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EDMUND G. BROWN JR.
Governor

State of Californiaā€”Health and Human Services Agency
California Department of Public Health


AFL 24-05
January 16, 2024


TO:
Primary Care Clinics (PCCs)
Intermittent Clinics
Specialty Clinics

SUBJECT:
Senate Bill (SB) 779: Primary Care Clinic Data Modernization Act

ā€‹ā€‹ā€‹ā€‹ā€‹ā€‹ā€‹


ā€‹AUTHORITY:     Health and Safety Code (HSC) sections 1216, 1216.1, 127285128900, 128905, 128910, 128915, and 128920ā€‹ā€‹


ā€‹All Facilities Letter (AFL) Summary

This AFL notifies clinics of the chaptering of SB 779 (Chapter 505, Statutes of 2023) that expands the scope of information the Department of Health Care Access and Information (HCAI) collects annually from PCCs, extends PCC reporting requirements to intermittent clinics, and simplifies reporting requirements for specialty clinics. The bill staggers implementation for the new annual reporting requirements, with initial filing deadlines of on or before February 15th of 2024, 2027, and 2028.ā€‹

ā€‹PCCs and Intermittent Clinics

Commencing in 2024, SB 779 expands upon existing requirements for data that licensed PCCs must report to HCAI each year by February 15th for the previous calendar year. This expansion authorizes HCAI to collect descriptive patient information, in addition to age, gender, race, and ethnic background data that licensed PCCs must currently report.

Commencing in 2027, the bill further expands the annual reporting requirements for licensed PCCs. New reporting requirements include additional patient demographics, public healthcare program participant information, average weekly number of clinic operating hours, and status as a licensed or intermittent clinic.

Also commencing in 2027, the bill extends all PCC reporting requirements to license-exempt intermittent clinics operated by licensed clinics, with an annual filing deadline of February 15th.

Commencing in 2028, the bill requires an organization that operates, conducts, owns, or maintains a licensed PCC or intermittent clinic to also file the Medi-Cal federally qualified health center /rural health center prospective payment system rate (if applicable ), a detailed labor report, and a detailed workforce development report.

Specialty Clinics
Commencing in 2027, SB 779 simplifies data that specialty clinics must annually report to HCAI by February 15th for the previous calendar year, and it exempts them from reporting specified data that PCCs and intermittent clinics must report. The simplified reporting requirements include the number of patients, total amount of charges or fees collected from patients, total revenue from other sources, total clinic operating cost, and additional information as HCAI may require by regulation. Specialty clinics must also continue to annually report bed and service inventory and utilization, acquisitions of specified equipment, and commencement of specified projects pursuant to HSC section 127285.

Enforcement

Commencing in 2027, SB 779 requires HCAI to:

  • notify every clinic that fails to file a timely report for itself or for any intermittent clinic it operates,
  • provide CDPH with a list of clinics that receive a notice of violation,
  • notify CDPH when a clinic files all delinquent reports, and
  • post the notices and lists on its internet website.

The bill authorizes CDPH to suspend the license of a clinic that fails to report either for itself or for any intermittent clinic it operates.

Facilities should refer to the provisions of SB 779 for additional details on reporting requirements, filing deadlines, and implementation requirements for HCAI. For more information, please contact utilization@hcai.ca.gov. ā€‹ā€‹ā€‹

CDPH's failure to expressly notify facilities of statutory or regulatory requirements does not relieve facilities of their responsibility for following all laws and regulations. Facilities should refer to the full text of all applicable sections of Health and Safety Code and the California Code of Regulations to ensure compliance.

 

Sincerely,

Original signed by Cassie Dunham

Cassie Dunham

Deputy Directorā€‹


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