Bill Text: CA SB393 | 2011-2012 | Regular Session | Amended
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Patient-centered medical homes.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Vetoed) 2012-09-30 - In Senate. Consideration of Governor's veto pending. [SB393 Detail]
Download: California-2011-SB393-Amended.html
Bill Title: Patient-centered medical homes.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Vetoed) 2012-09-30 - In Senate. Consideration of Governor's veto pending. [SB393 Detail]
Download: California-2011-SB393-Amended.html
BILL NUMBER: SB 393 AMENDED BILL TEXT AMENDED IN ASSEMBLY AUGUST 24, 2012 AMENDED IN ASSEMBLY JUNE 15, 2012 AMENDED IN SENATE MAY 31, 2011 INTRODUCED BY Senator Hernandez FEBRUARY 16, 2011 An act to add Chapter 3.5 (commencing with Section 24300) to Division 20 of the Health and Safety Code, relating to health care. LEGISLATIVE COUNSEL'S DIGEST SB 393, as amended, Hernandez.MedicalPatient-centered medical homes. Existing law provides for the licensure and regulation of clinics and health facilities by the State Department of Public Health. Existing law also provides for the registration, certification, and licensure of various health care professionals and sets forth the scope of practice for these professionals. This bill would establish the Patient-Centered Medical Home Act of20112012 and would define patient- centered medical homeand other related terms. The bill would provide that a physician-directed practice team shall not be construed to prohibit activities conducted pursuant to specified provisions of law regarding scope of practice . The bill would specify that its provisions do not alter the scope of practice of any health care provider. 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. Chapter 3.5 (commencing with Section 24300) is added to Division 20 of the Health and Safety Code, to read: CHAPTER 3.5. PATIENT-CENTERED MEDICAL HOME ACT OF20112012 24300. (a) This chapter shall be known, and may be cited, as the Patient-Centered Medical Home Act of20112012 . (b)"Medical home," "patient-centered medical home," "advanced practice primary care," "health home," "person-centered health care home," and "primary care home" all mean a health care delivery model as defined in Section 3502(c)(2) of the federal Patient Protection and Affordable Care Act (Public Law 111-148), as amended by the federal Health Care and Education Reconciliation Act of 2010 (Public Law 111-152), and any federal rules or regulations issued pursuant to that paragraph, and"Patient-centered medical home" means a health care delivery model that meets the following criteria: (1) Facilitates a relationship between a patient and his or her personal physician and surgeon or other licensed primary care provider in a physician-directed practice team to provide comprehensive and culturally competent primary and preventive care.(2) Meets the criteria of, and participates in, a voluntary recognition process conducted by a nongovernmental entity to demonstrate that the practice has the capabilities to provide patient-centered services consistent with the medical home model.(c) This section shall not be construed to alter the scope of practice of any health care provider, or to authorize the delivery of health care services in a setting or manner not otherwise authorized by law.(2) Utilizes a team approach to care. (3) Delivers high-quality, comprehensive care including whole person orientation, and coordinates the patient's health care needs across the health care system. (4) Uses evidence-based medicine, patient input and clinical decision support tools to guide decisionmaking. (5) Enhances patient access to, and communication with, his or her medical home team. (6) Engages in continuous quality improvement with the involvement of patients and their families. (c) A physician-directed practice team, for purposes of this chapter, shall not be construed to prohibit activities conducted pursuant to Sections 2725 and 3502 of the Business and Professions Code. 24301. Nothing in this chapter shall be construed to do any of the following: (a) Alter the scope of practice of any health care provider licensed or certified in this state. (b) Apply to a Low Income Health Program developed pursuant to Part 3.6 (commencing with Section 15909) of Division 9 of the Welfare and Institutions Code, including its provider network and service delivery system. (c) Apply to health care programs administered by the state, including, but not limited to, activities conducted as part of a demonstration project developed pursuant to Section 14180 of the Welfare and Institutions Code. (d) Prevent or limit participation in activities authorized by a federal health program or grant, including, but not limited to, the Patient Protection and Affordable Care Act or any federal grants pursuant to that act, if the participation is consistent with state scope of practice law.