Medi-Cal: fraud assessment task force.

Plain English Breakdown

Uncertainty about the specific amount and source of funding required for the bill.

Medi-Cal Fraud Task Force

This law requires the State Department of Health Care Services to create a task force that will assess fraud risks in Medi-Cal and recommend ways to prevent it.

What This Bill Does

• Requires the department to form a task force by January 1, 2027, if given money by the Legislature.
• The task force must review current tools used to prevent fraud and analyze gaps in data sharing.
• It needs to study how best practices from other states and the federal government can be applied to California's Medi-Cal program.
• Within six months of forming, the task force has to give recommendations on reducing fraud risks to certain committees.

Who It Names or Affects

• The State Department of Health Care Services
• People who work in Medi-Cal fraud prevention

Terms To Know

Medi-Cal

A health care program for low-income people in California, funded partly by the federal government.

Task Force

A group of experts brought together to solve a specific problem or issue.

Limits and Unknowns

• The bill will only start if the Legislature gives money for it.
• It does not specify how much money is needed or where it comes from.
• The exact members of the task force are not listed in this summary.

Official Summary Text

AB 2670, as introduced, Castillo.
Medi-Cal: fraud assessment task force.
Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified low-income persons pursuant to a state plan. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.
This bill would, upon appropriation by the Legislature, require the department to convene a task force of specified members by no later than January 1, 2027, to conduct a comprehensive assessment of fraud risks in the Medi-Cal program. The bill would require the task force, within 6 months of formation, to review current fraud prevention tools, analyze data-sharing gaps, and evaluate how best practices from the federal government and other states could be applied in California. The bill would require the task force to submit specified
recommendations based on this assessment to the appropriate policy and fiscal committees of the Legislature by no later than January 1, 2028.

Current Bill Text

Download Bill PDF