Richard Roth
- Democratic
- Senator
- District 31
Author
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services through various delivery systems, including fee-for-service and managed care. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, community health worker services are a covered Medi-Cal benefit subject to any necessary federal approvals. Under existing law, a community health worker is a liaison, link, or intermediary between health and social services and the community to facilitate access to services and to improve the access and cultural competence of service delivery. Existing law requires a Medi-Cal managed care plan to engage in outreach and education efforts to enrollees, and to notify providers, about the community health worker services benefit, as specified. This bill would require a Medi-Cal managed care plan, no later than July 1, 2025, to adopt policies and procedures to effectuate a billing pathway for supervising providers to claim for the provision of community health worker services to enrollees during an emergency department visit and as an outpatient followup to an emergency department visit. The bill would require that the policies and procedures be consistent with guidance developed by the department for use by supervising providers to claim for community health worker services to Medi-Cal members in the fee-for-service delivery system in the settings described above. The bill would define a "supervising provider" for purposes of these provisions as an enrolled Medi-Cal provider that is authorized to supervise a community health worker pursuant to the federally approved Medicaid state plan amendment and that ensures that a community health worker meets the qualifications as required by the department, as specified.
Assembly amendments concurred in. (Ayes 39. Noes 0.) Ordered to engrossing and enrolling.
Ordered to special consent calendar.
In Senate. Concurrence in Assembly amendments pending.
Read third time. Passed. Ordered to the Senate.
Read second time. Ordered to consent calendar.
From committee: Do pass. Ordered to consent calendar. (Ayes 14. Noes 0.) (June 19).
Coauthors revised.
From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 16. Noes 0.) (June 11). Re-referred to Com. on APPR.
Coauthors revised.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
In Assembly. Read first time. Held at Desk.
Read third time. Passed. (Ayes 39. Noes 0. Page 4133.) Ordered to the Assembly.
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 7. Noes 0. Page 3981.) (May 16).
Set for hearing May 16.
April 22 hearing: Placed on APPR suspense file.
Set for hearing April 22.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 10. Noes 0. Page 3562.) (April 10). Re-referred to Com. on APPR.
Set for hearing April 10.
Withdrawn from committee.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on B., P. & E. D.
From printer. May be acted upon on or after March 18.
Introduced. Read first time. To Com. on RLS. for assignment. To print.
| Bill Text Versions | Format |
|---|---|
| SB1385 | HTML |
| 02/16/24 - Introduced | |
| 03/20/24 - Amended Senate | |
| 06/05/24 - Amended Assembly |
| Document | Format |
|---|---|
| 04/08/24- Senate Health | |
| 04/19/24- Senate Appropriations | |
| 05/17/24- Sen. Floor Analyses | |
| 06/07/24- Assembly Health | |
| 06/17/24- Assembly Appropriations | |
| 06/28/24- Sen. Floor Analyses |
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