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CA SB1034

Bill

Status

Failed

11/30/2016

Primary Sponsor

Holly Mitchell

Click for details

Origin

Senate

2015-2016 Session

AI Summary

  • Extends autism behavioral health treatment coverage requirements for health care service plans and health insurers through January 1, 2022 (previously set to expire January 1, 2017).

  • Modifies "qualified autism service professional" definition to allow clinical management and case supervision under direction of a qualified autism service provider, and permits supervision by qualified service professionals in addition to providers.

  • Changes utilization review requirement from annually (no less than every 6 months) to no more than every 6 months unless a treatment plan is modified by a qualified autism service provider.

  • Makes all behavioral health treatment coverage dependent on medical necessity, subject to utilization review, and requires compliance with federal mental health parity requirements; prohibits denials based on treatment setting, location, or time or lack of parent/caregiver participation alone.

  • Clarifies that Medi-Cal behavioral health treatment for autism must comply with approved Medicaid state plan; allows department to provide health insurance enrollment assistance through March 31, 2017 for individuals transitioning from waiver programs.

Legislative Description

Health care coverage: autism.

Last Action

From Assembly without further action.

11/30/2016

Committee Referrals

Appropriations6/29/2016
Health6/9/2016
Appropriations4/25/2016
Health2/25/2016
Rules2/12/2016

Full Bill Text

No bill text available