California 2017 2017-2018 Regular Session

California Assembly Bill AB11 Amended / Bill

Filed 06/18/2018

                    Amended IN  Senate  June 18, 2018 Amended IN  Assembly  January 10, 2018 Amended IN  Assembly  January 03, 2018 Amended IN  Assembly  March 23, 2017 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 11Introduced by Assembly Members McCarty and Bonta(Coauthors: Assembly Members Carrillo and Nazarian Carrillo, Kamlager-Dove, Nazarian, and Mark Stone)December 05, 2016 An act to add Section 14132.195 to the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTAB 11, as amended, McCarty. Early and Periodic Screening, Diagnosis, and Treatment Program: screening services.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services, including Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) for any individual under 21 years of age who is covered under Medi-Cal consistent with the requirements under federal law. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.Existing federal law provides that EPSDT services include periodic screening services, vision services, dental services, hearing services, and other necessary services to correct or ameliorate defects and physical and mental illnesses and conditions discovered by the screening services, whether or not the services are covered under the state plan.This bill would require, consistent with federal law, that screening services under the EPSDT program include developmental screening services for individuals zero to 3 years of age, inclusive, and be in compliance with the periodicity schedule and the standardized and validated developmental screening tools that are established by the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care and by any future updates to those recommendations. The bill would require that screening tools be administered in their entirety and in adherence to the specific tools recommended guidelines. The bill would also make legislative findings and declarations relating to child development.Digest Key Vote: MAJORITY  Appropriation: NO  Fiscal Committee: YES  Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) Not all children experience a clear path toward healthy development, making the early identification of developmental concerns and the timely connection to appropriate intervention essential to a childs well-being.(b) Despite the prevalence of developmental delays and disorders, the overall rate of developmental screening remains low and the use of validated screening tools is often inconsistent.(c) Many children at risk for developmental delays or disabilities due to environmental or biological factors are not identified in a timely fashion, greatly reducing the effectiveness of applied intervention.(d) The Bright Futures Guidelines by the American Academy of Pediatrics provide evidence-driven guidance for all preventive care screenings and well-child visits, recommending that developmental surveillance include the periodic administration of a standardized developmental screening test.(e) Early access to appropriate intervention for children with developmental delays and disabilities is critically important for healthy and optimal development.SEC. 2. Section 14132.195 is added to the Welfare and Institutions Code, immediately following Section 14132.19, to read:14132.195. Consistent with federal law, screening services provided under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit pursuant to subdivision (v) of Section 14132 shall include developmental screening services for individuals zero to three years of age, inclusive, inclusive. These developmental screening services shall be in compliance with the periodicity schedule and the standardized and validated developmental screening tools that are established by the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care and by any future updates to those recommendations. Developmental screening tools shall be administered in their entirety and in adherence to the specific tools recommended guidelines.

 Amended IN  Senate  June 18, 2018 Amended IN  Assembly  January 10, 2018 Amended IN  Assembly  January 03, 2018 Amended IN  Assembly  March 23, 2017 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 11Introduced by Assembly Members McCarty and Bonta(Coauthors: Assembly Members Carrillo and Nazarian Carrillo, Kamlager-Dove, Nazarian, and Mark Stone)December 05, 2016 An act to add Section 14132.195 to the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTAB 11, as amended, McCarty. Early and Periodic Screening, Diagnosis, and Treatment Program: screening services.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services, including Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) for any individual under 21 years of age who is covered under Medi-Cal consistent with the requirements under federal law. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.Existing federal law provides that EPSDT services include periodic screening services, vision services, dental services, hearing services, and other necessary services to correct or ameliorate defects and physical and mental illnesses and conditions discovered by the screening services, whether or not the services are covered under the state plan.This bill would require, consistent with federal law, that screening services under the EPSDT program include developmental screening services for individuals zero to 3 years of age, inclusive, and be in compliance with the periodicity schedule and the standardized and validated developmental screening tools that are established by the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care and by any future updates to those recommendations. The bill would require that screening tools be administered in their entirety and in adherence to the specific tools recommended guidelines. The bill would also make legislative findings and declarations relating to child development.Digest Key Vote: MAJORITY  Appropriation: NO  Fiscal Committee: YES  Local Program: NO 

 Amended IN  Senate  June 18, 2018 Amended IN  Assembly  January 10, 2018 Amended IN  Assembly  January 03, 2018 Amended IN  Assembly  March 23, 2017

Amended IN  Senate  June 18, 2018
Amended IN  Assembly  January 10, 2018
Amended IN  Assembly  January 03, 2018
Amended IN  Assembly  March 23, 2017

 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION

Assembly Bill No. 11

Introduced by Assembly Members McCarty and Bonta(Coauthors: Assembly Members Carrillo and Nazarian Carrillo, Kamlager-Dove, Nazarian, and Mark Stone)December 05, 2016

Introduced by Assembly Members McCarty and Bonta(Coauthors: Assembly Members Carrillo and Nazarian Carrillo, Kamlager-Dove, Nazarian, and Mark Stone)
December 05, 2016

 An act to add Section 14132.195 to the Welfare and Institutions Code, relating to Medi-Cal.

LEGISLATIVE COUNSEL'S DIGEST

## LEGISLATIVE COUNSEL'S DIGEST

AB 11, as amended, McCarty. Early and Periodic Screening, Diagnosis, and Treatment Program: screening services.

Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services, including Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) for any individual under 21 years of age who is covered under Medi-Cal consistent with the requirements under federal law. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.Existing federal law provides that EPSDT services include periodic screening services, vision services, dental services, hearing services, and other necessary services to correct or ameliorate defects and physical and mental illnesses and conditions discovered by the screening services, whether or not the services are covered under the state plan.This bill would require, consistent with federal law, that screening services under the EPSDT program include developmental screening services for individuals zero to 3 years of age, inclusive, and be in compliance with the periodicity schedule and the standardized and validated developmental screening tools that are established by the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care and by any future updates to those recommendations. The bill would require that screening tools be administered in their entirety and in adherence to the specific tools recommended guidelines. The bill would also make legislative findings and declarations relating to child development.

Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services, including Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) for any individual under 21 years of age who is covered under Medi-Cal consistent with the requirements under federal law. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.

Existing federal law provides that EPSDT services include periodic screening services, vision services, dental services, hearing services, and other necessary services to correct or ameliorate defects and physical and mental illnesses and conditions discovered by the screening services, whether or not the services are covered under the state plan.

This bill would require, consistent with federal law, that screening services under the EPSDT program include developmental screening services for individuals zero to 3 years of age, inclusive, and be in compliance with the periodicity schedule and the standardized and validated developmental screening tools that are established by the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care and by any future updates to those recommendations. The bill would require that screening tools be administered in their entirety and in adherence to the specific tools recommended guidelines. The bill would also make legislative findings and declarations relating to child development.

## Digest Key

## Bill Text

The people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) Not all children experience a clear path toward healthy development, making the early identification of developmental concerns and the timely connection to appropriate intervention essential to a childs well-being.(b) Despite the prevalence of developmental delays and disorders, the overall rate of developmental screening remains low and the use of validated screening tools is often inconsistent.(c) Many children at risk for developmental delays or disabilities due to environmental or biological factors are not identified in a timely fashion, greatly reducing the effectiveness of applied intervention.(d) The Bright Futures Guidelines by the American Academy of Pediatrics provide evidence-driven guidance for all preventive care screenings and well-child visits, recommending that developmental surveillance include the periodic administration of a standardized developmental screening test.(e) Early access to appropriate intervention for children with developmental delays and disabilities is critically important for healthy and optimal development.SEC. 2. Section 14132.195 is added to the Welfare and Institutions Code, immediately following Section 14132.19, to read:14132.195. Consistent with federal law, screening services provided under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit pursuant to subdivision (v) of Section 14132 shall include developmental screening services for individuals zero to three years of age, inclusive, inclusive. These developmental screening services shall be in compliance with the periodicity schedule and the standardized and validated developmental screening tools that are established by the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care and by any future updates to those recommendations. Developmental screening tools shall be administered in their entirety and in adherence to the specific tools recommended guidelines.

The people of the State of California do enact as follows:

## The people of the State of California do enact as follows:

SECTION 1. The Legislature finds and declares all of the following:(a) Not all children experience a clear path toward healthy development, making the early identification of developmental concerns and the timely connection to appropriate intervention essential to a childs well-being.(b) Despite the prevalence of developmental delays and disorders, the overall rate of developmental screening remains low and the use of validated screening tools is often inconsistent.(c) Many children at risk for developmental delays or disabilities due to environmental or biological factors are not identified in a timely fashion, greatly reducing the effectiveness of applied intervention.(d) The Bright Futures Guidelines by the American Academy of Pediatrics provide evidence-driven guidance for all preventive care screenings and well-child visits, recommending that developmental surveillance include the periodic administration of a standardized developmental screening test.(e) Early access to appropriate intervention for children with developmental delays and disabilities is critically important for healthy and optimal development.

SECTION 1. The Legislature finds and declares all of the following:(a) Not all children experience a clear path toward healthy development, making the early identification of developmental concerns and the timely connection to appropriate intervention essential to a childs well-being.(b) Despite the prevalence of developmental delays and disorders, the overall rate of developmental screening remains low and the use of validated screening tools is often inconsistent.(c) Many children at risk for developmental delays or disabilities due to environmental or biological factors are not identified in a timely fashion, greatly reducing the effectiveness of applied intervention.(d) The Bright Futures Guidelines by the American Academy of Pediatrics provide evidence-driven guidance for all preventive care screenings and well-child visits, recommending that developmental surveillance include the periodic administration of a standardized developmental screening test.(e) Early access to appropriate intervention for children with developmental delays and disabilities is critically important for healthy and optimal development.

SECTION 1. The Legislature finds and declares all of the following:

### SECTION 1.

(a) Not all children experience a clear path toward healthy development, making the early identification of developmental concerns and the timely connection to appropriate intervention essential to a childs well-being.

(b) Despite the prevalence of developmental delays and disorders, the overall rate of developmental screening remains low and the use of validated screening tools is often inconsistent.

(c) Many children at risk for developmental delays or disabilities due to environmental or biological factors are not identified in a timely fashion, greatly reducing the effectiveness of applied intervention.

(d) The Bright Futures Guidelines by the American Academy of Pediatrics provide evidence-driven guidance for all preventive care screenings and well-child visits, recommending that developmental surveillance include the periodic administration of a standardized developmental screening test.

(e) Early access to appropriate intervention for children with developmental delays and disabilities is critically important for healthy and optimal development.

SEC. 2. Section 14132.195 is added to the Welfare and Institutions Code, immediately following Section 14132.19, to read:14132.195. Consistent with federal law, screening services provided under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit pursuant to subdivision (v) of Section 14132 shall include developmental screening services for individuals zero to three years of age, inclusive, inclusive. These developmental screening services shall be in compliance with the periodicity schedule and the standardized and validated developmental screening tools that are established by the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care and by any future updates to those recommendations. Developmental screening tools shall be administered in their entirety and in adherence to the specific tools recommended guidelines.

SEC. 2. Section 14132.195 is added to the Welfare and Institutions Code, immediately following Section 14132.19, to read:

### SEC. 2.

14132.195. Consistent with federal law, screening services provided under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit pursuant to subdivision (v) of Section 14132 shall include developmental screening services for individuals zero to three years of age, inclusive, inclusive. These developmental screening services shall be in compliance with the periodicity schedule and the standardized and validated developmental screening tools that are established by the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care and by any future updates to those recommendations. Developmental screening tools shall be administered in their entirety and in adherence to the specific tools recommended guidelines.

14132.195. Consistent with federal law, screening services provided under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit pursuant to subdivision (v) of Section 14132 shall include developmental screening services for individuals zero to three years of age, inclusive, inclusive. These developmental screening services shall be in compliance with the periodicity schedule and the standardized and validated developmental screening tools that are established by the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care and by any future updates to those recommendations. Developmental screening tools shall be administered in their entirety and in adherence to the specific tools recommended guidelines.

14132.195. Consistent with federal law, screening services provided under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit pursuant to subdivision (v) of Section 14132 shall include developmental screening services for individuals zero to three years of age, inclusive, inclusive. These developmental screening services shall be in compliance with the periodicity schedule and the standardized and validated developmental screening tools that are established by the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care and by any future updates to those recommendations. Developmental screening tools shall be administered in their entirety and in adherence to the specific tools recommended guidelines.



14132.195. Consistent with federal law, screening services provided under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit pursuant to subdivision (v) of Section 14132 shall include developmental screening services for individuals zero to three years of age, inclusive, inclusive. These developmental screening services shall be in compliance with the periodicity schedule and the standardized and validated developmental screening tools that are established by the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care and by any future updates to those recommendations. Developmental screening tools shall be administered in their entirety and in adherence to the specific tools recommended guidelines.