Bill Text: CA SB393 | 2011-2012 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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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

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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.  Medical  
Patient-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 of
 2011   2012  and would define 
patient-   centered  medical home  and 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 OF 
2011   2012 


   24300.  (a) This chapter shall be known, and may be cited, as the
Patient-Centered Medical Home Act of  2011  
2012  .
    (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.