Medi-Cal: federally qualified health centers and rural health clinics.
If passed, SB 316 could significantly improve access to healthcare for low-income individuals by allowing FQHCs and RHCs to bill separately for multiple visits that occur on the same day. This flexibility could lead to better health outcomes as patients are able to receive comprehensive care without financial penalty of combining services into a single visit. Furthermore, the inclusion of licensed acupuncturists under the definition of healthcare professionals covered can broaden the scope of available services under Medi-Cal, thereby optimizing patient care options.
Senate Bill 316, introduced by Senators Eggman and McGuire, aims to amend the Welfare and Institutions Code concerning the Medi-Cal program, particularly focusing on federally qualified health centers (FQHCs) and rural health clinics (RHCs). The bill seeks to enhance the reimbursement structure for these health centers by allowing for reimbursement of up to two visits in one day at a single location, provided that certain conditions are met. This change is designed to accommodate patients who may require additional treatment or a combination of healthcare services, including medical, mental health, and dental visits, during the same appointment.
During discussions surrounding this bill, significant points of contention have arisen regarding the financial implications of these changes on the state budget and the healthcare system. Supporters of the bill argue that it encourages comprehensive care for patients, aligning with public health goals. Conversely, critics express concern over potential increased costs to the Medi-Cal program, projecting that expanding reimbursement options could strain funding, especially in light of previously contracted reimbursement rates. Additionally, there may be concerns about the administrative burden of implementing these changes effectively across various health centers.