BILL NUMBER: SB 613	AMENDED
	BILL TEXT

	AMENDED IN SENATE  APRIL 6, 2015

INTRODUCED BY   Senator Allen

                        FEBRUARY 27, 2015

   An act to add and repeal Section 4034 of the Welfare and
Institutions Code, relating to dementia.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 613, as amended, Allen.  State  Department of Health
Care Services: dementia guidelines: workgroup.
   Existing law establishes the State Department of Health Care
Services, which administers the state Medi-Cal program and the
community mental health programs in the state.
   This bill would require the department to convene a workgroup to
 create guidelines for dementia care in the Medi-Cal program.
  update the Guidelines for Alzheimer's Disease
Management in California to address changes in the health care
system, including changes in the federal Patient Protection and
Affordable Care Act and Medicare.  The bill would require the
department to  report the recommendations of the workgroup to
the Legislature   implement the updated guidelines
 on or before March 1, 2017. The bill would repeal these
provisions as of January 1, 2018.
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 4034 is added to the Welfare and Institutions
Code, to read:
   4034.  (a) The Legislature finds and declares all of the
following:
   (1) There are an estimated 57,000 people with dementia in
California's Coordinate Care Initiative.
   (2) Average per person Medicaid spending for seniors with
Alzheimer's disease and other dementias is 19 times higher than
average per person Medicaid spending for all other seniors.
   (3) The triple aim of the federal  Patient Protection and
 Affordable Care Act  (Public Law 111-148)  and
Medicaid expansion is improved population health, better experience
of care, and lower per capita health care costs.
   (4) Dementia care management has proven, through peer-reviewed,
evidence-based research, to achieve all three aims.
   (b) The State Department of Health Care Services shall convene a
workgroup to  create guidelines for dementia care in the
Medi-Cal program. The guidelines shall draw on the experience of the
Dementia MediConnect three-year grant awarded to the California
Department of Aging and any other relevant literature.  
update the 2008 Guidelines for Alzheimer's Disease Management in
California to address changes in the health care   system,
including, but not limited to, changes in the federal Patient
Protection and Affordable Care Act (Public Law 111-148) and Medicare.
These updates may further draw on evidence-based, peer-reviewed
research and lessons learned from demonstration and pilot projects.

   (c) The workgroup shall consist of  stakeholders,
including nurses, social workers, primary care physicians, advocates
for people with dementia, health plans and insurers, and others as
the department deems necessary.  members determined by
the department. It may include multidisciplinary experts in Alzheimer'
s disease detection, diagnosis, treatment, and support. 
   (d) The department shall  report the recommendations of
the workgroup to the Legislature   implement the updates
and recommendations from the working group  on or before March
1, 2017. This report shall be submitted in compliance with Section
9795 of the Government Code.
   (e) This section shall remain in effect only until January 1,
2018, and as of that date is repealed, unless a later enacted
statute, that is enacted before January 1, 2018, deletes or extends
that date.