• Limits the charges to 115 percent of the costs for direct patient care and quality improvement costs, including training, patient education, and technology support.
• Requires rebates and penalties if charges exceed the limit.
• Requires annual reporting to the state regarding clinic costs, patient charges, and revenue.
• Prohibits clinics from refusing to treat patients based on the source of payment for care.

SUMMARY OF LEGISLATIVE ANALYST'S ESTIMATE OF NET STATE AND LOCAL GOVERNMENT FISCAL IMPACT:

• Overall annual effect on state and local governments ranging from net positive impact in the low tens of millions of dollars to net negative impact in the tens of millions of dollars.

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