reglab/housing_qa huggingface dataset:
CA Welf & Inst Code § 14198.1 (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 6.5 - Regional Burn and Trauma Center Program|Section 14198.1.

14198.1.  (a) A hospital or its successor entity, that has received funds pursuant to Section 14198 shall maintain burn and trauma services and continue to provide medical services to beneficiaries of Medi-Cal or a successor program through the year 2028.(b) The state and a hospital subject to this section shall negotiate in good faith to ensure continued hospital participation in the Medi-Cal program and to ensure adequate access to services for Medi-Cal patients.(Added by Stats. 1998, Ch. 314, Sec. 1. Effective August 19, 1998.)
CA Welf & Inst Code § 14199.60 (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 6.8 - Managed Care Organization Provider Tax|Section 14199.60.

14199.60.  It is the intent of the Legislature that the department implement a managed care organization provider tax effective July 1, 2019, to provide ongoing funding for health care and prevention, minimize to the extent possible any need for new reductions to the program, and meet both of the following goals:(a) Generate an amount of nonfederal funds for the Medi-Cal program equivalent to the funds generated by the tax imposed pursuant to Article 6.7 (commencing with Section 14199.50).(b) Comply with federal Medicaid requirements applicable to permissible health care related taxes, including, but not limited to, Section 433.68 of Title 42 of the Code of Federal Regulations.(Repealed and added by Stats. 2019, Ch. 348, Sec. 2. (AB 115) Effective September 27, 2019. Operative on or after July 1, 2019, as prescribed by Section 14199.66. Inoperative on or before January 1, 2023, as prescribed by Section 14199.66. Repealed as of January 1, 2024, pursuant to Section 14199.67.)
CA Welf & Inst Code § 14199.62 (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 6.8 - Managed Care Organization Provider Tax|Section 14199.62.

14199.62.  (a) The Health Care Services Special Fund is hereby created in the State Treasury.(b) All revenues, less refunds, derived from the taxes provided for in this article shall be deposited in the State Treasury to the credit of the Health Care Services Special Fund.(c) Notwithstanding Section 16305.7 of the Government Code, any interest and dividends earned on moneys in the Health Care Services Special Fund shall be retained in the fund and used solely for the purposes specified in subdivision (d).(d) Notwithstanding Section 13340 of the Government Code, the funds deposited in the Health Care Services Special Fund pursuant to this article shall be continuously appropriated, without regard to fiscal year, to the department for purposes of funding the nonfederal share of Medi-Cal managed care rates for health care services furnished to children, adults, seniors and persons with disabilities, and persons dually eligible for Medi-Cal and Medicare.(e) The department shall provide an annual report to all health plans accounting for the funds deposited in and expended from the Health Care Services Special Fund, in a time and manner as deemed appropriate by the director. The report shall identify the taxes imposed on each health plan pursuant to this article, and shall provide an itemized accounting of expenditures from the fund.(f) Effective June 30, 2020, the Health and Human Services Special Fund in the State Treasury, created pursuant to Section 14199.52, is hereby abolished. All moneys in the fund shall be transferred to the Health Care Services Special Fund created pursuant to subdivision (a). Any remaining balance, assets, liabilities, and encumbrances of the Health and Human Services Special Fund as of June 30, 2020, shall be transferred to, and become part of, the Health Care Services Special Fund.(g) Notwithstanding any other law, the Controller may use the funds in the Health Care Services Special Fund for cashflow loans to the General Fund as provided in Sections 16310 and 16381 of the Government Code.(Added by Stats. 2019, Ch. 348, Sec. 2. (AB 115) Effective September 27, 2019. Operative on or after July 1, 2019, as prescribed by Section 14199.66. Inoperative on or before January 1, 2023, as prescribed by Section 14199.66. Repealed as of January 1, 2024, pursuant to Section 14199.67.)
CA Welf & Inst Code § 14199.63 (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 6.8 - Managed Care Organization Provider Tax|Section 14199.63.

14199.63.  (a) The department shall determine for each health plan using the base data source all of the following:(1) Total cumulative enrollment for the base year.(2) Total Medicare cumulative enrollment for the base year.(3) Total Medi-Cal cumulative enrollment for the base year.(4) Total plan-to-plan cumulative enrollment for the base year.(5) Total cumulative enrollment through the Federal Employees Health Benefits Act of 1959 (Public Law 86-382) for the base year.(6) Total other cumulative enrollment for the base year that is not otherwise counted in paragraphs (2) to (5), inclusive.(b) Notwithstanding any provision in this article, the director may correct any identified material or significant error in the data, including, but not limited to, the overall cumulative enrollment, Medicare cumulative enrollment, Medi-Cal cumulative enrollment, plan-to-plan cumulative enrollment, cumulative enrollment through the Federal Employees Health Benefits Act of 1959 (Public Law 86-382), and other cumulative enrollment. The director’s determination whether to exercise discretion under this section and any determination made by the director under this section shall not be subject to judicial review, except that a health plan may bring a writ of mandate under Section 1085 of the Code of Civil Procedure to rectify an abuse of discretion by the department in correcting that health plan’s data when that correction results in a greater tax amount for that health plan pursuant to Section 14199.65.(Added by Stats. 2019, Ch. 348, Sec. 2. (AB 115) Effective September 27, 2019. Operative on or after July 1, 2019, as prescribed by Section 14199.66. Inoperative on or before January 1, 2023, as prescribed by Section 14199.66. Repealed as of January 1, 2024, pursuant to Section 14199.67.)
CA Welf & Inst Code § 14199.67 (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 6.8 - Managed Care Organization Provider Tax|Section 14199.67.

14199.67.  (a) This article shall become operative on July 1, 2019, or the date specified in subdivision (a) of Section 14199.66 for purposes of assessing the tax under this article, whichever occurs later.(b) (1)  This article shall become inoperative on January 1, 2023, or on a date as specified in subdivision (b) or (c) of Section 14199.66, whichever occurs first, and as of January 1, 2024, is repealed.(2) Notwithstanding paragraph (1), any tax and any applicable interest and penalties imposed under this article shall continue to be due and payable to the department until the tax and any applicable interest and penalties are fully paid.(Added by Stats. 2019, Ch. 348, Sec. 2. (AB 115) Effective September 27, 2019. Repealed as of January 1, 2024, by its own provisions. Note: Repeal affects Article 6.8 commencing with Section 14199.60.)
CA Welf & Inst Code § 14200 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 1 - General Provisions|Section 14200.

14200.  This chapter shall be known and may be cited as the Waxman-Duffy Prepaid Health Plan Act.(Added by Stats. 1972, Ch. 1366.)
CA Welf & Inst Code § 14200.1 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 1 - General Provisions|Section 14200.1.

14200.1.  The purpose of this chapter is to afford persons eligible to receive benefits under Chapter 7 (commencing with Section 14000) of this part the opportunity to enroll as regular subscribers in prepaid health plans, without reference to marital status or any characteristic listed or defined in Section 11135 of the Government Code.(Amended by Stats. 2008, Ch. 682, Sec. 11. Effective January 1, 2009.)
CA Welf & Inst Code § 14201 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 1 - General Provisions|Section 14201.

14201.  The intent of the Legislature is to provide, to the extent feasible, through the provisions of this chapter and the necessarily related provisions of Chapter 7 (commencing with Section 14000) of this part, recipients of public assistance and medically indigent aged and other persons with the opportunity to enroll in prepaid health plans. It is further intended that this legislation is to benefit the people of the State of California by:(a) Encouraging the development of more efficient delivery of health care to Medi-Cal recipients.(b) Reducing the inflationary costs of health care.(c) Improving the quality of medical services rendered to those eligible enrollees as defined in this chapter and Chapter 7 (commencing with Section 14000) of this part.(d) Reducing administrative costs of operating the Medi-Cal Act by allowing prepaid health plans to assume substantial costs of administration and utilization controls that are now assumed by the State Department of Health Services.(Amended by Stats. 1977, Ch. 1252.)
CA Welf & Inst Code § 14203 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 1 - General Provisions|Section 14203.

14203.  (a) For purposes of administering this chapter and Chapter 7 (commencing with Section 14000) of this part, the department is hereby designated as the single or appropriate state agency with full power to administer and adopt regulations in order to secure full compliance with applicable provisions of state and federal laws.(b) The department may adopt regulations implementing this chapter as emergency regulations in accordance with Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code. Initial regulations to implement this chapter may be adopted as emergency regulations. The adoption of these initial emergency regulations shall be considered by the Office of Administrative Law as necessary for the immediate preservation of the public peace, health, and safety, or general welfare. Initial emergency regulations adopted pursuant to this section shall remain in effect for no more than 180 days.(c) This section shall become operative on January 1, 1995.(Repealed (in Sec. 5) and added by Stats. 1993, Ch. 573, Sec. 6. Effective September 28, 1993. Section operative January 1, 1995, by its own provisions.)
CA Welf & Inst Code § 14204 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 1 - General Provisions|Section 14204.

14204.  (a) Pursuant to the provisions of this chapter, the department may contract with one or more prepaid health plans in order to provide the benefits authorized under this chapter and Chapter 7 (commencing with Section 14000) of this part. The department may contract with one or more children’s hospitals on an exclusive basis for a specified population in a specified geographic area. Contracts entered into pursuant to this chapter may be awarded on a bid or nonbid basis.(b) In order to achieve maximum cost savings the Legislature hereby determines that expedited contract process for contracts under this chapter is necessary. Therefore, contracts under this chapter shall be exempt from Chapter 2 (commencing with Section 10290) of Part 2 of Division 2 of the Public Contract Code.(c) The department shall amend contracts with dental health plans in effect on the date the act that added this subdivision and Section 14459.6 become effective to provide Medi-Cal dental services authorized under this chapter and Chapter 7 (commencing with Section 14000) to Medi-Cal beneficiaries who reside in a specified geographic area to meet the requirements of Sections 14089.09 and 14459.6.(Amended by Stats. 2012, Ch. 23, Sec. 112. (AB 1467) Effective June 27, 2012.)
CA Welf & Inst Code § 14205 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 1 - General Provisions|Section 14205.

14205.  Except where the context otherwise requires, or where specific exceptions are authorized, all provisions of Chapter 7 (commencing with Section 14000) of this part shall be applicable to the provisions of this chapter and the violation of the provisions of this chapter or any rule or regulation adopted pursuant thereto shall be deemed to be a violation of Chapter 7.(Added by Stats. 1977, Ch. 1036.)
CA Welf & Inst Code § 14206 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 1 - General Provisions|Section 14206.

14206.  (a) No prepaid health plan or pilot program shall be deemed to transact insurance or to be subject to any provision of the Insurance Code by virtue of negotiating, executing, or performing a prepaid health plan or pilot program contract under this chapter, or by virtue of compliance with the provisions of such a prepaid health plan or pilot program contract, including, but not limited to, creation, segregation, or maintenance of security to protect or safeguard the performance of such a prepaid health plan or pilot program contract. The director may require such security in respect to any such contract including, but not limited to, securities, surety bonds, or evidences of governmental debt, of the kinds, in the manner, and to the extent provided by the prepaid health plan or pilot program contract.(b) Prepaid health plans or pilot programs to which the state is a party under the provisions of this chapter, and contracts and arrangements embodying such plans or programs shall not be subject to the provisions of law prescribing the forms of hospital or medical service or insurance contracts or requiring approval thereof or of the form thereof, by any state officer or agency except the director or the department.This exemption applies, but is not limited to: (1) Chapter 4 (commencing with Section 10270) of Part 2 of Division 2 of the Insurance Code, (2) Section 11069 of the Insurance Code, and (3) Section 11513 of the Insurance Code. However, the exemption provided for in this section shall not exempt any insurer subject to taxation under Part 7 (commencing with Section 12001) of Division 2 of the Revenue and Taxation Code from the tax imposed under such part on gross premiums derived from contracts under this chapter.(Added by Stats. 1977, Ch. 1036.)
CA Welf & Inst Code § 14250 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14250.

14250.  Unless the context otherwise requires, the definitions set forth in this article govern the construction of this chapter.(Added by Stats. 1972, Ch. 1366.)
CA Welf & Inst Code § 14252 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14252.

14252.  “Medi-Cal beneficiary” means a person who is eligible to receive benefits under Chapter 7 (commencing with Section 14000) of this part.(Added by Stats. 1972, Ch. 1366.)
CA Welf & Inst Code § 14253 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14253.

14253.  “Subcontract” means an agreement entered into by the prepaid health plan with any of the following:(a) A provider of health care services who agrees to furnish such services to Medi-Cal beneficiaries enrolled in the prepaid health plan.(b) A marketing organization.(c) Any other person or organization who agrees to perform any administrative function or service for the operation of the prepaid health plan specifically related to securing or fulfilling its contractual obligations with the department. (Added by Stats. 1974, Ch. 983.)
CA Welf & Inst Code § 14254 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14254.

14254.  (a) “Primary care physician” is a physician who has the responsibility for providing initial and primary care to patients, for maintaining the continuity of patient care, and for initiating referral for specialist care. A primary care physician shall be either a physician who has limited his or her practice of medicine to general practice or who is a board-certified or board-eligible internist, pediatrician, obstetrician-gynecologist, or family practitioner.(b) A nonphysician medical practitioner, as defined in subdivision (c) of Section 14088, who is supervised by a primary care physician, has the responsibility for providing initial and primary care to patients, for maintaining the continuity of patient care, and for initiating referral for specialist care.(Amended by Stats. 2013, Ch. 684, Sec. 5. (SB 494) Effective January 1, 2014.)
CA Welf & Inst Code § 14255 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14255.

14255.  “Specialist” means a physician who is board certified or board eligible in the specialty of medical care provided.(Amended by Stats. 1974, Ch. 983.)
CA Welf & Inst Code § 14256 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14256.

14256.  The “basic scope of health care benefits” means:(a) Physician’s services;(b) Hospital outpatient services;(c) Laboratory and X-ray;(d) Prescription drugs;(e) Hospital inpatient care;(f) Skilled nursing facility care.(Amended by Stats. 1974, Ch. 1240.)
CA Welf & Inst Code § 14257 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14257.

14257.  Nothing in this act shall preclude the director from contracting with licensed specialized health care service plans which provide only dental, pharmaceutical, optometric, or psychological services in accordance with regulations issued by the department.(Amended by Stats. 1977, Ch. 1036.)
CA Welf & Inst Code § 14258 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14258.

14258.  “Service area” means a geographical area designated by the department within which a prepaid health plan shall provide health care services and within which the Medi-Cal beneficiaries eligible for enrollment in the prepaid health plan reside.(Added by Stats. 1974, Ch. 983.)
CA Welf & Inst Code § 14259 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14259.

14259.  “Director” means the State Director of Health Services.(Amended by Stats. 1977, Ch. 1252.)
CA Welf & Inst Code § 14260 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14260.

14260.  “Department” means the State Department of Health Services.(Amended by Stats. 1977, Ch. 1252.)
CA Welf & Inst Code § 14261 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14261.

14261.  “Vendor” means any person who provides services or supplies to a prepaid health plan or a subcontractor of a prepaid health plan and who does not have a subcontract as defined by Section 14253 with either the prepaid health plan or its subcontractors.(Repealed and added by Stats. 1977, Ch. 1036.)
CA Welf & Inst Code § 14263 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14263.

14263.  “Marketing” means any activity conducted by or on behalf of a prepaid health plan where information regarding the services offered by a prepaid health plan is disseminated in order to persuade Medi-Cal beneficiaries to enroll or accept any application for enrollment in the prepaid health plan. Marketing shall also include any similar activity to procure the endorsement of the prepaid health plan from any individual or organization.(Amended by Stats. 1977, Ch. 1036.)
CA Welf & Inst Code § 14264 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14264.

14264.  “Marketing organization” means any subcontractor who agrees to provide marketing services for a prepaid health plan.(Amended by Stats. 1977, Ch. 1036.)
CA Welf & Inst Code § 14265 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 2 - Definitions|Section 14265.

14265.  “Marketing representative” means any person who engages in marketing activities on behalf of a marketing organization or the prepaid health plan.(Added by Stats. 1974, Ch. 983.)
CA Welf & Inst Code § 14300 (2021)
2021 California Code|Welfare and Institutions Code - WIC|DIVISION 9 - PUBLIC SOCIAL SERVICES|PART 3 - AID AND MEDICAL ASSISTANCE|CHAPTER 8 - Prepaid Plans|ARTICLE 3 - Administration|Section 14300.

14300.  The department shall publish a notice of intent to contract at least 60 days prior to the effective date of any initial or renewed contract. The notice shall appear in local newspapers circulated in the service areas of the prepaid health plan. The notice shall announce the department’s intent to contract and any person affected by the contract shall have the opportunity to request that a public hearing be held. The request for public hearing shall be accompanied by an explanation of the reason for the request and a description of problems or questions regarding the plan’s ability to meet its contractual obligations. A hearing shall be held by the department if the director determines that the request is reasonable and warrants a full public hearing. A request shall be considered reasonable if there is a question regarding the plan’s ability to meet its contractual obligations.No contract shall be signed by the department until the department determines that the plan has the ability to fully comply with its contractual obligations.(Amended by Stats. 1984, Ch. 1338, Sec. 4.)