Medi-Cal reimbursements: nonemergency ambulance and other transportation.
Impact
AB 1328 aims to enhance the financial support for nonemergency ambulance services, benefitting both providers and the patients they serve. By establishing a standardized reimbursement mechanism, the bill would alleviate some of the fiscal pressures currently faced by ambulance providers operating under the longstanding Medi-Cal system. This change is particularly relevant as it addresses the financial viability of delivering essential medical transportation within California's healthcare framework.
Summary
Assembly Bill 1328, introduced by Assembly Member Michelle Rodriguez, seeks to amend the Welfare and Institutions Code to establish specific reimbursement rates for nonemergency ambulance transportation services under the Medi-Cal program. The bill mandates that starting July 1, 2026, Medi-Cal fee-for-service reimbursement for these services will equal 80% of the federal Medicare ambulance fee schedule, adjusted according to the Geographic Practice Cost Index. This aligns reimbursement rates with federal standards and ensures a level of financial support for service providers.
Sentiment
The general sentiment around AB 1328 appears to be supportive among healthcare providers and advocacy groups, as it reflects an understanding of the operational challenges faced in providing necessary medical transports. However, there may also be concerns about the state's ability to sustain these changes amidst ongoing budget considerations and the potential implications for state healthcare funding. The bill appears to have garnered bipartisan support during initial discussions.
Contention
One point of contention surrounding AB 1328 may arise from the financial implications it imposes on the state budget, specifically concerning the appropriation of funds necessary to implement these reimbursement changes. While the bill prescribes conditions for maximizing federal funding participation, the reliance on state funds in the absence of federal support could lead to debates among lawmakers regarding fiscal responsibility and the prioritization of healthcare funding amidst competing state needs.
Mental illness definition modification provision, medical assistance transportation reimbursement rates modification modifications provision, children at risk of bipolar disorder grant program establishment provision, and children's first episode of psychosis program appropriation
Child care assistance expanded, grants and rules regarding children's mental health expanded and modified, transition to community initiative modified, staff training requirements modified, covered transportation services modified, coverage of clinical care coordination modified, children's long-term stays in emergency room rules modified, rural family response and stabilization services pilot program established, and money appropriated.
Community support services program standards modified, various behavioral health provisions modified, protected transport start-up grants and engagement services pilot grants established, formula-based allocation for mental health grant services recommendations required, and money appropriated.