CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2277Introduced by Assembly Members Salas, Cristina Garcia, Quirk, and Reyes(Principal coauthor: Senator Leyva)February 14, 2020 An act to add Sections 14137.9 and 14197.08 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTAB 2277, as introduced, Salas. Medi-Cal: Blood lead screening tests.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter contracts with managed care plans to provide Medi-Cal services. Under existing law, Medi-Cal covers early and periodic screening, diagnosis, and treatment for individuals under 21 years of age, consistent with federal law.This bill would require any Medi-Cal managed care health plan contract to impose requirements on the contractor on blood lead screening tests for children, including identifying every enrollee who does not have a record of completing those tests, and reminding the responsible health care provider of the need to perform those tests. The bill would require the department to develop and implement procedures to ensure that a contractor performs those duties, and to notify specified individuals responsible for a Medi-Cal beneficiary who is a child, including the parent or guardian, that their child has missed a required blood lead screening test, as part of an annual notification on preventive services.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. Section 14137.9 is added to the Welfare and Institutions Code, immediately preceding Section 14138, to read:14137.9. The department shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required blood lead screening test. This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year.SEC. 2. Section 14197.08 is added to the Welfare and Institutions Code, immediately following Section 14197.07, to read:14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests.(2) Remind the responsible health care provider of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2277Introduced by Assembly Members Salas, Cristina Garcia, Quirk, and Reyes(Principal coauthor: Senator Leyva)February 14, 2020 An act to add Sections 14137.9 and 14197.08 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTAB 2277, as introduced, Salas. Medi-Cal: Blood lead screening tests.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter contracts with managed care plans to provide Medi-Cal services. Under existing law, Medi-Cal covers early and periodic screening, diagnosis, and treatment for individuals under 21 years of age, consistent with federal law.This bill would require any Medi-Cal managed care health plan contract to impose requirements on the contractor on blood lead screening tests for children, including identifying every enrollee who does not have a record of completing those tests, and reminding the responsible health care provider of the need to perform those tests. The bill would require the department to develop and implement procedures to ensure that a contractor performs those duties, and to notify specified individuals responsible for a Medi-Cal beneficiary who is a child, including the parent or guardian, that their child has missed a required blood lead screening test, as part of an annual notification on preventive services.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION
Assembly Bill
No. 2277
Introduced by Assembly Members Salas, Cristina Garcia, Quirk, and Reyes(Principal coauthor: Senator Leyva)February 14, 2020
Introduced by Assembly Members Salas, Cristina Garcia, Quirk, and Reyes(Principal coauthor: Senator Leyva)
February 14, 2020
An act to add Sections 14137.9 and 14197.08 to the Welfare and Institutions Code, relating to Medi-Cal.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 2277, as introduced, Salas. Medi-Cal: Blood lead screening tests.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter contracts with managed care plans to provide Medi-Cal services. Under existing law, Medi-Cal covers early and periodic screening, diagnosis, and treatment for individuals under 21 years of age, consistent with federal law.This bill would require any Medi-Cal managed care health plan contract to impose requirements on the contractor on blood lead screening tests for children, including identifying every enrollee who does not have a record of completing those tests, and reminding the responsible health care provider of the need to perform those tests. The bill would require the department to develop and implement procedures to ensure that a contractor performs those duties, and to notify specified individuals responsible for a Medi-Cal beneficiary who is a child, including the parent or guardian, that their child has missed a required blood lead screening test, as part of an annual notification on preventive services.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter contracts with managed care plans to provide Medi-Cal services. Under existing law, Medi-Cal covers early and periodic screening, diagnosis, and treatment for individuals under 21 years of age, consistent with federal law.
This bill would require any Medi-Cal managed care health plan contract to impose requirements on the contractor on blood lead screening tests for children, including identifying every enrollee who does not have a record of completing those tests, and reminding the responsible health care provider of the need to perform those tests. The bill would require the department to develop and implement procedures to ensure that a contractor performs those duties, and to notify specified individuals responsible for a Medi-Cal beneficiary who is a child, including the parent or guardian, that their child has missed a required blood lead screening test, as part of an annual notification on preventive services.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 14137.9 is added to the Welfare and Institutions Code, immediately preceding Section 14138, to read:14137.9. The department shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required blood lead screening test. This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year.SEC. 2. Section 14197.08 is added to the Welfare and Institutions Code, immediately following Section 14197.07, to read:14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests.(2) Remind the responsible health care provider of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Section 14137.9 is added to the Welfare and Institutions Code, immediately preceding Section 14138, to read:14137.9. The department shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required blood lead screening test. This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year.
SECTION 1. Section 14137.9 is added to the Welfare and Institutions Code, immediately preceding Section 14138, to read:
### SECTION 1.
14137.9. The department shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required blood lead screening test. This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year.
14137.9. The department shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required blood lead screening test. This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year.
14137.9. The department shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required blood lead screening test. This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year.
14137.9. The department shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required blood lead screening test. This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year.
SEC. 2. Section 14197.08 is added to the Welfare and Institutions Code, immediately following Section 14197.07, to read:14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests.(2) Remind the responsible health care provider of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).
SEC. 2. Section 14197.08 is added to the Welfare and Institutions Code, immediately following Section 14197.07, to read:
### SEC. 2.
14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests.(2) Remind the responsible health care provider of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).
14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests.(2) Remind the responsible health care provider of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).
14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests.(2) Remind the responsible health care provider of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).
14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor:
(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests.
(2) Remind the responsible health care provider of the need to perform required blood lead screening tests.
(b) The department shall develop and implement procedures to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).