Bill Text: CA AB512 | 2019-2020 | Regular Session | Amended
Bill Title: Medi-Cal: specialty mental health services.
Spectrum: Partisan Bill (Democrat 8-0)
Status: (Vetoed) 2020-01-21 - Consideration of Governor's veto stricken from file. [AB512 Detail]
Download: California-2019-AB512-Amended.html
Amended
IN
Senate
August 30, 2019 |
Amended
IN
Senate
July 03, 2019 |
Amended
IN
Senate
June 27, 2019 |
Amended
IN
Assembly
May 16, 2019 |
Amended
IN
Assembly
April 02, 2019 |
Amended
IN
Assembly
March 14, 2019 |
Introduced by Assembly Member Ting (Coauthors: Assembly Members Boerner Horvath, Eduardo Garcia, and Reyes) |
February 13, 2019 |
LEGISLATIVE COUNSEL'S DIGEST
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.
The Legislature finds and declares all of the following:SEC. 2.
Section 14684 of the Welfare and Institutions Code is amended to read:14684.
Notwithstanding any other state law, and to the extent permitted by federal law, a mental health plan, whether administered by public or private entities, shall be governed by the following guidelines:(ii)Annual
statewide performance targets for reducing mental health disparities in access, utilization, and outcomes, as determined by the department pursuant to subparagraph (C) of paragraph (6). A mental health plan may include additional performance targets, as appropriate.
(6)(A)
(B) In developing and implementing this protocol, the department shall consult with mental health plans, consumer advocates, consumers, experts in mental health disparities reduction, and providers.
(C)The department shall develop, in consultation with mental health plans, stakeholders, and the Office of Health Equity,
(j)By January 1, 2021, the department shall adopt regulations to implement this section in accordance with the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
(k)
(a)A mental health plan review shall be conducted annually by an external quality review organization (EQRO) pursuant to Section 438.350 et seq. of Title 42 of the Code of Federal Regulations. Commencing July 1, 2018, the review shall include specific data for Medi-Cal eligible minor and nonminor dependents in foster care, including all of the following:
(1)The number of Medi-Cal eligible minor and nonminor dependents in foster care served each year.
(2)Details on the types of mental health services provided to children, including prevention and treatment services. The types of services may include, but are not limited to, screenings, assessments, home-based mental health services, outpatient
services, day treatment services or inpatient services, psychiatric hospitalizations, crisis interventions, case management, and psychotropic medication support services.
(3)Access to, and timeliness of, mental health services, as described in Sections 1300.67.2, 1300.67.2.1, and 1300.67.2.2 of Title 28 of the California Code of Regulations and consistent with Section 438.206 of Title 42 of the Code of Federal Regulations, available to Medi-Cal eligible minor and nonminor dependents in foster care.
(4)Quality of mental health services available to Medi-Cal eligible minor and nonminor dependents in foster care.
(5)Translation and interpretation services, consistent with Section 438.10(c)(4) and (5) of Title 42 of the Code of Federal Regulations and Section 1810.410 of Title 9 of the California Code of Regulations,
available to Medi-Cal eligible minor and nonminor dependents in foster care.
(6)Performance data for Medi-Cal eligible minor and nonminor dependents in foster care.
(7)Utilization data for Medi-Cal eligible minor and nonminor dependents in foster care.
(8)Medication monitoring consistent with the child welfare psychotropic medication measures developed by the State Department of Social Services and any Healthcare Effectiveness Data and Information Set (HEDIS) measures related to psychotropic medications, including, but not limited to, the following:
(A)Follow-Up Care for Children Prescribed Attention Deficit Hyperactivity Disorder Medication (HEDIS ADD).
(B)Use of Multiple Concurrent
Antipsychotics in Children and Adolescents (HEDIS APC).
(C)Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (HEDIS APP).
(D)Metabolic Monitoring for Children and Adolescents on Antipsychotics (HEDIS APM).
(b)(1)The department shall post the EQRO data disaggregated by Medi-Cal eligible minor and nonminor dependents in foster care on the department’s internet website in a manner that is publicly accessible.
(2)The department shall review the EQRO data for Medi-Cal eligible minor and nonminor dependents in foster care.
(3)If the EQRO identifies deficiencies in a mental health plan’s ability to serve Medi-Cal eligible minor and
nonminor dependents in foster care, the department shall notify the mental health plan in writing of identified deficiencies.
(4)The mental health plan shall provide a written corrective action plan to the department within 60 days of receiving the notice required pursuant to paragraph (3). The department shall notify the mental health plan of approval of the corrective action plan or shall request changes, if necessary, within 30 days after receipt of the corrective action plan. Final corrective action plans shall be made publicly available by, at minimum, posting on the department’s internet website.
(c)To the extent possible, the department shall, in connection with its duty to implement Section 14707.5, share with county boards of supervisors data to assist in the development of mental health service plans, such as data described in Section 438.350 et seq. of Title 42 of the
Code of Federal Regulations, subdivision (c) of Section 16501.4, and paragraph (1) of subdivision (a) of Section 1538.8 of the Health and Safety Code.
(d)The department shall annually share performance outcome system data with county boards of supervisors for the purpose of informing mental health service plans. Performance outcome system data shared with county boards of supervisors shall include, but not be limited to, the following disaggregated data for Medi-Cal eligible minor and nonminor dependents in foster care:
(1)The number of youth receiving specialty mental health services.
(2)The racial distribution of youth receiving specialty mental health services.
(3)The gender distribution of youth receiving specialty mental health services.
(4)The number of youth, by race, with one or more specialty mental health service visits.
(5)The number of youth, by race, with five or more specialty mental health service visits.
(6)Utilization data for intensive home services, intensive care coordination, case management, therapeutic behavioral services, medication support services, crisis intervention, crisis stabilization, full-day intensive treatment, full-day treatment, full-day rehabilitation, and hospital inpatient days.
(7)A unique count of youth receiving specialty mental health services who are arriving, exiting, and continuing with services.
(e)The department shall ensure that the performance outcome system data metrics
include disaggregated data for Medi-Cal eligible minor and nonminor dependents in foster care, and the data shall be in a format that can be analyzed.
(f)(1)Commencing January 1, 2020, the EQRO shall ensure that the annual review that it performs of each mental health plan, as specified in subdivision (a), includes a report on progress related to the statewide mental health disparities reduction targets established pursuant to subparagraph (C) of paragraph (6) of subdivision (i) of Section 14684.
(2)The EQRO shall publish
both of the following in the annual detailed technical report as required by Section 438.364 of Title 42 of the Code of Federal Regulations:
(A)Information related to statewide progress on statewide mental health disparities reduction targets.
(B)Recommendations for statewide strategies to reduce mental health disparities.