BILL NUMBER: AB 1606	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  MARCH 23, 2010

INTRODUCED BY   Assembly Member Coto

                        JANUARY 6, 2010

   An act to add Section 14132.07 to the Welfare and Institutions
Code, relating to Medi-Cal.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 1606, as amended, Coto. Medi-Cal:  Standford Chronic
Disease Self-Management Program.   department-approved
  chronic disease self-management programs. 
   Existing law establishes the Medi-Cal program, administered by the
State Department of Health Care Services, under which basic health
care services are provided to qualified low-income persons. The
Medi-Cal program is, in part, governed and funded by federal Medicaid
provisions.
   This bill would require the department to seek, and if obtained,
to implement  ,  all federal waivers necessary to allow for
the services provided  to Medi-Cal beneficiaries pursuant to
the Stanford Chronic Disease Self-Management Program, as defined,
  through   a   department-approved
  chronic disease self-management program   , as
defined,  to be reimbursable under the Medi-Cal program.
   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 14132.07 is added to the 
 Welfare and Institutions Code   , to read:  
   14132.07.  (a) For purposes of this section, a
"department-approved chronic disease self-management program" means a
chronic disease self-management program approved by the department
that has been tested through randomized controlled trials and
satisfies the following conditions:
   (1) Has been shown to be effective at improving or maintaining the
health status of people with chronic disease.
   (2) Has been shown to be suitable for implementation, including
implementation through community-based services organizations, and is
ready for broad national distribution through those organizations.
   (3) Nonclinical workers or volunteers are utilized in the delivery
of the services provided by the chronic disease self-management
program.
   (4) Any results from the randomized controlled trials done on the
chronic disease self-management program have been published in a
peer-reviewed scientific journal.
   (b) (1) The department shall seek approval for, and if obtained,
implement, all federal waivers necessary to allow the services
provided to Medi-Cal beneficiaries through a department-approved
chronic disease self-management program to be reimbursable under the
Medi-Cal program.
   (2) In implementing paragraph (1), the department shall consider
including reimbursement for services provided through
department-approved chronic disease self-management programs as part
of the waiver under Section 1115 of the federal Social Security Act
(42 U.S.C. Sec. 1315) to replace the current Medi-Cal
Hospital/Uninsured Care Demonstration Project or as part of the
waiver for the Multipurpose Senior Services Program, or both. 

  SECTION 1.    Section 14132.07 is added to the
Welfare and Institutions Code, to read:
   14132.07.  (a) For purposes of this section, the "Stanford Chronic
Disease Self-Management Program" means a course developed and
licensed by Stanford University to assist individuals with chronic
disease.
   (b) The department shall seek, and if obtained, to implement all
federal waivers necessary to allow for the services provided to
Medi-Cal beneficiaries pursuant to the Stanford Chronic Disease
Self-Management Program to be reimbursable under the Medi-Cal
program.