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---
type: "Bill"
title: "Medi-Cal: hospitals: quality assurance fee."
description: "Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which basic health care services are provided to qualified low-income individuals. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Existing law, subject to federal approval, imposes a quality assurance fee, as specified, on certain general acute care hospitals through and including June 30, 2011. Existing law creates the Hospital Quality Assurance Revenue Fund in the State Treasury and requires that the money collected from the quality assurance fee be deposited into the fund. Existing law, subject to federal approval, requires the department to make supplemental payments for certain services, as specified, to private hospitals, increased capitation payments to Medi-Cal managed health care plans, and increased payments to mental health plans. Existing law provides that the moneys in the Hospital Quality Assurance Revenue Fund shall, upon appropriation by the Legislature, be available only for certain purposes, including paying for health care coverage for children, as specified, and making the supplemental payments to hospitals, increased capitation payments to Medi-Cal managed health care plans, and increased payments to mental health plans. Existing law also establishes the continuously appropriated Distressed Hospital Fund, which consists of moneys transferred to the fund or appropriated by the Legislature and used as the nonfederal share of payments to distressed hospitals, as defined."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20112012"
identifier: "SB 335"
citation: "California SB 335 (20112012)"
classification: ["bill", "appropriation"]
subjects: ["Medi-Cal: hospitals: quality assurance fee."]
status: "enacted"
primary_sponsors: ["Hernandez"]
version_count: 8
action_count: 35
vote_count: 6
first_action: "2011-02-15"
last_action: "2011-09-16"
source: "openstates"
source_identifier: "ocd-bill/cc9392e4-c7fa-4ade-8436-85d794ef9131"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201120120SB335"
source_hash: "7712eb984cba08a32d5b291d168fd415fd5db780e2b754c6864b4ed72b0b39dc"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ca"]
---
# California SB 335 (20112012) — Medi-Cal: hospitals: quality assurance fee.
Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which basic health care services are provided to qualified low-income individuals. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Existing law, subject to federal approval, imposes a quality assurance fee, as specified, on certain general acute care hospitals through and including June 30, 2011. Existing law creates the Hospital Quality Assurance Revenue Fund in the State Treasury and requires that the money collected from the quality assurance fee be deposited into the fund. Existing law, subject to federal approval, requires the department to make supplemental payments for certain services, as specified, to private hospitals, increased capitation payments to Medi-Cal managed health care plans, and increased payments to mental health plans. Existing law provides that the moneys in the Hospital Quality Assurance Revenue Fund shall, upon appropriation by the Legislature, be available only for certain purposes, including paying for health care coverage for children, as specified, and making the supplemental payments to hospitals, increased capitation payments to Medi-Cal managed health care plans, and increased payments to mental health plans. Existing law also establishes the continuously appropriated Distressed Hospital Fund, which consists of moneys transferred to the fund or appropriated by the Legislature and used as the nonfederal share of payments to distressed hospitals, as defined.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/15/11 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB335&version=20110SB33599INT)
2. **04/26/11 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB335&version=20110SB33598AMD)
3. **06/09/11 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB335&version=20110SB33597AMD)
4. **08/15/11 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB335&version=20110SB33596AMD)
5. **08/18/11 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB335&version=20110SB33595AMD)
6. **09/16/11 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB335&version=20110SB33593CHP)
7. **SB335** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201120120SB335)
8. **08/31/11 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB335&version=20110SB33594ENR)
## Votes
- Do pass and be re-referred to the Committee on Appropriations. — **160** (pass) · lower
- Do pass. — **170** (pass) · lower
- Do pass, but re-refer to the Committee on Appropriations. — **62** (pass) · upper
- Do pass. — **60** (pass) · upper
- SB 335 Hernandez Third Reading Urgency By MONNING — **713** (pass) · lower
- 2nd Reading (Urgency Clause) — **352** (pass) · upper
## Sponsors
- Hernandez — primary (person)
- Steinberg — author (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2011-02-15** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
- **2011-02-16** From printer. May be acted upon on or after March 18.
- **2011-02-24** Referred to Com. on RLS. `referral-committee`
- **2011-04-26** From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS. `reading-2, reading-1, committee-passage, amendment-passage, referral-committee`
- **2011-04-28** Re-referred to Com. on HEALTH. `referral-committee`
- **2011-06-01** Set for hearing June 15.
- **2011-06-09** From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. `reading-2, reading-1, committee-passage, amendment-passage, referral-committee`
- **2011-06-15** Hearing postponed by committee.
- **2011-06-17** Set for hearing June 22.
- **2011-06-23** From committee: Do pass and re-refer to Com. on APPR. (Ayes 6. Noes 2. Page 1556.) (June 22). Re-referred to Com. on APPR. `referral-committee, committee-passage, committee-passage-favorable`
- **2011-06-29** Set for hearing July 11.
- **2011-07-12** From committee: Do pass. (Ayes 6. Noes 0. Page 1824.) (July 11). `committee-passage, committee-passage-favorable`
- **2011-07-13** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2011-08-15** Read third time and amended. `reading-3, reading-1, amendment-passage`
- **2011-08-15** Ordered to second reading.
- **2011-08-16** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2011-08-18** Read third time and amended. `reading-3, reading-1, amendment-passage`
- **2011-08-18** Ordered to second reading.
- **2011-08-18** (Corrected August 22.)
- **2011-08-22** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2011-08-22** Senate Rule 29.3 suspended. (Page 1998.)
- **2011-08-22** Read third time. Urgency clause adopted. Passed. (Ayes 35. Noes 2. Page 2002.) Ordered to the Assembly. `reading-3, reading-1, passage`
- **2011-08-22** In Assembly. Read first time. Held at Desk. `reading-1`
- **2011-08-22** Referred to Com. on HEALTH. `referral-committee`
- **2011-08-22** Joint Rule 62(a) file notice suspended. (Page 2501.)
- **2011-08-22** Assembly Rule 56 (Com. on APPR.) suspended. (Page 2501.)
- **2011-08-23** From committee: Do pass and re-refer to Com. on APPR. (Ayes 16. Noes 0.) (August 23). Re-referred to Com. on APPR. `referral-committee, committee-passage, committee-passage-favorable`
- **2011-08-25** Set, first hearing. Referred to APPR. suspense file. `referral-committee`
- **2011-08-26** From committee: Do pass. (Ayes 17. Noes 0.) (August 25). `committee-passage, committee-passage-favorable`
- **2011-08-26** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2011-08-29** Read third time. Urgency clause adopted. Passed. (Ayes 71. Noes 3. Page 2644.) Ordered to the Senate. `reading-3, reading-1, passage`
- **2011-08-29** In Senate. Ordered to engrossing and enrolling.
- **2011-09-01** Enrolled and presented to the Governor at 3 p.m.
- **2011-09-16** Approved by the Governor. `executive-signature`
- **2011-09-16** Chaptered by Secretary of State. Chapter 286, Statutes of 2011.
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/cc9392e4-c7fa-4ade-8436-85d794ef9131`. Confidence: reported (aggregated from official California legislature records).