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Measure AB 499
Authors Ortega  
Subject Robert F. Kennedy Farm Workers Medical Plan.
Relating To relating to health care.
Title An act to amend Section 100235 of the Health and Safety Code, relating to health care.
Last Action Dt 2025-10-06
State Chaptered
Status Chaptered
Active? Y
Vote Required Majority
Appropriation No
Fiscal Committee Yes
Local Program No
Substantive Changes None
Urgency No
Tax Levy No
Leginfo Link Bill
Actions
2025-10-06     Chaptered by Secretary of State - Chapter 370, Statutes of 2025.
2025-10-06     Approved by the Governor.
2025-09-15     Enrolled and presented to the Governor at 4:30 p.m.
2025-09-08     In Assembly. Ordered to Engrossing and Enrolling.
2025-09-08     Read third time. Passed. Ordered to the Assembly. (Ayes 29. Noes 10. Page 2612.).
2025-08-29     Read second time. Ordered to third reading.
2025-08-29     From committee: Do pass. (Ayes 5. Noes 2.) (August 29).
2025-07-14     In committee: Referred to APPR. suspense file.
2025-06-26     From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (June 25). Re-referred to Com. on APPR.
2025-06-11     Referred to Com. on HEALTH.
2025-06-03     In Senate. Read first time. To Com. on RLS. for assignment.
2025-06-02     Read third time. Passed. Ordered to the Senate. (Ayes 65. Noes 1. Page 1833.)
2025-05-27     Read second time. Ordered to third reading.
2025-05-23     From committee: Do pass. (Ayes 12. Noes 0.) (May 23).
2025-04-09     In committee: Set, first hearing. Referred to APPR. suspense file.
2025-03-26     From committee: Do pass and re-refer to Com. on APPR. (Ayes 12. Noes 0.) (March 25). Re-referred to Com. on APPR.
2025-02-24     Referred to Com. on HEALTH.
2025-02-11     From printer. May be heard in committee March 13.
2025-02-10     Read first time. To print.
Keywords
Tags
Versions
Chaptered     2025-10-06
Enrolled     2025-09-10
Introduced     2025-02-10
Last Version Text
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		<ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Assembly Member Ortega</ns0:AuthorText>
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		<ns0:Title> An act to amend Section 100235 of the Health and Safety Code, relating to health care. </ns0:Title>
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			<ns0:Subject>Robert F. Kennedy Farm Workers Medical Plan. </ns0:Subject>
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			<html:p>Existing law, the Robert F. Kennedy Farm Workers Medical Plan, is a nonprofit voluntary employees beneficiary association, organized under federal law, that provides payments for health care and other benefits to its members. Existing law, until January 1, 2031, requires the State Department of Health Care Services to annually reimburse the plan up to $3,000,000 per year for claim payments that exceed $70,000 made by the plan on behalf of an eligible employee or dependent for a single episode of care on or after September 1, 2016.</html:p>
			<html:p>This bill would require the department to annually reimburse the Robert F. Kennedy Farm Workers Medical Plan up to $3,000,000 per year for claim payments that exceed $50,000 made by the plan on behalf of an eligible employee or dependent for a single episode of care.</html:p>
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		<ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
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				Section 100235 of the 
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				 is amended to read:
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								(a)
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								The department shall annually reimburse the Robert F. Kennedy Farm Workers Medical Plan for claim payments that exceed fifty thousand dollars ($50,000) made by the plan on behalf of an eligible employee or dependent for a single episode of care on or after September 1, 2016. This reimbursement shall not exceed three million dollars ($3,000,000) per year.
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								(b)
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								To seek
				  reimbursement, commencing after September 1, 2017, and annually thereafter, the plan shall submit to the department completed data, verified by an independent certified public accountant, for claims paid by the plan for services during the preceding year from September 1 to August 31, inclusive.
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								(c)
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								(1)
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								If the department receives claims data from the plan pursuant to subdivision (b), the department shall analyze that data to determine the aggregate amount of claims that exceed
				  fifty thousand dollars ($50,000) paid by the plan on behalf of an eligible employee or dependent for any single episode of care.
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								(2)
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								No later than 60 days after the department receives claims data submitted by the plan, the department shall reimburse the plan the amount determined pursuant to paragraph (1), up to the amount of three million dollars ($3,000,000) per year.
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								(d)
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								This section shall remain in effect only until January 1, 2031, and as of that date is repealed, unless a later enacted statute that is enacted before January 1, 2031, deletes or extends that date.
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Last Version Text Digest Existing law, the Robert F. Kennedy Farm Workers Medical Plan, is a nonprofit voluntary employees beneficiary association, organized under federal law, that provides payments for health care and other benefits to its members. Existing law, until January 1, 2031, requires the State Department of Health Care Services to annually reimburse the plan up to $3,000,000 per year for claim payments that exceed $70,000 made by the plan on behalf of an eligible employee or dependent for a single episode of care on or after September 1, 2016. This bill would require the department to annually reimburse the Robert F. Kennedy Farm Workers Medical Plan up to $3,000,000 per year for claim payments that exceed $50,000 made by the plan on behalf of an eligible employee or dependent for a single episode of care.