California Senate Bill SB613 Amended / Bill

 BILL NUMBER: SB 613AMENDED BILL TEXT AMENDED IN SENATE APRIL 6, 2015 INTRODUCED BY Senator Allen FEBRUARY 27, 2015 An act to add and repeal Section 4034 of the Welfare and Institutions Code, relating to dementia. LEGISLATIVE COUNSEL'S DIGEST SB 613, as amended, Allen.  State  Department of Health Care Services: dementia guidelines: workgroup. Existing law establishes the State Department of Health Care Services, which administers the state Medi-Cal program and the community mental health programs in the state. This bill would require the department to convene a workgroup to  create guidelines for dementia care in the Medi-Cal program.   update the Guidelines for Alzheimer's Disease Management in California to address changes in the health care system, including changes in the federal Patient Protection and Affordable Care Act and Medicare.  The bill would require the department to  report the recommendations of the workgroup to the Legislature   implement the updated guidelines  on or before March 1, 2017. The bill would repeal these provisions as of January 1, 2018. 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 4034 is added to the Welfare and Institutions Code, to read: 4034. (a) The Legislature finds and declares all of the following: (1) There are an estimated 57,000 people with dementia in California's Coordinate Care Initiative. (2) Average per person Medicaid spending for seniors with Alzheimer's disease and other dementias is 19 times higher than average per person Medicaid spending for all other seniors. (3) The triple aim of the federal  Patient Protection and  Affordable Care Act  (Public Law 111-148)  and Medicaid expansion is improved population health, better experience of care, and lower per capita health care costs. (4) Dementia care management has proven, through peer-reviewed, evidence-based research, to achieve all three aims. (b) The State Department of Health Care Services shall convene a workgroup to  create guidelines for dementia care in the Medi-Cal program. The guidelines shall draw on the experience of the Dementia MediConnect three-year grant awarded to the California Department of Aging and any other relevant literature.   update the 2008 Guidelines for Alzheimer's Disease Management in California to address changes in the health care   system, including, but not limited to, changes in the federal Patient Protection and Affordable Care Act (Public Law 111-148) and Medicare. These updates may further draw on evidence-based, peer-reviewed research and lessons learned from demonstration and pilot projects.  (c) The workgroup shall consist of  stakeholders, including nurses, social workers, primary care physicians, advocates for people with dementia, health plans and insurers, and others as the department deems necessary.  members determined by the department. It may include multidisciplinary experts in Alzheimer' s disease detection, diagnosis, treatment, and support.  (d) The department shall  report the recommendations of the workgroup to the Legislature   implement the updates and recommendations from the working group  on or before March 1, 2017. This report shall be submitted in compliance with Section 9795 of the Government Code. (e) This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.