Two identical bills which would implement California’s new
Medicaid Section 1115 “Medi-Cal 2020” Wavier, are currently
moving through the Legislature. The new waiver, which was
approved in December 2015, builds on the success that California
has achieved in expanding coverage, transforming care, and
improving health outcomes since the implementation of the ACA.
Medi-Cal 2020 includes $6.2 billion in federal funds over five
years, including:
· Global Payment Program: intended to incentivize primary
and preventive care to the remaining uninsured through a
value-based payment structure, up to $236 million over five
years.
· Public Hospital Redesign and Incentives in Medi-Cal
(PRIME): a successor to the Delivery System Reform Incentive
Program that will provide $3.27 billion for designated public
hospitals and $466.5 million for district and municipal
hospitals.
· Whole Person Care: up to $300 million in matching funds
per year for five years for county-based pilots to coordinate
health, behavioral health, and social services to improve
beneficiary health and well-being.
· Dental Transformation Initiative: up to $750 million
total over five years to improve preventive care and continuity
of care. The dental incentive funds do not have a local match
requirement.
Both of the bills, SB 815 (Hernandez) and AB 1568
(Bonta), were passed out of their respective Health
Committees on May 3. The bills were then referred to their
respective Appropriations Committees, where they will be heard
next. CSAC strongly supports both SB 815 and AB 1568, as does the
California Association of Public Hospitals.
