California Assembly Bill AB1606 Amended / Bill

 BILL NUMBER: AB 1606AMENDED BILL TEXT AMENDED IN ASSEMBLY MARCH 23, 2010 INTRODUCED BY Assembly Member Coto JANUARY 6, 2010 An act to add Section 14132.07 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGEST AB 1606, as amended, Coto. Medi-Cal:  Standford Chronic Disease Self-Management Program.   department-approved   chronic disease self-management programs.  Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which basic health care services are provided to qualified low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid provisions. This bill would require the department to seek, and if obtained, to implement  ,  all federal waivers necessary to allow for the services provided  to Medi-Cal beneficiaries pursuant to the Stanford Chronic Disease Self-Management Program, as defined,   through   a   department-approved   chronic disease self-management program   , as defined,  to be reimbursable under the Medi-Cal program. Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:  SECTION 1.   Section 14132.07 is added to the   Welfare and Institutions Code   , to read:   14132.07. (a) For purposes of this section, a "department-approved chronic disease self-management program" means a chronic disease self-management program approved by the department that has been tested through randomized controlled trials and satisfies the following conditions: (1) Has been shown to be effective at improving or maintaining the health status of people with chronic disease. (2) Has been shown to be suitable for implementation, including implementation through community-based services organizations, and is ready for broad national distribution through those organizations. (3) Nonclinical workers or volunteers are utilized in the delivery of the services provided by the chronic disease self-management program. (4) Any results from the randomized controlled trials done on the chronic disease self-management program have been published in a peer-reviewed scientific journal. (b) (1) The department shall seek approval for, and if obtained, implement, all federal waivers necessary to allow the services provided to Medi-Cal beneficiaries through a department-approved chronic disease self-management program to be reimbursable under the Medi-Cal program. (2) In implementing paragraph (1), the department shall consider including reimbursement for services provided through department-approved chronic disease self-management programs as part of the waiver under Section 1115 of the federal Social Security Act (42 U.S.C. Sec. 1315) to replace the current Medi-Cal Hospital/Uninsured Care Demonstration Project or as part of the waiver for the Multipurpose Senior Services Program, or both.   SECTION 1.   Section 14132.07 is added to the Welfare and Institutions Code, to read: 14132.07. (a) For purposes of this section, the "Stanford Chronic Disease Self-Management Program" means a course developed and licensed by Stanford University to assist individuals with chronic disease. (b) The department shall seek, and if obtained, to implement all federal waivers necessary to allow for the services provided to Medi-Cal beneficiaries pursuant to the Stanford Chronic Disease Self-Management Program to be reimbursable under the Medi-Cal program.