Enrolled September 14, 2023 Passed IN Senate September 11, 2023 Passed IN Assembly September 12, 2023 Amended IN Senate July 10, 2023 Amended IN Senate June 26, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 719Introduced by Assembly Member BoernerFebruary 13, 2023An act to add Section 14197.06 to the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTAB 719, Boerner. Medi-Cal: nonmedical and nonemergency medical transportation.Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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. Existing law establishes a schedule of benefits under the Medi-Cal program, including medical transportation and nonmedical transportation for a beneficiary to obtain covered Medi-Cal services. Existing law requires nonmedical transportation to be provided by the beneficiarys managed care plan or by the department for a Medi-Cal fee-for-service beneficiary.This bill would require the department to require Medi-Cal managed care plans that are contracted to provide nonmedical transportation or nonemergency medical transportation to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonmedical and nonemergency medical transportation trips provided by a public paratransit service operator. The bill would require the rates reimbursed by the managed care plan to the public paratransit service operator to be based on the departments fee-for-service rates for nonmedical and nonemergency medical transportation service, as specified. The bill would condition implementation of these provisions on receipt of any necessary federal approvals and the availability of federal financial participation.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 14197.06 is added to the Welfare and Institutions Code, to read:14197.06. (a) The department shall require Medi-Cal managed care plans that are contracted to provide nonemergency medical transportation or nonmedical transportation pursuant to Section 14132 to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonemergency medical transportation and nonmedical transportation trips provided by a public paratransit service operator.(b) Notwithstanding any other law, rates reimbursed by the managed care plan to the public paratransit service operator shall be based on the departments fee-for-service rates for nonemergency medical transportation or nonmedical transportation service that does not include fixed-route transportation service. The Legislature finds and declares that the reimbursement of the passengers fare does not equal the fee-for-service rate.(c) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available and not otherwise jeopardized.
Enrolled September 14, 2023 Passed IN Senate September 11, 2023 Passed IN Assembly September 12, 2023 Amended IN Senate July 10, 2023 Amended IN Senate June 26, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 719Introduced by Assembly Member BoernerFebruary 13, 2023An act to add Section 14197.06 to the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTAB 719, Boerner. Medi-Cal: nonmedical and nonemergency medical transportation.Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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. Existing law establishes a schedule of benefits under the Medi-Cal program, including medical transportation and nonmedical transportation for a beneficiary to obtain covered Medi-Cal services. Existing law requires nonmedical transportation to be provided by the beneficiarys managed care plan or by the department for a Medi-Cal fee-for-service beneficiary.This bill would require the department to require Medi-Cal managed care plans that are contracted to provide nonmedical transportation or nonemergency medical transportation to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonmedical and nonemergency medical transportation trips provided by a public paratransit service operator. The bill would require the rates reimbursed by the managed care plan to the public paratransit service operator to be based on the departments fee-for-service rates for nonmedical and nonemergency medical transportation service, as specified. The bill would condition implementation of these provisions on receipt of any necessary federal approvals and the availability of federal financial participation.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
Enrolled September 14, 2023 Passed IN Senate September 11, 2023 Passed IN Assembly September 12, 2023 Amended IN Senate July 10, 2023 Amended IN Senate June 26, 2023
Enrolled September 14, 2023
Passed IN Senate September 11, 2023
Passed IN Assembly September 12, 2023
Amended IN Senate July 10, 2023
Amended IN Senate June 26, 2023
CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION
Assembly Bill
No. 719
Introduced by Assembly Member BoernerFebruary 13, 2023
Introduced by Assembly Member Boerner
February 13, 2023
An act to add Section 14197.06 to the Welfare and Institutions Code, relating to Medi-Cal.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 719, Boerner. Medi-Cal: nonmedical and nonemergency medical transportation.
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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. Existing law establishes a schedule of benefits under the Medi-Cal program, including medical transportation and nonmedical transportation for a beneficiary to obtain covered Medi-Cal services. Existing law requires nonmedical transportation to be provided by the beneficiarys managed care plan or by the department for a Medi-Cal fee-for-service beneficiary.This bill would require the department to require Medi-Cal managed care plans that are contracted to provide nonmedical transportation or nonemergency medical transportation to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonmedical and nonemergency medical transportation trips provided by a public paratransit service operator. The bill would require the rates reimbursed by the managed care plan to the public paratransit service operator to be based on the departments fee-for-service rates for nonmedical and nonemergency medical transportation service, as specified. The bill would condition implementation of these provisions on receipt of any necessary federal approvals and the availability of federal financial participation.
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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. Existing law establishes a schedule of benefits under the Medi-Cal program, including medical transportation and nonmedical transportation for a beneficiary to obtain covered Medi-Cal services. Existing law requires nonmedical transportation to be provided by the beneficiarys managed care plan or by the department for a Medi-Cal fee-for-service beneficiary.
This bill would require the department to require Medi-Cal managed care plans that are contracted to provide nonmedical transportation or nonemergency medical transportation to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonmedical and nonemergency medical transportation trips provided by a public paratransit service operator. The bill would require the rates reimbursed by the managed care plan to the public paratransit service operator to be based on the departments fee-for-service rates for nonmedical and nonemergency medical transportation service, as specified. The bill would condition implementation of these provisions on receipt of any necessary federal approvals and the availability of federal financial participation.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 14197.06 is added to the Welfare and Institutions Code, to read:14197.06. (a) The department shall require Medi-Cal managed care plans that are contracted to provide nonemergency medical transportation or nonmedical transportation pursuant to Section 14132 to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonemergency medical transportation and nonmedical transportation trips provided by a public paratransit service operator.(b) Notwithstanding any other law, rates reimbursed by the managed care plan to the public paratransit service operator shall be based on the departments fee-for-service rates for nonemergency medical transportation or nonmedical transportation service that does not include fixed-route transportation service. The Legislature finds and declares that the reimbursement of the passengers fare does not equal the fee-for-service rate.(c) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available and not otherwise jeopardized.
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 14197.06 is added to the Welfare and Institutions Code, to read:14197.06. (a) The department shall require Medi-Cal managed care plans that are contracted to provide nonemergency medical transportation or nonmedical transportation pursuant to Section 14132 to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonemergency medical transportation and nonmedical transportation trips provided by a public paratransit service operator.(b) Notwithstanding any other law, rates reimbursed by the managed care plan to the public paratransit service operator shall be based on the departments fee-for-service rates for nonemergency medical transportation or nonmedical transportation service that does not include fixed-route transportation service. The Legislature finds and declares that the reimbursement of the passengers fare does not equal the fee-for-service rate.(c) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available and not otherwise jeopardized.
SECTION 1. Section 14197.06 is added to the Welfare and Institutions Code, to read:
### SECTION 1.
14197.06. (a) The department shall require Medi-Cal managed care plans that are contracted to provide nonemergency medical transportation or nonmedical transportation pursuant to Section 14132 to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonemergency medical transportation and nonmedical transportation trips provided by a public paratransit service operator.(b) Notwithstanding any other law, rates reimbursed by the managed care plan to the public paratransit service operator shall be based on the departments fee-for-service rates for nonemergency medical transportation or nonmedical transportation service that does not include fixed-route transportation service. The Legislature finds and declares that the reimbursement of the passengers fare does not equal the fee-for-service rate.(c) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available and not otherwise jeopardized.
14197.06. (a) The department shall require Medi-Cal managed care plans that are contracted to provide nonemergency medical transportation or nonmedical transportation pursuant to Section 14132 to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonemergency medical transportation and nonmedical transportation trips provided by a public paratransit service operator.(b) Notwithstanding any other law, rates reimbursed by the managed care plan to the public paratransit service operator shall be based on the departments fee-for-service rates for nonemergency medical transportation or nonmedical transportation service that does not include fixed-route transportation service. The Legislature finds and declares that the reimbursement of the passengers fare does not equal the fee-for-service rate.(c) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available and not otherwise jeopardized.
14197.06. (a) The department shall require Medi-Cal managed care plans that are contracted to provide nonemergency medical transportation or nonmedical transportation pursuant to Section 14132 to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonemergency medical transportation and nonmedical transportation trips provided by a public paratransit service operator.(b) Notwithstanding any other law, rates reimbursed by the managed care plan to the public paratransit service operator shall be based on the departments fee-for-service rates for nonemergency medical transportation or nonmedical transportation service that does not include fixed-route transportation service. The Legislature finds and declares that the reimbursement of the passengers fare does not equal the fee-for-service rate.(c) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available and not otherwise jeopardized.
14197.06. (a) The department shall require Medi-Cal managed care plans that are contracted to provide nonemergency medical transportation or nonmedical transportation pursuant to Section 14132 to contract with public paratransit service operators who are enrolled Medi-Cal providers for the purpose of establishing reimbursement rates for nonemergency medical transportation and nonmedical transportation trips provided by a public paratransit service operator.
(b) Notwithstanding any other law, rates reimbursed by the managed care plan to the public paratransit service operator shall be based on the departments fee-for-service rates for nonemergency medical transportation or nonmedical transportation service that does not include fixed-route transportation service. The Legislature finds and declares that the reimbursement of the passengers fare does not equal the fee-for-service rate.
(c) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available and not otherwise jeopardized.