Medi-Cal: telehealth: alcohol and drug use treatment.
The introduction of AB 2861 significantly impacts state laws by formalizing the inclusion of telehealth services in the Medi-Cal reimbursement landscape. This could transform service delivery for alcohol and drug counseling, making it more accessible for beneficiaries, especially those in remote or underserved areas. By permitting licensed practitioners and certified counselors to conduct sessions via telehealth and receive compensation, the bill aims to align California's healthcare delivery with modern practices and potentially improve treatment outcomes for individuals facing substance use challenges.
AB 2861, introduced by Assemblymember Salas, amends the Welfare and Institutions Code to enhance access to Medi-Cal services by allowing reimbursement for individual counseling services provided through telehealth. This aims to expand the Drug Medi-Cal Treatment Program, enabling certified providers to receive payment for counseling delivered via telehealth platforms. This amendment is intended to meet the needs of low-income individuals seeking alcohol and drug treatment services while addressing barriers to in-person visits. It establishes a framework for the implementation of telehealth services within existing Medi-Cal provisions, contingent upon necessary federal approvals and financial participation.
Overall sentiment regarding AB 2861 was positive, particularly among advocates for mental health and substance use disorder treatment. Proponents praised the bill for its potential to reduce barriers to care and increase the accessibility of essential services for vulnerable populations. However, there were also discussions about ensuring that quality of care and personal interaction are not compromised in a telehealth setting, as some stakeholders expressed concerns about reliance on technology in sensitive counseling scenarios.
Notable points of contention included the adequacy of oversight and regulation regarding telehealth services pursuant to the bill. Questions arose regarding how the California Department of Health Care Services would measure the effectiveness of telehealth in comparison to traditional in-person counseling. Additionally, there were discussions about ensuring that all Medi-Cal beneficiaries have the necessary technology and internet access to utilize telehealth services effectively, bringing into focus issues of equity in healthcare access.