Amended in Assembly August 22, 2014

Amended in Assembly May 29, 2014

Amended in Senate January 9, 2014

Amended in Senate January 6, 2014

Senate Bill No. 500

Introduced by Senator Lieu

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(Principal coauthors: Assembly Members Gray and Pan)

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February 21, 2013

begin delete An act to amend Section 2241.6 of the Business and Professions Code, relating to healing arts. end delete begin insert An act to amend Section 14124.20 of the Welfare and Institutions Code, relating to Medi-Cal. end insert

LEGISLATIVE COUNSEL’S DIGEST

SB 500, as amended, Lieu. begin delete Medical practice: pain management. end delete begin insert Drug Medi-Cal. end insert

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Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Existing law authorizes the department to adopt regulations for the certification of each provider in the Medi-Cal program. Existing law also provides for the Medi-Cal Drug Treatment Program (Drug Medi-Cal), under which the department is authorized to enter into contracts with counties for various drug treatment services to Medi-Cal recipients, or is required to directly arrange for these services if a county elects not to do so.

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This bill would require the department, in coordination with the counties, to ensure the implementation of procedures, for purposes of the Drug Medi-Cal program, to routinely identify and initiate recovery efforts for payments that the county authorizes either (1) between the effective date of a provider’s decertification and the date the county receives information regarding the decertification or (2) after a beneficiary’s date of death.

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Existing law establishes the Medical Board of California within the Department of Consumer Affairs. Existing law, among other things, required the board to develop standards before June 1, 2002, to ensure the competent review in cases concerning the management, including, but not limited to, the undertreatment, undermedication, and overmedication of a patient’s pain.

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This bill would require the board, on or before July 1, 2015, to update those standards. The bill would require the board to convene a task force to develop and recommend the updated standards to the board. The bill would also require the board to update those standards on or before July 1 each 5th year thereafter.

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Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.

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

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begin insert SECTION 1. end insert   

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begin insert Section 14124.20 of the end insert begin insert Welfare and Institutions
Code end insert begin insert is amended to read: end insert

14124.20.  

(a) The department may enter into a Drug Medi-Cal
Treatment Program contract with each county for begin delete the provision of end delete
begin insert providing end insert alcohol and drug use services within the county service
area.

(b) A county that has multiple contracts with the department
for begin delete the provision of end delete begin insert providing end insert multiple alcohol and drug use
services may enter into a single contract with the department.

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(c) The department shall, in coordination with the counties,
ensure the implementation of procedures to routinely identify and
initiate recovery efforts for payments that the county authorizes
either (1) between the effective date of a provider’s decertification
and the date the county receives information regarding the
decertification or (2) after the beneficiary’s date of death.

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SECTION 1.  

Section 2241.6 of the Business and Professions
Code is amended to read:

2241.6.  

(a) (1) The board shall develop standards before June
1, 2002, to ensure the competent review in cases concerning the
management, including, but not limited to, the undertreatment,
undermedication, and overmedication of a patient’s pain.

(2) The board may consult with entities such as the American
Pain Society, the American Academy of Pain Medicine, the
California Society of Anesthesiologists, the California Chapter of
the American College of Emergency Physicians, the Osteopathic
Medical Board of California, and any other medical entity
specializing in pain control therapies to develop the standards
utilizing, to the extent they are applicable, current authoritative
clinical practice guidelines.

(b) The board shall update the standards adopted pursuant to
subdivision (a) on or before July 1, 2015, and on or before July 1
each fifth year thereafter.

(c) The board shall convene a task force to develop and
recommend the updated standards to the board. The task force, in
developing the updated standards, may consult with the entities
specified in paragraph (2) of subdivision (a), the American Cancer
Society, a physician who treats or evaluates patients as part of the
workers’ compensation system, an osteopathic physician, a
physician assistant, and specialists in pharmacology and addiction
medicine.

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