BILL NUMBER: AB 2307 CHAPTERED 09/10/04 CHAPTER 449 FILED WITH SECRETARY OF STATE SEPTEMBER 10, 2004 APPROVED BY GOVERNOR SEPTEMBER 10, 2004 PASSED THE ASSEMBLY AUGUST 16, 2004 PASSED THE SENATE AUGUST 10, 2004 AMENDED IN SENATE JULY 19, 2004 AMENDED IN SENATE JUNE 29, 2004 INTRODUCED BY Assembly Member Richman FEBRUARY 19, 2004 An act to add Article 2.6 (commencing with Section 1222) to Chapter 1 of Division 2 of the Health and Safety Code, relating to health care providers. LEGISLATIVE COUNSEL'S DIGEST AB 2307, Richman. Health care: provider enrollment and certification. Under existing law, the State Department of Health Services licenses and regulates primary care clinics. Existing law provides for the Child Health and Disability Prevention Program, under the supervision of the department of, pursuant to which certain health and disability prevention treatment services are provided to eligible children. Existing law provides for the Medi-Cal program, administered by the department, under which qualified low-income persons are provided with health care services, including prescription benefits. Existing law creates the Perinatal Services Program, under the Medi-Cal program, to provide assistance to pregnant women and infants up to one year of age in families of qualifying incomes. Existing law requires the delivery of timely and continuing prenatal care during a period of presumptive eligibility pending a determination of eligibility under the application and eligibility determination and redetermination processes in the implementation of the Medi-Cal program. Existing law provides for the delivery of comprehensive clinical family planning services to any person who has a family income at or below 200% of the federal poverty level, and who is eligible to receive these services pursuant to a federal waiver under the Family Planning, Access, Care, and Treatment (Family PACT) Waiver Program as a covered benefit under the Medi-Cal program. This bill would require the department to implement, on or before July 1, 2005, a process that allows an applicant for licensure as a primary care clinic to submit an application for review of the clinic' s qualifications for participation in any of the above-described programs simultaneously with any review for enrollment and certification as a provider in the Medi-Cal program, and if approved for participation in a program, to be enrolled or certified, or both, as a provider in the program, subsequent to certification and enrollment as a provider in the Medi-Cal program. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS: SECTION 1. Article 2.6 (commencing with Section 1222) is added to Chapter 1 of Division 2 of the Health and Safety Code, to read: Article 2.6. Provider Enrollment for Clinics 1222. The department shall, on or before July 1, 2005, implement a process that allows an applicant for licensure as a primary care clinic, as defined in subdivision (a) of Section 1204, at the applicant's option, to submit an application for review of the clinic' s qualifications for participation in any of the following programs simultaneous with any review for enrollment and certification as a provider in the Medi-Cal program, and if approved for participation in a program, to be enrolled or certified, or both, as a provider in the program, subsequent to certification and enrollment as a provider in the Medi-Cal program: (a) Medi-Cal Presumptive Eligibility under Section 14148.7 of the Welfare and Institutions Code. (b) Child Health and Disability Prevention Program provided for pursuant to Article 6 (commencing with Section 124025) of Chapter 3 of Part 2 of Division 106. (c) Perinatal Services Program provided for pursuant to Article 4.7 (commencing with Section 14148) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code. (d) Family Planning, Access, Care, and Treatment (Family PACT) Waiver Program provided for pursuant to subdivision (aa) of Section 14132 of the Welfare and Institutions Code.