Amended in Senate May 31, 2016

Amended in Senate April 14, 2016

Amended in Senate March 28, 2016

Senate BillNo. 1466


Introduced by Senator Mitchell

February 19, 2016


An act to add Section 14132.19 to the Welfare and Institutions Code, relating to Medi-Cal.

LEGISLATIVE COUNSEL’S DIGEST

SB 1466, as amended, Mitchell. Early and Periodic Screening, Diagnosis, and Treatment Program: trauma screening.

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, including early and periodic screening, diagnosis, and treatment for any individual under 21 years of age who is covered under Medi-Cal consistent with the requirements under federal law. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions.

Existing federal law provides that EPSDT services include periodic screening services, vision services, dental services, hearing services, and other necessary services to correct or ameliorate defects and physical and mental illnesses and conditions discovered by the screening services, whether or not the services are covered under the state plan. In addition to the required periodic screening services, existing federal law provides that Medicaid-eligible children are entitled to interperiodic screenings in order tobegin delete identityend deletebegin insert identifyend insert a suspected illness or condition not present or discovered during the periodicbegin delete exam.end deletebegin insert examination.end insert

The bill would require, consistent with federal law, those screening services under the EPSDT program to include screening for trauma, as defined by the bill.begin delete The bill would require that a child who is found to have experienced trauma through the screening process be referred to the county mental health plan for an assessment for specialty mental health services.end delete The bill would require that any child who isbegin delete found to have experienced trauma during a screening made pursuant to these provisions, and any child that is abused, neglected orend delete removed from the custody or care of his or her parent or legal guardian, as specified, be assessed by the county mental health plan for specialty mental health services.begin delete The bill would require that a child who is determined not to be eligible for specialty mental health services be referred for other necessary health care, diagnostic services, treatment, and other measures, as specified.end delete

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

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

P2    1

SECTION 1.  

Section 14132.19 is added to the Welfare and
2Institutions Code
, to read:

3

14132.19.  

(a) begin delete(1)end deletebegin deleteend deleteConsistent with federal law, screening
4services provided under the Early and Periodic Screening,
5Diagnosis, and Treatment (EPSDT) benefit pursuant to subdivision
6(v) of Section 14132 shall include screening for trauma at all
7screenings.

begin delete

8(2) A child found to have experienced trauma through the
9screening process shall be referred to the county mental health
10plan for an assessment for specialty mental health services.

end delete

11(b) A child who isbegin delete abused, neglected, orend delete removed from the
12custody or care of his or her parent or legal guardian pursuant to
13Section 300 and following, or Section 727, shall be assessed by
14the county mental health plan for specialty mental health services.

begin delete

15(c) A child who is found to have experienced trauma during a
16screening made pursuant to this section shall be assessed by the
17county mental health plan for specialty mental health services. If
18a child is determined not to be eligible for specialty mental health
19services after an assessment by a specialty mental health plan
P3    1provider, the child shall be referred for other necessary health care,
2diagnostic services, treatment and other measures described in
3Section 1396d of Title 42 of the United States Code to correct or
4ameliorate any trauma-related defects and physical and mental
5illnesses and conditions.

end delete
begin delete

6(d)

end delete

7begin insert(c)end insert “Trauma,” as used in this section, is defined as any
8physiological response to an event, series of events, or set of
9circumstances that is experienced by an individual as physically
10or emotionally harmful or life threatening and that has lasting
11adverse effects on the individual’s functional and mental, physical,
12social, emotional, or spiritual well-being.



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