reglab/housing_qa huggingface dataset:
CA Welf & Inst Code § 14087.965 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.965.

14087.965.  (a) A request for removal under Section 14087.9645 shall be adopted by the nominating entity in the same manner as the nomination was adopted and shall be confirmed by a written request for removal delivered to the governing body, setting forth the grounds for removal.(b) A removal under subdivision (a) shall be effective upon action by the governing body, that shall be taken at the first meeting following receipt of the written request.(c) The nominating entity shall be legally responsible for improper removals.(d) A nominating entity that requests removal of a governing body member shall nominate a successor within 60 days after the effective date of the removal.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.9655 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.9655.

14087.9655.  (a) The governing body shall establish a technical advisory committee to provide technical expertise to the governing body.(b) Members of the committee shall include a medical school representative, an epidemiologist, a pharmacist, a representative of a nursing association, a home health care representative, a long-term care provider, a mental health care provider, a medical rehabilitation provider, and an expert on health care quality, or, in the alternative, other persons with health care expertise.(c) The technical advisory committee shall meet on a regular basis, and shall make recommendations and reports to the governing body.(Amended by Stats. 2001, Ch. 528, Sec. 1. Effective January 1, 2002.)
CA Welf & Inst Code § 14087.9657 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.9657.

14087.9657.  (a) The governing body shall establish a children’s health consultant advisory committee to provide to the governing body expertise on child, adolescent, and maternal health issues.(b) Members of the committee shall include representatives of government health departments and school districts in the geographic area served by the local initiative, as well as medical professionals with background in pediatrics and obstetric care, or, in the alternative, other persons with health care expertise.(c) The children’s health consultant advisory committee shall meet on a regular basis, and shall make recommendations and reports to the governing body.(Added by Stats. 2001, Ch. 528, Sec. 2. Effective January 1, 2002.)
CA Welf & Inst Code § 14087.966 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.966.

14087.966.  (a) The governing body for each geographic region served by the local initiative shall establish a regional community advisory committee to ensure community involvement.(b) Each regional community advisory committee shall have no more than 35 members, a majority of whom shall be consumers and consumer advocates, but may also include providers.(c) (1) The chairpersons of the regional community advisory committees shall comprise an executive community advisory committee.(2) It is the intent of the Legislature that a majority of the executive community advisory committee shall be consumers and consumer advocates, plus two at-large members.(d) The executive community advisory committee shall make recommendations, and shall report on its activities, to the governing body and shall be able to place matters of the governing body’s agenda for consideration.(Amended by Stats. 2004, Ch. 454, Sec. 4. Effective January 1, 2005.)
CA Welf & Inst Code § 14087.9665 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.9665.

14087.9665.  (a) The commission may borrow or receive funds from any person or entity as necessary to cover development costs and other actual or projected obligations of the local initiative.(b) The county may lend funds to the commission upon such terms as the board of supervisors may establish.(c) Notwithstanding any other provision of law, both the county and the commission shall be eligible to receive funding under subdivision (p) of Section 14163, and the local initiative shall be considered for all purposes to satisfy the requirements of subdivision (p) of Section 14163.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.967 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.967.

14087.967.  To the full extent permitted by federal law, the department and the commission may enter into contracts to provide or arrange for health care services for any or all persons who are eligible to receive benefits under the Medi-Cal program. The contracts may be on an exclusive or nonexclusive basis, and shall include payment provisions on any basis negotiated between the department and the commission. In addition, health plans or programs operated by the commission as part of the local initiative may also include, but are not limited to, individuals covered under Title 18 of the Social Security Act (Subchapter 18 (commencing with Section 1395) of Chapter 7 of Title 42 of the United States Code), individuals employed by public agencies and private businesses, and uninsured or indigent patients.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.9675 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.9675.

14087.9675.  (a) The auditor-controller of the county, at those intervals the auditor-controller deems appropriate, but no less frequently than annually, shall conduct a review of the fiscal condition of the commission, report the findings to the commission and the board of supervisors, and provide a copy of the findings to any public agency upon request.(b) At the county auditor-controller’s discretion, other operational or financial audits of the commission may be conducted.(c) Upon the written request of the county auditor-controller, the commission shall provide full access to all commission records and documents as necessary to allow the county auditor-controller to perform the activities authorized by this section.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.968 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.968.

14087.968.  Notwithstanding any other provision of law, the county shall not be liable for any damages or losses, whether financial or in any other form, that may result from the reliance of any person, entity, or agency on the actions or omissions of, or the findings made by, the auditor-controller under this section.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.9685 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.9685.

14087.9685.  (a) Notwithstanding any other provision of law, any obligation of the commission and its local initiative, statutory, contractual, or otherwise, shall be an obligation solely of the commission and shall not be an obligation of the county or of the state. Except as otherwise provided in this article, neither the county nor the state shall be liable for any act or omission of the commission.(b) Except as agreed to by contract with the county, no liability of the commission shall become an obligation of the county upon either termination of the commission and its local initiative or the liquidation or disposition of the commission’s remaining assets.(c) All claims for money damages against the commission shall be governed by Part 3 (commencing with Section 900) and Part 4 (commencing with Section 940) of Division 3.6 of Title 1 of the Government Code, except as otherwise provided by other statutes or regulations that expressly apply to the commission.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.9695 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.9695.

14087.9695.  The department, if at no state General Fund expense, may take all appropriate steps, in cooperation with the county and the commission, to obtain approval for a demonstration or pilot project under applicable federal laws, including, but not limited to, Section 1315 of Title 42 of the United States Code, in connection with the local initiative in the county. The project may include Medi-Cal coverage for enrollees in the local initiative who otherwise would not be covered under the Medi-Cal program. The project shall not be used to curtail existing rights with respect to eligibility and services for the Medi-Cal population, nor to obtain federal waivers of the payment provisions applicable to federally qualified health centers or noninstitutional providers under paragraphs (10), (13), (30), and (37) of subsection (a) of Section 1396a of Title 42 of the United States Code.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.9697 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.9697.

14087.9697.  In any transfer of functions from county employees to the commission, the commission shall continue to recognize the employee organization that represented the employees performing those functions at the time of the transfer of duties. The commission shall also be bound by the terms of any memorandum of understanding that is in effect as of the date of the transfer of functions for the duration thereof, or until replaced by a subsequent memorandum of understanding.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.97 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.97.

14087.97.  The commission shall be deemed to be a public agency that is a local unit of government for purposes of all grant programs and other funding and loan guarantee programs.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.971 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.971.

14087.971.  (a) Contracts under this article between the department and the commission shall be on a nonbid basis and shall be exempt from Chapter 2 (commencing with Section 10290) of Part 2 of Division 2 of the Public Contract Code.(b) It is the intent of the Legislature that the county shall, with respect to its medical facilities and programs, occupy no greater or lesser status than any other health care provider in negotiating with the commission for contracts to provide health care services.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.9715 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.9715.

14087.9715.  The Legislature intends that implementation of this article shall involve consultation and cooperative activities among various agencies of the state and county, and the commission. The Legislature finds and declares that those activities are in furtherance of the state’s goals and efforts. The activities of the commission and its local initiative shall be recognized as state action for purposes of all statutes and regulations relating to business competition.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.972 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.972.

14087.972.  Neither the commission nor its local initiative shall be considered to be an agency, division, department, or instrumentality of the county, and neither the commission nor its local initiative shall be subject to the personnel, procurement, or other operational rules of the county.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.9722 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.9722.

14087.9722.  (a) If the commission established pursuant to this article no longer functions for the purposes for which it was established, when the commission’s existing obligations have been satisfied or the commission’s assets have been exhausted, the board of supervisors may, by ordinance, resolution, or other action, terminate the commission.(b) Prior to the termination of the commission, the board of supervisors shall notify the department of its intent to terminate the commission. Within 30 days of the notification, the department shall conduct an audit of the records of the commission to determine the liabilities and assets of the commission. The department shall report its findings to the board of supervisors within 10 days of the completion of the audit. The board of supervisors shall prepare a plan to liquidate or otherwise dispose of the assets of the commission and to pay the liabilities of the commission to the extent of the commission’s assets, and shall present the plan to the department within 30 days after receiving the department’s audit findings.(c) Upon termination of the commission by the board of supervisors, the county shall manage any remaining assets of the commission until superseded by a plan approved by the department.(d) All assets of the commission remaining after the payment of the liabilities of the commission pursuant to subdivision (b) shall be disposed of pursuant to the contract entered into between the state and the commission pursuant to Section 14087.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14087.9725 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.81 - Managed Health Care System for Los Angeles County|Section 14087.9725.

14087.9725.  (a) Nothing in this article shall be construed as amending the requirements of Section 17000.(b) Nothing in this article shall be construed to preclude the department from expanding Medi-Cal managed care in ways other than those expressly provided in this article.(Added by Stats. 1994, Ch. 632, Sec. 2.5. Effective September 20, 1994.)
CA Welf & Inst Code § 14088.05 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.9 - Primary Care Provider Case Management|Section 14088.05.

14088.05.  For purposes of this article, “primary care case management plan” means a primary care provider or other entity who has contracted with the department pursuant to this article.(Amended by Stats. 1995, Ch. 859, Sec. 3. Effective January 1, 1996.)
CA Welf & Inst Code § 14088.2 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.9 - Primary Care Provider Case Management|Section 14088.2.

14088.2.  The primary care provider or other entity eligible pursuant to this article with whom a contract has been entered into pursuant to this article shall have responsibility for providing for case management as defined, pursuant to Section 14088.(Amended by Stats. 1992, Ch. 1212, Sec. 3. Effective January 1, 1993.)
CA Welf & Inst Code § 14088.4 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.9 - Primary Care Provider Case Management|Section 14088.4.

14088.4.  (a) No reimbursement shall be provided, for any beneficiary receiving case management services, for any services covered by the contract entered into pursuant to this article, except emergency services and dental services, not authorized pursuant to case management decisions made by the appropriate contractor.(b) Notwithstanding subdivision (a), a provider shall be reimbursed for covered services rendered to a beneficiary, when the department’s automated eligibility verification system, developed pursuant to Section 14042, fails to indicate that the beneficiary is subject to receiving case management services, provided that claims for these services meet all other requirements for valid claims under the program.(Amended by Stats. 1992, Ch. 1212, Sec. 5. Effective January 1, 1993.)
CA Welf & Inst Code § 14088.5 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.9 - Primary Care Provider Case Management|Section 14088.5.

14088.5.  The beneficiary shall be permitted to disenroll from any contract entered into pursuant to this article upon request, except where prohibited under the provisions of any federal waivers obtained by the department.(Amended by Stats. 1992, Ch. 1212, Sec. 6. Effective January 1, 1993.)
CA Welf & Inst Code § 14088.6 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.9 - Primary Care Provider Case Management|Section 14088.6.

14088.6.  In order to achieve maximum cost savings, the Legislature hereby determines that an expedited contract process for contracts under this article is necessary. Therefore, contracts under this article may be on a nonbid basis and shall be exempt from the provisions of Chapter 2 (commencing with Section 10290) of Part 2 of Division 2 of the Public Contract Code.(Amended by Stats. 1998, Ch. 834, Sec. 6. Effective January 1, 1999.)
CA Welf & Inst Code § 14088.7 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.9 - Primary Care Provider Case Management|Section 14088.7.

14088.7.  Primary care providers and other entities with whom a contract has been entered into pursuant to this article shall be exempt from Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code for purposes of carrying out the contracts.(Amended by Stats. 1992, Ch. 1212, Sec. 7. Effective January 1, 1993.)
CA Welf & Inst Code § 14088.8 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 7 - Basic Health Care|ARTICLE 2.9 - Primary Care Provider Case Management|Section 14088.8.

14088.8.  (a) The department may establish modified primary care case management contracts pursuant to this article. This authority shall be subject to the department seeking and obtaining all necessary federal waivers to implement this section.(b) In establishing modified primary care case management contracts pursuant to this article, the department may enter into contracts with providers whose application to develop a full primary care case management contract has been accepted by the department and who are working with the department to document, develop, and install the required systems, policies, and procedures. These contracts may provide for the following:(1) The modified primary care case management contract would have effect only until the contractor’s full primary care case management contract is executed.(2) The scope of services covered and the case management and utilization control responsibilities of the contractor may be more limited than under a full primary care case management.(3) Formal enrollment of Medi-Cal beneficiaries with the contractor would occur but the contractor could be reimbursed on a fee-for-service basis for the services the contractor provides to them. Beneficiaries enrolling under the modified primary care case management contract would remain enrolled under the full primary care case management contract entered into by the contractor.(4) Contractor quality of care requirements could be modified to reflect the contractor’s fee-for-service managed care mode of health care delivery.(5) Evaluation by the department of the contractor’s efficiency, case management effectiveness and the calculation of any savings and savings sharing would reflect the temporary fee-for-service approach under which the contractor is operating.(c) Contracts shall not be entered into by the department unless the waivers or revision to any existing waiver are granted by the federal government. The provisions for which appropriate federal waivers cannot be obtained shall not be implemented, but provisions for which waivers are either obtained or found to be unnecessary shall be unaffected by the inability to obtain federal waivers for other provisions.(Amended by Stats. 1992, Ch. 722, Sec. 81. Effective September 15, 1992.)