Bill Text: CA SB1421 | 2015-2016 | Regular Session | Introduced

California Senate Bill 1421 (Prior Session Legislation)

Introduced

Bill Title: Expanded access to primary care.

Sponsorship: Partisan Bill (Republican 1)

Status: (Failed) 2016-11-30 - From committee without further action. [SB1421 Detail]

Download: California-2015-SB1421-Introduced.html

BILL NUMBER: SB 1421	INTRODUCED
	BILL TEXT


INTRODUCED BY   Senator Nguyen

                        FEBRUARY 19, 2016

   An act to amend Section 124910 of the Health and Safety Code,
relating to health care.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 1421, as introduced, Nguyen. Expanded access to primary care.
   Existing law, under the Expanded Access to Primary Care program,
requires the State Department of Health Care Services to select
primary care clinics that are licensed as community clinics or free
clinics, as defined, or those that are exempt from licensure due to
their connection to a federally recognized Indian tribe or tribal
organization, as specified, to be reimbursed for delivering medical
services to program beneficiaries. Existing law requires a clinic
applying for these funds to demonstrate that it meets certain
conditions, including, but not limited to, providing specified
services, and either being located in an area or a facility federally
designated as a health professional shortage area, medically
underserved area, or medically underserved population, or being a
clinic in which at least 50% of the patients served are persons with
incomes at or below 200% of the federal poverty level, or both.
   This bill would make a technical, nonsubstantive change to one of
these provisions.
   Vote: majority. Appropriation: no. Fiscal committee: no.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 124910 of the Health and Safety Code is amended
to read:
   124910.  (a) (1) Each licensed primary care clinic, as specified
in subdivision (a) of Section 124900, applying for funds under this
article, shall demonstrate in its application that it meets all of
the following conditions, at a minimum:
   (A) Provides medical diagnosis and treatment.
   (B) Provides medical support services of patients in all stages of
illness.
   (C) Provides communication of information about diagnosis,
treatment, prevention, and prognosis.
   (D) Provides maintenance of patients with chronic illness.
   (E) Provides prevention of disability and disease through
detection, education, persuasion, and preventive treatment.
   (F) Meets one or both of the following conditions:
   (i) Is located in an area or a facility federally designated as a
health professional shortage area, medically underserved area, or
medically underserved population.
   (ii) Is a clinic in which at least 50 percent of the patients
served are persons with incomes at or below 200 percent of the
federal poverty level.
   (2) Any applicant who has applied for and received a federal or
state designation for serving a health professional shortage area,
medically underserved area, or  medically underserved 
population shall be deemed to meet the requirements of subdivision
(a) of Section 124900.
   (b) Each applicant shall also demonstrate to the satisfaction of
the department that the proposed services supplement, and do not
supplant, those primary care services to program beneficiaries that
are funded by any county, state, or federal program.
   (c) Each applicant shall demonstrate that it is an active Medi-Cal
provider by being enrolled in Medi-Cal and diligently billing the
Medi-Cal program for services rendered to Medi-Cal eligible patients
during the past three months prior to the application due date. This
subdivision shall not apply to clinics that are not currently
Medi-Cal providers, and were funded participants pursuant to this
article during the 1993-94 fiscal year.
   (d) Each application shall be evaluated by the state department
prior to funding to determine all of the following:
   (1) The applicant shall provide its most recently audited
financial statement to verify budget information.
   (2) The applicant's ability to deliver basic primary care to
program beneficiaries.
   (3) A description of the applicant's operational quality assurance
program.
   (4) The applicant's use of protocols for the most common diseases
in the population served under this article.