 1090) of Chapter 1 of Division 4 of Title 1 of the Government Code if the member is a Medi-Cal recipient or if all of the following apply:(A) The member was appointed to represent the interests of physicians, health care practitioners, hospitals, or other health care organizations.(B) The contract authorizes the member or the organization the member represents to provide Medi-Cal services in the county.(C) The contract contains substantially the same terms and conditions as contracts entered into with other individuals or organizations the member was appointed to represent.(D) The member does not influence nor attempt to influence the commission or another member of the commission to recommend that the department enter into the contract in which the member is interested.(E) The member discloses the interest to the commission and abstains from voting on any recommendation on the contract.(F) The commission notes the members disclosure and abstention in its official records.(e) (1) Participating health plans shall first be designated by the health authority for approval by the department. Health plans approved by the department shall be eligible to contract with the department. Designation by the health authority and approval by the department provides the health plan only with the opportunity to compete for a contract and does not guarantee a contract with the state.(2) Designation requirements imposed by the health authority shall not conflict with the requirements imposed by the department, the federal Medicaid program, and the Medi-Cal program, and may not impose stricter requirements, without the departments approval, than those imposed by the department, the federal Medicaid program, and the Medi-Cal program.(3) Designation of health plans by the health authority shall continue for the term of the Medi-Cal contract.(f) Notwithstanding this section, the health authority, as established by ordinance by the board, may pursue any other activities set forth under Section 14087.38.SEC. 2. Section 14089.07 of the Welfare and Institutions Code is amended to read:14089.07. (a) The Sacramento County Department of Health and Human Services may establish a stakeholder advisory committee to provide input on the delivery of health care services provided in the county pursuant to this article, article and Section 14182. The advisory committee shall include, but not be limited to, Medi-Cal beneficiaries, patient representatives, health care providers, and representatives of Medi-Cal managed care health plans.(b) The advisory committee may submit written input to the department on policies that improve coordination with traditional and safety net providers, enhance the capacity of the countys health care delivery system, and improve health care services and health outcomes.(c) The advisory committee may request, in writing, and receive final reports submitted to the department by any managed care health plan operating in the County of Sacramento as long as the report is not exempt from disclosure pursuant to Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code, or any other contractual, statutory, or legal exemption, or privilege. The advisory committee may review and provide written comments to the department on these reports, and these reports may include issues such as evaluation of access, quality, and consumer protections.(d) State General Fund moneys shall not be used to fund advisory committee costs, nor to fund any related administrative costs incurred by the county.(e) Upon the establishment of a health authority in the County of Sacramento, as specified under Section 14087.385, the requirements of this section shall become inoperative.SEC. 3. The Legislature finds and declares that a special statute is necessary and that a general statute cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique circumstances in the County of Sacramento with respect to the operation and governance of the publicly assisted medical care program in the county.
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 14087.385 is added to the Welfare and Institutions Code, immediately following Section 14087.38, to read:14087.385. (a) The following definitions apply for purposes of this section:(1) Board means the Board of Supervisors of the County of Sacramento.(2) Commission means the governing body of the health authority.(3) County means the County of Sacramento.(4) Health authority means a separate public entity established by the board that meets the requirements of state and federal law and criteria established by the department and engages in activities authorized by this section.(b) The Legislature finds and declares that it is necessary that a health authority be established in the county to meet the problems of delivery of publicly assisted medical care in the county and to demonstrate ways of promoting quality care and cost efficiency.(c) By ordinance, the board may establish a health authority to do all of the following:(1) Designate a number of Knox-Keene licensed health plans, which shall be approved by the department, as the only Medi-Cal managed care health plans authorized to operate within the county, as specified under subdivision (e).(2) Negotiate and enter into contracts with health plans that the health authority designates to contract with the department.(3) Establish advisory committees to the commission, as specified under paragraph (3) (4) of subdivision (d).(4) Provide the option in the future for the health authority to establish a county-sponsored plan as described in Section 14087.38.(d) (1) The health authority shall be governed by a commission. Commission members shall be appointed by the board and shall reflect the diversity of the community. Notwithstanding this chapter, the commission shall be compromised of ____ voting members and ____ 18 voting members, at least 2 nonvoting members, and 3 nonvoting ex officio members. The voting members shall consist of all of the following:(A) ____ Four members shall be individuals who advocate on behalf of consumers and Medi-Cal beneficiaries. or represent the interests of Medi-Cal beneficiaries in the county.(B)____ members shall be individuals who are Medi-Cal beneficiaries.(B) Two members shall be individuals who, at the time of being nominated, are Medi-Cal beneficiaries in the county.(C) ____ Two members shall be representatives of federally qualified health centers. centers operating in the county.(D)____ members shall be staff members of the Sacramento County Department of Health Services. (E)____ members shall be individuals who represent Medi-Cal managed care plans operating in the county.(F)____(D) Four members shall be individuals who represent hospital systems operating in the county. The board shall appoint no more than one individual representing each hospital system.(G)____(E) Two members shall be individuals who represent independent physicians practice associations operating in the county.(H)____(F) Two members shall be individuals who represent physicians physicians, nominated by the Sierra Sacramento Valley Medical Society, or any successor organization, who serve Medi-Cal beneficiaries in the county.(2)Ex officio members shall include, but not be limited to, a designee of the board.(G) One member shall be a behavioral health services provider who serves Medi-Cal beneficiaries in the county.(H) One member shall be an individual who represents pharmacies that serve Medi-Cal beneficiaries enrolled in all Medi-Cal managed care plans in the county.(2) Nonvoting members shall include at least two members who represent Medi-Cal managed care plans operating in the county.(3) The nonvoting ex officio members shall include a member of the board, the director of the County Department of Health Services, and the director of County Behavioral Health Services, or their respective designees.(3)(4) The commission may establish advisory committees, which shall include, but not be limited to, an executive committee, and committees on consumer protection, finance, policies, and process, in order to improve care coordination and quality improvement. Except for the executive committee, advisory committees may consist of individuals who are not members of the commission.(4)(5) Members of the commission and its advisory committees shall not be paid compensation for activities relating to their duties as members, but members who are Medi-Cal recipients shall be reimbursed an appropriate amount by the county for travel and childcare expenses incurred in performing their duties related to the commission and those committees.(5)(6) Notwithstanding any other law, a member of the commission shall not be deemed to be interested in a contract entered into by the department within the meaning of Article 4 (commencing with Section 1090) of Chapter 1 of Division 4 of Title 1 of the Government Code if the member is a Medi-Cal recipient or if all of the following apply:(A) The member was appointed to represent the interests of physicians, health care practitioners, hospitals, or other health care organizations.(B) The contract authorizes the member or the organization the member represents to provide Medi-Cal services in the county.(C) The contract contains substantially the same terms and conditions as contracts entered into with other individuals or organizations the member was appointed to represent.(D) The member does not influence nor attempt to influence the commission or another member of the commission to recommend that the department enter into the contract in which the member is interested.(E) The member discloses the interest to the commission and abstains from voting on any recommendation on the contract.(F) The commission notes the members disclosure and abstention in its official records.(e) (1) Participating health plans shall first be designated by the health authority for approval by the department. Health plans approved by the department shall be eligible to contract with the department. Designation by the health authority and approval by the department provides the health plan only with the opportunity to compete for a contract and does not guarantee a contract with the state.(2) Designation requirements imposed by the health authority shall not conflict with the requirements imposed by the department, the federal Medicaid program, and the Medi-Cal program, and may not impose stricter requirements, without the departments approval, than those imposed by the department, the federal Medicaid program, and the Medi-Cal program.(3) Designation of health plans by the health authority shall continue for the term of the Medi-Cal contract.(f) Notwithstanding this section, the health authority, as established by ordinance by the board, may pursue any other activities set forth under Section 14087.38.
SECTION 1. Section 14087.385 is added to the Welfare and Institutions Code, immediately following Section 14087.38, to read:
### SECTION 1.
14087.385. (a) The following definitions apply for purposes of this section:(1) Board means the Board of Supervisors of the County of Sacramento.(2) Commission means the governing body of the health authority.(3) County means the County of Sacramento.(4) Health authority means a separate public entity established by the board that meets the requirements of state and federal law and criteria established by the department and engages in activities authorized by this section.(b) The Legislature finds and declares that it is necessary that a health authority be established in the county to meet the problems of delivery of publicly assisted medical care in the county and to demonstrate ways of promoting quality care and cost efficiency.(c) By ordinance, the board may establish a health authority to do all of the following:(1) Designate a number of Knox-Keene licensed health plans, which shall be approved by the department, as the only Medi-Cal managed care health plans authorized to operate within the county, as specified under subdivision (e).(2) Negotiate and enter into contracts with health plans that the health authority designates to contract with the department.(3) Establish advisory committees to the commission, as specified under paragraph (3) (4) of subdivision (d).(4) Provide the option in the future for the health authority to establish a county-sponsored plan as described in Section 14087.38.(d) (1) The health authority shall be governed by a commission. Commission members shall be appointed by the board and shall reflect the diversity of the community. Notwithstanding this chapter, the commission shall be compromised of ____ voting members and ____ 18 voting members, at least 2 nonvoting members, and 3 nonvoting ex officio members. The voting members shall consist of all of the following:(A) ____ Four members shall be individuals who advocate on behalf of consumers and Medi-Cal beneficiaries. or represent the interests of Medi-Cal beneficiaries in the county.(B)____ members shall be individuals who are Medi-Cal beneficiaries.(B) Two members shall be individuals who, at the time of being nominated, are Medi-Cal beneficiaries in the county.(C) ____ Two members shall be representatives of federally qualified health centers. centers operating in the county.(D)____ members shall be staff members of the Sacramento County Department of Health Services. (E)____ members shall be individuals who represent Medi-Cal managed care plans operating in the county.(F)____(D) Four members shall be individuals who represent hospital systems operating in the county. The board shall appoint no more than one individual representing each hospital system.(G)____(E) Two members shall be individuals who represent independent physicians practice associations operating in the county.(H)____(F) Two members shall be individuals who represent physicians physicians, nominated by the Sierra Sacramento Valley Medical Society, or any successor organization, who serve Medi-Cal beneficiaries in the county.(2)Ex officio members shall include, but not be limited to, a designee of the board.(G) One member shall be a behavioral health services provider who serves Medi-Cal beneficiaries in the county.(H) One member shall be an individual who represents pharmacies that serve Medi-Cal beneficiaries enrolled in all Medi-Cal managed care plans in the county.(2) Nonvoting members shall include at least two members who represent Medi-Cal managed care plans operating in the county.(3) The nonvoting ex officio members shall include a member of the board, the director of the County Department of Health Services, and the director of County Behavioral Health Services, or their respective designees.(3)(4) The commission may establish advisory committees, which shall include, but not be limited to, an executive committee, and committees on consumer protection, finance, policies, and process, in order to improve care coordination and quality improvement. Except for the executive committee, advisory committees may consist of individuals who are not members of the commission.(4)(5) Members of the commission and its advisory committees shall not be paid compensation for activities relating to their duties as members, but members who are Medi-Cal recipients shall be reimbursed an appropriate amount by the county for travel and childcare expenses incurred in performing their duties related to the commission and those committees.(5)(6) Notwithstanding any other law, a member of the commission shall not be deemed to be interested in a contract entered into by the department within the meaning of Article 4 (commencing with Section 1090) of Chapter 1 of Division 4 of Title 1 of the Government Code if the member is a Medi-Cal recipient or if all of the following apply:(A) The member was appointed to represent the interests of physicians, health care practitioners, hospitals, or other health care organizations.(B) The contract authorizes the member or the organization the member represents to provide Medi-Cal services in the county.(C) The contract contains substantially the same terms and conditions as contracts entered into with other individuals or organizations the member was appointed to represent.(D) The member does not influence nor attempt to influence the commission or another member of the commission to recommend that the department enter into the contract in which the member is interested.(E) The member discloses the interest to the commission and abstains from voting on any recommendation on the contract.(F) The commission notes the members disclosure and abstention in its official records.(e) (1) Participating health plans shall first be designated by the health authority for approval by the department. Health plans approved by the department shall be eligible to contract with the department. Designation by the health authority and approval by the department provides the health plan only with the opportunity to compete for a contract and does not guarantee a contract with the state.(2) Designation requirements imposed by the health authority shall not conflict with the requirements imposed by the department, the federal Medicaid program, and the Medi-Cal program, and may not impose stricter requirements, without the departments approval, than those imposed by the department, the federal Medicaid program, and the Medi-Cal program.(3) Designation of health plans by the health authority shall continue for the term of the Medi-Cal contract.(f) Notwithstanding this section, the health authority, as established by ordinance by the board, may pursue any other activities set forth under Section 14087.38.
14087.385. (a) The following definitions apply for purposes of this section:(1) Board means the Board of Supervisors of the County of Sacramento.(2) Commission means the governing body of the health authority.(3) County means the County of Sacramento.(4) Health authority means a separate public entity established by the board that meets the requirements of state and federal law and criteria established by the department and engages in activities authorized by this section.(b) The Legislature finds and declares that it is necessary that a health authority be established in the county to meet the problems of delivery of publicly assisted medical care in the county and to demonstrate ways of promoting quality care and cost efficiency.(c) By ordinance, the board may establish a health authority to do all of the following:(1) Designate a number of Knox-Keene licensed health plans, which shall be approved by the department, as the only Medi-Cal managed care health plans authorized to operate within the county, as specified under subdivision (e).(2) Negotiate and enter into contracts with health plans that the health authority designates to contract with the department.(3) Establish advisory committees to the commission, as specified under paragraph (3) (4) of subdivision (d).(4) Provide the option in the future for the health authority to establish a county-sponsored plan as described in Section 14087.38.(d) (1) The health authority shall be governed by a commission. Commission members shall be appointed by the board and shall reflect the diversity of the community. Notwithstanding this chapter, the commission shall be compromised of ____ voting members and ____ 18 voting members, at least 2 nonvoting members, and 3 nonvoting ex officio members. The voting members shall consist of all of the following:(A) ____ Four members shall be individuals who advocate on behalf of consumers and Medi-Cal beneficiaries. or represent the interests of Medi-Cal beneficiaries in the county.(B)____ members shall be individuals who are Medi-Cal beneficiaries.(B) Two members shall be individuals who, at the time of being nominated, are Medi-Cal beneficiaries in the county.(C) ____ Two members shall be representatives of federally qualified health centers. centers operating in the county.(D)____ members shall be staff members of the Sacramento County Department of Health Services. (E)____ members shall be individuals who represent Medi-Cal managed care plans operating in the county.(F)____(D) Four members shall be individuals who represent hospital systems operating in the county. The board shall appoint no more than one individual representing each hospital system.(G)____(E) Two members shall be individuals who represent independent physicians practice associations operating in the county.(H)____(F) Two members shall be individuals who represent physicians physicians, nominated by the Sierra Sacramento Valley Medical Society, or any successor organization, who serve Medi-Cal beneficiaries in the county.(2)Ex officio members shall include, but not be limited to, a designee of the board.(G) One member shall be a behavioral health services provider who serves Medi-Cal beneficiaries in the county.(H) One member shall be an individual who represents pharmacies that serve Medi-Cal beneficiaries enrolled in all Medi-Cal managed care plans in the county.(2) Nonvoting members shall include at least two members who represent Medi-Cal managed care plans operating in the county.(3) The nonvoting ex officio members shall include a member of the board, the director of the County Department of Health Services, and the director of County Behavioral Health Services, or their respective designees.(3)(4) The commission may establish advisory committees, which shall include, but not be limited to, an executive committee, and committees on consumer protection, finance, policies, and process, in order to improve care coordination and quality improvement. Except for the executive committee, advisory committees may consist of individuals who are not members of the commission.(4)(5) Members of the commission and its advisory committees shall not be paid compensation for activities relating to their duties as members, but members who are Medi-Cal recipients shall be reimbursed an appropriate amount by the county for travel and childcare expenses incurred in performing their duties related to the commission and those committees.(5)(6) Notwithstanding any other law, a member of the commission shall not be deemed to be interested in a contract entered into by the department within the meaning of Article 4 (commencing with Section 1090) of Chapter 1 of Division 4 of Title 1 of the Government Code if the member is a Medi-Cal recipient or if all of the following apply:(A) The member was appointed to represent the interests of physicians, health care practitioners, hospitals, or other health care organizations.(B) The contract authorizes the member or the organization the member represents to provide Medi-Cal services in the county.(C) The contract contains substantially the same terms and conditions as contracts entered into with other individuals or organizations the member was appointed to represent.(D) The member does not influence nor attempt to influence the commission or another member of the commission to recommend that the department enter into the contract in which the member is interested.(E) The member discloses the interest to the commission and abstains from voting on any recommendation on the contract.(F) The commission notes the members disclosure and abstention in its official records.(e) (1) Participating health plans shall first be designated by the health authority for approval by the department. Health plans approved by the department shall be eligible to contract with the department. Designation by the health authority and approval by the department provides the health plan only with the opportunity to compete for a contract and does not guarantee a contract with the state.(2) Designation requirements imposed by the health authority shall not conflict with the requirements imposed by the department, the federal Medicaid program, and the Medi-Cal program, and may not impose stricter requirements, without the departments approval, than those imposed by the department, the federal Medicaid program, and the Medi-Cal program.(3) Designation of health plans by the health authority shall continue for the term of the Medi-Cal contract.(f) Notwithstanding this section, the health authority, as established by ordinance by the board, may pursue any other activities set forth under Section 14087.38.
14087.385. (a) The following definitions apply for purposes of this section:(1) Board means the Board of Supervisors of the County of Sacramento.(2) Commission means the governing body of the health authority.(3) County means the County of Sacramento.(4) Health authority means a separate public entity established by the board that meets the requirements of state and federal law and criteria established by the department and engages in activities authorized by this section.(b) The Legislature finds and declares that it is necessary that a health authority be established in the county to meet the problems of delivery of publicly assisted medical care in the county and to demonstrate ways of promoting quality care and cost efficiency.(c) By ordinance, the board may establish a health authority to do all of the following:(1) Designate a number of Knox-Keene licensed health plans, which shall be approved by the department, as the only Medi-Cal managed care health plans authorized to operate within the county, as specified under subdivision (e).(2) Negotiate and enter into contracts with health plans that the health authority designates to contract with the department.(3) Establish advisory committees to the commission, as specified under paragraph (3) (4) of subdivision (d).(4) Provide the option in the future for the health authority to establish a county-sponsored plan as described in Section 14087.38.(d) (1) The health authority shall be governed by a commission. Commission members shall be appointed by the board and shall reflect the diversity of the community. Notwithstanding this chapter, the commission shall be compromised of ____ voting members and ____ 18 voting members, at least 2 nonvoting members, and 3 nonvoting ex officio members. The voting members shall consist of all of the following:(A) ____ Four members shall be individuals who advocate on behalf of consumers and Medi-Cal beneficiaries. or represent the interests of Medi-Cal beneficiaries in the county.(B)____ members shall be individuals who are Medi-Cal beneficiaries.(B) Two members shall be individuals who, at the time of being nominated, are Medi-Cal beneficiaries in the county.(C) ____ Two members shall be representatives of federally qualified health centers. centers operating in the county.(D)____ members shall be staff members of the Sacramento County Department of Health Services. (E)____ members shall be individuals who represent Medi-Cal managed care plans operating in the county.(F)____(D) Four members shall be individuals who represent hospital systems operating in the county. The board shall appoint no more than one individual representing each hospital system.(G)____(E) Two members shall be individuals who represent independent physicians practice associations operating in the county.(H)____(F) Two members shall be individuals who represent physicians physicians, nominated by the Sierra Sacramento Valley Medical Society, or any successor organization, who serve Medi-Cal beneficiaries in the county.(2)Ex officio members shall include, but not be limited to, a designee of the board.(G) One member shall be a behavioral health services provider who serves Medi-Cal beneficiaries in the county.(H) One member shall be an individual who represents pharmacies that serve Medi-Cal beneficiaries enrolled in all Medi-Cal managed care plans in the county.(2) Nonvoting members shall include at least two members who represent Medi-Cal managed care plans operating in the county.(3) The nonvoting ex officio members shall include a member of the board, the director of the County Department of Health Services, and the director of County Behavioral Health Services, or their respective designees.(3)(4) The commission may establish advisory committees, which shall include, but not be limited to, an executive committee, and committees on consumer protection, finance, policies, and process, in order to improve care coordination and quality improvement. Except for the executive committee, advisory committees may consist of individuals who are not members of the commission.(4)(5) Members of the commission and its advisory committees shall not be paid compensation for activities relating to their duties as members, but members who are Medi-Cal recipients shall be reimbursed an appropriate amount by the county for travel and childcare expenses incurred in performing their duties related to the commission and those committees.(5)(6) Notwithstanding any other law, a member of the commission shall not be deemed to be interested in a contract entered into by the department within the meaning of Article 4 (commencing with Section 1090) of Chapter 1 of Division 4 of Title 1 of the Government Code if the member is a Medi-Cal recipient or if all of the following apply:(A) The member was appointed to represent the interests of physicians, health care practitioners, hospitals, or other health care organizations.(B) The contract authorizes the member or the organization the member represents to provide Medi-Cal services in the county.(C) The contract contains substantially the same terms and conditions as contracts entered into with other individuals or organizations the member was appointed to represent.(D) The member does not influence nor attempt to influence the commission or another member of the commission to recommend that the department enter into the contract in which the member is interested.(E) The member discloses the interest to the commission and abstains from voting on any recommendation on the contract.(F) The commission notes the members disclosure and abstention in its official records.(e) (1) Participating health plans shall first be designated by the health authority for approval by the department. Health plans approved by the department shall be eligible to contract with the department. Designation by the health authority and approval by the department provides the health plan only with the opportunity to compete for a contract and does not guarantee a contract with the state.(2) Designation requirements imposed by the health authority shall not conflict with the requirements imposed by the department, the federal Medicaid program, and the Medi-Cal program, and may not impose stricter requirements, without the departments approval, than those imposed by the department, the federal Medicaid program, and the Medi-Cal program.(3) Designation of health plans by the health authority shall continue for the term of the Medi-Cal contract.(f) Notwithstanding this section, the health authority, as established by ordinance by the board, may pursue any other activities set forth under Section 14087.38.
14087.385. (a) The following definitions apply for purposes of this section:
(1) Board means the Board of Supervisors of the County of Sacramento.
(2) Commission means the governing body of the health authority.
(3) County means the County of Sacramento.
(4) Health authority means a separate public entity established by the board that meets the requirements of state and federal law and criteria established by the department and engages in activities authorized by this section.
(b) The Legislature finds and declares that it is necessary that a health authority be established in the county to meet the problems of delivery of publicly assisted medical care in the county and to demonstrate ways of promoting quality care and cost efficiency.
(c) By ordinance, the board may establish a health authority to do all of the following:
(1) Designate a number of Knox-Keene licensed health plans, which shall be approved by the department, as the only Medi-Cal managed care health plans authorized to operate within the county, as specified under subdivision (e).
(2) Negotiate and enter into contracts with health plans that the health authority designates to contract with the department.
(3) Establish advisory committees to the commission, as specified under paragraph (3) (4) of subdivision (d).
(4) Provide the option in the future for the health authority to establish a county-sponsored plan as described in Section 14087.38.
(d) (1) The health authority shall be governed by a commission. Commission members shall be appointed by the board and shall reflect the diversity of the community. Notwithstanding this chapter, the commission shall be compromised of ____ voting members and ____ 18 voting members, at least 2 nonvoting members, and 3 nonvoting ex officio members. The voting members shall consist of all of the following:
(A) ____ Four members shall be individuals who advocate on behalf of consumers and Medi-Cal beneficiaries. or represent the interests of Medi-Cal beneficiaries in the county.
(B)____ members shall be individuals who are Medi-Cal beneficiaries.
(B) Two members shall be individuals who, at the time of being nominated, are Medi-Cal beneficiaries in the county.
(C) ____ Two members shall be representatives of federally qualified health centers. centers operating in the county.
(D)____ members shall be staff members of the Sacramento County Department of Health Services.
(E)____ members shall be individuals who represent Medi-Cal managed care plans operating in the county.
(F)____
(D) Four members shall be individuals who represent hospital systems operating in the county. The board shall appoint no more than one individual representing each hospital system.
(G)____
(E) Two members shall be individuals who represent independent physicians practice associations operating in the county.
(H)____
(F) Two members shall be individuals who represent physicians physicians, nominated by the Sierra Sacramento Valley Medical Society, or any successor organization, who serve Medi-Cal beneficiaries in the county.
(2)Ex officio members shall include, but not be limited to, a designee of the board.
(G) One member shall be a behavioral health services provider who serves Medi-Cal beneficiaries in the county.
(H) One member shall be an individual who represents pharmacies that serve Medi-Cal beneficiaries enrolled in all Medi-Cal managed care plans in the county.
(2) Nonvoting members shall include at least two members who represent Medi-Cal managed care plans operating in the county.
(3) The nonvoting ex officio members shall include a member of the board, the director of the County Department of Health Services, and the director of County Behavioral Health Services, or their respective designees.
(3)
(4) The commission may establish advisory committees, which shall include, but not be limited to, an executive committee, and committees on consumer protection, finance, policies, and process, in order to improve care coordination and quality improvement. Except for the executive committee, advisory committees may consist of individuals who are not members of the commission.
(4)
(5) Members of the commission and its advisory committees shall not be paid compensation for activities relating to their duties as members, but members who are Medi-Cal recipients shall be reimbursed an appropriate amount by the county for travel and childcare expenses incurred in performing their duties related to the commission and those committees.
(5)
(6) Notwithstanding any other law, a member of the commission shall not be deemed to be interested in a contract entered into by the department within the meaning of Article 4 (commencing with Section 1090) of Chapter 1 of Division 4 of Title 1 of the Government Code if the member is a Medi-Cal recipient or if all of the following apply:
(A) The member was appointed to represent the interests of physicians, health care practitioners, hospitals, or other health care organizations.
(B) The contract authorizes the member or the organization the member represents to provide Medi-Cal services in the county.
(C) The contract contains substantially the same terms and conditions as contracts entered into with other individuals or organizations the member was appointed to represent.
(D) The member does not influence nor attempt to influence the commission or another member of the commission to recommend that the department enter into the contract in which the member is interested.
(E) The member discloses the interest to the commission and abstains from voting on any recommendation on the contract.
(F) The commission notes the members disclosure and abstention in its official records.
(e) (1) Participating health plans shall first be designated by the health authority for approval by the department. Health plans approved by the department shall be eligible to contract with the department. Designation by the health authority and approval by the department provides the health plan only with the opportunity to compete for a contract and does not guarantee a contract with the state.
(2) Designation requirements imposed by the health authority shall not conflict with the requirements imposed by the department, the federal Medicaid program, and the Medi-Cal program, and may not impose stricter requirements, without the departments approval, than those imposed by the department, the federal Medicaid program, and the Medi-Cal program.
(3) Designation of health plans by the health authority shall continue for the term of the Medi-Cal contract.
(f) Notwithstanding this section, the health authority, as established by ordinance by the board, may pursue any other activities set forth under Section 14087.38.
SEC. 2. Section 14089.07 of the Welfare and Institutions Code is amended to read:14089.07. (a) The Sacramento County Department of Health and Human Services may establish a stakeholder advisory committee to provide input on the delivery of health care services provided in the county pursuant to this article, article and Section 14182. The advisory committee shall include, but not be limited to, Medi-Cal beneficiaries, patient representatives, health care providers, and representatives of Medi-Cal managed care health plans.(b) The advisory committee may submit written input to the department on policies that improve coordination with traditional and safety net providers, enhance the capacity of the countys health care delivery system, and improve health care services and health outcomes.(c) The advisory committee may request, in writing, and receive final reports submitted to the department by any managed care health plan operating in the County of Sacramento as long as the report is not exempt from disclosure pursuant to Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code, or any other contractual, statutory, or legal exemption, or privilege. The advisory committee may review and provide written comments to the department on these reports, and these reports may include issues such as evaluation of access, quality, and consumer protections.(d) State General Fund moneys shall not be used to fund advisory committee costs, nor to fund any related administrative costs incurred by the county.(e) Upon the establishment of a health authority in the County of Sacramento, as specified under Section 14087.385, the requirements of this section shall become inoperative.
SEC. 2. Section 14089.07 of the Welfare and Institutions Code is amended to read:
### SEC. 2.
14089.07. (a) The Sacramento County Department of Health and Human Services may establish a stakeholder advisory committee to provide input on the delivery of health care services provided in the county pursuant to this article, article and Section 14182. The advisory committee shall include, but not be limited to, Medi-Cal beneficiaries, patient representatives, health care providers, and representatives of Medi-Cal managed care health plans.(b) The advisory committee may submit written input to the department on policies that improve coordination with traditional and safety net providers, enhance the capacity of the countys health care delivery system, and improve health care services and health outcomes.(c) The advisory committee may request, in writing, and receive final reports submitted to the department by any managed care health plan operating in the County of Sacramento as long as the report is not exempt from disclosure pursuant to Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code, or any other contractual, statutory, or legal exemption, or privilege. The advisory committee may review and provide written comments to the department on these reports, and these reports may include issues such as evaluation of access, quality, and consumer protections.(d) State General Fund moneys shall not be used to fund advisory committee costs, nor to fund any related administrative costs incurred by the county.(e) Upon the establishment of a health authority in the County of Sacramento, as specified under Section 14087.385, the requirements of this section shall become inoperative.
14089.07. (a) The Sacramento County Department of Health and Human Services may establish a stakeholder advisory committee to provide input on the delivery of health care services provided in the county pursuant to this article, article and Section 14182. The advisory committee shall include, but not be limited to, Medi-Cal beneficiaries, patient representatives, health care providers, and representatives of Medi-Cal managed care health plans.(b) The advisory committee may submit written input to the department on policies that improve coordination with traditional and safety net providers, enhance the capacity of the countys health care delivery system, and improve health care services and health outcomes.(c) The advisory committee may request, in writing, and receive final reports submitted to the department by any managed care health plan operating in the County of Sacramento as long as the report is not exempt from disclosure pursuant to Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code, or any other contractual, statutory, or legal exemption, or privilege. The advisory committee may review and provide written comments to the department on these reports, and these reports may include issues such as evaluation of access, quality, and consumer protections.(d) State General Fund moneys shall not be used to fund advisory committee costs, nor to fund any related administrative costs incurred by the county.(e) Upon the establishment of a health authority in the County of Sacramento, as specified under Section 14087.385, the requirements of this section shall become inoperative.
14089.07. (a) The Sacramento County Department of Health and Human Services may establish a stakeholder advisory committee to provide input on the delivery of health care services provided in the county pursuant to this article, article and Section 14182. The advisory committee shall include, but not be limited to, Medi-Cal beneficiaries, patient representatives, health care providers, and representatives of Medi-Cal managed care health plans.(b) The advisory committee may submit written input to the department on policies that improve coordination with traditional and safety net providers, enhance the capacity of the countys health care delivery system, and improve health care services and health outcomes.(c) The advisory committee may request, in writing, and receive final reports submitted to the department by any managed care health plan operating in the County of Sacramento as long as the report is not exempt from disclosure pursuant to Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code, or any other contractual, statutory, or legal exemption, or privilege. The advisory committee may review and provide written comments to the department on these reports, and these reports may include issues such as evaluation of access, quality, and consumer protections.(d) State General Fund moneys shall not be used to fund advisory committee costs, nor to fund any related administrative costs incurred by the county.(e) Upon the establishment of a health authority in the County of Sacramento, as specified under Section 14087.385, the requirements of this section shall become inoperative.
14089.07. (a) The Sacramento County Department of Health and Human Services may establish a stakeholder advisory committee to provide input on the delivery of health care services provided in the county pursuant to this article, article and Section 14182. The advisory committee shall include, but not be limited to, Medi-Cal beneficiaries, patient representatives, health care providers, and representatives of Medi-Cal managed care health plans.
(b) The advisory committee may submit written input to the department on policies that improve coordination with traditional and safety net providers, enhance the capacity of the countys health care delivery system, and improve health care services and health outcomes.
(c) The advisory committee may request, in writing, and receive final reports submitted to the department by any managed care health plan operating in the County of Sacramento as long as the report is not exempt from disclosure pursuant to Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code, or any other contractual, statutory, or legal exemption, or privilege. The advisory committee may review and provide written comments to the department on these reports, and these reports may include issues such as evaluation of access, quality, and consumer protections.
(d) State General Fund moneys shall not be used to fund advisory committee costs, nor to fund any related administrative costs incurred by the county.
(e) Upon the establishment of a health authority in the County of Sacramento, as specified under Section 14087.385, the requirements of this section shall become inoperative.
SEC. 3. The Legislature finds and declares that a special statute is necessary and that a general statute cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique circumstances in the County of Sacramento with respect to the operation and governance of the publicly assisted medical care program in the county.
SEC. 3. The Legislature finds and declares that a special statute is necessary and that a general statute cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique circumstances in the County of Sacramento with respect to the operation and governance of the publicly assisted medical care program in the county.
SEC. 3. The Legislature finds and declares that a special statute is necessary and that a general statute cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique circumstances in the County of Sacramento with respect to the operation and governance of the publicly assisted medical care program in the county.
### SEC. 3.