Bill Text: CA AB608 | 2023-2024 | Regular Session | Amended
Bill Title: Medi-Cal: comprehensive perinatal services.
Spectrum: Partisan Bill (Democrat 3-0)
Status: (Vetoed) 2024-01-29 - Consideration of Governor's veto stricken from file. [AB608 Detail]
Download: California-2023-AB608-Amended.html
Amended
IN
Assembly
April 17, 2023 |
Introduced by Assembly Member Schiavo (Principal |
February 09, 2023 |
LEGISLATIVE COUNSEL'S DIGEST
The bill would require the department to seek any necessary federal approvals to cover preventive services that are recommended by a physician or other licensed practitioner and that are rendered by a nonlicensed perinatal health worker in a beneficiary’s home or other community setting away from a medical site, as specified. The bill would also require the department to seek any necessary federal
approvals to allow a nonlicensed perinatal health worker rendering those preventive services to be supervised by (1) an enrolled Medi-Cal provider that is a clinic, hospital, community-based organization (CBO), or licensed practitioner, or (2) a CBO that is not an enrolled Medi-Cal provider, so long as an enrolled Medi-Cal provider is available for Medi-Cal billing purposes.
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NOBill Text
The people of the State of California do enact as follows:
SECTION 1.
Section 14005.185 of the Welfare and Institutions Code is amended to read:14005.185.
(a) (1) Notwithstanding Section 15840, the income eligibility requirements specified in Section 15832, and the annual redetermination requirements described in Section 14005.37, a pregnant individual or targeted low-income child who is eligible for and is receiving health care coverage under a Medi-Cal program identified in subdivision (b) shall be eligible for full-scope Medi-Cal benefits for the duration of the pregnancy and for a period of one year following the last day of the individual’s pregnancy.(B)The department shall collaborate with the State Department of Public Health and a broad stakeholder group to determine the specific number of additional comprehensive perinatal assessments, individualized care plans, visits, and units of services to be covered pursuant to subparagraph (A).
(a)As part of comprehensive perinatal services under Medi-Cal, as described in subdivision (u) of Section 14132 and in Section 14134.5, the department shall seek any necessary federal approvals to do both of the following:
(1)Cover preventive services that are recommended by a physician or other licensed practitioner and that are rendered by a nonlicensed perinatal health worker in a beneficiary’s home or other community setting away from a medical site, as described in Section 1396d(a)(13) of Title 42 of the United States Code and Section 440.130(c) of Title 42 of the Code of Federal Regulations.
(2)Allow a nonlicensed perinatal health worker rendering preventive services in accordance with paragraph (1) to be supervised by either of the following:
(A)An enrolled Medi-Cal provider that is a clinic, a hospital, a community-based organization, or a licensed practitioner.
(B)A community-based organization that is not an enrolled Medi-Cal provider, so long as an enrolled Medi-Cal provider is available for Medi-Cal billing purposes.
(b)(1)This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available.
(2)Implementation of this section is subject to an appropriation in the annual Budget Act, or any other act approved by the Legislature, for the purposes described in this section.