BILL ANALYSIS                                                                                                                                                                                                    Ó






                             SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:       AB 1231
          AUTHOR:        Pérez
          AMENDED:       June 17, 2013
          HEARING DATE:  July 3, 2013
          CONSULTANT:    Moreno

           SUBJECT :  Regional centers: telehealth.
           
          SUMMARY  :  Requires the Department of Developmental Services  
          inform all regional centers that any appropriate health service  
          may be provided through the use of telehealth to consumers of  
          regional center services and that dentistry may be provided  
          through the use of telehealth to consumers. Requires the  
          department to request regional centers to include a  
          consideration of telehealth in each individual program plan and  
          individualized family service plan for consumers and to consider  
          the use of telehealth services for inclusion in training  
          programs for parents of consumers.  Requires the department to  
          provide technical assistance to regional centers regarding the  
          use of telehealth, as specified.

          Existing law:
          1.Establishes the Lanterman Developmental Disabilities Services  
            Act (Lanterman Act), under which the Department of  
            Developmental Services (DDS) is authorized to contract with  
            private non-profit regional centers to provide case management  
            services and arrange for, or purchase, services that meet the  
            individual needs and choices of each person with developmental  
            disabilities, as specified.

          2.Grants all individuals with developmental disabilities the  
            right to treatment and habilitation services and supports in  
            the least restrictive environment.

          3.Defines "telehealth" as the mode of delivering health care  
            services and public health via information and communication  
            technologies for diagnosis, consultation, treatment,  
            education, care management, and self-management while a health  
            care provider is at a distant site relative to a patient, as  
            specified.

          4.Requires laws regarding the confidentiality of health care  
            information and a patient's rights to his or her medical  
                                                         Continued---



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            information to apply to telehealth interactions.  

          This bill:
          1.Requires DDS to:

             a.   Inform all regional centers that any appropriate health  
               service may be provided through the use of telehealth to  
               consumers of regional center services;
             b.   Inform all regional centers that dentistry may be  
               provided through the use of telehealth to consumers;
             c.   Request regional centers to include a consideration of  
               telehealth in each individual program plan (IPP) and  
               individualized family service plan (IFSP) for consumers;
             d.   Request regional centers to consider the use of  
               telehealth services for inclusion in training programs for  
               parents of consumers, including, but not limited to, group  
               training programs; and,
             e.   Provide, using existing resources, and in partnership  
               with other organizations, resources, and stakeholders,  
               technical assistance to regional centers regarding the use  
               of telehealth to meet the health and dental care needs of  
               consumers.

          1.Permits DDS to implement appropriate vendorization subcodes  
            for services provided through telehealth.

          2.Requires the provision of a service through the use of  
            telehealth to be voluntary and immediately discontinued at the  
            request of the consumer or, as appropriate, the consumer's  
            parent, legal guardian, or conservator.  Requires any consumer  
            who receives services through the use of telehealth pursuant  
            to this bill have an automatic right to immediately return to  
            his or her preexisting services, as defined by the consumer's  
            IPP, that were in place prior to the implementation of the  
            telehealth service.

          3.Requires DDS, on or before December 1, 2017, to forward to the  
            fiscal and appropriate policy committees of the Legislature  
            any information provided by the regional centers to the  
            department to assess the effectiveness and appropriateness of  
            providing telehealth services to consumers through the IPP and  
            IFSP processes.

          4.Requires a provider of telehealth services to be responsible  
            for all expenses and costs related to the equipment,  
            transmission, storage, infrastructure, and other expenses  




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            related to telehealth.

          5.Sunsets this bill's provisions on January 1, 2019.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, costs associated with this legislation should be  
          minor and absorbable within existing DDS resources.

           PRIOR VOTES  :  
          Assembly Human Services:   7- 0
          Assembly Health:         19- 0
          Assembly Appropriations: 17- 0
          Assembly Floor:          74- 0
          Senate Human Services:  6- 0
           
          COMMENTS  :  
           1.Author's statement.  Multiple scientific studies have  
            demonstrated that telehealth is an effective healthcare  
            delivery option with genuine potential to decrease costs. This  
            is especially relevant for a regional center system that bears  
            responsibility for transportation costs. In addition, private  
            insurance carriers and the Department of Defense already  
            utilize telehealth successfully in treating individuals with  
            developmental disabilities. The rise of Internet-based  
            technologies provides a new treatment model for families with  
            developmental disabilities. The use of telehealth can improve  
            quality of care and help bridge the barriers of time that many  
            consumers and their families currently face. Telehealth will  
            enable individuals in remote or medically underserved areas to  
            receive treatment without the burden of extended and recurring  
            travel. This not only saves hours of transportation time, but  
            dollars spent on transportation by the regional centers. This  
            bill will help ensure that all consumers have access to the  
            services they require. 
            
          2.Telehealth.  Telehealth services consist of diagnosis,  
            treatment, assessment, monitoring, communications, and  
            education.  Telehealth includes telemedicine, which is the  
            diagnosis and treatment of illness or injury.  Telehealth  
            medical services are delivered in three ways:  video  
            conferencing, which is used for real-time patient-provider  
            consultations, provider-to-provider discussions, and language  
            translation services; patient monitoring, in which electronic  
            devices transmit patient health information to health care  
            providers; and, store and forward technologies, which  




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            electronically transmit pre-recorded videos and digital  
            images, such as X-rays, video clips, and photos, between  
            primary care providers and medical specialists.
           
          3.Double referral.  This bill was heard in the Senate Human  
            Services Committee on June 25, 2013, and passed with a 6-0  
            vote.

          4.Related legislation.  AB 809 (Logue) would permit the health  
            care provider initiating the use of telehealth to request  
            verbal consent prior to the delivery of health care via  
            telehealth. This bill has been referred to the Senate  
            Committees on Business, Professions, and Economic Development  
            and Health.
            
          5.Prior legislation.  SB 764 (Steinberg) of 2012 would have  
            required each IPP team to consider the use of telehealth  
            whenever applicable for the purpose of improving access to  
            intervention and therapeutic services and facilitating better  
            and cost-effective services, as specified.  SB 764 was vetoed  
            by the Governor, who stated, "I appreciate the author's desire  
            to bring more efficiency to regional centers as well as  
            promote the value of telehealth.  The goals of this bill,  
            however, can already be accomplished under existing law.   
            Mandating every individual program planning team to consider  
            telehealth appears excessive.  Where beneficial and available,  
            I expect they will consider it, without the state telling them  
            to do so."

            SB 1050 (Alquist) of 2012 would have required DDS to establish  
            an autism telehealth taskforce to be administered and led by a  
            public or nonprofit entity responsible for the activities and  
            work of the taskforce, would have provided that the lead  
            administrator appoint members of the taskforce who have  
            knowledge or experience, as specified, and would have required  
            the taskforce to provide technical assistance and  
            recommendations in the area of telehealth services for  
            individuals with ASD, as specified.  SB 1050 was vetoed by the  
            Governor, who stated, "Last year I signed AB 415 (Logue), the  
            Telehealth Advancement Act of 2011, to update our statutes on  
            the use of telehealth.  As we work to improve and modernize  
            our health care system, we can expect telehealth to play an  
            increasingly prominent role in rural and urban areas, for many  
            diseases and conditions.  Such advancements and collaboration  
            are occurring now, and a privately funded, disease-specific  
            task force set forth in statute does not appear to be  




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            warranted." 

            AB 1733 (Logue), Chapter 782, Statutes of 2012, updates  
            several code sections to replace the term "telemedicine" with  
            "telehealth" and expands the potential for the use of  
            telehealth in additional health care programs administered by  
            the Department of Health Care Services such as the Program of  
            All-Inclusive Care for the Elderly. 

            AB 171 (Beall) of 2011 would have required health plans and  
            insurers to provide coverage for behavioral health treatment  
            for autism or Pervasive Developmental Disorder (PDD).  
            AB 171 died in the Senate Health Committee without a hearing.

            AB 415 (Logue), Chapter 547, Statutes of 2011, establishes the  
            Telehealth Advancement Act of 2011 to revise and update  
            existing law to facilitate the advancement of telehealth as a  
            service delivery mode in managed care and the Medi-Cal  
            program.  

            AB 329 (Nakanishi), Chapter 386, Statutes of 2007, authorizes  
            the Medical Board of California (MBC) to establish a pilot  
            program to expand the practice of telemedicine and to convene  
            a working group.  AB 329 specifies that the purpose of the  
            pilot program is to develop methods, using a telemedicine  
            model, of delivering health care to those with chronic  
            diseases and delivering other health information, and requires  
            MBC to make recommendations regarding its findings to the  
            Legislature within one calendar year of the commencement date  
            of the pilot program.  MBC reports that this pilot program is  
            currently commencing.

            SB 1665 (Thompson), Chapter 864, Statutes of 1996, establishes  
            the Telemedicine Development Act (TDA) to set standards for  
            the use of telemedicine by health care practitioners and  
            insurers.  TDA specifies, in part, that face-to-face contact  
            between a health care provider and a patient shall not be  
            required under the Medi-Cal program for services appropriately  
            provided through telemedicine, when those services are  
            otherwise covered by the Medi-Cal program, and requires a  
            health care practitioner to obtain verbal and written consent  
            prior to providing services through telemedicine.
            
          6.Support.  Supporters write that many regional center consumers  
            do not have adequate access to behavioral health treatment,  




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            especially in underserved and rural populations where  
            transportation and provider shortages present significant  
            obstacles to treatment.  Telehealth technology represents an  
            opportunity to bridge the gap in the services by offering  
            regional center consumers another option.
          
           SUPPORT AND OPPOSITION  :
          Support:  (previous version)
                    ACT Today!
                    Association of Regional Center Agencies
                    Autism Research Group
                    Center for Autism and Related Disorders
                    Institute for Behavioral Training
                    Law Offices of Bonnie Z. Yates, Inc.
                    Special Needs Network
                    The Children's Partnership
                    1 individual

          Oppose:   None received

                                          
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