Amended IN Assembly May 16, 2024 Amended IN Assembly April 04, 2024 Amended IN Assembly March 19, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 2446Introduced by Assembly Member Ortega(Coauthors: Assembly Members Aguiar-Curry, Boerner, Davies, and Pellerin)(Coauthor: Senator Blakespear)February 13, 2024An act to add Section 14132.33 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTAB 2446, as amended, Ortega. Medi-Cal: diapers.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 by, and funded pursuant to, federal Medicaid program provisions. Existing law establishes a schedule of covered benefits under the Medi-Cal program, including incontinence supplies.This bill would add to the schedule of Medi-Cal benefits diapers for infants or toddlers with certain conditions, such as a urinary tract infection and colic, among others. diseases of the skin. The bill would establish diapers as a covered benefit for a child greater than 3 years of age who has been diagnosed with a condition that contributes to incontinence and would establish diapers as a covered benefit for individuals under 21 years of age, if necessary to correct or ameliorate a condition pursuant to specified standards. The bill would limit the diapers provided pursuant to these provisions to an appropriate supply based on the diagnosed condition and the age of the beneficiary. The bill would require the department to seek any necessary federal approval to implement this section.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 14132.33 is added to the Welfare and Institutions Code, to read:14132.33. (a) Diapers are a covered benefit for infants or toddlers with any either of the following conditions:(1) Urinary tract infection.(2)Colic. (3)(2) Any disease of the skin that, in the judgment of a clinician, is related to inadequate diaper hygiene and is at risk of reoccurrence that could be substantially mitigated by a prescription for diapers.(b) Notwithstanding any other law, diapers are a covered benefit for any child greater than three years of age who has been diagnosed with a physical, mental, neurological, or behavioral health condition that contributes to incontinence.(c) Notwithstanding any other law, diapers are a covered benefit for individuals under 21 years of age if necessary to correct or ameliorate a condition pursuant to the Early and Periodic Screening, Diagnostic, and Treatment standards set forth under subdivision (b) of Section 14059.5 and under Section 1905(r) of the Social Security Act (42 U.S.C. Sec. 1396d(r)). (d) Diapers provided pursuant to this section shall be limited to an appropriate supply based on the diagnosed condition and the age of the beneficiary. (d)(e) The department shall seek any necessary federal approval to implement this section. Amended IN Assembly May 16, 2024 Amended IN Assembly April 04, 2024 Amended IN Assembly March 19, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 2446Introduced by Assembly Member Ortega(Coauthors: Assembly Members Aguiar-Curry, Boerner, Davies, and Pellerin)(Coauthor: Senator Blakespear)February 13, 2024An act to add Section 14132.33 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTAB 2446, as amended, Ortega. Medi-Cal: diapers.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 by, and funded pursuant to, federal Medicaid program provisions. Existing law establishes a schedule of covered benefits under the Medi-Cal program, including incontinence supplies.This bill would add to the schedule of Medi-Cal benefits diapers for infants or toddlers with certain conditions, such as a urinary tract infection and colic, among others. diseases of the skin. The bill would establish diapers as a covered benefit for a child greater than 3 years of age who has been diagnosed with a condition that contributes to incontinence and would establish diapers as a covered benefit for individuals under 21 years of age, if necessary to correct or ameliorate a condition pursuant to specified standards. The bill would limit the diapers provided pursuant to these provisions to an appropriate supply based on the diagnosed condition and the age of the beneficiary. The bill would require the department to seek any necessary federal approval to implement this section.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Amended IN Assembly May 16, 2024 Amended IN Assembly April 04, 2024 Amended IN Assembly March 19, 2024 Amended IN Assembly May 16, 2024 Amended IN Assembly April 04, 2024 Amended IN Assembly March 19, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 2446 Introduced by Assembly Member Ortega(Coauthors: Assembly Members Aguiar-Curry, Boerner, Davies, and Pellerin)(Coauthor: Senator Blakespear)February 13, 2024 Introduced by Assembly Member Ortega(Coauthors: Assembly Members Aguiar-Curry, Boerner, Davies, and Pellerin)(Coauthor: Senator Blakespear) February 13, 2024 An act to add Section 14132.33 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 2446, as amended, Ortega. Medi-Cal: diapers. 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 by, and funded pursuant to, federal Medicaid program provisions. Existing law establishes a schedule of covered benefits under the Medi-Cal program, including incontinence supplies.This bill would add to the schedule of Medi-Cal benefits diapers for infants or toddlers with certain conditions, such as a urinary tract infection and colic, among others. diseases of the skin. The bill would establish diapers as a covered benefit for a child greater than 3 years of age who has been diagnosed with a condition that contributes to incontinence and would establish diapers as a covered benefit for individuals under 21 years of age, if necessary to correct or ameliorate a condition pursuant to specified standards. The bill would limit the diapers provided pursuant to these provisions to an appropriate supply based on the diagnosed condition and the age of the beneficiary. The bill would require the department to seek any necessary federal approval to implement this section. 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 by, and funded pursuant to, federal Medicaid program provisions. Existing law establishes a schedule of covered benefits under the Medi-Cal program, including incontinence supplies. This bill would add to the schedule of Medi-Cal benefits diapers for infants or toddlers with certain conditions, such as a urinary tract infection and colic, among others. diseases of the skin. The bill would establish diapers as a covered benefit for a child greater than 3 years of age who has been diagnosed with a condition that contributes to incontinence and would establish diapers as a covered benefit for individuals under 21 years of age, if necessary to correct or ameliorate a condition pursuant to specified standards. The bill would limit the diapers provided pursuant to these provisions to an appropriate supply based on the diagnosed condition and the age of the beneficiary. The bill would require the department to seek any necessary federal approval to implement this section. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 14132.33 is added to the Welfare and Institutions Code, to read:14132.33. (a) Diapers are a covered benefit for infants or toddlers with any either of the following conditions:(1) Urinary tract infection.(2)Colic. (3)(2) Any disease of the skin that, in the judgment of a clinician, is related to inadequate diaper hygiene and is at risk of reoccurrence that could be substantially mitigated by a prescription for diapers.(b) Notwithstanding any other law, diapers are a covered benefit for any child greater than three years of age who has been diagnosed with a physical, mental, neurological, or behavioral health condition that contributes to incontinence.(c) Notwithstanding any other law, diapers are a covered benefit for individuals under 21 years of age if necessary to correct or ameliorate a condition pursuant to the Early and Periodic Screening, Diagnostic, and Treatment standards set forth under subdivision (b) of Section 14059.5 and under Section 1905(r) of the Social Security Act (42 U.S.C. Sec. 1396d(r)). (d) Diapers provided pursuant to this section shall be limited to an appropriate supply based on the diagnosed condition and the age of the beneficiary. (d)(e) The department shall seek any necessary federal approval to implement this section. 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 14132.33 is added to the Welfare and Institutions Code, to read:14132.33. (a) Diapers are a covered benefit for infants or toddlers with any either of the following conditions:(1) Urinary tract infection.(2)Colic. (3)(2) Any disease of the skin that, in the judgment of a clinician, is related to inadequate diaper hygiene and is at risk of reoccurrence that could be substantially mitigated by a prescription for diapers.(b) Notwithstanding any other law, diapers are a covered benefit for any child greater than three years of age who has been diagnosed with a physical, mental, neurological, or behavioral health condition that contributes to incontinence.(c) Notwithstanding any other law, diapers are a covered benefit for individuals under 21 years of age if necessary to correct or ameliorate a condition pursuant to the Early and Periodic Screening, Diagnostic, and Treatment standards set forth under subdivision (b) of Section 14059.5 and under Section 1905(r) of the Social Security Act (42 U.S.C. Sec. 1396d(r)). (d) Diapers provided pursuant to this section shall be limited to an appropriate supply based on the diagnosed condition and the age of the beneficiary. (d)(e) The department shall seek any necessary federal approval to implement this section. SECTION 1. Section 14132.33 is added to the Welfare and Institutions Code, to read: ### SECTION 1. 14132.33. (a) Diapers are a covered benefit for infants or toddlers with any either of the following conditions:(1) Urinary tract infection.(2)Colic. (3)(2) Any disease of the skin that, in the judgment of a clinician, is related to inadequate diaper hygiene and is at risk of reoccurrence that could be substantially mitigated by a prescription for diapers.(b) Notwithstanding any other law, diapers are a covered benefit for any child greater than three years of age who has been diagnosed with a physical, mental, neurological, or behavioral health condition that contributes to incontinence.(c) Notwithstanding any other law, diapers are a covered benefit for individuals under 21 years of age if necessary to correct or ameliorate a condition pursuant to the Early and Periodic Screening, Diagnostic, and Treatment standards set forth under subdivision (b) of Section 14059.5 and under Section 1905(r) of the Social Security Act (42 U.S.C. Sec. 1396d(r)). (d) Diapers provided pursuant to this section shall be limited to an appropriate supply based on the diagnosed condition and the age of the beneficiary. (d)(e) The department shall seek any necessary federal approval to implement this section. 14132.33. (a) Diapers are a covered benefit for infants or toddlers with any either of the following conditions:(1) Urinary tract infection.(2)Colic. (3)(2) Any disease of the skin that, in the judgment of a clinician, is related to inadequate diaper hygiene and is at risk of reoccurrence that could be substantially mitigated by a prescription for diapers.(b) Notwithstanding any other law, diapers are a covered benefit for any child greater than three years of age who has been diagnosed with a physical, mental, neurological, or behavioral health condition that contributes to incontinence.(c) Notwithstanding any other law, diapers are a covered benefit for individuals under 21 years of age if necessary to correct or ameliorate a condition pursuant to the Early and Periodic Screening, Diagnostic, and Treatment standards set forth under subdivision (b) of Section 14059.5 and under Section 1905(r) of the Social Security Act (42 U.S.C. Sec. 1396d(r)). (d) Diapers provided pursuant to this section shall be limited to an appropriate supply based on the diagnosed condition and the age of the beneficiary. (d)(e) The department shall seek any necessary federal approval to implement this section. 14132.33. (a) Diapers are a covered benefit for infants or toddlers with any either of the following conditions:(1) Urinary tract infection.(2)Colic. (3)(2) Any disease of the skin that, in the judgment of a clinician, is related to inadequate diaper hygiene and is at risk of reoccurrence that could be substantially mitigated by a prescription for diapers.(b) Notwithstanding any other law, diapers are a covered benefit for any child greater than three years of age who has been diagnosed with a physical, mental, neurological, or behavioral health condition that contributes to incontinence.(c) Notwithstanding any other law, diapers are a covered benefit for individuals under 21 years of age if necessary to correct or ameliorate a condition pursuant to the Early and Periodic Screening, Diagnostic, and Treatment standards set forth under subdivision (b) of Section 14059.5 and under Section 1905(r) of the Social Security Act (42 U.S.C. Sec. 1396d(r)). (d) Diapers provided pursuant to this section shall be limited to an appropriate supply based on the diagnosed condition and the age of the beneficiary. (d)(e) The department shall seek any necessary federal approval to implement this section. 14132.33. (a) Diapers are a covered benefit for infants or toddlers with any either of the following conditions: (1) Urinary tract infection. (2)Colic. (3) (2) Any disease of the skin that, in the judgment of a clinician, is related to inadequate diaper hygiene and is at risk of reoccurrence that could be substantially mitigated by a prescription for diapers. (b) Notwithstanding any other law, diapers are a covered benefit for any child greater than three years of age who has been diagnosed with a physical, mental, neurological, or behavioral health condition that contributes to incontinence. (c) Notwithstanding any other law, diapers are a covered benefit for individuals under 21 years of age if necessary to correct or ameliorate a condition pursuant to the Early and Periodic Screening, Diagnostic, and Treatment standards set forth under subdivision (b) of Section 14059.5 and under Section 1905(r) of the Social Security Act (42 U.S.C. Sec. 1396d(r)). (d) Diapers provided pursuant to this section shall be limited to an appropriate supply based on the diagnosed condition and the age of the beneficiary. (d) (e) The department shall seek any necessary federal approval to implement this section.