Bill Text: CA SB1148 | 2017-2018 | Regular Session | Amended
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Medi-Cal: restorative dental services.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Vetoed) 2018-09-27 - In Senate. Consideration of Governor's veto pending. [SB1148 Detail]
Download: California-2017-SB1148-Amended.html
Bill Title: Medi-Cal: restorative dental services.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Vetoed) 2018-09-27 - In Senate. Consideration of Governor's veto pending. [SB1148 Detail]
Download: California-2017-SB1148-Amended.html
|
Amended
IN
Assembly
June 13, 2018 |
|
Amended
IN
Senate
April 10, 2018 |
CALIFORNIA LEGISLATURE—
2017–2018 REGULAR SESSION
| Senate Bill | No. 1148 |
| Introduced by Senator Pan |
February 14, 2018 |
An act to add Section 14132.22 14132.225 to the Welfare and Institutions Code, relating to Medi-Cal.
LEGISLATIVE COUNSEL'S DIGEST
SB 1148, as amended, Pan.
Medi-Cal: restorative dental services.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law includes emergency and essential diagnostic and restorative dental services, and dental prophylaxis cleanings and dental examinations within the scope of benefits that may be provided to eligible recipients under the Medi-Cal program. Existing law authorizes specified Medi-Cal providers to recommend, after consultation with the beneficiary, and to receive reimbursement for, certain dental restorative materials other than the covered benefit of amalgam.
This bill additionally would authorize a provider of services for the treatment of dental caries
to provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and billed as specified, if the provider first consults with the beneficiary and obtains written informed consent, and if the treatment is included as part of a comprehensive treatment plan. The bill would include a registered dental hygienist in alternative practice within the definition of a provider of services for the treatment of dental caries. The bill would authorize the department to establish appropriate utilization controls for patients eligible to receive services under the bill.
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 14132.225 is added to the Welfare and Institutions Code, immediately following Section 14132.22, to read:14132.225.
(a) (1) A provider of services for the treatment of dental caries may provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and when billed pursuant to Code D1354 of the American Dental Association’s Current Dental Terminology, effective January 1, 2018, if all of the following conditions are met:(1)
(A) There is a consultation with the beneficiary, or his or her designee.
(2)
(B) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.
(3)
(C) The treatment is part of a comprehensive treatment plan.
(2) For purposes of this subdivision, a “provider of services for the treatment of dental caries” includes a registered dental hygienist in alternative practice.
(b) This section does not preclude the use of silver diamine fluoride for preventative preventive services, when appropriate.
(c) The department may establish appropriate utilization controls for patients eligible to receive services under this section.
