SB 1385

  • California Senate Bill
  • 2023-2024 Regular Session
  • Introduced in Senate Feb 16, 2024
  • Passed Senate May 22, 2024
  • Passed Assembly Jun 26, 2024
  • Became Law Jul 18, 2024

Medi-Cal: community health workers: supervising providers.

Abstract

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.

Bill Sponsors (9)

Votes


Actions


Jul 18, 2024

California State Legislature

Chaptered by Secretary of State. Chapter 164, Statutes of 2024.

California State Legislature

Approved by the Governor.

Jul 16, 2024

California State Legislature

Enrolled and presented to the Governor at 2:30 p.m.

Jul 03, 2024

Senate

Assembly amendments concurred in. (Ayes 39. Noes 0. Page 4933.) Ordered to engrossing and enrolling.

Jul 01, 2024

Senate

Ordered to special consent calendar.

Jun 27, 2024

Senate

In Senate. Concurrence in Assembly amendments pending.

Jun 26, 2024

Assembly

Read third time. Passed. (Ayes 75. Noes 0. Page 6038.) Ordered to the Senate.

Jun 20, 2024

Assembly

Read second time. Ordered to consent calendar.

Jun 19, 2024

Assembly

From committee: Do pass. Ordered to consent calendar. (Ayes 14. Noes 0.) (June 19).

Assembly

Coauthors revised.

Jun 12, 2024

Assembly

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.

  • Committee-Passage
  • Committee-Passage-Favorable
  • Referral-Committee
Com. on APPR.

Assembly

Coauthors revised.

Jun 05, 2024

Assembly

From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.

  • Amendment-Passage
  • Committee-Passage
  • Reading-1
  • Reading-2
  • Referral-Committee
Com. on HEALTH.

Jun 03, 2024

Assembly

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

May 23, 2024

Assembly

In Assembly. Read first time. Held at Desk.

May 22, 2024

Senate

Read third time. Passed. (Ayes 39. Noes 0. Page 4133.) Ordered to the Assembly.

May 16, 2024

Senate

Read second time. Ordered to third reading.

Senate

From committee: Do pass. (Ayes 7. Noes 0. Page 3981.) (May 16).

May 10, 2024

Senate

Set for hearing May 16.

Apr 22, 2024

Senate

April 22 hearing: Placed on APPR suspense file.

Apr 12, 2024

Senate

Set for hearing April 22.

Apr 11, 2024

Senate

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.

  • Committee-Passage
  • Committee-Passage-Favorable
  • Referral-Committee
Com. on APPR.

Apr 04, 2024

Senate

Set for hearing April 10.

Apr 03, 2024

Senate

Re-referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Mar 21, 2024

Senate

Re-referred to Com. on RLS.

  • Referral-Committee
Com. on RLS.

Senate

Withdrawn from committee.

Mar 20, 2024

Senate

From committee with author's amendments. Read second time and amended. Re-referred to Com. on B., P. & E. D.

  • Amendment-Passage
  • Committee-Passage
  • Reading-1
  • Reading-2
  • Referral-Committee
Com. on B., P. & E. D.

Feb 29, 2024

Senate

Referred to Com. on B., P. & E. D.

  • Referral-Committee
Com. on B., P. & E. D.

Feb 20, 2024

Senate

From printer. May be acted upon on or after March 18.

Feb 16, 2024

Senate

Introduced. Read first time. To Com. on RLS. for assignment. To print.

Bill Text

Bill Text Versions Format
SB1385 HTML
02/16/24 - Introduced PDF
03/20/24 - Amended Senate PDF
06/05/24 - Amended Assembly PDF
07/08/24 - Enrolled PDF
07/18/24 - Chaptered PDF

Related Documents

Document Format
04/08/24- Senate Health PDF
04/19/24- Senate Appropriations PDF
05/17/24- Sen. Floor Analyses PDF
06/07/24- Assembly Health PDF
06/17/24- Assembly Appropriations PDF
06/28/24- Sen. Floor Analyses PDF

Sources

Data on Open States is updated periodically throughout the day from the official website of the California State Legislature.

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