Bill that would regulate provider rates won't advance in 2018

Assembly Bill 3087 (Kalra, D-San Jose) was held in the Assembly Appropriations Committee May 25 and will not move forward in the current legislative session.

As CDA first reported in April, AB 3087 would have created a new government commission of appointed members to regulate and cap commercial payment rates for health care providers.

The Assembly heard the strong concerns raised by CDA and a large coalition of health care providers, including through direct member advocacy and grassroots efforts. CDA President Natasha Lee, DDS, in a statement said the bill “would only speed us toward intensifying consolidation of the health care industry, turning care into a one-size-fits-all assembly-line commodity” and could “limit the number of health care providers willing to practice in the state.”

The bill’s failure to advance allows room for other discussions about health care reform, market stabilization and cost containment in and around the Legislature. CDA will continue to engage in these conversations and will keep members updated about any developments.

Related Items

CDA last week became aware of a bill that seeks to regulate and cap provider rates to a percentage of Medicare. Assembly Bill 3087 raises significant concerns about fracturing the market and undermining the ability of providers to balance their patient mix. CDA joins a number of other major provider groups representing a wide range of California health care professionals in voicing deep concerns about AB 3087 and issued a statement from CDA President Natasha Lee, DDS.

CDA is sponsoring new legislation that will allow dentists who provide care in the Medi-Cal dental program to be reimbursed when using silver diamine fluoride as a caries arresting agent. With the passage of Senate Bill 1148, SDF will be placed in dentists’ tool belts as an evidence-based option to manage dental caries when used as part of a comprehensive treatment plan, particularly beneficial with patients who present challenges to receiving traditional treatment.

New legislation sponsored by CDA and introduced by Sen. Nancy Skinner (D-Berkeley) is working to increase value and transparency of dental benefit plans. Senate Bill 1008 calls for the establishment of a minimum dental loss ratio for individual, small and large group dental benefit products and requires increased transparency for consumers who purchase dental savings or dental discount products by requiring standardized disclosures of what a dental benefit plan does or does not provide.