BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2280
                                                                  Page  1

          Date of Hearing:   May 10, 2006

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                   Judy Chu, Chair

                    AB 2280 (Leno) - As Amended:  April 25, 2006 

          Policy Committee:                              HealthVote:12-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  

          This bill requires the Department of Health Services to develop  
          a counseling model for all persons who receive HIV testing at an  
          alternative test site or clinic that receives state funding for  
          HIV testing, and requires DHS to develop a reimbursement  
          schedule that accurately reflects the range of services provided  
          under this model.  Specifically, this bill:

          1)Requires DHS, in developing the counseling model, to seek  
            input from stakeholders, including, but not limited to, local  
            health jurisdictions and organizations that receive state  
            funding for HIV testing.

          2)Requires DHS to consider including specified components in the  
            counseling model, including a brief risk-assessment mechanism  
            that allows a clinic to ascertain whether a person seeking  
            testing is at low or high risk of exposure to HIV, a  
            self-administered data collection form with only state and  
            federally required questions, a prevention education module  
            that comprehensively covers all pertinent information relative  
            to methods by which a person can protect himself or herself or  
            his or her sexual or needle-sharing partners from exposure to  
            HIV, flexibility for clinics to determine the extent of  
            counseling provided to a test subject based on a test  
            subject's risk factors or frequency of HIV testing,  
            flexibility for clinics to provide counseling to couples or  
            small groups, as appropriate, and additional counseling for a  
            test subject whose preliminary test result is positive. 

          3)Requires the reimbursement schedule to ensure that a  
            contractor is reimbursed for individual services, as defined  
            in the counseling model.  








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          4)States legislative intent that a new HIV counseling model be  
            developed that allows clinics to increase the number of  
            persons seeking an HIV test to be able to be tested, and  
            appropriately reimburses clinics for the services provided to  
            those persons. 

           FISCAL EFFECT  

          Assuming this bill results in a counseling model that permits  
          greater testing volume, this bill would likely result in  
          additional GF costs in excess of $1 million annually.  For  
          example, if there is a  25% increase in testing as a result of  
          changes made to the counseling model, costs would increase by  
          $1.7 million GF.  These costs may be partially offset if the  
          counseling model results in lower reimbursement for counseling.   
          This bill states legislative intent that the new counseling  
          model and reimbursement schedule be cost-neutral, except to the  
          extent that there is an increase in the volume of test subjects.  

           COMMENTS  

          1)Purpose  .  This bill is sponsored by the AIDS Healthcare  
            Foundation (AHF), which argues that counseling has evolved  
            over the years and is inconsistently implemented from county  
            to county.  AHF contends that the current counseling model  
            required under contractual agreements has resulted in  
            impediments to testing in some counties because it is so  
            time-consuming that it limits the number of people that can be  
            tested.  AHF states it is the largest nonprofit provider of  
            testing services in the state, and it has been forced to turn  
            people away from testing on any given day because the  
            counseling requirements are so strenuous that there is  
            insufficient time to test all those who seek it.  

          The author argues some testing organizations are required  
            through contract compliance to engage in lengthy processes  
            that may not be appropriate for their client base, and this  
            limits the number of people who can be tested.  Additionally,  
            some testing organizations are having difficulty testing all  
            of the people who wish to be tested because the counseling  
            protocols demand unnecessary attention to low risk and serial  
            testers.  The purpose of this bill is to focus resources where  
            they are needed most. 









                                                                  AB 2280
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           2)Background  .  State law does not address the HIV test  
            counseling model developed by DHS and implemented through  
            contracts.  Because test counseling processes are enforced  
            through contract compliance, and because various counties  
            administer these contracts, there has been variation in the  
            flexibility allowed to testing organizations.  DHS indicates  
            the current number of state-funded tests administered annually  
            is 150,000 at a cost of approximately $8.5 million, 95% ($8.1  
            million) of which was GF.  

          DHS' Office of AIDS has scheduled a one-day stakeholder meeting  
            in Sacramento on May 17, 2006 to discuss changes in the  
            programmatic requirements and the reimbursement schedule of  
            the HIV Counseling and Testing Program.  



           Analysis Prepared by  :    Scott Bain / APPR. / (916) 319-2081