Medi-Cal: fraud assessment task force.
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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
This bill creates a task force within the Department of Health Care Services to assess fraud risks in the Medi-Cal program. The task force will review existing fraud prevention methods, identify data sharing gaps, and explore best practices from other states and the federal government. It will then submit recommendations to the legislature for improvements in fraud prevention, regulation, technology, and fund recovery.
Key provisions
- The task force must be convened by January 1, 2027, with an appropriation.
- The task force will review current fraud prevention tools.
- The task force will analyze data-sharing gaps within the Medi-Cal program.
- The task force will evaluate best practices from other states and the federal government.
- The task force must submit recommendations to legislative committees by January 1, 2028.
- Recommendations will cover statewide protocols, regulatory changes, technology improvements, fraud response strategies, and fund recovery strategies.
- The task force will include representatives from various stakeholder groups.
- Recommendations must comply with the Government Code.
Who is affected
- Medi-Cal recipients
- Managed Care Plans
- Provider Groups
- Department of Health Care Services
- Legislative Committees
Notable changes
Bill text
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