The commission shall report to the Legislature on January 1 and May 1 of each year. The January report shall include all of the following:
(a) The number and type of health service contracts.
(b) The persons served, cost per service, and other relevant and statistical information.
(c) The projected contract services and estimated costs.
(d) The average per diem rate received by contract hospitals, as of December 1 of the preceding year, shall be reported in the following categories:
(1) Statewide.
(2) By standard consolidated statistical area, as defined by the most recent United States Census.
(3) By that portion of the state not included within a standard consolidated statistical area.
(4) Statewide by hospitals with 1–99 beds, 100–299 beds, and over 300 beds.
(e) The total number of hospitals receiving a net increase, a net decrease, or having a contract rate tied to patient volume during the preceding 12 months.
(f) A discussion of the effects of selective contracting on access to, and quality of, services. In preparing this portion of the report, the commission shall solicit comments from representatives of beneficiaries and providers.
The May report shall serve as an update of information contained in subdivisions (a) to (c), inclusive, of the January report.
(Amended by Stats. 1988, Ch. 873, Sec. 1.)
Last modified: October 25, 2018