Amended IN Senate April 07, 2025 Amended IN Senate March 24, 2025 CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Senate Bill No. 228Introduced by Senator CervantesJanuary 28, 2025 An act to amend Sections 123485 and 131051 of, and to add Sections 123486 123486, 123487, 123501, and 123521 to, to the Health and Safety Code, relating to health care. LEGISLATIVE COUNSEL'S DIGESTSB 228, as amended, Cervantes. Comprehensive Perinatal Services Program.Existing law establishes the Comprehensive Perinatal Services Program, the goals of which are to decrease and maintain the decreased level of perinatal, maternal, and infant mortality and morbidity in the State of California and to support methods of providing comprehensive prenatal care that prevent prematurity and the incidence of low birth weight infants. Under the program, the State Department of Public Health is required to develop and maintain a statewide comprehensive community-based perinatal services program and enter into contracts, grants, or agreements with health care providers to deliver these services in a coordinated effort. Existing law also requires the department to monitor the delivery of services under those contracts, grants, and agreements through a uniform health data collection system that utilizes epidemiologic methodology.This bill would transfer administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services. The bill would, among other things, authorize the State Department of Health Care Services to enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement those provisions. specify that the State Department of Health Care Services is responsible for implementing comprehensive community-based perinatal services for purposes of the Medi-Cal program. By July 1, 2027, the bill would require the State Department of Health Care Services, in consultation with the State Department of Public Health, to clarify each departments roles and responsibilities in the Comprehensive Perinatal Services Program by regulation. The bill would, among other things, require the State Department of Health Care Services to develop a training on administering the program, require all perinatal providers in the program to attend the training, and require all Medi-Cal managed care plans to ensure providers receive the training. The bill would require the State Department of Health Care Services, no later than January July 15, 2026, to submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive. The bill would also require the State Department of Health Care Services, commencing January 1, 2028, and every 3 years thereafter, to submit to those committees, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous 3 years. The bill would also state the intent of the Legislature to enact additional legislation relating to the program in order to implement several legislative recommendations made in a specified report issued by the California State Auditors office including by, among other things, requiring the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.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. In addition to transferring administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services, it is also It is the intent of the Legislature to enact legislation implementing the remaining several recommendations to the Legislature made in California State Auditor Report 2023-103: The Comprehensive Perinatal Services Program by requiring the State Department of Health Care Services to do both of the following: to enhance monitoring and oversight of the program:(a) Clarify that the State Department of Health Care Services is primarily responsible for the delivery of the Comprehensive Perinatal Services Program benefits as the agency that oversees the Medi-Cal program. It is the intent of the Legislature that the State Department of Health Care Services collaborate with the State Department of Public Health when appropriate.(b) Require the State Department of Health Care Services to collaborate with the State Department of Public Health on updated regulations related to the Comprehensive Perinatal Services Program.(a)Develop(c) Require the State Department of Health Care Services to develop a system of oversight to ensure that managed care plans and providers are aware of and offer Comprehensive Perinatal Services Program services to all pregnant and postpartum Medi-Cal members.(b)Create(d) Require the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.SEC. 2.Section 123485 of the Health and Safety Code is amended to read:123485.The following definitions shall govern the construction of this article:(a)Community-based comprehensive perinatal care means a range of prenatal, delivery, postpartum, infant, and pediatric care services delivered in an urban community or neighborhood, rural area, city or county clinic, city or county health department, freestanding birth center, or other health care provider facility by health care practitioners trained in methods of preventing complications and problems during and after pregnancy, and in methods of educating pregnant women of these preventive measures, and who provide a continuous range of services. The health care practitioners shall, through a system of established linkages to other levels of care in the community, consult with, and, when appropriate, refer to, specialists.(b)Low income means all persons of childbearing age eligible for Medi-Cal benefits under Chapter 7 (commencing with Section 14000) and all persons eligible for public social services for which federal reimbursement is available, including potential recipients. Potential recipients shall include the pregnant woman and her infant in a family where current social, economic and health conditions of the family indicate that the family would likely become a recipient of financial assistance within the next five years.(c)Prenatal care means care received from conception until the completion of labor and delivery.(d)Perinatal care means care received from the time of conception through the first year after birth.(e)Qualified organization means any nonprofit, not-for-profit, or for-profit corporation with demonstrated expertise in implementing the Nurse-Family Partnership program or similar programs in different local settings.(f)Qualified trainer means anyone who has been certified by the Nurse-Family Partnership to provide training.(g)Department means the State Department of Health Care Services, unless otherwise designated.SEC. 3.Section 123486 is added to the Health and Safety Code, to read:123486.(a)Commencing January 1, 2026, the department succeeds to, and is vested with, all the powers, functions, duties, responsibilities, obligations, liabilities, and jurisdiction of the program established pursuant to this article.(b)The department may enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement this section.(c)Without limiting any other powers or duties, the department shall ensure compliance with the terms of any state plans, memoranda of understanding, administrative orders, interagency agreements, contracts, assurances, single state agency obligations, federal statutes and regulations, and any other form of agreement or obligation that vital government activities rely upon or are a condition to the continued receipt by the department of state or federal funds or services.(d)All existing regulations relating to the program that were adopted by the State Department of Public Health on or before January 1, 2026, are expressly continued in force.(e)A contract, lease, license, state or federal grant, memorandum of understanding, or any other agreement relating to the program to which the State Department of Public Health is a party is not void or voidable by reason of the act that added this section, but is continued in full force and effect, with the department assuming all of the rights, obligations, and duties of the State Department of Public Health. The assumption by the department does not in any way affect the rights of the parties to the contract, lease, license, state or federal grant, memorandum of understanding, or agreement.(f)Any legal action concerning the duties, responsibilities, obligations, liabilities, and functions described in this article shall not abate, and shall continue in the name of the department. The substitution of the department for the State Department of Public Health or the State Public Health Officer does not affect the rights of the parties to the action.(g)All financial and accounting records, documents, records, and property relating to the program shall be transferred to the department by the State Department of Public Health. The format and timing of this transfer shall be mutually agreed upon by the department and the State Department of Public Health, and shall not require formal agreement or approval by any other entity.SEC. 2. Section 123486 is added to the Health and Safety Code, to read:123486. Notwithstanding Section 131051, the duties and responsibilities outlined in this article do not supersede the State Department of Health Care Services authority as the designated single state agency for the administration of the federal Medicaid program as designated in Californias Medicaid state plan. As such, in addition to the duties required by the department, the State Department of Health Care Services is ultimately responsible for the implementation of this benefit for the purposes of the Medi-Cal program.SEC. 3. Section 123487 is added to the Health and Safety Code, to read:123487. (a) The department shall, in collaboration with the State Department of Health Care Services, update the regulations related to the statewide comprehensive community-based perinatal services program to clarify the roles and responsibilities from each department and make adjustments to the current monitoring and oversights systems, including the monitoring of managed care plans and fee-for-service providers, by July 1, 2027.(b) The department shall, in collaboration with the State Department of Health Care Services, develop a training on administering the perinatal program and require that all perinatal providers in the program attend the training.(c) The department shall, in collaboration with the State Department of Health Care Services, develop a form for providers to collect information on the offer and use of perinatal services, and shall share the information collected with the State Department of Health Care Services for inclusion in the triennial report required pursuant to Section 123521.(d) The department shall develop and implement a system to verify the information provided pursuant to subdivision (c).SEC. 4. Section 123501 is added to the Health and Safety Code, to read:123501. (a) The State Department of Health Care Services shall require all Medi-Cal managed care plans to include information on the enhanced perinatal program benefits in the plan member handbooks.(b) The State Department of Health Care Services shall require all Medi-Cal managed care plans to ensure that providers have received the training described in Section 123487.(c) The State Department of Health Care Services shall implement a system to ensure that Medi-Cal managed care plans offer and provide Comprehensive Perinatal Services Program services to eligible enrollees.(d) The State Department of Health Care Services shall require Medi-Cal managed care plans, as defined in Section 14184.101 of the Welfare and Institutions Code, to conduct quality assurance reviews on perinatal providers at least once every three years, starting in January 2026, to ensure that Medi-Cal managed care plan enrollees are being offered and receive Comprehensive Perinatal Services Program services.SEC. 4.SEC. 5. Section 123521 is added to the Health and Safety Code, to read:123521. (a) (1) The department State Department of Health Care Services shall, no later than January July 15, 2026, submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive.(2) Commencing January 1, 2028, and every three years thereafter, the department State Department of Health Care Services shall submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous three years.(b) A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
Amended IN Senate April 07, 2025 Amended IN Senate March 24, 2025 CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Senate Bill No. 228Introduced by Senator CervantesJanuary 28, 2025 An act to amend Sections 123485 and 131051 of, and to add Sections 123486 123486, 123487, 123501, and 123521 to, to the Health and Safety Code, relating to health care. LEGISLATIVE COUNSEL'S DIGESTSB 228, as amended, Cervantes. Comprehensive Perinatal Services Program.Existing law establishes the Comprehensive Perinatal Services Program, the goals of which are to decrease and maintain the decreased level of perinatal, maternal, and infant mortality and morbidity in the State of California and to support methods of providing comprehensive prenatal care that prevent prematurity and the incidence of low birth weight infants. Under the program, the State Department of Public Health is required to develop and maintain a statewide comprehensive community-based perinatal services program and enter into contracts, grants, or agreements with health care providers to deliver these services in a coordinated effort. Existing law also requires the department to monitor the delivery of services under those contracts, grants, and agreements through a uniform health data collection system that utilizes epidemiologic methodology.This bill would transfer administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services. The bill would, among other things, authorize the State Department of Health Care Services to enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement those provisions. specify that the State Department of Health Care Services is responsible for implementing comprehensive community-based perinatal services for purposes of the Medi-Cal program. By July 1, 2027, the bill would require the State Department of Health Care Services, in consultation with the State Department of Public Health, to clarify each departments roles and responsibilities in the Comprehensive Perinatal Services Program by regulation. The bill would, among other things, require the State Department of Health Care Services to develop a training on administering the program, require all perinatal providers in the program to attend the training, and require all Medi-Cal managed care plans to ensure providers receive the training. The bill would require the State Department of Health Care Services, no later than January July 15, 2026, to submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive. The bill would also require the State Department of Health Care Services, commencing January 1, 2028, and every 3 years thereafter, to submit to those committees, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous 3 years. The bill would also state the intent of the Legislature to enact additional legislation relating to the program in order to implement several legislative recommendations made in a specified report issued by the California State Auditors office including by, among other things, requiring the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
Amended IN Senate April 07, 2025 Amended IN Senate March 24, 2025
Amended IN Senate April 07, 2025
Amended IN Senate March 24, 2025
CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION
Senate Bill
No. 228
Introduced by Senator CervantesJanuary 28, 2025
Introduced by Senator Cervantes
January 28, 2025
An act to amend Sections 123485 and 131051 of, and to add Sections 123486 123486, 123487, 123501, and 123521 to, to the Health and Safety Code, relating to health care.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
SB 228, as amended, Cervantes. Comprehensive Perinatal Services Program.
Existing law establishes the Comprehensive Perinatal Services Program, the goals of which are to decrease and maintain the decreased level of perinatal, maternal, and infant mortality and morbidity in the State of California and to support methods of providing comprehensive prenatal care that prevent prematurity and the incidence of low birth weight infants. Under the program, the State Department of Public Health is required to develop and maintain a statewide comprehensive community-based perinatal services program and enter into contracts, grants, or agreements with health care providers to deliver these services in a coordinated effort. Existing law also requires the department to monitor the delivery of services under those contracts, grants, and agreements through a uniform health data collection system that utilizes epidemiologic methodology.This bill would transfer administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services. The bill would, among other things, authorize the State Department of Health Care Services to enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement those provisions. specify that the State Department of Health Care Services is responsible for implementing comprehensive community-based perinatal services for purposes of the Medi-Cal program. By July 1, 2027, the bill would require the State Department of Health Care Services, in consultation with the State Department of Public Health, to clarify each departments roles and responsibilities in the Comprehensive Perinatal Services Program by regulation. The bill would, among other things, require the State Department of Health Care Services to develop a training on administering the program, require all perinatal providers in the program to attend the training, and require all Medi-Cal managed care plans to ensure providers receive the training. The bill would require the State Department of Health Care Services, no later than January July 15, 2026, to submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive. The bill would also require the State Department of Health Care Services, commencing January 1, 2028, and every 3 years thereafter, to submit to those committees, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous 3 years. The bill would also state the intent of the Legislature to enact additional legislation relating to the program in order to implement several legislative recommendations made in a specified report issued by the California State Auditors office including by, among other things, requiring the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.
Existing law establishes the Comprehensive Perinatal Services Program, the goals of which are to decrease and maintain the decreased level of perinatal, maternal, and infant mortality and morbidity in the State of California and to support methods of providing comprehensive prenatal care that prevent prematurity and the incidence of low birth weight infants. Under the program, the State Department of Public Health is required to develop and maintain a statewide comprehensive community-based perinatal services program and enter into contracts, grants, or agreements with health care providers to deliver these services in a coordinated effort. Existing law also requires the department to monitor the delivery of services under those contracts, grants, and agreements through a uniform health data collection system that utilizes epidemiologic methodology.
This bill would transfer administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services. The bill would, among other things, authorize the State Department of Health Care Services to enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement those provisions. specify that the State Department of Health Care Services is responsible for implementing comprehensive community-based perinatal services for purposes of the Medi-Cal program. By July 1, 2027, the bill would require the State Department of Health Care Services, in consultation with the State Department of Public Health, to clarify each departments roles and responsibilities in the Comprehensive Perinatal Services Program by regulation. The bill would, among other things, require the State Department of Health Care Services to develop a training on administering the program, require all perinatal providers in the program to attend the training, and require all Medi-Cal managed care plans to ensure providers receive the training. The bill would require the State Department of Health Care Services, no later than January July 15, 2026, to submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive. The bill would also require the State Department of Health Care Services, commencing January 1, 2028, and every 3 years thereafter, to submit to those committees, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous 3 years. The bill would also state the intent of the Legislature to enact additional legislation relating to the program in order to implement several legislative recommendations made in a specified report issued by the California State Auditors office including by, among other things, requiring the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. In addition to transferring administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services, it is also It is the intent of the Legislature to enact legislation implementing the remaining several recommendations to the Legislature made in California State Auditor Report 2023-103: The Comprehensive Perinatal Services Program by requiring the State Department of Health Care Services to do both of the following: to enhance monitoring and oversight of the program:(a) Clarify that the State Department of Health Care Services is primarily responsible for the delivery of the Comprehensive Perinatal Services Program benefits as the agency that oversees the Medi-Cal program. It is the intent of the Legislature that the State Department of Health Care Services collaborate with the State Department of Public Health when appropriate.(b) Require the State Department of Health Care Services to collaborate with the State Department of Public Health on updated regulations related to the Comprehensive Perinatal Services Program.(a)Develop(c) Require the State Department of Health Care Services to develop a system of oversight to ensure that managed care plans and providers are aware of and offer Comprehensive Perinatal Services Program services to all pregnant and postpartum Medi-Cal members.(b)Create(d) Require the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.SEC. 2.Section 123485 of the Health and Safety Code is amended to read:123485.The following definitions shall govern the construction of this article:(a)Community-based comprehensive perinatal care means a range of prenatal, delivery, postpartum, infant, and pediatric care services delivered in an urban community or neighborhood, rural area, city or county clinic, city or county health department, freestanding birth center, or other health care provider facility by health care practitioners trained in methods of preventing complications and problems during and after pregnancy, and in methods of educating pregnant women of these preventive measures, and who provide a continuous range of services. The health care practitioners shall, through a system of established linkages to other levels of care in the community, consult with, and, when appropriate, refer to, specialists.(b)Low income means all persons of childbearing age eligible for Medi-Cal benefits under Chapter 7 (commencing with Section 14000) and all persons eligible for public social services for which federal reimbursement is available, including potential recipients. Potential recipients shall include the pregnant woman and her infant in a family where current social, economic and health conditions of the family indicate that the family would likely become a recipient of financial assistance within the next five years.(c)Prenatal care means care received from conception until the completion of labor and delivery.(d)Perinatal care means care received from the time of conception through the first year after birth.(e)Qualified organization means any nonprofit, not-for-profit, or for-profit corporation with demonstrated expertise in implementing the Nurse-Family Partnership program or similar programs in different local settings.(f)Qualified trainer means anyone who has been certified by the Nurse-Family Partnership to provide training.(g)Department means the State Department of Health Care Services, unless otherwise designated.SEC. 3.Section 123486 is added to the Health and Safety Code, to read:123486.(a)Commencing January 1, 2026, the department succeeds to, and is vested with, all the powers, functions, duties, responsibilities, obligations, liabilities, and jurisdiction of the program established pursuant to this article.(b)The department may enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement this section.(c)Without limiting any other powers or duties, the department shall ensure compliance with the terms of any state plans, memoranda of understanding, administrative orders, interagency agreements, contracts, assurances, single state agency obligations, federal statutes and regulations, and any other form of agreement or obligation that vital government activities rely upon or are a condition to the continued receipt by the department of state or federal funds or services.(d)All existing regulations relating to the program that were adopted by the State Department of Public Health on or before January 1, 2026, are expressly continued in force.(e)A contract, lease, license, state or federal grant, memorandum of understanding, or any other agreement relating to the program to which the State Department of Public Health is a party is not void or voidable by reason of the act that added this section, but is continued in full force and effect, with the department assuming all of the rights, obligations, and duties of the State Department of Public Health. The assumption by the department does not in any way affect the rights of the parties to the contract, lease, license, state or federal grant, memorandum of understanding, or agreement.(f)Any legal action concerning the duties, responsibilities, obligations, liabilities, and functions described in this article shall not abate, and shall continue in the name of the department. The substitution of the department for the State Department of Public Health or the State Public Health Officer does not affect the rights of the parties to the action.(g)All financial and accounting records, documents, records, and property relating to the program shall be transferred to the department by the State Department of Public Health. The format and timing of this transfer shall be mutually agreed upon by the department and the State Department of Public Health, and shall not require formal agreement or approval by any other entity.SEC. 2. Section 123486 is added to the Health and Safety Code, to read:123486. Notwithstanding Section 131051, the duties and responsibilities outlined in this article do not supersede the State Department of Health Care Services authority as the designated single state agency for the administration of the federal Medicaid program as designated in Californias Medicaid state plan. As such, in addition to the duties required by the department, the State Department of Health Care Services is ultimately responsible for the implementation of this benefit for the purposes of the Medi-Cal program.SEC. 3. Section 123487 is added to the Health and Safety Code, to read:123487. (a) The department shall, in collaboration with the State Department of Health Care Services, update the regulations related to the statewide comprehensive community-based perinatal services program to clarify the roles and responsibilities from each department and make adjustments to the current monitoring and oversights systems, including the monitoring of managed care plans and fee-for-service providers, by July 1, 2027.(b) The department shall, in collaboration with the State Department of Health Care Services, develop a training on administering the perinatal program and require that all perinatal providers in the program attend the training.(c) The department shall, in collaboration with the State Department of Health Care Services, develop a form for providers to collect information on the offer and use of perinatal services, and shall share the information collected with the State Department of Health Care Services for inclusion in the triennial report required pursuant to Section 123521.(d) The department shall develop and implement a system to verify the information provided pursuant to subdivision (c).SEC. 4. Section 123501 is added to the Health and Safety Code, to read:123501. (a) The State Department of Health Care Services shall require all Medi-Cal managed care plans to include information on the enhanced perinatal program benefits in the plan member handbooks.(b) The State Department of Health Care Services shall require all Medi-Cal managed care plans to ensure that providers have received the training described in Section 123487.(c) The State Department of Health Care Services shall implement a system to ensure that Medi-Cal managed care plans offer and provide Comprehensive Perinatal Services Program services to eligible enrollees.(d) The State Department of Health Care Services shall require Medi-Cal managed care plans, as defined in Section 14184.101 of the Welfare and Institutions Code, to conduct quality assurance reviews on perinatal providers at least once every three years, starting in January 2026, to ensure that Medi-Cal managed care plan enrollees are being offered and receive Comprehensive Perinatal Services Program services.SEC. 4.SEC. 5. Section 123521 is added to the Health and Safety Code, to read:123521. (a) (1) The department State Department of Health Care Services shall, no later than January July 15, 2026, submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive.(2) Commencing January 1, 2028, and every three years thereafter, the department State Department of Health Care Services shall submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous three years.(b) A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. In addition to transferring administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services, it is also It is the intent of the Legislature to enact legislation implementing the remaining several recommendations to the Legislature made in California State Auditor Report 2023-103: The Comprehensive Perinatal Services Program by requiring the State Department of Health Care Services to do both of the following: to enhance monitoring and oversight of the program:(a) Clarify that the State Department of Health Care Services is primarily responsible for the delivery of the Comprehensive Perinatal Services Program benefits as the agency that oversees the Medi-Cal program. It is the intent of the Legislature that the State Department of Health Care Services collaborate with the State Department of Public Health when appropriate.(b) Require the State Department of Health Care Services to collaborate with the State Department of Public Health on updated regulations related to the Comprehensive Perinatal Services Program.(a)Develop(c) Require the State Department of Health Care Services to develop a system of oversight to ensure that managed care plans and providers are aware of and offer Comprehensive Perinatal Services Program services to all pregnant and postpartum Medi-Cal members.(b)Create(d) Require the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.
SECTION 1. In addition to transferring administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services, it is also It is the intent of the Legislature to enact legislation implementing the remaining several recommendations to the Legislature made in California State Auditor Report 2023-103: The Comprehensive Perinatal Services Program by requiring the State Department of Health Care Services to do both of the following: to enhance monitoring and oversight of the program:(a) Clarify that the State Department of Health Care Services is primarily responsible for the delivery of the Comprehensive Perinatal Services Program benefits as the agency that oversees the Medi-Cal program. It is the intent of the Legislature that the State Department of Health Care Services collaborate with the State Department of Public Health when appropriate.(b) Require the State Department of Health Care Services to collaborate with the State Department of Public Health on updated regulations related to the Comprehensive Perinatal Services Program.(a)Develop(c) Require the State Department of Health Care Services to develop a system of oversight to ensure that managed care plans and providers are aware of and offer Comprehensive Perinatal Services Program services to all pregnant and postpartum Medi-Cal members.(b)Create(d) Require the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.
SECTION 1. In addition to transferring administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services, it is also It is the intent of the Legislature to enact legislation implementing the remaining several recommendations to the Legislature made in California State Auditor Report 2023-103: The Comprehensive Perinatal Services Program by requiring the State Department of Health Care Services to do both of the following: to enhance monitoring and oversight of the program:
### SECTION 1.
(a) Clarify that the State Department of Health Care Services is primarily responsible for the delivery of the Comprehensive Perinatal Services Program benefits as the agency that oversees the Medi-Cal program. It is the intent of the Legislature that the State Department of Health Care Services collaborate with the State Department of Public Health when appropriate.
(b) Require the State Department of Health Care Services to collaborate with the State Department of Public Health on updated regulations related to the Comprehensive Perinatal Services Program.
(a)Develop
(c) Require the State Department of Health Care Services to develop a system of oversight to ensure that managed care plans and providers are aware of and offer Comprehensive Perinatal Services Program services to all pregnant and postpartum Medi-Cal members.
(b)Create
(d) Require the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.
The following definitions shall govern the construction of this article:
(a)Community-based comprehensive perinatal care means a range of prenatal, delivery, postpartum, infant, and pediatric care services delivered in an urban community or neighborhood, rural area, city or county clinic, city or county health department, freestanding birth center, or other health care provider facility by health care practitioners trained in methods of preventing complications and problems during and after pregnancy, and in methods of educating pregnant women of these preventive measures, and who provide a continuous range of services. The health care practitioners shall, through a system of established linkages to other levels of care in the community, consult with, and, when appropriate, refer to, specialists.
(b)Low income means all persons of childbearing age eligible for Medi-Cal benefits under Chapter 7 (commencing with Section 14000) and all persons eligible for public social services for which federal reimbursement is available, including potential recipients. Potential recipients shall include the pregnant woman and her infant in a family where current social, economic and health conditions of the family indicate that the family would likely become a recipient of financial assistance within the next five years.
(c)Prenatal care means care received from conception until the completion of labor and delivery.
(d)Perinatal care means care received from the time of conception through the first year after birth.
(e)Qualified organization means any nonprofit, not-for-profit, or for-profit corporation with demonstrated expertise in implementing the Nurse-Family Partnership program or similar programs in different local settings.
(f)Qualified trainer means anyone who has been certified by the Nurse-Family Partnership to provide training.
(g)Department means the State Department of Health Care Services, unless otherwise designated.
(a)Commencing January 1, 2026, the department succeeds to, and is vested with, all the powers, functions, duties, responsibilities, obligations, liabilities, and jurisdiction of the program established pursuant to this article.
(b)The department may enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement this section.
(c)Without limiting any other powers or duties, the department shall ensure compliance with the terms of any state plans, memoranda of understanding, administrative orders, interagency agreements, contracts, assurances, single state agency obligations, federal statutes and regulations, and any other form of agreement or obligation that vital government activities rely upon or are a condition to the continued receipt by the department of state or federal funds or services.
(d)All existing regulations relating to the program that were adopted by the State Department of Public Health on or before January 1, 2026, are expressly continued in force.
(e)A contract, lease, license, state or federal grant, memorandum of understanding, or any other agreement relating to the program to which the State Department of Public Health is a party is not void or voidable by reason of the act that added this section, but is continued in full force and effect, with the department assuming all of the rights, obligations, and duties of the State Department of Public Health. The assumption by the department does not in any way affect the rights of the parties to the contract, lease, license, state or federal grant, memorandum of understanding, or agreement.
(f)Any legal action concerning the duties, responsibilities, obligations, liabilities, and functions described in this article shall not abate, and shall continue in the name of the department. The substitution of the department for the State Department of Public Health or the State Public Health Officer does not affect the rights of the parties to the action.
(g)All financial and accounting records, documents, records, and property relating to the program shall be transferred to the department by the State Department of Public Health. The format and timing of this transfer shall be mutually agreed upon by the department and the State Department of Public Health, and shall not require formal agreement or approval by any other entity.
SEC. 2. Section 123486 is added to the Health and Safety Code, to read:123486. Notwithstanding Section 131051, the duties and responsibilities outlined in this article do not supersede the State Department of Health Care Services authority as the designated single state agency for the administration of the federal Medicaid program as designated in Californias Medicaid state plan. As such, in addition to the duties required by the department, the State Department of Health Care Services is ultimately responsible for the implementation of this benefit for the purposes of the Medi-Cal program.
SEC. 2. Section 123486 is added to the Health and Safety Code, to read:
### SEC. 2.
123486. Notwithstanding Section 131051, the duties and responsibilities outlined in this article do not supersede the State Department of Health Care Services authority as the designated single state agency for the administration of the federal Medicaid program as designated in Californias Medicaid state plan. As such, in addition to the duties required by the department, the State Department of Health Care Services is ultimately responsible for the implementation of this benefit for the purposes of the Medi-Cal program.
123486. Notwithstanding Section 131051, the duties and responsibilities outlined in this article do not supersede the State Department of Health Care Services authority as the designated single state agency for the administration of the federal Medicaid program as designated in Californias Medicaid state plan. As such, in addition to the duties required by the department, the State Department of Health Care Services is ultimately responsible for the implementation of this benefit for the purposes of the Medi-Cal program.
123486. Notwithstanding Section 131051, the duties and responsibilities outlined in this article do not supersede the State Department of Health Care Services authority as the designated single state agency for the administration of the federal Medicaid program as designated in Californias Medicaid state plan. As such, in addition to the duties required by the department, the State Department of Health Care Services is ultimately responsible for the implementation of this benefit for the purposes of the Medi-Cal program.
123486. Notwithstanding Section 131051, the duties and responsibilities outlined in this article do not supersede the State Department of Health Care Services authority as the designated single state agency for the administration of the federal Medicaid program as designated in Californias Medicaid state plan. As such, in addition to the duties required by the department, the State Department of Health Care Services is ultimately responsible for the implementation of this benefit for the purposes of the Medi-Cal program.
SEC. 3. Section 123487 is added to the Health and Safety Code, to read:123487. (a) The department shall, in collaboration with the State Department of Health Care Services, update the regulations related to the statewide comprehensive community-based perinatal services program to clarify the roles and responsibilities from each department and make adjustments to the current monitoring and oversights systems, including the monitoring of managed care plans and fee-for-service providers, by July 1, 2027.(b) The department shall, in collaboration with the State Department of Health Care Services, develop a training on administering the perinatal program and require that all perinatal providers in the program attend the training.(c) The department shall, in collaboration with the State Department of Health Care Services, develop a form for providers to collect information on the offer and use of perinatal services, and shall share the information collected with the State Department of Health Care Services for inclusion in the triennial report required pursuant to Section 123521.(d) The department shall develop and implement a system to verify the information provided pursuant to subdivision (c).
SEC. 3. Section 123487 is added to the Health and Safety Code, to read:
### SEC. 3.
123487. (a) The department shall, in collaboration with the State Department of Health Care Services, update the regulations related to the statewide comprehensive community-based perinatal services program to clarify the roles and responsibilities from each department and make adjustments to the current monitoring and oversights systems, including the monitoring of managed care plans and fee-for-service providers, by July 1, 2027.(b) The department shall, in collaboration with the State Department of Health Care Services, develop a training on administering the perinatal program and require that all perinatal providers in the program attend the training.(c) The department shall, in collaboration with the State Department of Health Care Services, develop a form for providers to collect information on the offer and use of perinatal services, and shall share the information collected with the State Department of Health Care Services for inclusion in the triennial report required pursuant to Section 123521.(d) The department shall develop and implement a system to verify the information provided pursuant to subdivision (c).
123487. (a) The department shall, in collaboration with the State Department of Health Care Services, update the regulations related to the statewide comprehensive community-based perinatal services program to clarify the roles and responsibilities from each department and make adjustments to the current monitoring and oversights systems, including the monitoring of managed care plans and fee-for-service providers, by July 1, 2027.(b) The department shall, in collaboration with the State Department of Health Care Services, develop a training on administering the perinatal program and require that all perinatal providers in the program attend the training.(c) The department shall, in collaboration with the State Department of Health Care Services, develop a form for providers to collect information on the offer and use of perinatal services, and shall share the information collected with the State Department of Health Care Services for inclusion in the triennial report required pursuant to Section 123521.(d) The department shall develop and implement a system to verify the information provided pursuant to subdivision (c).
123487. (a) The department shall, in collaboration with the State Department of Health Care Services, update the regulations related to the statewide comprehensive community-based perinatal services program to clarify the roles and responsibilities from each department and make adjustments to the current monitoring and oversights systems, including the monitoring of managed care plans and fee-for-service providers, by July 1, 2027.(b) The department shall, in collaboration with the State Department of Health Care Services, develop a training on administering the perinatal program and require that all perinatal providers in the program attend the training.(c) The department shall, in collaboration with the State Department of Health Care Services, develop a form for providers to collect information on the offer and use of perinatal services, and shall share the information collected with the State Department of Health Care Services for inclusion in the triennial report required pursuant to Section 123521.(d) The department shall develop and implement a system to verify the information provided pursuant to subdivision (c).
123487. (a) The department shall, in collaboration with the State Department of Health Care Services, update the regulations related to the statewide comprehensive community-based perinatal services program to clarify the roles and responsibilities from each department and make adjustments to the current monitoring and oversights systems, including the monitoring of managed care plans and fee-for-service providers, by July 1, 2027.
(b) The department shall, in collaboration with the State Department of Health Care Services, develop a training on administering the perinatal program and require that all perinatal providers in the program attend the training.
(c) The department shall, in collaboration with the State Department of Health Care Services, develop a form for providers to collect information on the offer and use of perinatal services, and shall share the information collected with the State Department of Health Care Services for inclusion in the triennial report required pursuant to Section 123521.
(d) The department shall develop and implement a system to verify the information provided pursuant to subdivision (c).
SEC. 4. Section 123501 is added to the Health and Safety Code, to read:123501. (a) The State Department of Health Care Services shall require all Medi-Cal managed care plans to include information on the enhanced perinatal program benefits in the plan member handbooks.(b) The State Department of Health Care Services shall require all Medi-Cal managed care plans to ensure that providers have received the training described in Section 123487.(c) The State Department of Health Care Services shall implement a system to ensure that Medi-Cal managed care plans offer and provide Comprehensive Perinatal Services Program services to eligible enrollees.(d) The State Department of Health Care Services shall require Medi-Cal managed care plans, as defined in Section 14184.101 of the Welfare and Institutions Code, to conduct quality assurance reviews on perinatal providers at least once every three years, starting in January 2026, to ensure that Medi-Cal managed care plan enrollees are being offered and receive Comprehensive Perinatal Services Program services.
SEC. 4. Section 123501 is added to the Health and Safety Code, to read:
### SEC. 4.
123501. (a) The State Department of Health Care Services shall require all Medi-Cal managed care plans to include information on the enhanced perinatal program benefits in the plan member handbooks.(b) The State Department of Health Care Services shall require all Medi-Cal managed care plans to ensure that providers have received the training described in Section 123487.(c) The State Department of Health Care Services shall implement a system to ensure that Medi-Cal managed care plans offer and provide Comprehensive Perinatal Services Program services to eligible enrollees.(d) The State Department of Health Care Services shall require Medi-Cal managed care plans, as defined in Section 14184.101 of the Welfare and Institutions Code, to conduct quality assurance reviews on perinatal providers at least once every three years, starting in January 2026, to ensure that Medi-Cal managed care plan enrollees are being offered and receive Comprehensive Perinatal Services Program services.
123501. (a) The State Department of Health Care Services shall require all Medi-Cal managed care plans to include information on the enhanced perinatal program benefits in the plan member handbooks.(b) The State Department of Health Care Services shall require all Medi-Cal managed care plans to ensure that providers have received the training described in Section 123487.(c) The State Department of Health Care Services shall implement a system to ensure that Medi-Cal managed care plans offer and provide Comprehensive Perinatal Services Program services to eligible enrollees.(d) The State Department of Health Care Services shall require Medi-Cal managed care plans, as defined in Section 14184.101 of the Welfare and Institutions Code, to conduct quality assurance reviews on perinatal providers at least once every three years, starting in January 2026, to ensure that Medi-Cal managed care plan enrollees are being offered and receive Comprehensive Perinatal Services Program services.
123501. (a) The State Department of Health Care Services shall require all Medi-Cal managed care plans to include information on the enhanced perinatal program benefits in the plan member handbooks.(b) The State Department of Health Care Services shall require all Medi-Cal managed care plans to ensure that providers have received the training described in Section 123487.(c) The State Department of Health Care Services shall implement a system to ensure that Medi-Cal managed care plans offer and provide Comprehensive Perinatal Services Program services to eligible enrollees.(d) The State Department of Health Care Services shall require Medi-Cal managed care plans, as defined in Section 14184.101 of the Welfare and Institutions Code, to conduct quality assurance reviews on perinatal providers at least once every three years, starting in January 2026, to ensure that Medi-Cal managed care plan enrollees are being offered and receive Comprehensive Perinatal Services Program services.
123501. (a) The State Department of Health Care Services shall require all Medi-Cal managed care plans to include information on the enhanced perinatal program benefits in the plan member handbooks.
(b) The State Department of Health Care Services shall require all Medi-Cal managed care plans to ensure that providers have received the training described in Section 123487.
(c) The State Department of Health Care Services shall implement a system to ensure that Medi-Cal managed care plans offer and provide Comprehensive Perinatal Services Program services to eligible enrollees.
(d) The State Department of Health Care Services shall require Medi-Cal managed care plans, as defined in Section 14184.101 of the Welfare and Institutions Code, to conduct quality assurance reviews on perinatal providers at least once every three years, starting in January 2026, to ensure that Medi-Cal managed care plan enrollees are being offered and receive Comprehensive Perinatal Services Program services.
SEC. 4.SEC. 5. Section 123521 is added to the Health and Safety Code, to read:123521. (a) (1) The department State Department of Health Care Services shall, no later than January July 15, 2026, submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive.(2) Commencing January 1, 2028, and every three years thereafter, the department State Department of Health Care Services shall submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous three years.(b) A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
SEC. 4.SEC. 5. Section 123521 is added to the Health and Safety Code, to read:
### SEC. 4.SEC. 5.
123521. (a) (1) The department State Department of Health Care Services shall, no later than January July 15, 2026, submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive.(2) Commencing January 1, 2028, and every three years thereafter, the department State Department of Health Care Services shall submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous three years.(b) A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
123521. (a) (1) The department State Department of Health Care Services shall, no later than January July 15, 2026, submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive.(2) Commencing January 1, 2028, and every three years thereafter, the department State Department of Health Care Services shall submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous three years.(b) A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
123521. (a) (1) The department State Department of Health Care Services shall, no later than January July 15, 2026, submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive.(2) Commencing January 1, 2028, and every three years thereafter, the department State Department of Health Care Services shall submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous three years.(b) A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
123521. (a) (1) The department State Department of Health Care Services shall, no later than January July 15, 2026, submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive.
(2) Commencing January 1, 2028, and every three years thereafter, the department State Department of Health Care Services shall submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous three years.
(b) A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.