BILL ANALYSIS                                                                                                                                                                                                    �



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          SENATE THIRD READING
          SB 1050 (Alquist)
          As Amended  August 6, 2012
          Majority vote 

           SENATE VOTE  :38-0  
          
           HUMAN SERVICES      4-0         HEALTH              14-0        
           
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          |Ayes:|Beall, Ammiano, Hall,     |Ayes:|Monning, Logue, Atkins,   |
          |     |Portantino                |     |Eng, Garrick, Gordon,     |
          |     |                          |     |Hayashi,                  |
          |     |                          |     |Roger Hern�ndez, Bonnie   |
          |     |                          |     |Lowenthal, Mansoor,       |
          |     |                          |     |Mitchell, Nestande, Pan,  |
          |     |                          |     |Silva                     |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |     |                          |
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           APPROPRIATIONS      16-0                                        
           
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          |Ayes:|Gatto, Harkey,            |     |                          |
          |     |Blumenfield, Bradford,    |     |                          |
          |     |Charles Calderon, Campos, |     |                          |
          |     |Davis, Fuentes, Hall,     |     |                          |
          |     |Hill, Cedillo, Mitchell,  |     |                          |
          |     |Nielsen, Norby, Solorio,  |     |                          |
          |     |Wagner                    |     |                          |
          |     |                          |     |                          |
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           SUMMARY  :  Requires the Department of Developmental Services 
          (DDS) to establish an autism telehealth task force to provide 
          technical assistance and recommendations in the area of 
          telehealth services for individuals with autism spectrum 
          disorders (ASD).  Specifically,  this bill  :   

          1)Makes various findings and declarations regarding the efficacy 
            of telehealth services and the potential for telehealth 
            technology to improve consumer access, health care delivery 
            and care coordination for persons diagnosed with Autism 
            Spectrum Disorders (ASD).









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          2)Requires DDS to establish an autism telehealth task force and 
            to identify a public or nonprofit entity to act as lead 
            administrator which is responsible for all of the activities 
            and work of the task force.

          3)Requires the public or nonprofit administrator to have 
            knowledge or experience in telehealth, community based 
            clinical trials, and providing services to under-served 
            populations.

          4)Requires the lead administrator to appoint members of the task 
            force, with approval from DDS, who have specified knowledge or 
            experience that includes, but is not limited to, any of the 
            following:

             a)   Early identification and treatment of ASD;

             b)   Treatment of ASD;

             c)   Early intervention services provided by regional 
               centers, school districts, and community-based services;

             d)   Technology or telehealth in the provision of services to 
               individuals with ASD;

             e)   Continuity of care for individuals with ASD, 
               particularly for those transitioning from developmental 
               centers to community placements; or,

             f)   Other areas deemed necessary by DDS.

          5)Requires the task force to provide technical assistance and 
            recommendations to DDS in the area of telehealth services for 
            individuals with ASD.

          6)Provides that the task force recommendations may include 
            implementation of one or more demonstration sites that promote 
            and evaluate any of the following:

             a)   The use of telehealth and technology to assist and 
               improve the delivery of services for individuals with ASD 
               by regional centers;

             b)   The use of telehealth to provide seamless integration 








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               and coordination of services among regional centers, school 
               districts, community-based resources, and health care 
               providers and organizations; or,

             c)   The use of telehealth to improve the access of services 
               for individuals with ASD to underserved individuals and to 
               reduce the "digital divide" in underserved communities.

          7)Provides that no General Fund (GF) monies shall be 
            appropriated for the project and that the establishment of 
            responsibilities of the taskforce shall be contingent upon 
            identification of appropriate or adequate funding sources.

          8)Includes a sunset date of January 1, 2019.

           FISCAL EFFECT  :  According to the Assembly Appropriations 
          Committee, on-going costs between $25,000 and $50,000 GF for the 
          DDS workload associated with staffing the task force.

           COMMENTS  :   

           Purpose of this bill  :  According to the author, this bill 
          enhances and promotes the use of telehealth for the diagnosis 
          and treatment of ASD by DDS and regional centers and supports 
          the provision of services in the most competent and 
          cost-effective manner possible.  Existing advisory committees 
          within the DDS relating to ASD, the author says, lack specific 
          expertise regarding telehealth and technology, and have not been 
          structured for the purpose of making recommendations to the 
          department on how best to expand use of telehealth in providing 
          services to individuals with ASD and their families.

          The author points out that there are significant ongoing 
          technological advancements in the use of telehealth in a variety 
          of clinical settings, and many organizations dedicated to the 
          development of best practices to guide implementation of 
          telehealth technologies.  There is a significant divide between 
          the organizations and experts dedicated to telehealth 
          technologies generally, and the technical expertise of 
          individuals and organizations dedicated to improving the lives 
          of individuals with ASD.  According to the author, this bill 
          bridges the divide between these two areas of expertise in order 
          to help guide DDS as it expands the use of telehealth in serving 
          individuals with ASD.








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          Definition and prevalence of autism  :  Autism is defined as a 
          group of neural development disorders linked to atypical biology 
          and chemistry in the brain and generally appearing within the 
          first three years of life.  Autism is further characterized by 
          delayed, impaired or otherwise atypical verbal and social 
          communication skills, sensitivity to sensory stimulation, 
          atypical behaviors and body movements, and sensitivity to 
          changes in routines.
          
          DDS Client Development Evaluation Report data, from December 
          1997 through December 2007, reveals a significant rate of growth 
          for those with autism compared to the other major categories of 
          developmental disabilities.  While the total number of people 
          served during that period increased 56%, the number of people 
          with autism grew 321% from December 1997 through 2007.  DDS also 
          reports that, as of June 2007, 84.5% of all people with autism 
          served by DDS (including those without purchase-of-service 
          expenditures) were 3 through 21 years of age.  "Since this age 
          group, on average, has lower per capita costs, there is 
          increasing concern regarding cost implications for future years 
          as this growing segment of the population ages."  Department of 
          Developmental Services Fact Book (11th Edition, October 2008).

           Services for children and adults with autism  :  Under the 
          Lanterman Act, regional centers provide a variety of services 
          and supports to children and adults with developmental 
          disabilities necessary to prevent institutionalization and to 
          assist families caring for their children at home.  Provided 
          services include diagnosis and eligibility assessment services, 
          family support services, and residential and day programs in 
          accordance with an individual program plan (IPP).  Regional 
          centers are permitted to purchase Applied Behavior Analysis or 
          Intensive Behavior Intervention services if the service provider 
          uses evidence-based practices and the services promote positive 
          social behaviors and help address issues with learning and 
          social interactions.  Regional centers also provide services, 
          pursuant to an individualized family service plan (IFSP) under 
          the Early Start program, which entail a broad scope of 
          behavioral intervention and family support services to infants 
          and toddlers under the age of three who have a developmental 
          delay or disability or an established risk condition with a high 
          probability of resulting in a delay.  









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           Telehealth as a treatment modality for autism  :  Many studies 
          indicate that early diagnosis and intervention is critical for 
          children with ASD, offering significant opportunities to improve 
          quality of life for these children and their families over the 
          short and long term.  Recent studies have evaluated the 
          effectiveness and efficiency of behavioral intervention 
          treatments, functional communication training and functional 
          analysis training for parents conducted through telehealth, 
          including both synchronous (simultaneous exchange of 
          information) and asynchronous (information exchange occurs over 
          a period of time) modalities.  These studies have demonstrated 
          that telehealth can result in increased efficiency, cost savings 
          and comparable treatment outcomes.

          This bill's legislative findings and declarations say that the 
          use and implementation of telehealth technology would provide:  
          greater knowledge and information about ASD to consumers and 
          their families; improved access to underserved communities and 
          populations; enhanced case management; and, increased 
          coordination of care for ASD.

          It is important to note that the use of telehealth as a method 
          of providing treatment and services to people with developmental 
          disabilities is not limited to people with ASD.  Under the 
          Lanterman Act, services and supports are based on each 
          consumer's individual needs and choices as determined through 
          the individual program planning process, not only on diagnosis.  
          Many of the same issues identified in this bill's findings and 
          declarations-e.g., improved access to underserved communities 
          and populations, enhanced case management, increased 
          coordination of care-apply to other consumer groups as well.  
          Nothing prevents the use of telehealth for regional center 
          consumers under current law.  The Lanterman Act includes 
          numerous references to the use of innovative and economical 
          service mechanisms and methods of achieving IPP objectives, 
          e.g., W&I Code Sections 4651, 4648(e)(3), and 4685(c)(3).  
          Telehealth will often prove to be an efficient and 
          cost-effective means of providing treatment and services to 
          people with developmental disabilities other than ASD.  
          Therefore, much of the information and many of the 
          recommendations from the telehealth taskforce established 
          pursuant to this bill will likely have implications for all 
          consumer groups, not only those with ASD. 









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           Related legislation  :

          SB 764 (Steinberg) of 2012, if passed, would establish a pilot 
          program for the provision of treatment and intervention services 
          through the use of telehealth.

          AB 171 (Beall) of 2011, if passed, would confirm that California 
          requires health plans and insurers to cover screening, diagnosis 
          and all medically necessary treatment for individuals with ASD 
          and would prohibit a health care plan from terminating coverage, 
          or refusing to deliver, execute, issue, amend, adjust, or renew 
          coverage to an enrollee solely because the individual is 
          diagnosed with, or has received treatment for, ASD.

          SB 946 (Steinberg), Chapter 650, Statutes of 2011, mandates 
          health insurance coverage for behavioral health treatment 
          services related to pervasive developmental disorder or autism 
          effective July 1, 2012.
          
          AB 415 (Logue), Chapter 547, Statutes of 2011, repealed the 
          Telemedicine Development Act of 1996, changing the reference 
          from "telemedicine" to "telehealth", revising confidentiality 
          and privacy standards, consent requirements, and other health 
          provider and insurance requirements for telehealth.
          
          AB 9 X4, Chapter 9, Statutes of 2009-10, Fourth Extraordinary 
          Session, among other provisions, required the least costly 
          available provider of comparable service, including 
          transportation costs, who is able to accomplish all or parts of 
          the consumer's IPP, consistent with the needs of the consumer 
          and family as identified in the IPP, to be selected to deliver 
          services to the consumer.

          Statutorily defined applied behavioral analysis and intensive 
          behavioral intervention treatments and established a variety of 
          standards and restrictions for vendors providing applied 
          behavioral analysis services or intensive behavioral 
          intervention services, or both.

          SB 1665 (M. Thompson), Chapter 864, Statutes of 1996, enacted 
          the "Telemedicine Development Act of 1996," imposing several 
          requirements governing the delivery of health care services 
          through telemedicine.  Prohibited health insurers from requiring 
          face-to face contact between a health care provider and patient 








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          for covered services appropriately provided through 
          telemedicine.

           Analysis Prepared by  :    Chris Reefe / HUM. S. / (916) 319-2089 
          FN: 0005062