Legislative Priorities 2017

Each year, CSCC takes positions on bills that have the potential to impact financing, delivery and access to quality pediatric care, including measures that protect or improve children’s health.

SB 152 (Hernandez) Medi-Cal.

SB 586 (Hernandez), which was signed into law last year established the statutory framework for the CCS Whole Child Model. The law enables the Department of Health Care Services to move forward with a CCS carve-in to Medi-Cal managed care in all County Organized Health Systems. The law also requires the Department to evaluate the model to determine whether it maintains or improves access to care, improves health outcomes, and to gauge levels of patient satisfaction, among other measures. At the time the legislation was signed into law last fall, the Department planned to implement the model beginning July of 2017. In January, however, the Governor announced that implementation of the Whole Child Model would be delayed for a year, until at least 2018. SB 152 will ensure that the evaluation of the model is synchronized with the implementation timetable, so that there is a full three year’s worth of data on which to base the evaluation, which is what the original bill intended.

CSCC Position: Support
Status: Two-Year bill


SB 643 (Pan) The Holden-Moscone-Garamendi Genetically Handicapped Persons Program: Duchenne muscular dystrophy.

SB 643 would add Duchenne Muscular Dystrophy to the Genetically Handicapped Persons Program’s (GHPP) list of eligible medical conditions. Patients with Duchenne currently receive specialized coordinated care through the California Children’s Services program (CCS), a state program that serves children with rare, complex health care needs. When they age out of the CCS system at 21 years of age, their families are left to navigate a healthcare system that provides very little specialized care and support, and this bill will improve continuity of care into adulthood for this small, medically fragile population.

CSCC Position: Support
Status: Passed by the legislature. Awaiting action by the Governor.


AB 340 (Arambula) Emergency medical services.

Currently, Medi-Cal patients under the age of 21 receive early and periodic screening, diagnosis, and treatment (EPSDT) benefits, which include things like periodic screening, vision, dental, and hearing services, and other necessary services to correct or ameliorate defects and physical and mental illnesses and conditions discovered by the screening services.

AB 340 would create a stakeholder committee which will be tasked with ensuring the screening tools used in EPSDT asks the appropriate questions related to trauma. The advisory committee will commence in May, 2018.

CSCC Position: Support
Status: Passed by the legislature. Awaiting action by the Governor.

AB 391 (Chiu and Gomez) Medi-Cal: asthma preventive services.

This bill, which would be known as the Asthma Preventive Services Program Act of 2017, would require DHCS to seek an amendment to its Medicaid state plan to include qualified asthma preventive services providers as providers of asthma preventive services under the Medi-Cal program.

CSCC Position: Support
Status: Passed by the legislature. Awaiting action by the Governor.

AB 654 (Mainschein) Pediatric and Home Care Expansion Act.

This bill seeks to address the limited access of in-home pediatric nurses available to treat Medi-Cal eligible children, by requiring The Department of Health Care Services (DHCS), on or before January 1, 2018, to establish an incentive-based, supplemental payment program, which would apply to licensed home health agencies that treat children who are receiving continuous nursing care or private duty nursing services through the Medi-Cal program.

CSCC believes that children should be cared for in the least restrictive setting, by health care professionals trained to provide them with the highest quality of care.  Unfortunately, due in large part to low and stagnant reimbursement rates, home health agencies are increasingly not able to retain nurses, and some agencies have been forced to stop accepting Medi-Cal patients altogether. This leads to children staying in the hospital longer than necessary, leading to additional stress for families and burdening the health care system with unnecessary costs. CSCC feels that this incentive-based method of strengthening the pediatric home health workforce is a well thought out approach to improving access to this needed service.

CSCC Position: Support
Status: Failed passage in the legislature.

AB 1688 (Assembly Health Committee) Community health services: California Mental Health Planning Council, California Children’s Services program…

This bill addresses many health issues, but the specific provision CSCC supported is the assurance that given the delay in WCM model implementation, that there will still be a full three years of data collected before an evaluation of the WCM is conducted. This was the intent under SB 586, which passed last year.

CSCC Position: Support
Status: Passed by the legislature. Awaiting action by the Governor.