Note: Cal. Health & Safety Code § 127300 indefinitely suspended the requirement that health facilities and specialty clinics apply for, and obtain, certificates of need or certificates of exemption.

The California Medical Assistance Commission may negotiate exclusive contracts with any county which seeks to provide, or arrange for the provision of the health care services provided under this chapter. The department shall have exclusive authority to negotiate the rates, terms, and conditions of county organized health systems contracts and contract amendmentsFor contracts executed pursuant to this article, the department shall disclose, upon request, each negotiated contract or contract amendment executed by both parties after July 1, 2007, which shall be considered public records for the purposes of the California Public Records Act (Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code), including contracts that reveal the department’s rates of payment for health care services, the rates themselves, and rate manuals. The department shall seek all federal waivers necessary to allow for federal financial participation in expenditures under this article. This article shall not be implemented until all necessary waivers have been approved by the federal government.