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| 1 | - | ||
| 1 | + | Amended IN Assembly March 18, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 3149Introduced by Assembly Members Garcia and Reyes(Coauthors: Assembly Members Aguiar-Curry and Santiago)February 16, 2024 An act to add Section 18998.55 to the Welfare and Institutions Code, relating to community health workers.LEGISLATIVE COUNSEL'S DIGESTAB 3149, as amended, Garcia. Community health workers. Promotores Advisory and Oversight Workgroup.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 sets forth a schedule of covered benefits under the Medi-Cal program, which includes community health worker services.Existing law defines community health worker as a liaison, link, or intermediary between health and social services and the community to facilitate access to services and to improve the access and cultural competence of service delivery and who is a frontline health worker either trusted by, or who has a close understanding of, the community served. Existing law includes in the definition of community health worker Promotores, Promotores de Salud, Community Health Representatives, navigators, and other nonlicensed health workers with specified qualifications.This bill would require the department to, by no later than January 1, 2026, and until December 31, 2026, convene the Promotores Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under the Medi-Cal program. The bill would require the director to appoint no fewer than 9 individuals to the workgroup who have at least ten years experience working in California as, or with, Promotores. The bill would require the workgroup to be comprised of no less than 51% Promotores, as specified, and require the appointees to be from geographically diverse areas of the state. The bill would require the workgroup to advise the department to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services, to ensure that community health worker training and outreach materials are culturally and linguistically appropriate, to make recommendations on outreach efforts, as specified, and to provide input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores services and the Medi-Cal program.Existing law requires the Department of Health Care Access and Information to, on or before July 1, 2023, develop statewide requirements for community health worker certificate programs in consultation with stakeholders, including, but not limited to, the State Department of Health Care Services, the State Department of Public Health, community health workers, Promotores and Promotores de Salud, or representative organizations. Existing law defines community health worker as, among other things, a liaison, link, or intermediary between health and social services and the community to facilitate access to services and to improve the access and cultural competence of service delivery.This bill would state the intent of the Legislature to enact legislation related to community health workers.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 18998.55 is added to the Welfare and Institutions Code, to read:18998.55. (a) By no later than January 1, 2026, and until December 31, 2026, the Department of Health Care Services shall convene the Promotores Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under the Medi-Cal program.(b) The director shall appoint no fewer than nine individuals with at least 10 years experience working in California as, or with, Promotores, as included in the definition of community health worker in subdivision (b) of Section 18998. The workgroup shall be comprised of no less than 51 percent Promotores, including, but not limited to, a representative from a statewide network of Promotores and community health workers, a representative from a community-based organization, a representative from a health clinic or community health center, and a representative from a regional organization. Appointees shall be from geographically diverse areas of the state.(c) The workgroup shall have all of the following duties:(1) Advising the department to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services.(2) Advising the department to ensure that community health worker training and outreach materials are culturally and linguistically appropriate.(3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services.(4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores services and the Medi-Cal program.SECTION 1.It is the intent of the Legislature to enact legislation that ensures that state agencies that contract with promotoras and community health workers have culturally and linguistically appropriate program and training materials, meeting facilitation, outreach strategies, and online platforms when working with promotoras and community health workers. | |
| 2 | 2 | ||
| 3 | - | ||
| 3 | + | Amended IN Assembly March 18, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 3149Introduced by Assembly Members Garcia and Reyes(Coauthors: Assembly Members Aguiar-Curry and Santiago)February 16, 2024 An act to add Section 18998.55 to the Welfare and Institutions Code, relating to community health workers.LEGISLATIVE COUNSEL'S DIGESTAB 3149, as amended, Garcia. Community health workers. Promotores Advisory and Oversight Workgroup.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 sets forth a schedule of covered benefits under the Medi-Cal program, which includes community health worker services.Existing law defines community health worker as a liaison, link, or intermediary between health and social services and the community to facilitate access to services and to improve the access and cultural competence of service delivery and who is a frontline health worker either trusted by, or who has a close understanding of, the community served. Existing law includes in the definition of community health worker Promotores, Promotores de Salud, Community Health Representatives, navigators, and other nonlicensed health workers with specified qualifications.This bill would require the department to, by no later than January 1, 2026, and until December 31, 2026, convene the Promotores Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under the Medi-Cal program. The bill would require the director to appoint no fewer than 9 individuals to the workgroup who have at least ten years experience working in California as, or with, Promotores. The bill would require the workgroup to be comprised of no less than 51% Promotores, as specified, and require the appointees to be from geographically diverse areas of the state. The bill would require the workgroup to advise the department to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services, to ensure that community health worker training and outreach materials are culturally and linguistically appropriate, to make recommendations on outreach efforts, as specified, and to provide input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores services and the Medi-Cal program.Existing law requires the Department of Health Care Access and Information to, on or before July 1, 2023, develop statewide requirements for community health worker certificate programs in consultation with stakeholders, including, but not limited to, the State Department of Health Care Services, the State Department of Public Health, community health workers, Promotores and Promotores de Salud, or representative organizations. Existing law defines community health worker as, among other things, a liaison, link, or intermediary between health and social services and the community to facilitate access to services and to improve the access and cultural competence of service delivery.This bill would state the intent of the Legislature to enact legislation related to community health workers.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NO | |
| 4 | 4 | ||
| 5 | - | ||
| 5 | + | Amended IN Assembly March 18, 2024 | |
| 6 | 6 | ||
| 7 | - | Amended IN Assembly April 18, 2024 | |
| 8 | 7 | Amended IN Assembly March 18, 2024 | |
| 9 | 8 | ||
| 10 | 9 | CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION | |
| 11 | 10 | ||
| 12 | 11 | Assembly Bill | |
| 13 | 12 | ||
| 14 | 13 | No. 3149 | |
| 15 | 14 | ||
| 16 | 15 | Introduced by Assembly Members Garcia and Reyes(Coauthors: Assembly Members Aguiar-Curry and Santiago)February 16, 2024 | |
| 17 | 16 | ||
| 18 | 17 | Introduced by Assembly Members Garcia and Reyes(Coauthors: Assembly Members Aguiar-Curry and Santiago) | |
| 19 | 18 | February 16, 2024 | |
| 20 | 19 | ||
| 21 | 20 | An act to add Section 18998.55 to the Welfare and Institutions Code, relating to community health workers. | |
| 22 | 21 | ||
| 23 | 22 | LEGISLATIVE COUNSEL'S DIGEST | |
| 24 | 23 | ||
| 25 | 24 | ## LEGISLATIVE COUNSEL'S DIGEST | |
| 26 | 25 | ||
| 27 | - | AB 3149, as amended, Garcia. Promotores | |
| 26 | + | AB 3149, as amended, Garcia. Community health workers. Promotores Advisory and Oversight Workgroup. | |
| 28 | 27 | ||
| 29 | - | ||
| 28 | + | 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 sets forth a schedule of covered benefits under the Medi-Cal program, which includes community health worker services.Existing law defines community health worker as a liaison, link, or intermediary between health and social services and the community to facilitate access to services and to improve the access and cultural competence of service delivery and who is a frontline health worker either trusted by, or who has a close understanding of, the community served. Existing law includes in the definition of community health worker Promotores, Promotores de Salud, Community Health Representatives, navigators, and other nonlicensed health workers with specified qualifications.This bill would require the department to, by no later than January 1, 2026, and until December 31, 2026, convene the Promotores Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under the Medi-Cal program. The bill would require the director to appoint no fewer than 9 individuals to the workgroup who have at least ten years experience working in California as, or with, Promotores. The bill would require the workgroup to be comprised of no less than 51% Promotores, as specified, and require the appointees to be from geographically diverse areas of the state. The bill would require the workgroup to advise the department to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services, to ensure that community health worker training and outreach materials are culturally and linguistically appropriate, to make recommendations on outreach efforts, as specified, and to provide input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores services and the Medi-Cal program.Existing law requires the Department of Health Care Access and Information to, on or before July 1, 2023, develop statewide requirements for community health worker certificate programs in consultation with stakeholders, including, but not limited to, the State Department of Health Care Services, the State Department of Public Health, community health workers, Promotores and Promotores de Salud, or representative organizations. Existing law defines community health worker as, among other things, a liaison, link, or intermediary between health and social services and the community to facilitate access to services and to improve the access and cultural competence of service delivery.This bill would state the intent of the Legislature to enact legislation related to community health workers. | |
| 30 | 29 | ||
| 31 | - | Existing law establishes the California Health and Human Services Agency, which includes the State Department of Health Care Services, among other state departments charged with the administration of health, social, and other human services. | |
| 32 | - | ||
| 33 | - | Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and program 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 sets forth a schedule of covered benefits under the Medi-Cal program, which includes community health worker services. | |
| 30 | + | 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 sets forth a schedule of covered benefits under the Medi-Cal program, which includes community health worker services. | |
| 34 | 31 | ||
| 35 | 32 | Existing law defines community health worker as a liaison, link, or intermediary between health and social services and the community to facilitate access to services and to improve the access and cultural competence of service delivery and who is a frontline health worker either trusted by, or who has a close understanding of, the community served. Existing law includes in the definition of community health worker Promotores, Promotores de Salud, Community Health Representatives, navigators, and other nonlicensed health workers with specified qualifications. | |
| 36 | 33 | ||
| 37 | - | This bill would require the department to | |
| 34 | + | This bill would require the department to, by no later than January 1, 2026, and until December 31, 2026, convene the Promotores Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under the Medi-Cal program. The bill would require the director to appoint no fewer than 9 individuals to the workgroup who have at least ten years experience working in California as, or with, Promotores. The bill would require the workgroup to be comprised of no less than 51% Promotores, as specified, and require the appointees to be from geographically diverse areas of the state. The bill would require the workgroup to advise the department to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services, to ensure that community health worker training and outreach materials are culturally and linguistically appropriate, to make recommendations on outreach efforts, as specified, and to provide input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores services and the Medi-Cal program. | |
| 38 | 35 | ||
| 39 | - | The bill would also make findings and declarations related to the inclusion of Promotoras. | |
| 36 | + | Existing law requires the Department of Health Care Access and Information to, on or before July 1, 2023, develop statewide requirements for community health worker certificate programs in consultation with stakeholders, including, but not limited to, the State Department of Health Care Services, the State Department of Public Health, community health workers, Promotores and Promotores de Salud, or representative organizations. Existing law defines community health worker as, among other things, a liaison, link, or intermediary between health and social services and the community to facilitate access to services and to improve the access and cultural competence of service delivery. | |
| 37 | + | ||
| 38 | + | ||
| 39 | + | ||
| 40 | + | This bill would state the intent of the Legislature to enact legislation related to community health workers. | |
| 41 | + | ||
| 42 | + | ||
| 40 | 43 | ||
| 41 | 44 | ## Digest Key | |
| 42 | 45 | ||
| 43 | 46 | ## Bill Text | |
| 44 | 47 | ||
| 45 | - | The people of the State of California do enact as follows:SECTION 1 | |
| 48 | + | The people of the State of California do enact as follows:SECTION 1. Section 18998.55 is added to the Welfare and Institutions Code, to read:18998.55. (a) By no later than January 1, 2026, and until December 31, 2026, the Department of Health Care Services shall convene the Promotores Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under the Medi-Cal program.(b) The director shall appoint no fewer than nine individuals with at least 10 years experience working in California as, or with, Promotores, as included in the definition of community health worker in subdivision (b) of Section 18998. The workgroup shall be comprised of no less than 51 percent Promotores, including, but not limited to, a representative from a statewide network of Promotores and community health workers, a representative from a community-based organization, a representative from a health clinic or community health center, and a representative from a regional organization. Appointees shall be from geographically diverse areas of the state.(c) The workgroup shall have all of the following duties:(1) Advising the department to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services.(2) Advising the department to ensure that community health worker training and outreach materials are culturally and linguistically appropriate.(3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services.(4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores services and the Medi-Cal program.SECTION 1.It is the intent of the Legislature to enact legislation that ensures that state agencies that contract with promotoras and community health workers have culturally and linguistically appropriate program and training materials, meeting facilitation, outreach strategies, and online platforms when working with promotoras and community health workers. | |
| 46 | 49 | ||
| 47 | 50 | The people of the State of California do enact as follows: | |
| 48 | 51 | ||
| 49 | 52 | ## The people of the State of California do enact as follows: | |
| 50 | 53 | ||
| 51 | - | SECTION 1. The | |
| 54 | + | SECTION 1. Section 18998.55 is added to the Welfare and Institutions Code, to read:18998.55. (a) By no later than January 1, 2026, and until December 31, 2026, the Department of Health Care Services shall convene the Promotores Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under the Medi-Cal program.(b) The director shall appoint no fewer than nine individuals with at least 10 years experience working in California as, or with, Promotores, as included in the definition of community health worker in subdivision (b) of Section 18998. The workgroup shall be comprised of no less than 51 percent Promotores, including, but not limited to, a representative from a statewide network of Promotores and community health workers, a representative from a community-based organization, a representative from a health clinic or community health center, and a representative from a regional organization. Appointees shall be from geographically diverse areas of the state.(c) The workgroup shall have all of the following duties:(1) Advising the department to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services.(2) Advising the department to ensure that community health worker training and outreach materials are culturally and linguistically appropriate.(3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services.(4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores services and the Medi-Cal program. | |
| 52 | 55 | ||
| 53 | - | SECTION 1. The Legislature finds and declares all of the following:(a) Promotoras are a predominantly women-led, Latina workforce.(b) Promotoras are trusted members of traditionally underserved communities who are essential workers that connect their neighbors to information, resources, and advocacy services.(c) Promotoras are community health workers, with the United States Bureau of Labor Statistics describing community health workers as those who promote health within a community by assisting individuals to adopt healthy behaviors and access health services.(d) Promotoras provide culturally and linguistically relevant education and information to promote health and wellness, reduce access barriers, and navigate individuals and families to health and behavioral health programs, preventive screenings, food and housing security, education, employment training, and more. (e) Therefore, defining and recognizing Promotoras as a women-led, Latina resource for underrepresented communities to governmental systems is a critical step to ensuring equity in Californias services to diverse communities. | |
| 54 | - | ||
| 55 | - | SECTION 1. The Legislature finds and declares all of the following: | |
| 56 | + | SECTION 1. Section 18998.55 is added to the Welfare and Institutions Code, to read: | |
| 56 | 57 | ||
| 57 | 58 | ### SECTION 1. | |
| 58 | 59 | ||
| 59 | - | (a) | |
| 60 | + | 18998.55. (a) By no later than January 1, 2026, and until December 31, 2026, the Department of Health Care Services shall convene the Promotores Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under the Medi-Cal program.(b) The director shall appoint no fewer than nine individuals with at least 10 years experience working in California as, or with, Promotores, as included in the definition of community health worker in subdivision (b) of Section 18998. The workgroup shall be comprised of no less than 51 percent Promotores, including, but not limited to, a representative from a statewide network of Promotores and community health workers, a representative from a community-based organization, a representative from a health clinic or community health center, and a representative from a regional organization. Appointees shall be from geographically diverse areas of the state.(c) The workgroup shall have all of the following duties:(1) Advising the department to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services.(2) Advising the department to ensure that community health worker training and outreach materials are culturally and linguistically appropriate.(3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services.(4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores services and the Medi-Cal program. | |
| 60 | 61 | ||
| 61 | - | (b) | |
| 62 | + | 18998.55. (a) By no later than January 1, 2026, and until December 31, 2026, the Department of Health Care Services shall convene the Promotores Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under the Medi-Cal program.(b) The director shall appoint no fewer than nine individuals with at least 10 years experience working in California as, or with, Promotores, as included in the definition of community health worker in subdivision (b) of Section 18998. The workgroup shall be comprised of no less than 51 percent Promotores, including, but not limited to, a representative from a statewide network of Promotores and community health workers, a representative from a community-based organization, a representative from a health clinic or community health center, and a representative from a regional organization. Appointees shall be from geographically diverse areas of the state.(c) The workgroup shall have all of the following duties:(1) Advising the department to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services.(2) Advising the department to ensure that community health worker training and outreach materials are culturally and linguistically appropriate.(3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services.(4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores services and the Medi-Cal program. | |
| 62 | 63 | ||
| 63 | - | (c) Promotoras are community health workers, with the United States Bureau of Labor Statistics describing community health workers as those who promote health within a community by assisting individuals to adopt healthy behaviors and access health services. | |
| 64 | - | ||
| 65 | - | (d) Promotoras provide culturally and linguistically relevant education and information to promote health and wellness, reduce access barriers, and navigate individuals and families to health and behavioral health programs, preventive screenings, food and housing security, education, employment training, and more. | |
| 66 | - | ||
| 67 | - | (e) Therefore, defining and recognizing Promotoras as a women-led, Latina resource for underrepresented communities to governmental systems is a critical step to ensuring equity in Californias services to diverse communities. | |
| 68 | - | ||
| 69 | - | SECTION 1.SEC. 2. Section 18998.55 is added to the Welfare and Institutions Code, to read:18998.55. (a) By no later than January 1, 2026, 2025, and until December 31, 2026, the Department of Health Care Services California Health and Human Services Agency shall convene the Promotores and Promotoras Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under provide perspective and guidance to changes in the health and human services delivery system, including, but not limited to, the Medi-Cal program.(b) The director Secretary shall appoint no fewer than nine individuals with at least 10 years experience working in California as, or with, Promotores, Promotores or Promotoras, as included in the definition of community health worker in subdivision (b) of Section 18998. The workgroup shall be comprised of no less than 51 percent Promotores, Promotores or Promotoras, including, but not limited to, a representative from a statewide network of Promotores or Promotoras and community health workers, a representative from a community-based organization, a representative from a health clinic or community health center, and a representative from a regional organization. Appointees shall be from geographically diverse areas of the state.(c) The workgroup shall have all of the following duties:(1) Advising the department departments under the agency to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services. services provided by Promotores or Promotoras are available and accessible to all eligible populations.(2) Advising the department agency to ensure that community health worker Promotores and Promotoras training and outreach materials are culturally and linguistically appropriate.(3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services. services provided by Promotores and Promotoras.(4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores or Promotoras services and the Medi-Cal program. | |
| 70 | - | ||
| 71 | - | SECTION 1.SEC. 2. Section 18998.55 is added to the Welfare and Institutions Code, to read: | |
| 72 | - | ||
| 73 | - | ### SECTION 1.SEC. 2. | |
| 74 | - | ||
| 75 | - | 18998.55. (a) By no later than January 1, 2026, 2025, and until December 31, 2026, the Department of Health Care Services California Health and Human Services Agency shall convene the Promotores and Promotoras Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under provide perspective and guidance to changes in the health and human services delivery system, including, but not limited to, the Medi-Cal program.(b) The director Secretary shall appoint no fewer than nine individuals with at least 10 years experience working in California as, or with, Promotores, Promotores or Promotoras, as included in the definition of community health worker in subdivision (b) of Section 18998. The workgroup shall be comprised of no less than 51 percent Promotores, Promotores or Promotoras, including, but not limited to, a representative from a statewide network of Promotores or Promotoras and community health workers, a representative from a community-based organization, a representative from a health clinic or community health center, and a representative from a regional organization. Appointees shall be from geographically diverse areas of the state.(c) The workgroup shall have all of the following duties:(1) Advising the department departments under the agency to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services. services provided by Promotores or Promotoras are available and accessible to all eligible populations.(2) Advising the department agency to ensure that community health worker Promotores and Promotoras training and outreach materials are culturally and linguistically appropriate.(3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services. services provided by Promotores and Promotoras.(4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores or Promotoras services and the Medi-Cal program. | |
| 76 | - | ||
| 77 | - | 18998.55. (a) By no later than January 1, 2026, 2025, and until December 31, 2026, the Department of Health Care Services California Health and Human Services Agency shall convene the Promotores and Promotoras Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under provide perspective and guidance to changes in the health and human services delivery system, including, but not limited to, the Medi-Cal program.(b) The director Secretary shall appoint no fewer than nine individuals with at least 10 years experience working in California as, or with, Promotores, Promotores or Promotoras, as included in the definition of community health worker in subdivision (b) of Section 18998. The workgroup shall be comprised of no less than 51 percent Promotores, Promotores or Promotoras, including, but not limited to, a representative from a statewide network of Promotores or Promotoras and community health workers, a representative from a community-based organization, a representative from a health clinic or community health center, and a representative from a regional organization. Appointees shall be from geographically diverse areas of the state.(c) The workgroup shall have all of the following duties:(1) Advising the department departments under the agency to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services. services provided by Promotores or Promotoras are available and accessible to all eligible populations.(2) Advising the department agency to ensure that community health worker Promotores and Promotoras training and outreach materials are culturally and linguistically appropriate.(3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services. services provided by Promotores and Promotoras.(4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores or Promotoras services and the Medi-Cal program. | |
| 78 | - | ||
| 79 | - | 18998.55. (a) By no later than January 1, 2026, 2025, and until December 31, 2026, the Department of Health Care Services California Health and Human Services Agency shall convene the Promotores and Promotoras Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under provide perspective and guidance to changes in the health and human services delivery system, including, but not limited to, the Medi-Cal program.(b) The director Secretary shall appoint no fewer than nine individuals with at least 10 years experience working in California as, or with, Promotores, Promotores or Promotoras, as included in the definition of community health worker in subdivision (b) of Section 18998. The workgroup shall be comprised of no less than 51 percent Promotores, Promotores or Promotoras, including, but not limited to, a representative from a statewide network of Promotores or Promotoras and community health workers, a representative from a community-based organization, a representative from a health clinic or community health center, and a representative from a regional organization. Appointees shall be from geographically diverse areas of the state.(c) The workgroup shall have all of the following duties:(1) Advising the department departments under the agency to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services. services provided by Promotores or Promotoras are available and accessible to all eligible populations.(2) Advising the department agency to ensure that community health worker Promotores and Promotoras training and outreach materials are culturally and linguistically appropriate.(3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services. services provided by Promotores and Promotoras.(4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores or Promotoras services and the Medi-Cal program. | |
| 64 | + | 18998.55. (a) By no later than January 1, 2026, and until December 31, 2026, the Department of Health Care Services shall convene the Promotores Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under the Medi-Cal program.(b) The director shall appoint no fewer than nine individuals with at least 10 years experience working in California as, or with, Promotores, as included in the definition of community health worker in subdivision (b) of Section 18998. The workgroup shall be comprised of no less than 51 percent Promotores, including, but not limited to, a representative from a statewide network of Promotores and community health workers, a representative from a community-based organization, a representative from a health clinic or community health center, and a representative from a regional organization. Appointees shall be from geographically diverse areas of the state.(c) The workgroup shall have all of the following duties:(1) Advising the department to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services.(2) Advising the department to ensure that community health worker training and outreach materials are culturally and linguistically appropriate.(3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services.(4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores services and the Medi-Cal program. | |
| 80 | 65 | ||
| 81 | 66 | ||
| 82 | 67 | ||
| 83 | - | 18998.55. (a) By no later than January 1, 2026 | |
| 68 | + | 18998.55. (a) By no later than January 1, 2026, and until December 31, 2026, the Department of Health Care Services shall convene the Promotores Advisory and Oversight Workgroup to examine the implementation of the community health worker benefit under the Medi-Cal program. | |
| 84 | 69 | ||
| 85 | - | (b) The director | |
| 70 | + | (b) The director shall appoint no fewer than nine individuals with at least 10 years experience working in California as, or with, Promotores, as included in the definition of community health worker in subdivision (b) of Section 18998. The workgroup shall be comprised of no less than 51 percent Promotores, including, but not limited to, a representative from a statewide network of Promotores and community health workers, a representative from a community-based organization, a representative from a health clinic or community health center, and a representative from a regional organization. Appointees shall be from geographically diverse areas of the state. | |
| 86 | 71 | ||
| 87 | 72 | (c) The workgroup shall have all of the following duties: | |
| 88 | 73 | ||
| 89 | - | (1) Advising the department | |
| 74 | + | (1) Advising the department to ensure that community health worker services are available to all eligible Medi-Cal beneficiaries who want those services. | |
| 90 | 75 | ||
| 91 | - | (2) Advising the department | |
| 76 | + | (2) Advising the department to ensure that community health worker training and outreach materials are culturally and linguistically appropriate. | |
| 92 | 77 | ||
| 93 | - | (3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services. | |
| 78 | + | (3) Making recommendations on outreach efforts so that all eligible Medi-Cal recipients and other target populations are aware of the availability of these services. | |
| 94 | 79 | ||
| 95 | - | (4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores or Promotoras services and the Medi-Cal program. | |
| 80 | + | (4) Providing input on issues that should be informed by community representatives who have lived experience with using and navigating Promotores services and the Medi-Cal program. | |
| 81 | + | ||
| 82 | + | ||
| 83 | + | ||
| 84 | + | It is the intent of the Legislature to enact legislation that ensures that state agencies that contract with promotoras and community health workers have culturally and linguistically appropriate program and training materials, meeting facilitation, outreach strategies, and online platforms when working with promotoras and community health workers. |