14199.55.
(a) Prior to each fiscal year, beginning with the 2017–18 fiscal year and each fiscal year thereafter, the department, in consultation with the Department of Managed Health Care, shall determine the Medi-Cal taxing tiers, the other taxing tiers, the Medi-Cal per enrollee tax amounts for each Medi-Cal taxing tier, and the other per enrollee tax amounts for each other taxing tier, for the fiscal year, in order to achieve the goals specified in Section 14199.50.(b) For each fiscal year, beginning with the 2017-18 fiscal year, the department shall include in the Medi-Cal Local Assistance Estimate, released each January and May of the preceding fiscal year, the Medi-Cal taxing tiers, the other taxing tiers, the Medi-Cal per enrollee tax amounts for each Medi-Cal taxing tier and the other per enrollee tax amounts for each other taxing tier, determined pursuant to subdivision (a) and attributable to the applicable fiscal year.
(c) For the 2016–17 fiscal year, the Medi-Cal taxing tiers for each fiscal quarter shall be as follows:
(1) Medi-Cal taxing tier I shall consist of all countable Medi-Cal enrollees in a health plan for the fiscal quarter from 0 through 500,000, inclusive.
(2) Medi-Cal taxing tier II shall consist of all countable Medi-Cal enrollees in a health plan for the fiscal quarter from 500,001 through 1,250,000, inclusive.
(3) Medi-Cal taxing tier III shall consist of all countable Medi-Cal enrollees in a health plan for the fiscal quarter from 1,250,001 through 2,500,000, inclusive.
(4) Medi-Cal taxing tier IV shall consist of all countable Medi-Cal enrollees in a health plan for the fiscal quarter greater than 2,500,000.
(d) For the 2016–17 fiscal year, the Medi-Cal per enrollee tax amount for each Medi-Cal taxing tier for each fiscal quarter shall be as follows:
(1) The Medi-Cal per enrollee tax for Medi-Cal taxing tier I shall be twenty-seven dollars and fifty cents ($27.50).
(2) The Medi-Cal per enrollee tax for Medi-Cal taxing tier II shall be ten dollars and twenty-five cents ($10.25).
(3) The Medi-Cal per enrollee tax for Medi-Cal taxing tier III shall be five dollars ($5.00).
(4) The Medi-Cal per enrollee tax for Medi-Cal taxing tier IV shall be one dollar ($1.00).
(e) For the 2016–17 fiscal year, the other taxing tiers for each fiscal quarter shall be as follows:
(1) Other taxing tier I shall consist of all countable other enrollees in a health plan for the fiscal quarter from 0 through 125,000, inclusive.
(2) Other taxing tier II shall consist of all countable other enrollees in a health plan for the fiscal quarter from 125,001 through 1,250,000, inclusive.
(3) Other taxing tier III shall consist of all countable other enrollees in a health plan for the fiscal quarter greater than 1,250,000.
(f) For the 2016–17 fiscal year, the other per enrollee tax amount for each other taxing tier for each fiscal quarter shall be as follows:
(1) The other per enrollee tax for the other taxing tier I shall be five dollars and eighty cents ($5.80).
(2) The other per enrollee tax for the other taxing tier II shall be three dollars ($3.00).
(3) The other per enrollee tax for the other taxing tier III shall be seventy-five cents ($0.75).
(g) The department may modify any methodology or other provision specified in this article to the extent necessary to meet the requirements of federal law or regulations, obtain federal approval, or ensure federal financial participation is available, provided the modifications do not otherwise conflict with the purposes of this article.
(h) The department shall make adjustments, as necessary, to the tax amounts specified in this section in order to ensure compliance with the federal requirements set forth in Section 433.68 of Title 42 of the Code of Federal Regulations, or elsewhere in federal law or regulation.
(i) The department shall request approval from the federal Centers for Medicare and Medicaid Services as is necessary to implement this article. In making such request, the department may seek, as it deems necessary, a request for waiver of the broad-based requirement, waiver of the uniformity requirement, or both, pursuant to paragraphs (1) and (2) of subsection (e) of Section 433.68 of Title 42 of the Code of Federal Regulations, or a request for waiver of any other provision of federal law or regulation necessary to implement this article.
(j) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement this article by means of provider bulletins, all-plan letters, or other similar instruction, without taking regulatory action. The department shall provide notification to the Joint Legislative Budget Committee and to the Senate Committees on Appropriations, Budget and Fiscal Review, and Health, and the Assembly Committees on Appropriations, Budget, and Health within 10 business days after the above-described action is taken to inform the Legislature that the action is being implemented.