Bill Text: CA AB1534 | 2017-2018 | Regular Session | Amended
Bill Title: Health care coverage: HIV specialists.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Vetoed) 2018-09-17 - Vetoed by Governor. [AB1534 Detail]
Download: California-2017-AB1534-Amended.html
Amended
IN
Assembly
April 06, 2017 |
Assembly Bill | No. 1534 |
Introduced by Assembly Member Nazarian |
February 17, 2017 |
LEGISLATIVE COUNSEL'S DIGEST
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YESBill Text
The people of the State of California do enact as follows:
SECTION 1.
Section 1367.693 is added to the Health and Safety Code, immediately following Section 1367.69, to read:1367.693.
(a) Every health care service plan contract that is issued, amended, or renewed on or after January 1, 2018, that provides hospital, medical, or surgical coverage, excluding specialized health care service plan contracts, shall(c)Access to HIV specialists shall be subject to the regulations developed pursuant to Section 1367.03 and shall be included in the reports and other information required under Section 1367.035, consistent with the specialty designation.
(d)
(a)Every health insurance policy that is issued, amended, or renewed on or after January 1, 2018, that provides hospital, medical, or surgical coverage, excluding specialized health insurance policies, shall include an HIV specialist as an eligible primary care provider, if the provider requests primary care provider status and meets the health insurer’s eligibility criteria for
all specialists seeking primary care provider status.
(b)For purposes of this section, “primary care provider” means a physician or a nonphysician medical practitioner, as each term is defined in Section 14254 of the Welfare and Institutions Code, who has the responsibility for providing initial and primary care to patients, for maintaining the continuity of patient care, and for initiating referral for specialist care. This means providing care for the majority of health care problems, including, but not limited to, preventive services, acute and chronic conditions, and psychosocial issues.
(c)Access to HIV specialists shall be subject to the regulations developed pursuant to Section 10133.5, consistent with the specialty designation.
(d)For purposes of this section, “HIV specialist” means a physician, physician assistant, or a nurse practitioner who meets the criteria for an HIV specialist as published by the American Academy of HIV Medicine or the HIV Medicine Association, or who is contracted to provide outpatient medical care under the federal Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990 (Public Law 101-381).