| 1 | 1 | | CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 389Introduced by Assembly Members Arambula and SantiagoFebruary 05, 2019 An act to add Section 11757 to the Health and Safety Code, relating to health care. LEGISLATIVE COUNSEL'S DIGESTAB 389, as introduced, Arambula. Substance use disorder treatment: peer navigators.Existing law requires the State Department of Health Care Services to license and regulate substance use disorder programs and facilities, as specified, and provides various programs for education about, and treatment of, substance use disorders.This bill would require the department to either establish a pilot program or expand an existing pilot program for purposes of measuring the efficacy and cost avoidance of utilizing trained substance use disorder peer navigators and behavioral health peer navigators in the emergency department of an acute care hospital, as described, if Funds for this purpose are appropriated in the annual Budget Act. The bill would provide that an acute care hospital may be eligible to receive funding under the pilot program to fund peer navigator positions. This bill would require the department to investigate and apply for federal funding opportunities and non-General Fund sources to support the pilot program, and to design an evaluation of, and subsequently evaluate, the pilot program, as specified.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 11757 is added to the Health and Safety Code, immediately following Section 11756.8, to read:11757. (a) (1) The department shall either establish a pilot program or expand an existing pilot program, as determined by the department, for purposes of measuring the efficacy and cost avoidance of utilizing trained substance use disorder peer navigators and behavioral health peer navigators in the emergency department of an acute care hospital, as defined in subdivision (a) of Section 1250.(2) A peer navigator, as described in paragraph (1), shall screen and offer to patients, if appropriate, intervention and referral to services, including substance use disorder treatment programs and behavioral health services.(b) An acute care hospital may be eligible to receive funding under the pilot program to fund peer navigator positions.(c) The department shall investigate and apply for federal funding opportunities and non-General Fund sources to support the pilot program.(d) (1) The department shall design an evaluation of the pilot program, as specified in this section, to determine the following about patients referred to services:(A) Whether they experience a decline in subsequent emergency medical services or hospital inpatient services.(B) Whether they remain in treatment or show an improvement in health outcomes.(2) The department shall evaluate whether the pilot program, as specified in this section, results in a savings to the Medi-Cal program or any other payment sources that are identified by the department.(e) This section shall be implemented only if funds for this purpose are appropriated in the annual Budget Act. |
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| 3 | 3 | | CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 389Introduced by Assembly Members Arambula and SantiagoFebruary 05, 2019 An act to add Section 11757 to the Health and Safety Code, relating to health care. LEGISLATIVE COUNSEL'S DIGESTAB 389, as introduced, Arambula. Substance use disorder treatment: peer navigators.Existing law requires the State Department of Health Care Services to license and regulate substance use disorder programs and facilities, as specified, and provides various programs for education about, and treatment of, substance use disorders.This bill would require the department to either establish a pilot program or expand an existing pilot program for purposes of measuring the efficacy and cost avoidance of utilizing trained substance use disorder peer navigators and behavioral health peer navigators in the emergency department of an acute care hospital, as described, if Funds for this purpose are appropriated in the annual Budget Act. The bill would provide that an acute care hospital may be eligible to receive funding under the pilot program to fund peer navigator positions. This bill would require the department to investigate and apply for federal funding opportunities and non-General Fund sources to support the pilot program, and to design an evaluation of, and subsequently evaluate, the pilot program, as specified.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO |
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| 9 | 9 | | CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION |
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| 11 | 11 | | Assembly Bill No. 389 |
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| 13 | 13 | | Introduced by Assembly Members Arambula and SantiagoFebruary 05, 2019 |
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| 15 | 15 | | Introduced by Assembly Members Arambula and Santiago |
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| 16 | 16 | | February 05, 2019 |
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| 17 | 17 | | |
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| 18 | 18 | | An act to add Section 11757 to the Health and Safety Code, relating to health care. |
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| 19 | 19 | | |
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| 20 | 20 | | LEGISLATIVE COUNSEL'S DIGEST |
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| 22 | 22 | | ## LEGISLATIVE COUNSEL'S DIGEST |
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| 24 | 24 | | AB 389, as introduced, Arambula. Substance use disorder treatment: peer navigators. |
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| 25 | 25 | | |
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| 26 | 26 | | Existing law requires the State Department of Health Care Services to license and regulate substance use disorder programs and facilities, as specified, and provides various programs for education about, and treatment of, substance use disorders.This bill would require the department to either establish a pilot program or expand an existing pilot program for purposes of measuring the efficacy and cost avoidance of utilizing trained substance use disorder peer navigators and behavioral health peer navigators in the emergency department of an acute care hospital, as described, if Funds for this purpose are appropriated in the annual Budget Act. The bill would provide that an acute care hospital may be eligible to receive funding under the pilot program to fund peer navigator positions. This bill would require the department to investigate and apply for federal funding opportunities and non-General Fund sources to support the pilot program, and to design an evaluation of, and subsequently evaluate, the pilot program, as specified. |
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| 28 | 28 | | Existing law requires the State Department of Health Care Services to license and regulate substance use disorder programs and facilities, as specified, and provides various programs for education about, and treatment of, substance use disorders. |
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| 30 | 30 | | This bill would require the department to either establish a pilot program or expand an existing pilot program for purposes of measuring the efficacy and cost avoidance of utilizing trained substance use disorder peer navigators and behavioral health peer navigators in the emergency department of an acute care hospital, as described, if Funds for this purpose are appropriated in the annual Budget Act. The bill would provide that an acute care hospital may be eligible to receive funding under the pilot program to fund peer navigator positions. This bill would require the department to investigate and apply for federal funding opportunities and non-General Fund sources to support the pilot program, and to design an evaluation of, and subsequently evaluate, the pilot program, as specified. |
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| 31 | 31 | | |
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| 32 | 32 | | ## Digest Key |
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| 34 | 34 | | ## Bill Text |
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| 36 | 36 | | The people of the State of California do enact as follows:SECTION 1. Section 11757 is added to the Health and Safety Code, immediately following Section 11756.8, to read:11757. (a) (1) The department shall either establish a pilot program or expand an existing pilot program, as determined by the department, for purposes of measuring the efficacy and cost avoidance of utilizing trained substance use disorder peer navigators and behavioral health peer navigators in the emergency department of an acute care hospital, as defined in subdivision (a) of Section 1250.(2) A peer navigator, as described in paragraph (1), shall screen and offer to patients, if appropriate, intervention and referral to services, including substance use disorder treatment programs and behavioral health services.(b) An acute care hospital may be eligible to receive funding under the pilot program to fund peer navigator positions.(c) The department shall investigate and apply for federal funding opportunities and non-General Fund sources to support the pilot program.(d) (1) The department shall design an evaluation of the pilot program, as specified in this section, to determine the following about patients referred to services:(A) Whether they experience a decline in subsequent emergency medical services or hospital inpatient services.(B) Whether they remain in treatment or show an improvement in health outcomes.(2) The department shall evaluate whether the pilot program, as specified in this section, results in a savings to the Medi-Cal program or any other payment sources that are identified by the department.(e) This section shall be implemented only if funds for this purpose are appropriated in the annual Budget Act. |
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| 38 | 38 | | The people of the State of California do enact as follows: |
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| 40 | 40 | | ## The people of the State of California do enact as follows: |
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| 42 | 42 | | SECTION 1. Section 11757 is added to the Health and Safety Code, immediately following Section 11756.8, to read:11757. (a) (1) The department shall either establish a pilot program or expand an existing pilot program, as determined by the department, for purposes of measuring the efficacy and cost avoidance of utilizing trained substance use disorder peer navigators and behavioral health peer navigators in the emergency department of an acute care hospital, as defined in subdivision (a) of Section 1250.(2) A peer navigator, as described in paragraph (1), shall screen and offer to patients, if appropriate, intervention and referral to services, including substance use disorder treatment programs and behavioral health services.(b) An acute care hospital may be eligible to receive funding under the pilot program to fund peer navigator positions.(c) The department shall investigate and apply for federal funding opportunities and non-General Fund sources to support the pilot program.(d) (1) The department shall design an evaluation of the pilot program, as specified in this section, to determine the following about patients referred to services:(A) Whether they experience a decline in subsequent emergency medical services or hospital inpatient services.(B) Whether they remain in treatment or show an improvement in health outcomes.(2) The department shall evaluate whether the pilot program, as specified in this section, results in a savings to the Medi-Cal program or any other payment sources that are identified by the department.(e) This section shall be implemented only if funds for this purpose are appropriated in the annual Budget Act. |
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| 44 | 44 | | SECTION 1. Section 11757 is added to the Health and Safety Code, immediately following Section 11756.8, to read: |
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| 46 | 46 | | ### SECTION 1. |
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| 48 | 48 | | 11757. (a) (1) The department shall either establish a pilot program or expand an existing pilot program, as determined by the department, for purposes of measuring the efficacy and cost avoidance of utilizing trained substance use disorder peer navigators and behavioral health peer navigators in the emergency department of an acute care hospital, as defined in subdivision (a) of Section 1250.(2) A peer navigator, as described in paragraph (1), shall screen and offer to patients, if appropriate, intervention and referral to services, including substance use disorder treatment programs and behavioral health services.(b) An acute care hospital may be eligible to receive funding under the pilot program to fund peer navigator positions.(c) The department shall investigate and apply for federal funding opportunities and non-General Fund sources to support the pilot program.(d) (1) The department shall design an evaluation of the pilot program, as specified in this section, to determine the following about patients referred to services:(A) Whether they experience a decline in subsequent emergency medical services or hospital inpatient services.(B) Whether they remain in treatment or show an improvement in health outcomes.(2) The department shall evaluate whether the pilot program, as specified in this section, results in a savings to the Medi-Cal program or any other payment sources that are identified by the department.(e) This section shall be implemented only if funds for this purpose are appropriated in the annual Budget Act. |
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| 50 | 50 | | 11757. (a) (1) The department shall either establish a pilot program or expand an existing pilot program, as determined by the department, for purposes of measuring the efficacy and cost avoidance of utilizing trained substance use disorder peer navigators and behavioral health peer navigators in the emergency department of an acute care hospital, as defined in subdivision (a) of Section 1250.(2) A peer navigator, as described in paragraph (1), shall screen and offer to patients, if appropriate, intervention and referral to services, including substance use disorder treatment programs and behavioral health services.(b) An acute care hospital may be eligible to receive funding under the pilot program to fund peer navigator positions.(c) The department shall investigate and apply for federal funding opportunities and non-General Fund sources to support the pilot program.(d) (1) The department shall design an evaluation of the pilot program, as specified in this section, to determine the following about patients referred to services:(A) Whether they experience a decline in subsequent emergency medical services or hospital inpatient services.(B) Whether they remain in treatment or show an improvement in health outcomes.(2) The department shall evaluate whether the pilot program, as specified in this section, results in a savings to the Medi-Cal program or any other payment sources that are identified by the department.(e) This section shall be implemented only if funds for this purpose are appropriated in the annual Budget Act. |
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| 52 | 52 | | 11757. (a) (1) The department shall either establish a pilot program or expand an existing pilot program, as determined by the department, for purposes of measuring the efficacy and cost avoidance of utilizing trained substance use disorder peer navigators and behavioral health peer navigators in the emergency department of an acute care hospital, as defined in subdivision (a) of Section 1250.(2) A peer navigator, as described in paragraph (1), shall screen and offer to patients, if appropriate, intervention and referral to services, including substance use disorder treatment programs and behavioral health services.(b) An acute care hospital may be eligible to receive funding under the pilot program to fund peer navigator positions.(c) The department shall investigate and apply for federal funding opportunities and non-General Fund sources to support the pilot program.(d) (1) The department shall design an evaluation of the pilot program, as specified in this section, to determine the following about patients referred to services:(A) Whether they experience a decline in subsequent emergency medical services or hospital inpatient services.(B) Whether they remain in treatment or show an improvement in health outcomes.(2) The department shall evaluate whether the pilot program, as specified in this section, results in a savings to the Medi-Cal program or any other payment sources that are identified by the department.(e) This section shall be implemented only if funds for this purpose are appropriated in the annual Budget Act. |
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| 56 | 56 | | 11757. (a) (1) The department shall either establish a pilot program or expand an existing pilot program, as determined by the department, for purposes of measuring the efficacy and cost avoidance of utilizing trained substance use disorder peer navigators and behavioral health peer navigators in the emergency department of an acute care hospital, as defined in subdivision (a) of Section 1250. |
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| 58 | 58 | | (2) A peer navigator, as described in paragraph (1), shall screen and offer to patients, if appropriate, intervention and referral to services, including substance use disorder treatment programs and behavioral health services. |
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| 60 | 60 | | (b) An acute care hospital may be eligible to receive funding under the pilot program to fund peer navigator positions. |
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| 62 | 62 | | (c) The department shall investigate and apply for federal funding opportunities and non-General Fund sources to support the pilot program. |
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| 64 | 64 | | (d) (1) The department shall design an evaluation of the pilot program, as specified in this section, to determine the following about patients referred to services: |
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| 66 | 66 | | (A) Whether they experience a decline in subsequent emergency medical services or hospital inpatient services. |
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| 68 | 68 | | (B) Whether they remain in treatment or show an improvement in health outcomes. |
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| 70 | 70 | | (2) The department shall evaluate whether the pilot program, as specified in this section, results in a savings to the Medi-Cal program or any other payment sources that are identified by the department. |
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| 72 | 72 | | (e) This section shall be implemented only if funds for this purpose are appropriated in the annual Budget Act. |
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