CA SB1245

Redefines "licensed health care professional" in IHSS certification requirements to align with the "health care practitioner" definition in Business and Professions Code Section 680, expanding the scope of who can provide required certifications.

Clarifies that applicants and recipients must obtain certification from a licensed health care professional declaring they cannot perform daily living activities independently and are at risk of institutional placement to receive IHSS services, including paramedical services.

Allows nurses and nurse practitioners working under a licensed health care professional's direction to provide certifications, in addition to physicians, physician assistants, occupational therapists, physical therapists, psychiatrists, psychologists, and other specified professionals.

Maintains exemptions allowing services to be authorized before certification receipt when individuals are discharged from hospitals or nursing homes, or when counties determine risk of out-of-home placement exists.

Prohibits licensed health care professionals from charging fees for completing certification forms.