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California Assembly Bill AB2193

California 2017-2018 Regular Session

California Assembly Bill AB2193 Compare Versions

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1-Assembly Bill No. 2193 CHAPTER 755 An act to add Section 1367.625 to, and to add Article 6 (commencing with Section 123640) to Chapter 2 of Part 2 of Division 106 to, the Health and Safety Code, and to add Section 10123.867 to the Insurance Code, relating to health care. [ Approved by Governor September 26, 2018. Filed with Secretary of State September 26, 2018. ] LEGISLATIVE COUNSEL'S DIGESTAB 2193, Maienschein. Maternal mental health.Existing law provides for the licensure and regulation of various healing arts professions, including, but not limited to, physicians and surgeons, by various boards within the Department of Consumer Affairs. Existing law imposes certain fines and other penalties for, and authorizes these boards to take disciplinary action against licensees for, violations of the provisions governing those professions.This bill would require, by July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires health care service plan contracts and health insurance policies that provide hospital, medical, or surgical coverage to provide coverage for the diagnosis and medically necessary treatment of severe mental illnesses, as defined, of a person of any age. This bill would require health care service plans and health insurers, by July 1, 2019, to develop, consistent with sound clinical principles and processes, a maternal mental health program, as specified. Because a willful violation of the bills requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 1367.625 is added to the Health and Safety Code, to read:1367.625. (a) By July 1, 2019, a health care service plan shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the enrollees health care service plan to provide services under the enrollees plan contract.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health care service plans, except specialized behavioral health-only plans offering professional mental health services.SEC. 2. Article 6 (commencing with Section 123640) is added to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, to read: Article 6. Maternal Mental Health123640. (a) By July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within his or her scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Maternal mental health condition means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(2) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within his or her scope of practice.SEC. 3. Section 10123.867 is added to the Insurance Code, to read:10123.867. (a) By July 1, 2019, a health insurer shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the insureds health insurer to provide services under the insureds health insurance policy.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health insurers, except behavioral health-only insurers that provide coverage for professional mental health services.SEC. 4. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
1+Enrolled August 31, 2018 Passed IN Senate August 27, 2018 Passed IN Assembly August 29, 2018 Amended IN Senate August 17, 2018 Amended IN Senate August 06, 2018 Amended IN Senate July 02, 2018 Amended IN Senate June 21, 2018 Amended IN Assembly April 30, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 2193Introduced by Assembly Member Maienschein(Coauthors: Assembly Members Gonzalez Fletcher, Lackey, Rodriguez, and Voepel)February 12, 2018 An act to add Section 1367.625 to, and to add Article 6 (commencing with Section 123640) to Chapter 2 of Part 2 of Division 106 to, the Health and Safety Code, and to add Section 10123.867 to the Insurance Code, relating to health care. LEGISLATIVE COUNSEL'S DIGESTAB 2193, Maienschein. Maternal mental health.Existing law provides for the licensure and regulation of various healing arts professions, including, but not limited to, physicians and surgeons, by various boards within the Department of Consumer Affairs. Existing law imposes certain fines and other penalties for, and authorizes these boards to take disciplinary action against licensees for, violations of the provisions governing those professions.This bill would require, by July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires health care service plan contracts and health insurance policies that provide hospital, medical, or surgical coverage to provide coverage for the diagnosis and medically necessary treatment of severe mental illnesses, as defined, of a person of any age. This bill would require health care service plans and health insurers, by July 1, 2019, to develop, consistent with sound clinical principles and processes, a maternal mental health program, as specified. Because a willful violation of the bills requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 1367.625 is added to the Health and Safety Code, to read:1367.625. (a) By July 1, 2019, a health care service plan shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the enrollees health care service plan to provide services under the enrollees plan contract.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health care service plans, except specialized behavioral health-only plans offering professional mental health services.SEC. 2. Article 6 (commencing with Section 123640) is added to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, to read: Article 6. Maternal Mental Health123640. (a) By July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within his or her scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Maternal mental health condition means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(2) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within his or her scope of practice.SEC. 3. Section 10123.867 is added to the Insurance Code, to read:10123.867. (a) By July 1, 2019, a health insurer shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the insureds health insurer to provide services under the insureds health insurance policy.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health insurers, except behavioral health-only insurers that provide coverage for professional mental health services.SEC. 4. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
22
3- Assembly Bill No. 2193 CHAPTER 755 An act to add Section 1367.625 to, and to add Article 6 (commencing with Section 123640) to Chapter 2 of Part 2 of Division 106 to, the Health and Safety Code, and to add Section 10123.867 to the Insurance Code, relating to health care. [ Approved by Governor September 26, 2018. Filed with Secretary of State September 26, 2018. ] LEGISLATIVE COUNSEL'S DIGESTAB 2193, Maienschein. Maternal mental health.Existing law provides for the licensure and regulation of various healing arts professions, including, but not limited to, physicians and surgeons, by various boards within the Department of Consumer Affairs. Existing law imposes certain fines and other penalties for, and authorizes these boards to take disciplinary action against licensees for, violations of the provisions governing those professions.This bill would require, by July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires health care service plan contracts and health insurance policies that provide hospital, medical, or surgical coverage to provide coverage for the diagnosis and medically necessary treatment of severe mental illnesses, as defined, of a person of any age. This bill would require health care service plans and health insurers, by July 1, 2019, to develop, consistent with sound clinical principles and processes, a maternal mental health program, as specified. Because a willful violation of the bills requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES
3+ Enrolled August 31, 2018 Passed IN Senate August 27, 2018 Passed IN Assembly August 29, 2018 Amended IN Senate August 17, 2018 Amended IN Senate August 06, 2018 Amended IN Senate July 02, 2018 Amended IN Senate June 21, 2018 Amended IN Assembly April 30, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 2193Introduced by Assembly Member Maienschein(Coauthors: Assembly Members Gonzalez Fletcher, Lackey, Rodriguez, and Voepel)February 12, 2018 An act to add Section 1367.625 to, and to add Article 6 (commencing with Section 123640) to Chapter 2 of Part 2 of Division 106 to, the Health and Safety Code, and to add Section 10123.867 to the Insurance Code, relating to health care. LEGISLATIVE COUNSEL'S DIGESTAB 2193, Maienschein. Maternal mental health.Existing law provides for the licensure and regulation of various healing arts professions, including, but not limited to, physicians and surgeons, by various boards within the Department of Consumer Affairs. Existing law imposes certain fines and other penalties for, and authorizes these boards to take disciplinary action against licensees for, violations of the provisions governing those professions.This bill would require, by July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires health care service plan contracts and health insurance policies that provide hospital, medical, or surgical coverage to provide coverage for the diagnosis and medically necessary treatment of severe mental illnesses, as defined, of a person of any age. This bill would require health care service plans and health insurers, by July 1, 2019, to develop, consistent with sound clinical principles and processes, a maternal mental health program, as specified. Because a willful violation of the bills requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES
4+
5+ Enrolled August 31, 2018 Passed IN Senate August 27, 2018 Passed IN Assembly August 29, 2018 Amended IN Senate August 17, 2018 Amended IN Senate August 06, 2018 Amended IN Senate July 02, 2018 Amended IN Senate June 21, 2018 Amended IN Assembly April 30, 2018
6+
7+Enrolled August 31, 2018
8+Passed IN Senate August 27, 2018
9+Passed IN Assembly August 29, 2018
10+Amended IN Senate August 17, 2018
11+Amended IN Senate August 06, 2018
12+Amended IN Senate July 02, 2018
13+Amended IN Senate June 21, 2018
14+Amended IN Assembly April 30, 2018
15+
16+ CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION
417
518 Assembly Bill No. 2193
6-CHAPTER 755
19+
20+Introduced by Assembly Member Maienschein(Coauthors: Assembly Members Gonzalez Fletcher, Lackey, Rodriguez, and Voepel)February 12, 2018
21+
22+Introduced by Assembly Member Maienschein(Coauthors: Assembly Members Gonzalez Fletcher, Lackey, Rodriguez, and Voepel)
23+February 12, 2018
724
825 An act to add Section 1367.625 to, and to add Article 6 (commencing with Section 123640) to Chapter 2 of Part 2 of Division 106 to, the Health and Safety Code, and to add Section 10123.867 to the Insurance Code, relating to health care.
9-
10- [ Approved by Governor September 26, 2018. Filed with Secretary of State September 26, 2018. ]
1126
1227 LEGISLATIVE COUNSEL'S DIGEST
1328
1429 ## LEGISLATIVE COUNSEL'S DIGEST
1530
1631 AB 2193, Maienschein. Maternal mental health.
1732
1833 Existing law provides for the licensure and regulation of various healing arts professions, including, but not limited to, physicians and surgeons, by various boards within the Department of Consumer Affairs. Existing law imposes certain fines and other penalties for, and authorizes these boards to take disciplinary action against licensees for, violations of the provisions governing those professions.This bill would require, by July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires health care service plan contracts and health insurance policies that provide hospital, medical, or surgical coverage to provide coverage for the diagnosis and medically necessary treatment of severe mental illnesses, as defined, of a person of any age. This bill would require health care service plans and health insurers, by July 1, 2019, to develop, consistent with sound clinical principles and processes, a maternal mental health program, as specified. Because a willful violation of the bills requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.
1934
2035 Existing law provides for the licensure and regulation of various healing arts professions, including, but not limited to, physicians and surgeons, by various boards within the Department of Consumer Affairs. Existing law imposes certain fines and other penalties for, and authorizes these boards to take disciplinary action against licensees for, violations of the provisions governing those professions.
2136
2237 This bill would require, by July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient to offer to screen or appropriately screen a mother for maternal mental health conditions.
2338
2439 Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires health care service plan contracts and health insurance policies that provide hospital, medical, or surgical coverage to provide coverage for the diagnosis and medically necessary treatment of severe mental illnesses, as defined, of a person of any age.
2540
2641 This bill would require health care service plans and health insurers, by July 1, 2019, to develop, consistent with sound clinical principles and processes, a maternal mental health program, as specified. Because a willful violation of the bills requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program.
2742
2843 The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
2944
3045 This bill would provide that no reimbursement is required by this act for a specified reason.
3146
3247 ## Digest Key
3348
3449 ## Bill Text
3550
3651 The people of the State of California do enact as follows:SECTION 1. Section 1367.625 is added to the Health and Safety Code, to read:1367.625. (a) By July 1, 2019, a health care service plan shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the enrollees health care service plan to provide services under the enrollees plan contract.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health care service plans, except specialized behavioral health-only plans offering professional mental health services.SEC. 2. Article 6 (commencing with Section 123640) is added to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, to read: Article 6. Maternal Mental Health123640. (a) By July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within his or her scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Maternal mental health condition means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(2) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within his or her scope of practice.SEC. 3. Section 10123.867 is added to the Insurance Code, to read:10123.867. (a) By July 1, 2019, a health insurer shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the insureds health insurer to provide services under the insureds health insurance policy.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health insurers, except behavioral health-only insurers that provide coverage for professional mental health services.SEC. 4. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
3752
3853 The people of the State of California do enact as follows:
3954
4055 ## The people of the State of California do enact as follows:
4156
4257 SECTION 1. Section 1367.625 is added to the Health and Safety Code, to read:1367.625. (a) By July 1, 2019, a health care service plan shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the enrollees health care service plan to provide services under the enrollees plan contract.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health care service plans, except specialized behavioral health-only plans offering professional mental health services.
4358
4459 SECTION 1. Section 1367.625 is added to the Health and Safety Code, to read:
4560
4661 ### SECTION 1.
4762
4863 1367.625. (a) By July 1, 2019, a health care service plan shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the enrollees health care service plan to provide services under the enrollees plan contract.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health care service plans, except specialized behavioral health-only plans offering professional mental health services.
4964
5065 1367.625. (a) By July 1, 2019, a health care service plan shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the enrollees health care service plan to provide services under the enrollees plan contract.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health care service plans, except specialized behavioral health-only plans offering professional mental health services.
5166
5267 1367.625. (a) By July 1, 2019, a health care service plan shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the enrollees health care service plan to provide services under the enrollees plan contract.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health care service plans, except specialized behavioral health-only plans offering professional mental health services.
5368
5469
5570
5671 1367.625. (a) By July 1, 2019, a health care service plan shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.
5772
5873 (b) For the purposes of this section, the following terms have the following meanings:
5974
6075 (1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the enrollees health care service plan to provide services under the enrollees plan contract.
6176
6277 (2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.
6378
6479 (c) This section shall not apply to specialized health care service plans, except specialized behavioral health-only plans offering professional mental health services.
6580
6681 SEC. 2. Article 6 (commencing with Section 123640) is added to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, to read: Article 6. Maternal Mental Health123640. (a) By July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within his or her scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Maternal mental health condition means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(2) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within his or her scope of practice.
6782
6883 SEC. 2. Article 6 (commencing with Section 123640) is added to Chapter 2 of Part 2 of Division 106 of the Health and Safety Code, to read:
6984
7085 ### SEC. 2.
7186
7287 Article 6. Maternal Mental Health123640. (a) By July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within his or her scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Maternal mental health condition means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(2) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within his or her scope of practice.
7388
7489 Article 6. Maternal Mental Health123640. (a) By July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within his or her scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Maternal mental health condition means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(2) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within his or her scope of practice.
7590
7691 Article 6. Maternal Mental Health
7792
7893 Article 6. Maternal Mental Health
7994
8095 123640. (a) By July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions.(b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.(c) This section does not preclude any licensed or certified provider acting within his or her scope of practice from screening for maternal mental health conditions.(d) For purposes of this section, the following definitions apply:(1) Maternal mental health condition means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(2) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within his or her scope of practice.
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8499 123640. (a) By July 1, 2019, a licensed health care practitioner who provides prenatal or postpartum care for a patient shall ensure that the mother is offered screening or is appropriately screened for maternal mental health conditions.
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86101 (b) This section shall not apply to a licensed health care practitioner when providing emergency services or care, as defined in Section 1317.1.
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88103 (c) This section does not preclude any licensed or certified provider acting within his or her scope of practice from screening for maternal mental health conditions.
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90105 (d) For purposes of this section, the following definitions apply:
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92107 (1) Maternal mental health condition means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.
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94109 (2) Health care practitioner means a physician and surgeon, naturopathic doctor, nurse practitioner, physician assistant, nurse midwife, or a midwife licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code or an initiative act referred to in that division and who is acting within his or her scope of practice.
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96111 SEC. 3. Section 10123.867 is added to the Insurance Code, to read:10123.867. (a) By July 1, 2019, a health insurer shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the insureds health insurer to provide services under the insureds health insurance policy.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health insurers, except behavioral health-only insurers that provide coverage for professional mental health services.
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98113 SEC. 3. Section 10123.867 is added to the Insurance Code, to read:
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100115 ### SEC. 3.
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102117 10123.867. (a) By July 1, 2019, a health insurer shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the insureds health insurer to provide services under the insureds health insurance policy.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health insurers, except behavioral health-only insurers that provide coverage for professional mental health services.
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104119 10123.867. (a) By July 1, 2019, a health insurer shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the insureds health insurer to provide services under the insureds health insurance policy.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health insurers, except behavioral health-only insurers that provide coverage for professional mental health services.
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106121 10123.867. (a) By July 1, 2019, a health insurer shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.(b) For the purposes of this section, the following terms have the following meanings:(1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the insureds health insurer to provide services under the insureds health insurance policy.(2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.(c) This section shall not apply to specialized health insurers, except behavioral health-only insurers that provide coverage for professional mental health services.
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110125 10123.867. (a) By July 1, 2019, a health insurer shall develop a maternal mental health program designed to promote quality and cost-effective outcomes. The program shall be developed consistent with sound clinical principles and processes. The program guidelines and criteria shall be made available upon request to medical providers, including a contracting obstetric provider.
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112127 (b) For the purposes of this section, the following terms have the following meanings:
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114129 (1) Contracting obstetric provider means an individual who is certified or licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or an initiative act referred to in that division, and who is contracted with the insureds health insurer to provide services under the insureds health insurance policy.
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116131 (2) Maternal mental health means a mental health condition that occurs during pregnancy or during the postpartum period and includes, but is not limited to, postpartum depression.
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118133 (c) This section shall not apply to specialized health insurers, except behavioral health-only insurers that provide coverage for professional mental health services.
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120135 SEC. 4. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
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122137 SEC. 4. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
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124139 SEC. 4. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
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126141 ### SEC. 4.