CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2117Introduced by Assembly Member GipsonFebruary 14, 2022 An act to add Sections 1264.5 and 1371.57 to the Health and Safety Code, to add Section 10126.67 to the Insurance Code, and to add Section 14132.198 to the Welfare and Institutions Code, relating to mobile stroke units.LEGISLATIVE COUNSEL'S DIGESTAB 2117, as introduced, Gipson. Mobile stroke units: health care coverage.Existing law provides for the licensure and regulation of health facilities by the State Department of Public Health, and defines various types of health facilities for those purposes.This bill would define mobile stroke unit to mean a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit, as specified.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the 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 provides for the regulation of health insurers by the Department of Insurance. Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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 imposes certain requirements relating to coverage for emergency and ambulance services on health care service plan contracts, health insurance policies, and the Medi-Cal program.This bill would require a health care service plan contract or a health insurance policy that is issued, amended, or renewed on or after January 1, 2023, and that provides coverage for emergency health care services to include coverage for services performed by a mobile stroke unit, as defined above. Because a willful violation of this requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program.The bill would also require Medi-Cal coverage for services performed by a mobile stroke unit, subject to receipt of any necessary federal approvals and the availability of federal financial participation.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 1264.5 is added to the Health and Safety Code, to read:1264.5. Mobile stroke unit means a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit as set forth in Section 1395m of Title 42 of the United States Code, Section 410.78 of Title 42 of the Code of Federal Regulations, and any other federal law.SEC. 2. Section 1371.57 is added to the Health and Safety Code, immediately following Section 1371.55, to read:1371.57. (a) A health care service plan contract issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services provided by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5.SEC. 3. Section 10126.67 is added to the Insurance Code, immediately following Section 10126.65, to read:10126.67. (a) A health insurance policy issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services performed by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.SEC. 4. Section 14132.198 is added to the Welfare and Institutions Code, immediately following Section 14132.195, to read:14132.198. (a) Services performed by a mobile stroke unit shall be a covered benefit under the Medi-Cal program.(b) (1) The department shall seek any necessary federal approvals to implement this section.(2) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available.(c) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.SEC. 5. 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.
CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2117Introduced by Assembly Member GipsonFebruary 14, 2022 An act to add Sections 1264.5 and 1371.57 to the Health and Safety Code, to add Section 10126.67 to the Insurance Code, and to add Section 14132.198 to the Welfare and Institutions Code, relating to mobile stroke units.LEGISLATIVE COUNSEL'S DIGESTAB 2117, as introduced, Gipson. Mobile stroke units: health care coverage.Existing law provides for the licensure and regulation of health facilities by the State Department of Public Health, and defines various types of health facilities for those purposes.This bill would define mobile stroke unit to mean a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit, as specified.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the 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 provides for the regulation of health insurers by the Department of Insurance. Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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 imposes certain requirements relating to coverage for emergency and ambulance services on health care service plan contracts, health insurance policies, and the Medi-Cal program.This bill would require a health care service plan contract or a health insurance policy that is issued, amended, or renewed on or after January 1, 2023, and that provides coverage for emergency health care services to include coverage for services performed by a mobile stroke unit, as defined above. Because a willful violation of this requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program.The bill would also require Medi-Cal coverage for services performed by a mobile stroke unit, subject to receipt of any necessary federal approvals and the availability of federal financial participation.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
CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION
Assembly Bill
No. 2117
Introduced by Assembly Member GipsonFebruary 14, 2022
Introduced by Assembly Member Gipson
February 14, 2022
An act to add Sections 1264.5 and 1371.57 to the Health and Safety Code, to add Section 10126.67 to the Insurance Code, and to add Section 14132.198 to the Welfare and Institutions Code, relating to mobile stroke units.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 2117, as introduced, Gipson. Mobile stroke units: health care coverage.
Existing law provides for the licensure and regulation of health facilities by the State Department of Public Health, and defines various types of health facilities for those purposes.This bill would define mobile stroke unit to mean a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit, as specified.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the 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 provides for the regulation of health insurers by the Department of Insurance. Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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 imposes certain requirements relating to coverage for emergency and ambulance services on health care service plan contracts, health insurance policies, and the Medi-Cal program.This bill would require a health care service plan contract or a health insurance policy that is issued, amended, or renewed on or after January 1, 2023, and that provides coverage for emergency health care services to include coverage for services performed by a mobile stroke unit, as defined above. Because a willful violation of this requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program.The bill would also require Medi-Cal coverage for services performed by a mobile stroke unit, subject to receipt of any necessary federal approvals and the availability of federal financial participation.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.
Existing law provides for the licensure and regulation of health facilities by the State Department of Public Health, and defines various types of health facilities for those purposes.
This bill would define mobile stroke unit to mean a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit, as specified.
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the 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 provides for the regulation of health insurers by the Department of Insurance. Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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 imposes certain requirements relating to coverage for emergency and ambulance services on health care service plan contracts, health insurance policies, and the Medi-Cal program.
This bill would require a health care service plan contract or a health insurance policy that is issued, amended, or renewed on or after January 1, 2023, and that provides coverage for emergency health care services to include coverage for services performed by a mobile stroke unit, as defined above. Because a willful violation of this requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program.
The bill would also require Medi-Cal coverage for services performed by a mobile stroke unit, subject to receipt of any necessary federal approvals and the availability of federal financial participation.
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
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 1264.5 is added to the Health and Safety Code, to read:1264.5. Mobile stroke unit means a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit as set forth in Section 1395m of Title 42 of the United States Code, Section 410.78 of Title 42 of the Code of Federal Regulations, and any other federal law.SEC. 2. Section 1371.57 is added to the Health and Safety Code, immediately following Section 1371.55, to read:1371.57. (a) A health care service plan contract issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services provided by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5.SEC. 3. Section 10126.67 is added to the Insurance Code, immediately following Section 10126.65, to read:10126.67. (a) A health insurance policy issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services performed by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.SEC. 4. Section 14132.198 is added to the Welfare and Institutions Code, immediately following Section 14132.195, to read:14132.198. (a) Services performed by a mobile stroke unit shall be a covered benefit under the Medi-Cal program.(b) (1) The department shall seek any necessary federal approvals to implement this section.(2) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available.(c) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.SEC. 5. 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.
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 1264.5 is added to the Health and Safety Code, to read:1264.5. Mobile stroke unit means a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit as set forth in Section 1395m of Title 42 of the United States Code, Section 410.78 of Title 42 of the Code of Federal Regulations, and any other federal law.
SECTION 1. Section 1264.5 is added to the Health and Safety Code, to read:
### SECTION 1.
1264.5. Mobile stroke unit means a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit as set forth in Section 1395m of Title 42 of the United States Code, Section 410.78 of Title 42 of the Code of Federal Regulations, and any other federal law.
1264.5. Mobile stroke unit means a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit as set forth in Section 1395m of Title 42 of the United States Code, Section 410.78 of Title 42 of the Code of Federal Regulations, and any other federal law.
1264.5. Mobile stroke unit means a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit as set forth in Section 1395m of Title 42 of the United States Code, Section 410.78 of Title 42 of the Code of Federal Regulations, and any other federal law.
1264.5. Mobile stroke unit means a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit as set forth in Section 1395m of Title 42 of the United States Code, Section 410.78 of Title 42 of the Code of Federal Regulations, and any other federal law.
SEC. 2. Section 1371.57 is added to the Health and Safety Code, immediately following Section 1371.55, to read:1371.57. (a) A health care service plan contract issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services provided by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5.
SEC. 2. Section 1371.57 is added to the Health and Safety Code, immediately following Section 1371.55, to read:
### SEC. 2.
1371.57. (a) A health care service plan contract issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services provided by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5.
1371.57. (a) A health care service plan contract issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services provided by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5.
1371.57. (a) A health care service plan contract issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services provided by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5.
1371.57. (a) A health care service plan contract issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services provided by a mobile stroke unit.
(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5.
SEC. 3. Section 10126.67 is added to the Insurance Code, immediately following Section 10126.65, to read:10126.67. (a) A health insurance policy issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services performed by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.
SEC. 3. Section 10126.67 is added to the Insurance Code, immediately following Section 10126.65, to read:
### SEC. 3.
10126.67. (a) A health insurance policy issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services performed by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.
10126.67. (a) A health insurance policy issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services performed by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.
10126.67. (a) A health insurance policy issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services performed by a mobile stroke unit.(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.
10126.67. (a) A health insurance policy issued, amended, or renewed on or after January 1, 2023, that provides coverage for emergency health care services shall include coverage for services performed by a mobile stroke unit.
(b) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.
SEC. 4. Section 14132.198 is added to the Welfare and Institutions Code, immediately following Section 14132.195, to read:14132.198. (a) Services performed by a mobile stroke unit shall be a covered benefit under the Medi-Cal program.(b) (1) The department shall seek any necessary federal approvals to implement this section.(2) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available.(c) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.
SEC. 4. Section 14132.198 is added to the Welfare and Institutions Code, immediately following Section 14132.195, to read:
### SEC. 4.
14132.198. (a) Services performed by a mobile stroke unit shall be a covered benefit under the Medi-Cal program.(b) (1) The department shall seek any necessary federal approvals to implement this section.(2) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available.(c) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.
14132.198. (a) Services performed by a mobile stroke unit shall be a covered benefit under the Medi-Cal program.(b) (1) The department shall seek any necessary federal approvals to implement this section.(2) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available.(c) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.
14132.198. (a) Services performed by a mobile stroke unit shall be a covered benefit under the Medi-Cal program.(b) (1) The department shall seek any necessary federal approvals to implement this section.(2) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available.(c) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.
14132.198. (a) Services performed by a mobile stroke unit shall be a covered benefit under the Medi-Cal program.
(b) (1) The department shall seek any necessary federal approvals to implement this section.
(2) This section shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available.
(c) For purposes of this section, mobile stroke unit has the same meaning as set forth in Section 1264.5 of the Health and Safety Code.
SEC. 5. 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.
SEC. 5. 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.
SEC. 5. 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.
### SEC. 5.