| 1 | | - | Assembly Bill No. 1402 CHAPTER 841 An act to amend Section 11171 of the Penal Code, relating to medical evidentiary examinations. [ Approved by Governor October 13, 2023. Filed with Secretary of State October 13, 2023. ] LEGISLATIVE COUNSEL'S DIGESTAB 1402, Megan Dahle. Medical evidentiary examinations: reimbursement.Existing law requires the Office of Emergency Services to establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect based on the guidelines for those forms as they relate to sexual assault. Existing law requires the forms to have a place for notation of specified information, including, among other things, the performance of a physical examination for evidence of child physical abuse or neglect.This bill would require victims of child physical abuse or neglect to have access to medical evidentiary examinations, free of charge, by Local Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners. The bill would require each countys board of supervisors to authorize a designee to approve the SART, SAFE teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and to notify the office of this designation. The bill would require that the costs associated with these medical evidentiary exams be funded by the state, subject to appropriation by the Legislature, and would require the Office of Emergency Services to establish a 60-day reimbursement process within one year upon initial appropriation.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 11171 of the Penal Code is amended to read:11171. (a) (1) The Legislature hereby finds and declares that adequate protection of victims of child physical abuse or neglect has been hampered by the lack of consistent and comprehensive medical examinations.(2) Enhancing examination procedures, documentation, and evidence collection relating to child abuse or neglect will improve the investigation and prosecution of child abuse or neglect as well as other child protection efforts.(b) The Office of Emergency Services shall, in cooperation with the State Department of Social Services, the Department of Justice, the California Association of Crime Lab Directors, the California District Attorneys Association, the California State Sheriffs Association, the California Peace Officers Association, the California Medical Association, the California Police Chiefs Association, child advocates, the California Medical Training Center, child protective services, and other appropriate experts, establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect using as a model the form and guidelines developed pursuant to Section 13823.5.(c) The forms shall include, but not be limited to, a place for notation concerning each of the following:(1) Any notification of injuries or any report of suspected child physical abuse or neglect to law enforcement authorities or childrens protective services, in accordance with existing reporting procedures.(2) Addressing relevant consent issues, if indicated.(3) The taking of a patient history of child physical abuse or neglect that includes other relevant medical history.(4) The performance of a physical examination for evidence of child physical abuse or neglect.(5) The collection or documentation of any physical evidence of child physical abuse or neglect, including any recommended photographic procedures.(6) The collection of other medical or forensic specimens, including drug ingestion or toxication, as indicated.(7) Procedures for the preservation and disposition of evidence.(8) Complete documentation of medical forensic exam findings with recommendations for diagnostic studies, including blood tests and X-rays.(9) An assessment as to whether there are findings that indicate physical abuse or neglect.(d) The forms shall become part of the patients medical record pursuant to guidelines established by the advisory committee of the Office of Emergency Services and subject to the confidentiality laws pertaining to the release of medical forensic examination records.(e) The forms shall be made accessible for use in an electronic format.(f) The costs associated with the medical evidentiary examination of a victim of child physical abuse or neglect shall be separate from diagnostic treatment and procedure costs associated with medical treatment. Costs for the medical evidentiary portion of the examination shall not be charged directly or indirectly to the victim of child physical abuse or neglect.(g) Each countys board of supervisors shall authorize a designee to approve the Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and shall notify the Office of Emergency Services of this designation. The costs associated with these medical evidentiary exams shall be funded by the state, subject to appropriation by the Legislature. Each countys designated SART, SAFE, or other qualified medical evidentiary examiners shall submit invoices to the Office of Emergency Service, who shall administer the program. A flat reimbursement rate shall be established. Within one year upon initial appropriation, the Office of Emergency Service shall establish a 60-day reimbursement process. The Office of Emergency Service shall assess and determine a fair and reasonable reimbursement rate to be reviewed every five years.(h) Reimbursement shall not be subject to reduced reimbursement rates based on patient history or other reasons. Victims of child physical abuse or neglect may receive a medical evidentiary exam outside of the jurisdiction where the crime occurred and that countys approved SART, SAFE teams, or qualified medical evidentiary examiners shall be reimbursed for the performance of these exams. |
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| 1 | + | Enrolled September 14, 2023 Passed IN Senate September 12, 2023 Passed IN Assembly May 25, 2023 Amended IN Assembly March 30, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1402Introduced by Assembly Member Megan DahleFebruary 17, 2023 An act to amend Section 11171 of the Penal Code, relating to medical evidentiary examinations.LEGISLATIVE COUNSEL'S DIGESTAB 1402, Megan Dahle. Medical evidentiary examinations: reimbursement.Existing law requires the Office of Emergency Services to establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect based on the guidelines for those forms as they relate to sexual assault. Existing law requires the forms to have a place for notation of specified information, including, among other things, the performance of a physical examination for evidence of child physical abuse or neglect.This bill would require victims of child physical abuse or neglect to have access to medical evidentiary examinations, free of charge, by Local Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners. The bill would require each countys board of supervisors to authorize a designee to approve the SART, SAFE teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and to notify the office of this designation. The bill would require that the costs associated with these medical evidentiary exams be funded by the state, subject to appropriation by the Legislature, and would require the Office of Emergency Services to establish a 60-day reimbursement process within one year upon initial appropriation.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 11171 of the Penal Code is amended to read:11171. (a) (1) The Legislature hereby finds and declares that adequate protection of victims of child physical abuse or neglect has been hampered by the lack of consistent and comprehensive medical examinations.(2) Enhancing examination procedures, documentation, and evidence collection relating to child abuse or neglect will improve the investigation and prosecution of child abuse or neglect as well as other child protection efforts.(b) The Office of Emergency Services shall, in cooperation with the State Department of Social Services, the Department of Justice, the California Association of Crime Lab Directors, the California District Attorneys Association, the California State Sheriffs Association, the California Peace Officers Association, the California Medical Association, the California Police Chiefs Association, child advocates, the California Medical Training Center, child protective services, and other appropriate experts, establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect using as a model the form and guidelines developed pursuant to Section 13823.5.(c) The forms shall include, but not be limited to, a place for notation concerning each of the following:(1) Any notification of injuries or any report of suspected child physical abuse or neglect to law enforcement authorities or childrens protective services, in accordance with existing reporting procedures.(2) Addressing relevant consent issues, if indicated.(3) The taking of a patient history of child physical abuse or neglect that includes other relevant medical history.(4) The performance of a physical examination for evidence of child physical abuse or neglect.(5) The collection or documentation of any physical evidence of child physical abuse or neglect, including any recommended photographic procedures.(6) The collection of other medical or forensic specimens, including drug ingestion or toxication, as indicated.(7) Procedures for the preservation and disposition of evidence.(8) Complete documentation of medical forensic exam findings with recommendations for diagnostic studies, including blood tests and X-rays.(9) An assessment as to whether there are findings that indicate physical abuse or neglect.(d) The forms shall become part of the patients medical record pursuant to guidelines established by the advisory committee of the Office of Emergency Services and subject to the confidentiality laws pertaining to the release of medical forensic examination records.(e) The forms shall be made accessible for use in an electronic format.(f) The costs associated with the medical evidentiary examination of a victim of child physical abuse or neglect shall be separate from diagnostic treatment and procedure costs associated with medical treatment. Costs for the medical evidentiary portion of the examination shall not be charged directly or indirectly to the victim of child physical abuse or neglect.(g) Each countys board of supervisors shall authorize a designee to approve the Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and shall notify the Office of Emergency Services of this designation. The costs associated with these medical evidentiary exams shall be funded by the state, subject to appropriation by the Legislature. Each countys designated SART, SAFE, or other qualified medical evidentiary examiners shall submit invoices to the Office of Emergency Service, who shall administer the program. A flat reimbursement rate shall be established. Within one year upon initial appropriation, the Office of Emergency Service shall establish a 60-day reimbursement process. The Office of Emergency Service shall assess and determine a fair and reasonable reimbursement rate to be reviewed every five years.(h) Reimbursement shall not be subject to reduced reimbursement rates based on patient history or other reasons. Victims of child physical abuse or neglect may receive a medical evidentiary exam outside of the jurisdiction where the crime occurred and that countys approved SART, SAFE teams, or qualified medical evidentiary examiners shall be reimbursed for the performance of these exams. |
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| 14 | 24 | | |
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| 15 | 25 | | LEGISLATIVE COUNSEL'S DIGEST |
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| 16 | 26 | | |
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| 17 | 27 | | ## LEGISLATIVE COUNSEL'S DIGEST |
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| 18 | 28 | | |
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| 19 | 29 | | AB 1402, Megan Dahle. Medical evidentiary examinations: reimbursement. |
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| 20 | 30 | | |
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| 21 | 31 | | Existing law requires the Office of Emergency Services to establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect based on the guidelines for those forms as they relate to sexual assault. Existing law requires the forms to have a place for notation of specified information, including, among other things, the performance of a physical examination for evidence of child physical abuse or neglect.This bill would require victims of child physical abuse or neglect to have access to medical evidentiary examinations, free of charge, by Local Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners. The bill would require each countys board of supervisors to authorize a designee to approve the SART, SAFE teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and to notify the office of this designation. The bill would require that the costs associated with these medical evidentiary exams be funded by the state, subject to appropriation by the Legislature, and would require the Office of Emergency Services to establish a 60-day reimbursement process within one year upon initial appropriation. |
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| 22 | 32 | | |
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| 23 | 33 | | Existing law requires the Office of Emergency Services to establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect based on the guidelines for those forms as they relate to sexual assault. Existing law requires the forms to have a place for notation of specified information, including, among other things, the performance of a physical examination for evidence of child physical abuse or neglect. |
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| 24 | 34 | | |
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| 25 | 35 | | This bill would require victims of child physical abuse or neglect to have access to medical evidentiary examinations, free of charge, by Local Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners. The bill would require each countys board of supervisors to authorize a designee to approve the SART, SAFE teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and to notify the office of this designation. The bill would require that the costs associated with these medical evidentiary exams be funded by the state, subject to appropriation by the Legislature, and would require the Office of Emergency Services to establish a 60-day reimbursement process within one year upon initial appropriation. |
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| 26 | 36 | | |
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| 27 | 37 | | ## Digest Key |
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| 28 | 38 | | |
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| 29 | 39 | | ## Bill Text |
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| 30 | 40 | | |
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| 31 | 41 | | The people of the State of California do enact as follows:SECTION 1. Section 11171 of the Penal Code is amended to read:11171. (a) (1) The Legislature hereby finds and declares that adequate protection of victims of child physical abuse or neglect has been hampered by the lack of consistent and comprehensive medical examinations.(2) Enhancing examination procedures, documentation, and evidence collection relating to child abuse or neglect will improve the investigation and prosecution of child abuse or neglect as well as other child protection efforts.(b) The Office of Emergency Services shall, in cooperation with the State Department of Social Services, the Department of Justice, the California Association of Crime Lab Directors, the California District Attorneys Association, the California State Sheriffs Association, the California Peace Officers Association, the California Medical Association, the California Police Chiefs Association, child advocates, the California Medical Training Center, child protective services, and other appropriate experts, establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect using as a model the form and guidelines developed pursuant to Section 13823.5.(c) The forms shall include, but not be limited to, a place for notation concerning each of the following:(1) Any notification of injuries or any report of suspected child physical abuse or neglect to law enforcement authorities or childrens protective services, in accordance with existing reporting procedures.(2) Addressing relevant consent issues, if indicated.(3) The taking of a patient history of child physical abuse or neglect that includes other relevant medical history.(4) The performance of a physical examination for evidence of child physical abuse or neglect.(5) The collection or documentation of any physical evidence of child physical abuse or neglect, including any recommended photographic procedures.(6) The collection of other medical or forensic specimens, including drug ingestion or toxication, as indicated.(7) Procedures for the preservation and disposition of evidence.(8) Complete documentation of medical forensic exam findings with recommendations for diagnostic studies, including blood tests and X-rays.(9) An assessment as to whether there are findings that indicate physical abuse or neglect.(d) The forms shall become part of the patients medical record pursuant to guidelines established by the advisory committee of the Office of Emergency Services and subject to the confidentiality laws pertaining to the release of medical forensic examination records.(e) The forms shall be made accessible for use in an electronic format.(f) The costs associated with the medical evidentiary examination of a victim of child physical abuse or neglect shall be separate from diagnostic treatment and procedure costs associated with medical treatment. Costs for the medical evidentiary portion of the examination shall not be charged directly or indirectly to the victim of child physical abuse or neglect.(g) Each countys board of supervisors shall authorize a designee to approve the Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and shall notify the Office of Emergency Services of this designation. The costs associated with these medical evidentiary exams shall be funded by the state, subject to appropriation by the Legislature. Each countys designated SART, SAFE, or other qualified medical evidentiary examiners shall submit invoices to the Office of Emergency Service, who shall administer the program. A flat reimbursement rate shall be established. Within one year upon initial appropriation, the Office of Emergency Service shall establish a 60-day reimbursement process. The Office of Emergency Service shall assess and determine a fair and reasonable reimbursement rate to be reviewed every five years.(h) Reimbursement shall not be subject to reduced reimbursement rates based on patient history or other reasons. Victims of child physical abuse or neglect may receive a medical evidentiary exam outside of the jurisdiction where the crime occurred and that countys approved SART, SAFE teams, or qualified medical evidentiary examiners shall be reimbursed for the performance of these exams. |
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| 32 | 42 | | |
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| 33 | 43 | | The people of the State of California do enact as follows: |
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| 34 | 44 | | |
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| 35 | 45 | | ## The people of the State of California do enact as follows: |
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| 36 | 46 | | |
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| 37 | 47 | | SECTION 1. Section 11171 of the Penal Code is amended to read:11171. (a) (1) The Legislature hereby finds and declares that adequate protection of victims of child physical abuse or neglect has been hampered by the lack of consistent and comprehensive medical examinations.(2) Enhancing examination procedures, documentation, and evidence collection relating to child abuse or neglect will improve the investigation and prosecution of child abuse or neglect as well as other child protection efforts.(b) The Office of Emergency Services shall, in cooperation with the State Department of Social Services, the Department of Justice, the California Association of Crime Lab Directors, the California District Attorneys Association, the California State Sheriffs Association, the California Peace Officers Association, the California Medical Association, the California Police Chiefs Association, child advocates, the California Medical Training Center, child protective services, and other appropriate experts, establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect using as a model the form and guidelines developed pursuant to Section 13823.5.(c) The forms shall include, but not be limited to, a place for notation concerning each of the following:(1) Any notification of injuries or any report of suspected child physical abuse or neglect to law enforcement authorities or childrens protective services, in accordance with existing reporting procedures.(2) Addressing relevant consent issues, if indicated.(3) The taking of a patient history of child physical abuse or neglect that includes other relevant medical history.(4) The performance of a physical examination for evidence of child physical abuse or neglect.(5) The collection or documentation of any physical evidence of child physical abuse or neglect, including any recommended photographic procedures.(6) The collection of other medical or forensic specimens, including drug ingestion or toxication, as indicated.(7) Procedures for the preservation and disposition of evidence.(8) Complete documentation of medical forensic exam findings with recommendations for diagnostic studies, including blood tests and X-rays.(9) An assessment as to whether there are findings that indicate physical abuse or neglect.(d) The forms shall become part of the patients medical record pursuant to guidelines established by the advisory committee of the Office of Emergency Services and subject to the confidentiality laws pertaining to the release of medical forensic examination records.(e) The forms shall be made accessible for use in an electronic format.(f) The costs associated with the medical evidentiary examination of a victim of child physical abuse or neglect shall be separate from diagnostic treatment and procedure costs associated with medical treatment. Costs for the medical evidentiary portion of the examination shall not be charged directly or indirectly to the victim of child physical abuse or neglect.(g) Each countys board of supervisors shall authorize a designee to approve the Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and shall notify the Office of Emergency Services of this designation. The costs associated with these medical evidentiary exams shall be funded by the state, subject to appropriation by the Legislature. Each countys designated SART, SAFE, or other qualified medical evidentiary examiners shall submit invoices to the Office of Emergency Service, who shall administer the program. A flat reimbursement rate shall be established. Within one year upon initial appropriation, the Office of Emergency Service shall establish a 60-day reimbursement process. The Office of Emergency Service shall assess and determine a fair and reasonable reimbursement rate to be reviewed every five years.(h) Reimbursement shall not be subject to reduced reimbursement rates based on patient history or other reasons. Victims of child physical abuse or neglect may receive a medical evidentiary exam outside of the jurisdiction where the crime occurred and that countys approved SART, SAFE teams, or qualified medical evidentiary examiners shall be reimbursed for the performance of these exams. |
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| 38 | 48 | | |
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| 39 | 49 | | SECTION 1. Section 11171 of the Penal Code is amended to read: |
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| 40 | 50 | | |
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| 41 | 51 | | ### SECTION 1. |
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| 42 | 52 | | |
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| 43 | 53 | | 11171. (a) (1) The Legislature hereby finds and declares that adequate protection of victims of child physical abuse or neglect has been hampered by the lack of consistent and comprehensive medical examinations.(2) Enhancing examination procedures, documentation, and evidence collection relating to child abuse or neglect will improve the investigation and prosecution of child abuse or neglect as well as other child protection efforts.(b) The Office of Emergency Services shall, in cooperation with the State Department of Social Services, the Department of Justice, the California Association of Crime Lab Directors, the California District Attorneys Association, the California State Sheriffs Association, the California Peace Officers Association, the California Medical Association, the California Police Chiefs Association, child advocates, the California Medical Training Center, child protective services, and other appropriate experts, establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect using as a model the form and guidelines developed pursuant to Section 13823.5.(c) The forms shall include, but not be limited to, a place for notation concerning each of the following:(1) Any notification of injuries or any report of suspected child physical abuse or neglect to law enforcement authorities or childrens protective services, in accordance with existing reporting procedures.(2) Addressing relevant consent issues, if indicated.(3) The taking of a patient history of child physical abuse or neglect that includes other relevant medical history.(4) The performance of a physical examination for evidence of child physical abuse or neglect.(5) The collection or documentation of any physical evidence of child physical abuse or neglect, including any recommended photographic procedures.(6) The collection of other medical or forensic specimens, including drug ingestion or toxication, as indicated.(7) Procedures for the preservation and disposition of evidence.(8) Complete documentation of medical forensic exam findings with recommendations for diagnostic studies, including blood tests and X-rays.(9) An assessment as to whether there are findings that indicate physical abuse or neglect.(d) The forms shall become part of the patients medical record pursuant to guidelines established by the advisory committee of the Office of Emergency Services and subject to the confidentiality laws pertaining to the release of medical forensic examination records.(e) The forms shall be made accessible for use in an electronic format.(f) The costs associated with the medical evidentiary examination of a victim of child physical abuse or neglect shall be separate from diagnostic treatment and procedure costs associated with medical treatment. Costs for the medical evidentiary portion of the examination shall not be charged directly or indirectly to the victim of child physical abuse or neglect.(g) Each countys board of supervisors shall authorize a designee to approve the Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and shall notify the Office of Emergency Services of this designation. The costs associated with these medical evidentiary exams shall be funded by the state, subject to appropriation by the Legislature. Each countys designated SART, SAFE, or other qualified medical evidentiary examiners shall submit invoices to the Office of Emergency Service, who shall administer the program. A flat reimbursement rate shall be established. Within one year upon initial appropriation, the Office of Emergency Service shall establish a 60-day reimbursement process. The Office of Emergency Service shall assess and determine a fair and reasonable reimbursement rate to be reviewed every five years.(h) Reimbursement shall not be subject to reduced reimbursement rates based on patient history or other reasons. Victims of child physical abuse or neglect may receive a medical evidentiary exam outside of the jurisdiction where the crime occurred and that countys approved SART, SAFE teams, or qualified medical evidentiary examiners shall be reimbursed for the performance of these exams. |
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| 44 | 54 | | |
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| 45 | 55 | | 11171. (a) (1) The Legislature hereby finds and declares that adequate protection of victims of child physical abuse or neglect has been hampered by the lack of consistent and comprehensive medical examinations.(2) Enhancing examination procedures, documentation, and evidence collection relating to child abuse or neglect will improve the investigation and prosecution of child abuse or neglect as well as other child protection efforts.(b) The Office of Emergency Services shall, in cooperation with the State Department of Social Services, the Department of Justice, the California Association of Crime Lab Directors, the California District Attorneys Association, the California State Sheriffs Association, the California Peace Officers Association, the California Medical Association, the California Police Chiefs Association, child advocates, the California Medical Training Center, child protective services, and other appropriate experts, establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect using as a model the form and guidelines developed pursuant to Section 13823.5.(c) The forms shall include, but not be limited to, a place for notation concerning each of the following:(1) Any notification of injuries or any report of suspected child physical abuse or neglect to law enforcement authorities or childrens protective services, in accordance with existing reporting procedures.(2) Addressing relevant consent issues, if indicated.(3) The taking of a patient history of child physical abuse or neglect that includes other relevant medical history.(4) The performance of a physical examination for evidence of child physical abuse or neglect.(5) The collection or documentation of any physical evidence of child physical abuse or neglect, including any recommended photographic procedures.(6) The collection of other medical or forensic specimens, including drug ingestion or toxication, as indicated.(7) Procedures for the preservation and disposition of evidence.(8) Complete documentation of medical forensic exam findings with recommendations for diagnostic studies, including blood tests and X-rays.(9) An assessment as to whether there are findings that indicate physical abuse or neglect.(d) The forms shall become part of the patients medical record pursuant to guidelines established by the advisory committee of the Office of Emergency Services and subject to the confidentiality laws pertaining to the release of medical forensic examination records.(e) The forms shall be made accessible for use in an electronic format.(f) The costs associated with the medical evidentiary examination of a victim of child physical abuse or neglect shall be separate from diagnostic treatment and procedure costs associated with medical treatment. Costs for the medical evidentiary portion of the examination shall not be charged directly or indirectly to the victim of child physical abuse or neglect.(g) Each countys board of supervisors shall authorize a designee to approve the Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and shall notify the Office of Emergency Services of this designation. The costs associated with these medical evidentiary exams shall be funded by the state, subject to appropriation by the Legislature. Each countys designated SART, SAFE, or other qualified medical evidentiary examiners shall submit invoices to the Office of Emergency Service, who shall administer the program. A flat reimbursement rate shall be established. Within one year upon initial appropriation, the Office of Emergency Service shall establish a 60-day reimbursement process. The Office of Emergency Service shall assess and determine a fair and reasonable reimbursement rate to be reviewed every five years.(h) Reimbursement shall not be subject to reduced reimbursement rates based on patient history or other reasons. Victims of child physical abuse or neglect may receive a medical evidentiary exam outside of the jurisdiction where the crime occurred and that countys approved SART, SAFE teams, or qualified medical evidentiary examiners shall be reimbursed for the performance of these exams. |
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| 46 | 56 | | |
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| 47 | 57 | | 11171. (a) (1) The Legislature hereby finds and declares that adequate protection of victims of child physical abuse or neglect has been hampered by the lack of consistent and comprehensive medical examinations.(2) Enhancing examination procedures, documentation, and evidence collection relating to child abuse or neglect will improve the investigation and prosecution of child abuse or neglect as well as other child protection efforts.(b) The Office of Emergency Services shall, in cooperation with the State Department of Social Services, the Department of Justice, the California Association of Crime Lab Directors, the California District Attorneys Association, the California State Sheriffs Association, the California Peace Officers Association, the California Medical Association, the California Police Chiefs Association, child advocates, the California Medical Training Center, child protective services, and other appropriate experts, establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect using as a model the form and guidelines developed pursuant to Section 13823.5.(c) The forms shall include, but not be limited to, a place for notation concerning each of the following:(1) Any notification of injuries or any report of suspected child physical abuse or neglect to law enforcement authorities or childrens protective services, in accordance with existing reporting procedures.(2) Addressing relevant consent issues, if indicated.(3) The taking of a patient history of child physical abuse or neglect that includes other relevant medical history.(4) The performance of a physical examination for evidence of child physical abuse or neglect.(5) The collection or documentation of any physical evidence of child physical abuse or neglect, including any recommended photographic procedures.(6) The collection of other medical or forensic specimens, including drug ingestion or toxication, as indicated.(7) Procedures for the preservation and disposition of evidence.(8) Complete documentation of medical forensic exam findings with recommendations for diagnostic studies, including blood tests and X-rays.(9) An assessment as to whether there are findings that indicate physical abuse or neglect.(d) The forms shall become part of the patients medical record pursuant to guidelines established by the advisory committee of the Office of Emergency Services and subject to the confidentiality laws pertaining to the release of medical forensic examination records.(e) The forms shall be made accessible for use in an electronic format.(f) The costs associated with the medical evidentiary examination of a victim of child physical abuse or neglect shall be separate from diagnostic treatment and procedure costs associated with medical treatment. Costs for the medical evidentiary portion of the examination shall not be charged directly or indirectly to the victim of child physical abuse or neglect.(g) Each countys board of supervisors shall authorize a designee to approve the Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and shall notify the Office of Emergency Services of this designation. The costs associated with these medical evidentiary exams shall be funded by the state, subject to appropriation by the Legislature. Each countys designated SART, SAFE, or other qualified medical evidentiary examiners shall submit invoices to the Office of Emergency Service, who shall administer the program. A flat reimbursement rate shall be established. Within one year upon initial appropriation, the Office of Emergency Service shall establish a 60-day reimbursement process. The Office of Emergency Service shall assess and determine a fair and reasonable reimbursement rate to be reviewed every five years.(h) Reimbursement shall not be subject to reduced reimbursement rates based on patient history or other reasons. Victims of child physical abuse or neglect may receive a medical evidentiary exam outside of the jurisdiction where the crime occurred and that countys approved SART, SAFE teams, or qualified medical evidentiary examiners shall be reimbursed for the performance of these exams. |
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| 48 | 58 | | |
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| 49 | 59 | | |
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| 50 | 60 | | |
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| 51 | 61 | | 11171. (a) (1) The Legislature hereby finds and declares that adequate protection of victims of child physical abuse or neglect has been hampered by the lack of consistent and comprehensive medical examinations. |
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| 52 | 62 | | |
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| 53 | 63 | | (2) Enhancing examination procedures, documentation, and evidence collection relating to child abuse or neglect will improve the investigation and prosecution of child abuse or neglect as well as other child protection efforts. |
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| 54 | 64 | | |
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| 55 | 65 | | (b) The Office of Emergency Services shall, in cooperation with the State Department of Social Services, the Department of Justice, the California Association of Crime Lab Directors, the California District Attorneys Association, the California State Sheriffs Association, the California Peace Officers Association, the California Medical Association, the California Police Chiefs Association, child advocates, the California Medical Training Center, child protective services, and other appropriate experts, establish medical forensic forms, instructions, and examination protocols for victims of child physical abuse or neglect using as a model the form and guidelines developed pursuant to Section 13823.5. |
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| 56 | 66 | | |
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| 57 | 67 | | (c) The forms shall include, but not be limited to, a place for notation concerning each of the following: |
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| 58 | 68 | | |
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| 59 | 69 | | (1) Any notification of injuries or any report of suspected child physical abuse or neglect to law enforcement authorities or childrens protective services, in accordance with existing reporting procedures. |
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| 60 | 70 | | |
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| 61 | 71 | | (2) Addressing relevant consent issues, if indicated. |
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| 62 | 72 | | |
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| 63 | 73 | | (3) The taking of a patient history of child physical abuse or neglect that includes other relevant medical history. |
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| 64 | 74 | | |
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| 65 | 75 | | (4) The performance of a physical examination for evidence of child physical abuse or neglect. |
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| 66 | 76 | | |
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| 67 | 77 | | (5) The collection or documentation of any physical evidence of child physical abuse or neglect, including any recommended photographic procedures. |
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| 68 | 78 | | |
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| 69 | 79 | | (6) The collection of other medical or forensic specimens, including drug ingestion or toxication, as indicated. |
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| 70 | 80 | | |
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| 71 | 81 | | (7) Procedures for the preservation and disposition of evidence. |
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| 72 | 82 | | |
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| 73 | 83 | | (8) Complete documentation of medical forensic exam findings with recommendations for diagnostic studies, including blood tests and X-rays. |
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| 74 | 84 | | |
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| 75 | 85 | | (9) An assessment as to whether there are findings that indicate physical abuse or neglect. |
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| 76 | 86 | | |
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| 77 | 87 | | (d) The forms shall become part of the patients medical record pursuant to guidelines established by the advisory committee of the Office of Emergency Services and subject to the confidentiality laws pertaining to the release of medical forensic examination records. |
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| 78 | 88 | | |
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| 79 | 89 | | (e) The forms shall be made accessible for use in an electronic format. |
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| 80 | 90 | | |
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| 81 | 91 | | (f) The costs associated with the medical evidentiary examination of a victim of child physical abuse or neglect shall be separate from diagnostic treatment and procedure costs associated with medical treatment. Costs for the medical evidentiary portion of the examination shall not be charged directly or indirectly to the victim of child physical abuse or neglect. |
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| 82 | 92 | | |
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| 83 | 93 | | (g) Each countys board of supervisors shall authorize a designee to approve the Sexual Assault Response Teams (SART), Sexual Assault Forensic Examiner (SAFE) teams, or other qualified medical evidentiary examiners to receive reimbursement through the Office of Emergency Services for the performance of medical evidentiary examinations for victims of child physical abuse or neglect and shall notify the Office of Emergency Services of this designation. The costs associated with these medical evidentiary exams shall be funded by the state, subject to appropriation by the Legislature. Each countys designated SART, SAFE, or other qualified medical evidentiary examiners shall submit invoices to the Office of Emergency Service, who shall administer the program. A flat reimbursement rate shall be established. Within one year upon initial appropriation, the Office of Emergency Service shall establish a 60-day reimbursement process. The Office of Emergency Service shall assess and determine a fair and reasonable reimbursement rate to be reviewed every five years. |
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| 84 | 94 | | |
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| 85 | 95 | | (h) Reimbursement shall not be subject to reduced reimbursement rates based on patient history or other reasons. Victims of child physical abuse or neglect may receive a medical evidentiary exam outside of the jurisdiction where the crime occurred and that countys approved SART, SAFE teams, or qualified medical evidentiary examiners shall be reimbursed for the performance of these exams. |
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