BILL NUMBER: AB 1208 INTRODUCED
BILL TEXT
INTRODUCED BY Assembly Member Pan
FEBRUARY 22, 2013
An act to add Chapter 3.5 (commencing with Section 24300) to
Division 20 of the Health and Safety Code, relating to medical homes.
LEGISLATIVE COUNSEL'S DIGEST
AB 1208, as introduced, Pan. Medical homes.
Existing law provides for the licensure and regulation of clinics
and health facilities by the State Department of Public Health.
Existing law also provides for the registration, certification, and
licensure of various health care professionals and sets forth the
scope of practice for these professionals.
This bill would establish the Patient Centered Medical Home Act of
2013 and would define a "medical home" and a "patient centered
medical home" for purposes of the act to refer to a health care
delivery model in which a patient establishes an ongoing relationship
with a licensed health care provider, as specified. The bill would
specify that it does not change the scope of practice of health care
providers.
Vote: majority. Appropriation: no. Fiscal committee: no.
State-mandated local program: no.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. Chapter 3.5 (commencing with Section 24300) is added to
Division 20 of the Health and Safety Code, to read:
CHAPTER 3.5. PATIENT CENTERED MEDICAL HOME ACT OF 2013
24300. This chapter shall be known, and may be cited, as the
Patient Centered Medical Home Act of 2013.
24301. (a) "Medical home" and "patient centered medical home"
mean a health care delivery model in which a patient establishes an
ongoing relationship with a personal primary care physician or other
licensed health care provider acting within the scope of his or her
practice. The personal provider works in a physician-led practice
team to provide comprehensive, accessible, and continuous
evidence-based primary and preventative care, and to coordinate the
patient's health care needs across the health care system in order to
improve quality and health outcomes in a cost-effective manner.
(b) A health care delivery model described in this section shall
stress a team approach to providing comprehensive health care that
fosters a partnership among the patient, the licensed health care
provider acting within his or her scope of practice, other health
care professionals, and, if appropriate, the patient's family.
24302. Unless otherwise provided by statute, a medical home shall
include all of the following characteristics:
(a) Individual patients shall have an ongoing relationship with a
physician or other licensed health care provider acting within his or
her scope of practice, who is trained to provide first contact and
continuous and comprehensive care, or, if appropriate, provide
referrals to health care professionals that provide continuous and
comprehensive care.
(b) A provider-led team of individuals at the practice level
collectively that take responsibility for the ongoing health care of
patients, including appropriately arranging health care by other
qualified health care professionals and making appropriate referrals.
(c) Care shall be coordinated and integrated across all elements
of the complex health care system, including mental health and
substance use disorder care, and the patient's community. Care shall
be facilitated by health information technology, such as electronic
medical records, electronic patient portals, health information
exchanges, and other means to ensure that patients receive the
indicated care when and where they need and want this care in a
culturally and linguistically appropriate manner.
(d) All of the following quality and safety components are
incorporated into the medical home:
(1) Advocacy for patients to support the attainment of optimal,
patient-centered outcomes that are defined by a care planning process
driven by a compassionate, robust partnership between providers, the
patient, and the patient's family.
(2) Evidence-based medicine and clinical decision support tools
guide decisionmaking.
(3) The licensed health care providers in the practice accept
accountability for continuous quality improvement through voluntary
engagement in performance measurement and improvement.
(4) Active patient participation in decisionmaking. Feedback is
sought to ensure that the patients' expectations are being met.
(5) Information technology is utilized appropriately to support
optimal patient care, performance measurement, patient education, and
enhanced communication.
(6) Patients and families participate in quality improvement
activities at the practice level.
(e) Enhanced patient access to health care that meets the
requirements of a nationally recognized, independent, medical home
accreditation agency.
24303. Nothing in this chapter shall be construed to do any of
the following:
(a) Permit a medical home to engage in or otherwise aid and abet
in the unlicensed practice of medicine, either directly or
indirectly.
(b) Change the scope of practice of physicians and surgeons, nurse
practitioners, or other health care providers.
(c) Affect the ability of a nurse to operate under standard
procedures pursuant to Section 2725 of the Business and Professions
Code.
(d) Apply to activities of managed care plans, or their
contracting providers, or county alternative models of care, or their
contracting providers, or local coverage expansion and enrollment
demonstration projects, if those activities are part of demonstration
projects developed pursuant to Section 14180 of the Welfare and
Institutions Code.
(e) Prevent or limit participation in activities authorized by
Sections 2703, 3024, and 3502 of the federal Patient Protection and
Affordable Care Act (Public Law 111-148), as amended by the federal
Health Care and Education Reconciliation Act of 2010 (Public Law
111-152), if the participation is consistent with state law
pertaining to scope of practice.