(a) On or before July 1, 2020, the commission shall submit a report to the Legislature and the Governor with options that include all of the following:

(1) An analysis of California’s existing health care delivery system, including cost, quality, workforce, and provider consolidation trends and how they impact the state’s ability to provide all Californians with timely access to high-quality, affordable health care.

(2) Options for additional steps California can take to prepare for transition to a unified financing system, including, but not limited to, a single-payer financing system, including, but not limited to, administrative changes, reorganization of state programs, federal waivers, and statutory and constitutional changes.

(3) Options for coverage expansions, including potential funding sources. Options shall include expansion for full-scope Medi-Cal to individuals over 64 years of age, regardless of immigration status.

(b) On or before February 1, 2021, the commission shall submit a report to the Legislature and the Governor that includes options for key design considerations for a unified financing system, including, but not limited to, a single-payer financing system, including all of the following:

(1) Eligibility and enrollment.

(2) Covered benefits and services.

(3) Provider participation.

(4) Purchasing arrangements.

(5) Provider payments, including consideration of global budgets.

(6) Cost containment.

(7) Quality improvement.

(8) Participant cost sharing.

(9) Quality monitoring and disparities reduction.

(10) Information technology systems and financial management systems.

(11) Data sharing and transparency.

(12) Governance and administration, including integration of federal funding sources.

(c) The reports required under this section shall be submitted in compliance with Section 9795 of the Government Code, and shall be posted on the California Health and Human Services Agency’s internet website.

(d) The commission shall provide an update detailing its progress in developing the reports required by subdivisions (a) and (b) to the Governor and the health committees of the Senate and the Assembly on or before January 1, 2020, and shall update those committees every six months thereafter.

(Repealed and added by Stats. 2019, Ch. 67, Sec. 4. (SB 104) Effective July 9, 2019.)