Isolated hospitals that meet strict service and eligibility rules could receive quarterly payments to help keep maternity and related specialty care ready, if lawmakers provide funding.
Eligible isolated hospitals could receive quarterly payments to help keep maternity and related specialty services ready. Payments would depend on daily deliveries and available funding.
Participating hospitals would report deliveries, staffing and service availability, quality measures, and verified costs to the department.
The department would pay participating hospitals quarterly to help cover the cost of keeping specialty staff and services ready. A hospital would have to provide round-the-clock general surgery, labor and delivery with nursery beds, and inpatient pediatric services. It must be a critical access hospital providing obstetric services, at least 75 miles from the nearest tertiary hospital, and perform no more than 225 inpatient surgeries a year. It must also meet licensing, Medi-Cal, and community access requirements. The fund could pay the department only if the Legislature appropriates money for the program. The hospital could receive no more than $5 million per year. Hospitals would have to use the money for staff pay and benefits, insurance, contracted clinical staff, or other standby capacity costs. The program would run until January 1, 2030.
Participating hospitals would report service, delivery, quality, and cost information to the department. The reporting rule would apply to hospitals participating in the pilot program. The department could conduct annual audits or program reviews, and hospitals would have to continue meeting all program requirements to remain in the program. The first report would be due April 1, 2027, with reports due quarterly after that.
No hearings or votes scheduled.