Protect the Promise Act.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Health
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
The Protect the Promise Act requires California’s Medi-Cal program to strengthen eligibility verification processes and improve accuracy. It mandates that the Department of Health Care Services, in coordination with counties, verify Medi-Cal eligibility before enrollment approval, prohibiting reliance solely on self-attestation for key factors like income, residency, and citizenship. The bill also establishes requirements for data utilization, cross-referencing beneficiary information with various databases, and regular eligibility redeterminations to identify and correct errors, ultimately aiming to reduce improper payments and safeguard taxpayer dollars.
Key provisions
- Requires verification of Medi-Cal eligibility before enrollment approval, excluding self-attestation for key factors.
- Mandates the use of data sets and verification systems to confirm eligibility.
- Requires cross-referencing beneficiary data with federal databases.
- Establishes regular and systematic eligibility redeterminations.
- Requires the department to identify and correct eligibility errors promptly.
- Creates accountability mechanisms, including public reporting and legislative oversight.
- Requires continuous monitoring of residency changes.
- Sets timelines for data submissions to the federal government.
Who is affected
- California Residents
- Medi-Cal Recipients
- County Health Departments
- California Department of Health Care Services
Bill text
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Sponsors
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1 on record
Primary sponsor
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