CaliforniaMedi-Cal: Program of All-Inclusive Care for the Elderly: rates.
What it does
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 through various delivery systems, including fee-for-service and managed care. The Medi-Cal program is, in part, governed by, and funded pursuant to, federal Medicaid program provisions.
More detail
Existing law establishes the California Program of All-Inclusive Care for the Elderly (PACE program) to provide community-based, risk-based, and capitated long-term care services as optional services for older individuals under the state's Medi-Cal State Plan and under contracts entered into between the federal Centers for Medicare and Medicaid Services, the department, and PACE organizations.
Existing law requires the department to pay capitation rates to health plans participating in the Medi-Cal managed care program using actuarial methods. Existing law requires the department to develop and pay capitation rates to entities contracted pursuant to the PACE program, using actuarial methods consistent with those provisions, with specified exceptions. Existing law requires the department to consult with those contracted entities in developing a rate methodology.
This bill would require the department to notify the contracting PACE organization of the proposed rates at least 60 days prior to submission to the federal Centers for Medicare and Medicaid Services (CMS) for approval. The bill would authorize the department to define a reasonable date by which the PACE organization must submit written questions or feedback concerning the proposed rates. The bill would require the department to respond in writing to those questions or feedback by no later than 30 days prior to submitting the rates to CMS.
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Where it stands
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Aug 25Ordered to inactive file at the request of Senator Menjivar.Latest
- Aug 17Read second time. Ordered to third reading.Minor
- Aug 13Read second time and amended. Ordered returned to second reading.Major
- Vote recorded Do pass as amended. Result: pass.Upper
- Aug 13From committee: Amend, and do pass as amended. (Ayes 7. Noes 0.) (August 13).Major
- Jun 15In committee: Referred to APPR. suspense file.Minor
- Vote recorded Placed on suspense file. Result: pass.Upper
- Jun 4From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 9. Noes 0.) (June 3). Re-referred to Com. on APPR.Minor
- Jun 3
- Vote recorded Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar. Result: pass.Upper
- May 6Referred to Com. on HEALTH.Minor
- Apr 16In Senate. Read first time. To Com. on RLS. for assignment.Minor
- Vote recorded AB 1672 Solache Consent Calendar Second Day. Result: pass.Lower
- Apr 16Read third time. Passed. Ordered to the Senate. (Ayes 68. Noes 0. Page 4682.)Passed Assembly
- Apr 9Read second time. Ordered to Consent Calendar.Minor
- Apr 8From committee: Do pass. To Consent Calendar. (Ayes 14. Noes 0.) (April 8).Minor
- Vote recorded Do pass. To Consent Calendar. Result: pass.Lower
- Apr 6Re-referred to Com. on APPR.Minor
- Mar 26Read second time and amended.Major
- Mar 25From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 16. Noes 0.) (March 24).Major
- Mar 24
- Vote recorded Do pass as amended, and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar. Result: pass.Lower
- Mar 11In committee: Hearing postponed by committee.
- Feb 17Referred to Com. on HEALTH.Minor
- Feb 3From printer. May be heard in committee March 5.
- Feb 2Read first time. To print.Introduced