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AB-741 Early and Periodic Screening, Diagnosis, and Treatment Program: trauma screening.(2019-2020)

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Date Published: 03/28/2019 09:00 PM
AB741:v98#DOCUMENT

Corrected  April 01, 2019
Amended  IN  Assembly  March 28, 2019

CALIFORNIA LEGISLATURE— 2019–2020 REGULAR SESSION

Assembly Bill
No. 741


Introduced by Assembly Member Kalra

February 19, 2019


An act to amend Section 14132.19 of the Welfare and Institutions Code, relating to Medi-Cal.


LEGISLATIVE COUNSEL'S DIGEST


AB 741, as amended, Kalra. Early and Periodic Screening, Diagnosis, and Treatment Program: universal trauma screening.
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, including early and periodic screening, diagnosis, and treatment (EPSDT) for any individual under 21 years of age who is covered under the Medi-Cal program, consistent with certain federal requirements. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.
Existing law requires the department to convene an advisory working group to update, amend, or develop, if appropriate, tools and protocols for the screening of children for trauma, within the EPSDT benefit. Existing law requires that the group be disbanded on December 31, 2019, and requires, on or before May 1, 2019, the department to identify an existing advisory working group to periodically review and consider the protocols for the screening of trauma in children at least once every 5 years, or upon the request of the department.
This bill would require the department, in order to ensure the success and sustainability of trauma screenings for children as part of the EPSDT benefit, to provide trainings for certain personnel, including, among other things, instruction on how to identify and make appropriate referrals for patients who have tested positive in trauma screenings.
The bill would require the department to create specified codes for the administration of, and compliance with, trauma screening requirements, and to submit a related annual report to the Legislature. The bill would require the department to evaluate the potential for integrating current tools used by the department with validated trauma screening tools to produce a single, validated tool, and to report the department’s findings and recommendations to the Legislature no later than December 31, 2023.
The bill would require the implementation of these provisions only if, and to the extent that, federal financial participation is not jeopardized and all necessary federal approvals have been obtained.

Existing law requires the State Department of Health Care Services, in consultation with the State Department of Social Services, county mental health experts, managed care plan experts, behavioral health experts, child welfare experts, and stakeholders, to convene an advisory working group to update, amend, or develop, if appropriate, tools and protocols for the screening of children for trauma as part of the Medi-Cal benefit for those children.

This bill would provide that it is the intent of the Legislature to enact legislation that would implement provider training to ensure the success and sustainability of universal trauma screening.

Vote: MAJORITY   Appropriation: NO   Fiscal Committee: NOYES   Local Program: NO  

The people of the State of California do enact as follows:


SECTION 1.

 Section 14132.19 of the Welfare and Institutions Code is amended to read:

14132.19.
 (a) (1) The department, in consultation with the State Department of Social Services, county mental health experts, managed care plan experts, behavioral health experts, child welfare experts, and stakeholders, shall convene an advisory working group to update, amend, or develop, if appropriate, tools and protocols for the screening of children for trauma, within the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit, consistent with existing law and this section. The advisory working group shall consider both of the following:
(A) Existing screening tools used in the Medi-Cal program, including, but not limited to, the Staying Healthy Assessment developed by the department, the United States Preventive Services Task Force grade “A” or “B” recommendations, and the American Academy of Pediatrics Bright Futures periodicity schedule and anticipatory guidance.
(B) The efficacy and appropriateness of the types of providers authorized to administer screenings.
(2) The department shall convene the advisory working group by May 1, 2018. The advisory working group shall report its findings and recommendations, as well as any appropriations necessary to implement those recommendations, to the department and to the Legislature’s budget subcommittees on health and human services no later than May 1, 2019. The advisory working group shall be disbanded on December 31, 2019.
(3) Findings or recommendations of the advisory working group that cannot be implemented without a subsequent appropriation by the Legislature, as determined by the department, shall not be implemented until the appropriation is made.
(4) On or before May 1, 2019, the department shall identify an existing advisory working group to periodically review and consider the protocols for the screening of trauma in children consistent with subparagraphs (A) and (B) of paragraph (1). The group created pursuant to this section may, as part of its work, recommend to the department an existing group appropriate to conduct this review. The advisory working group identified by department shall review and consider the protocols for the screening of trauma in children at least once every five years, or upon the request of the department.
(b) To ensure the success and sustainability of trauma screenings for children as part of the EPSDT benefit, the department shall do all of the following:
(1) Provide trainings for personnel who administer trauma screenings in a pediatric or primary care provider setting for children under the Medi-Cal program. The trainings shall include, at minimum, instruction on all of the following:
(A) How to administer and use an approved trauma screening tool.
(B) How to provide trauma-informed care to patients.
(C) How to identify and make appropriate referrals for patients who have tested positive in trauma screenings.
(D) How to inform patients on their options for additional trauma-informed care.
(2) (A) Create a Current Procedures Terminology (CPT) code that shall be designated for the administration of a trauma screening, and a “z” code to document and monitor compliance with trauma screening requirements.
(B) Submit to the Legislature, in compliance with Section 9795 of the Government Code, an annual report that assesses the usage data collected by the CPT and “z” codes.
(3) (A) Evaluate the potential for integrating current tools used by the department with validated trauma screening tools to produce a single, validated tool.
(B) Report to the Legislature, in compliance with Section 9795 of the Government Code, the department’s findings and recommendations from the evaluation, no later than December 31, 2023.

(b)

(c) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, or make specific this section by means of all-county letters, plan letters, plan or provider bulletins, or similar instructions, without taking regulatory action.

(c)

(d) This section shall be implemented only if if, and to the extent that that, federal financial participation under Title XIX of the federal Social Security Act (42 U.S.C. Sec. 1396 et seq.) is not jeopardized and all necessary federal approvals have been obtained.

(d)It is the intent of the Legislature to enact legislation that would implement provider training to ensure the success and sustainability of universal trauma screening.

(e) “Trauma,” as used in this section, means the result of an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or threatening and that has lasting adverse effects on the individual’s functioning and physical, social, emotional, or spiritual well-being.

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CORRECTIONS:
Heading—Line 1.
Digest—Page 1.
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