California State Fees on Community Hospitals (2014)

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A California State Fees on Community Hospitals Initiative (#13-0012) was approved for circulation in California as a contender for the November 4, 2014 ballot as an initiated constitutional amendment.

The initiative would have:

  • Prohibited state fees on community hospitals imposed for the purpose of obtaining federal Medi-Cal matching funds unless the fee proceeds, any matching federal funds, and their earnings are used only to supplement, and not supplant, existing community hospital Medi-Cal funding.
  • Made exceptions for use of fee proceeds for costs of collection and administration, and use of certain amounts of fee proceeds for healthcare to children enrolled in Medi-Cal generally.
  • Required an annual audit of funds collected.

Supporters of the initiative referred to it as the "Medi-Cal Funding and Accountability Act of 2014."

Text of measure

Ballot title:

State Fees on Community Hospitals. Federal Medi-Cal Matching Funds. Initiative Constitutional Amendment.

Official summary:

"Prohibits state fees on community hospitals imposed for the purpose of obtaining federal Medi-Cal matching funds unless the fee proceeds, any matching federal funds, and their earnings are used only to supplement, and not supplant, existing community hospital Medi-Cal funding. Makes exceptions for use of fee proceeds for costs of collection and administration, and use of certain amounts of fee proceeds for healthcare to children enrolled in Medi-Cal generally. Requires annual audit of funds collected."

Fiscal impact statement:

(Note: The fiscal impact statement for a California ballot initiative authorized for circulation is jointly prepared by the state's Legislative Analyst and its Director of Finance.)

"No fiscal impact on state and local governments given that, under current law, no fee would be in place that would be affected by the measure's requirements pertaining to certain fees imposed on hospitals."

Path to the ballot

See also: Signature requirements for ballot measures in California

External links

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