2011 California Code
Welfare and Institutions Code
DIVISION 9. PUBLIC SOCIAL SERVICES [10000 - 18996]
ARTICLE 5.226. Medi-Cal Hospital Rate Stabilization Act of 2011
Section 14168.12

(a) Exclusive of payments made under Article 5.21, payment rates for hospital outpatient services, furnished by private hospitals, nondesignated public hospitals, and designated public hospitals before July 1, 2011, exclusive of amounts payable under this article, shall not be reduced below the rates in effect on January 1, 2011.

(b) Rates payable to hospitals for hospital inpatient services furnished before January 1, 2011, under contracts negotiated pursuant to the Selective Provider Contracting Program shall not be reduced below the lower of the contract rates in effect on January 1, 2010, or the contract rates in effect on July 1, 2010. This subdivision shall not prohibit changes to the supplemental payments paid to individual hospitals under Sections 14166.12, 14166.17, and 14166.23, provided that the aggregate amount of the payments for the 2010 11 fiscal year are not less than the minimum amount permitted under Section 14167.13.

(c) Subject to Section 14105.281, exclusive of payments made under Article 5.21, payments to private hospitals for hospital inpatient services furnished before July 1, 2011, that are not reimbursed under a contract negotiated pursuant to the Selective Provider Contracting Program, exclusive of amounts payable under this article, shall not be less than the amount of payments that would have been made under the payment methodology in effect on the effective date of this article.

(d) Solely for purposes of this article, a rate reduction or a change in a rate methodology that is enjoined by a court shall be included in the determination of a rate or a rate methodology until all appeals or judicial review have been exhausted and the rate reduction or change in rate methodology has been permanently enjoined, denied by the federal government, or otherwise permanently prevented from being implemented.

(Added by Stats. 2011, Ch. 19, Sec. 7. Effective April 13, 2011. Conditionally inoperative as provided in Sections 14168.13 and 14168.40. Repealed conditionally on June 1, 2011, as prescribed by Section 14168.17. Repealed as of January 1, 2013, pursuant to Section 14168.16, if not repealed earlier.)