Amended IN Assembly March 26, 2019 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 577Introduced by Assembly Member Eggman(Principal coauthor: Senator Portantino)(Coauthor: Assembly Member Burke)February 14, 2019 An act to amend Section 14005.18 of the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTAB 577, as amended, Eggman. Medi-Cal: maternal mental health.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 healthcare health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, an individual is eligible for Medi-Cal benefits, to the extent required by federal law, as though the individual was pregnant, for all pregnancy-related and postpartum services for a 60-day period beginning on the last day of pregnancy. This bill would extend Medi-Cal postpartum care for up to one year beginning on the last day of the pregnancy for an eligible individual eligibility for a pregnant individual who is receiving health care coverage under the Medi-Cal program, or another specified program, and who has been diagnosed with a maternal mental health condition. condition, for a period of one year following the last day of the individuals pregnancy if the individual complies with certain requirements. The bill would define maternal maternal mental health condition condition for purposes of the bill. bill.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 14005.18 of the Welfare and Institutions Code is amended to read:14005.18. (a) (1) An individual is eligible, to the extent required by federal law, as though the individual was pregnant, for all pregnancy-related and postpartum services for a 60-day period beginning on the last day of pregnancy.(2) For purposes of paragraph (1), postpartum services means those services provided after childbirth, child delivery, or miscarriage.(b) (1) If an individual is eligible pursuant to subdivision (a) and Notwithstanding subdivision (a), Section 15840, the income eligibility requirements specified in Section 15832, and the annual redetermination requirements described in Section 14005.37, a pregnant individual who is receiving health care coverage under a program identified in subdivision (d) and who is diagnosed with a maternal mental health condition, the individual condition shall remain eligible for Medi-Cal postpartum care for up to one year beginning on the last day of the pregnancy. the Medi-Cal program for a period of one year following the last day of the individuals pregnancy if the individual complies with the requirements specified in subdivision (c) and is otherwise eligible for the Medi-Cal program.(2) For purposes of paragraph (1), this section, 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.(c) (1) An individual, or a designee of the individual, who seeks to extend Medi-Cal program coverage pursuant to this section shall submit to a county eligibility worker a note from that individuals treating health care provider stating that the health care provider has diagnosed the individual with a maternal mental health condition within 60 days following the last day of the individuals pregnancy.(2) Notwithstanding paragraph (1), an individual who has had Medi-Cal program coverage terminated within the 60-day period beginning on the last day of pregnancy, but who is diagnosed with a maternal mental health condition more than 60 days following the last day of pregnancy, may seek redetermination of eligibility pursuant to subdivision (i) of Section 14005.37 by submitting a note, as described in paragraph (1), from the individuals treating health care provider within the time frame described in that subdivision and after the 60-day period beginning the last day of pregnancy.(d) For purposes of this section, Medi-Cal program refers to any of the following programs:(1) The Medi-Cal Access Program, as described in Chapter 2 (commencing with Section 15810) of Part 3.3.(2) The Medi-Cal program, as described in this article.(3) The Perinatal Services Program, as described in Article 4.7 (commencing with Section 14148).(e) This section does not limit the ability of a qualified individual to apply for and purchase a qualified health plan in Covered California pursuant to Title 22 (commencing with Section 100500) of the Government Code if the qualified individual is otherwise eligible for coverage pursuant to that title.
Amended IN Assembly March 26, 2019 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 577Introduced by Assembly Member Eggman(Principal coauthor: Senator Portantino)(Coauthor: Assembly Member Burke)February 14, 2019 An act to amend Section 14005.18 of the Welfare and Institutions Code, relating to Medi-Cal.LEGISLATIVE COUNSEL'S DIGESTAB 577, as amended, Eggman. Medi-Cal: maternal mental health.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 healthcare health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, an individual is eligible for Medi-Cal benefits, to the extent required by federal law, as though the individual was pregnant, for all pregnancy-related and postpartum services for a 60-day period beginning on the last day of pregnancy. This bill would extend Medi-Cal postpartum care for up to one year beginning on the last day of the pregnancy for an eligible individual eligibility for a pregnant individual who is receiving health care coverage under the Medi-Cal program, or another specified program, and who has been diagnosed with a maternal mental health condition. condition, for a period of one year following the last day of the individuals pregnancy if the individual complies with certain requirements. The bill would define maternal maternal mental health condition condition for purposes of the bill. bill.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
Amended IN Assembly March 26, 2019
Amended IN Assembly March 26, 2019
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION
Assembly Bill No. 577
Introduced by Assembly Member Eggman(Principal coauthor: Senator Portantino)(Coauthor: Assembly Member Burke)February 14, 2019
Introduced by Assembly Member Eggman(Principal coauthor: Senator Portantino)(Coauthor: Assembly Member Burke)
February 14, 2019
An act to amend Section 14005.18 of the Welfare and Institutions Code, relating to Medi-Cal.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 577, as amended, Eggman. Medi-Cal: maternal mental health.
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 healthcare health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, an individual is eligible for Medi-Cal benefits, to the extent required by federal law, as though the individual was pregnant, for all pregnancy-related and postpartum services for a 60-day period beginning on the last day of pregnancy. This bill would extend Medi-Cal postpartum care for up to one year beginning on the last day of the pregnancy for an eligible individual eligibility for a pregnant individual who is receiving health care coverage under the Medi-Cal program, or another specified program, and who has been diagnosed with a maternal mental health condition. condition, for a period of one year following the last day of the individuals pregnancy if the individual complies with certain requirements. The bill would define maternal maternal mental health condition condition for purposes of the bill. bill.
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 healthcare health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, an individual is eligible for Medi-Cal benefits, to the extent required by federal law, as though the individual was pregnant, for all pregnancy-related and postpartum services for a 60-day period beginning on the last day of pregnancy.
This bill would extend Medi-Cal postpartum care for up to one year beginning on the last day of the pregnancy for an eligible individual eligibility for a pregnant individual who is receiving health care coverage under the Medi-Cal program, or another specified program, and who has been diagnosed with a maternal mental health condition. condition, for a period of one year following the last day of the individuals pregnancy if the individual complies with certain requirements. The bill would define maternal maternal mental health condition condition for purposes of the bill. bill.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 14005.18 of the Welfare and Institutions Code is amended to read:14005.18. (a) (1) An individual is eligible, to the extent required by federal law, as though the individual was pregnant, for all pregnancy-related and postpartum services for a 60-day period beginning on the last day of pregnancy.(2) For purposes of paragraph (1), postpartum services means those services provided after childbirth, child delivery, or miscarriage.(b) (1) If an individual is eligible pursuant to subdivision (a) and Notwithstanding subdivision (a), Section 15840, the income eligibility requirements specified in Section 15832, and the annual redetermination requirements described in Section 14005.37, a pregnant individual who is receiving health care coverage under a program identified in subdivision (d) and who is diagnosed with a maternal mental health condition, the individual condition shall remain eligible for Medi-Cal postpartum care for up to one year beginning on the last day of the pregnancy. the Medi-Cal program for a period of one year following the last day of the individuals pregnancy if the individual complies with the requirements specified in subdivision (c) and is otherwise eligible for the Medi-Cal program.(2) For purposes of paragraph (1), this section, 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.(c) (1) An individual, or a designee of the individual, who seeks to extend Medi-Cal program coverage pursuant to this section shall submit to a county eligibility worker a note from that individuals treating health care provider stating that the health care provider has diagnosed the individual with a maternal mental health condition within 60 days following the last day of the individuals pregnancy.(2) Notwithstanding paragraph (1), an individual who has had Medi-Cal program coverage terminated within the 60-day period beginning on the last day of pregnancy, but who is diagnosed with a maternal mental health condition more than 60 days following the last day of pregnancy, may seek redetermination of eligibility pursuant to subdivision (i) of Section 14005.37 by submitting a note, as described in paragraph (1), from the individuals treating health care provider within the time frame described in that subdivision and after the 60-day period beginning the last day of pregnancy.(d) For purposes of this section, Medi-Cal program refers to any of the following programs:(1) The Medi-Cal Access Program, as described in Chapter 2 (commencing with Section 15810) of Part 3.3.(2) The Medi-Cal program, as described in this article.(3) The Perinatal Services Program, as described in Article 4.7 (commencing with Section 14148).(e) This section does not limit the ability of a qualified individual to apply for and purchase a qualified health plan in Covered California pursuant to Title 22 (commencing with Section 100500) of the Government Code if the qualified individual is otherwise eligible for coverage pursuant to that title.
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 14005.18 of the Welfare and Institutions Code is amended to read:14005.18. (a) (1) An individual is eligible, to the extent required by federal law, as though the individual was pregnant, for all pregnancy-related and postpartum services for a 60-day period beginning on the last day of pregnancy.(2) For purposes of paragraph (1), postpartum services means those services provided after childbirth, child delivery, or miscarriage.(b) (1) If an individual is eligible pursuant to subdivision (a) and Notwithstanding subdivision (a), Section 15840, the income eligibility requirements specified in Section 15832, and the annual redetermination requirements described in Section 14005.37, a pregnant individual who is receiving health care coverage under a program identified in subdivision (d) and who is diagnosed with a maternal mental health condition, the individual condition shall remain eligible for Medi-Cal postpartum care for up to one year beginning on the last day of the pregnancy. the Medi-Cal program for a period of one year following the last day of the individuals pregnancy if the individual complies with the requirements specified in subdivision (c) and is otherwise eligible for the Medi-Cal program.(2) For purposes of paragraph (1), this section, 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.(c) (1) An individual, or a designee of the individual, who seeks to extend Medi-Cal program coverage pursuant to this section shall submit to a county eligibility worker a note from that individuals treating health care provider stating that the health care provider has diagnosed the individual with a maternal mental health condition within 60 days following the last day of the individuals pregnancy.(2) Notwithstanding paragraph (1), an individual who has had Medi-Cal program coverage terminated within the 60-day period beginning on the last day of pregnancy, but who is diagnosed with a maternal mental health condition more than 60 days following the last day of pregnancy, may seek redetermination of eligibility pursuant to subdivision (i) of Section 14005.37 by submitting a note, as described in paragraph (1), from the individuals treating health care provider within the time frame described in that subdivision and after the 60-day period beginning the last day of pregnancy.(d) For purposes of this section, Medi-Cal program refers to any of the following programs:(1) The Medi-Cal Access Program, as described in Chapter 2 (commencing with Section 15810) of Part 3.3.(2) The Medi-Cal program, as described in this article.(3) The Perinatal Services Program, as described in Article 4.7 (commencing with Section 14148).(e) This section does not limit the ability of a qualified individual to apply for and purchase a qualified health plan in Covered California pursuant to Title 22 (commencing with Section 100500) of the Government Code if the qualified individual is otherwise eligible for coverage pursuant to that title.
SECTION 1. Section 14005.18 of the Welfare and Institutions Code is amended to read:
### SECTION 1.
14005.18. (a) (1) An individual is eligible, to the extent required by federal law, as though the individual was pregnant, for all pregnancy-related and postpartum services for a 60-day period beginning on the last day of pregnancy.(2) For purposes of paragraph (1), postpartum services means those services provided after childbirth, child delivery, or miscarriage.(b) (1) If an individual is eligible pursuant to subdivision (a) and Notwithstanding subdivision (a), Section 15840, the income eligibility requirements specified in Section 15832, and the annual redetermination requirements described in Section 14005.37, a pregnant individual who is receiving health care coverage under a program identified in subdivision (d) and who is diagnosed with a maternal mental health condition, the individual condition shall remain eligible for Medi-Cal postpartum care for up to one year beginning on the last day of the pregnancy. the Medi-Cal program for a period of one year following the last day of the individuals pregnancy if the individual complies with the requirements specified in subdivision (c) and is otherwise eligible for the Medi-Cal program.(2) For purposes of paragraph (1), this section, 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.(c) (1) An individual, or a designee of the individual, who seeks to extend Medi-Cal program coverage pursuant to this section shall submit to a county eligibility worker a note from that individuals treating health care provider stating that the health care provider has diagnosed the individual with a maternal mental health condition within 60 days following the last day of the individuals pregnancy.(2) Notwithstanding paragraph (1), an individual who has had Medi-Cal program coverage terminated within the 60-day period beginning on the last day of pregnancy, but who is diagnosed with a maternal mental health condition more than 60 days following the last day of pregnancy, may seek redetermination of eligibility pursuant to subdivision (i) of Section 14005.37 by submitting a note, as described in paragraph (1), from the individuals treating health care provider within the time frame described in that subdivision and after the 60-day period beginning the last day of pregnancy.(d) For purposes of this section, Medi-Cal program refers to any of the following programs:(1) The Medi-Cal Access Program, as described in Chapter 2 (commencing with Section 15810) of Part 3.3.(2) The Medi-Cal program, as described in this article.(3) The Perinatal Services Program, as described in Article 4.7 (commencing with Section 14148).(e) This section does not limit the ability of a qualified individual to apply for and purchase a qualified health plan in Covered California pursuant to Title 22 (commencing with Section 100500) of the Government Code if the qualified individual is otherwise eligible for coverage pursuant to that title.
14005.18. (a) (1) An individual is eligible, to the extent required by federal law, as though the individual was pregnant, for all pregnancy-related and postpartum services for a 60-day period beginning on the last day of pregnancy.(2) For purposes of paragraph (1), postpartum services means those services provided after childbirth, child delivery, or miscarriage.(b) (1) If an individual is eligible pursuant to subdivision (a) and Notwithstanding subdivision (a), Section 15840, the income eligibility requirements specified in Section 15832, and the annual redetermination requirements described in Section 14005.37, a pregnant individual who is receiving health care coverage under a program identified in subdivision (d) and who is diagnosed with a maternal mental health condition, the individual condition shall remain eligible for Medi-Cal postpartum care for up to one year beginning on the last day of the pregnancy. the Medi-Cal program for a period of one year following the last day of the individuals pregnancy if the individual complies with the requirements specified in subdivision (c) and is otherwise eligible for the Medi-Cal program.(2) For purposes of paragraph (1), this section, 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.(c) (1) An individual, or a designee of the individual, who seeks to extend Medi-Cal program coverage pursuant to this section shall submit to a county eligibility worker a note from that individuals treating health care provider stating that the health care provider has diagnosed the individual with a maternal mental health condition within 60 days following the last day of the individuals pregnancy.(2) Notwithstanding paragraph (1), an individual who has had Medi-Cal program coverage terminated within the 60-day period beginning on the last day of pregnancy, but who is diagnosed with a maternal mental health condition more than 60 days following the last day of pregnancy, may seek redetermination of eligibility pursuant to subdivision (i) of Section 14005.37 by submitting a note, as described in paragraph (1), from the individuals treating health care provider within the time frame described in that subdivision and after the 60-day period beginning the last day of pregnancy.(d) For purposes of this section, Medi-Cal program refers to any of the following programs:(1) The Medi-Cal Access Program, as described in Chapter 2 (commencing with Section 15810) of Part 3.3.(2) The Medi-Cal program, as described in this article.(3) The Perinatal Services Program, as described in Article 4.7 (commencing with Section 14148).(e) This section does not limit the ability of a qualified individual to apply for and purchase a qualified health plan in Covered California pursuant to Title 22 (commencing with Section 100500) of the Government Code if the qualified individual is otherwise eligible for coverage pursuant to that title.
14005.18. (a) (1) An individual is eligible, to the extent required by federal law, as though the individual was pregnant, for all pregnancy-related and postpartum services for a 60-day period beginning on the last day of pregnancy.(2) For purposes of paragraph (1), postpartum services means those services provided after childbirth, child delivery, or miscarriage.(b) (1) If an individual is eligible pursuant to subdivision (a) and Notwithstanding subdivision (a), Section 15840, the income eligibility requirements specified in Section 15832, and the annual redetermination requirements described in Section 14005.37, a pregnant individual who is receiving health care coverage under a program identified in subdivision (d) and who is diagnosed with a maternal mental health condition, the individual condition shall remain eligible for Medi-Cal postpartum care for up to one year beginning on the last day of the pregnancy. the Medi-Cal program for a period of one year following the last day of the individuals pregnancy if the individual complies with the requirements specified in subdivision (c) and is otherwise eligible for the Medi-Cal program.(2) For purposes of paragraph (1), this section, 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.(c) (1) An individual, or a designee of the individual, who seeks to extend Medi-Cal program coverage pursuant to this section shall submit to a county eligibility worker a note from that individuals treating health care provider stating that the health care provider has diagnosed the individual with a maternal mental health condition within 60 days following the last day of the individuals pregnancy.(2) Notwithstanding paragraph (1), an individual who has had Medi-Cal program coverage terminated within the 60-day period beginning on the last day of pregnancy, but who is diagnosed with a maternal mental health condition more than 60 days following the last day of pregnancy, may seek redetermination of eligibility pursuant to subdivision (i) of Section 14005.37 by submitting a note, as described in paragraph (1), from the individuals treating health care provider within the time frame described in that subdivision and after the 60-day period beginning the last day of pregnancy.(d) For purposes of this section, Medi-Cal program refers to any of the following programs:(1) The Medi-Cal Access Program, as described in Chapter 2 (commencing with Section 15810) of Part 3.3.(2) The Medi-Cal program, as described in this article.(3) The Perinatal Services Program, as described in Article 4.7 (commencing with Section 14148).(e) This section does not limit the ability of a qualified individual to apply for and purchase a qualified health plan in Covered California pursuant to Title 22 (commencing with Section 100500) of the Government Code if the qualified individual is otherwise eligible for coverage pursuant to that title.
14005.18. (a) (1) An individual is eligible, to the extent required by federal law, as though the individual was pregnant, for all pregnancy-related and postpartum services for a 60-day period beginning on the last day of pregnancy.
(2) For purposes of paragraph (1), postpartum services means those services provided after childbirth, child delivery, or miscarriage.
(b) (1) If an individual is eligible pursuant to subdivision (a) and Notwithstanding subdivision (a), Section 15840, the income eligibility requirements specified in Section 15832, and the annual redetermination requirements described in Section 14005.37, a pregnant individual who is receiving health care coverage under a program identified in subdivision (d) and who is diagnosed with a maternal mental health condition, the individual condition shall remain eligible for Medi-Cal postpartum care for up to one year beginning on the last day of the pregnancy. the Medi-Cal program for a period of one year following the last day of the individuals pregnancy if the individual complies with the requirements specified in subdivision (c) and is otherwise eligible for the Medi-Cal program.
(2) For purposes of paragraph (1), this section, 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.
(c) (1) An individual, or a designee of the individual, who seeks to extend Medi-Cal program coverage pursuant to this section shall submit to a county eligibility worker a note from that individuals treating health care provider stating that the health care provider has diagnosed the individual with a maternal mental health condition within 60 days following the last day of the individuals pregnancy.
(2) Notwithstanding paragraph (1), an individual who has had Medi-Cal program coverage terminated within the 60-day period beginning on the last day of pregnancy, but who is diagnosed with a maternal mental health condition more than 60 days following the last day of pregnancy, may seek redetermination of eligibility pursuant to subdivision (i) of Section 14005.37 by submitting a note, as described in paragraph (1), from the individuals treating health care provider within the time frame described in that subdivision and after the 60-day period beginning the last day of pregnancy.
(d) For purposes of this section, Medi-Cal program refers to any of the following programs:
(1) The Medi-Cal Access Program, as described in Chapter 2 (commencing with Section 15810) of Part 3.3.
(2) The Medi-Cal program, as described in this article.
(3) The Perinatal Services Program, as described in Article 4.7 (commencing with Section 14148).
(e) This section does not limit the ability of a qualified individual to apply for and purchase a qualified health plan in Covered California pursuant to Title 22 (commencing with Section 100500) of the Government Code if the qualified individual is otherwise eligible for coverage pursuant to that title.