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AB-1368 Health professionals: authorization forms.(2017-2018)

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Date Published: 06/29/2017 09:00 PM
AB1368:v95#DOCUMENT

Amended  IN  Senate  June 29, 2017
Amended  IN  Senate  June 19, 2017
Amended  IN  Assembly  April 20, 2017
Amended  IN  Assembly  March 30, 2017

CALIFORNIA LEGISLATURE— 2017–2018 REGULAR SESSION

Assembly Bill No. 1368


Introduced by Assembly Member Calderon

February 17, 2017


An act to add Sections 123823, 124037, 124037 and 125186 to the Health and Safety Code, and to add Section 14133.91 to the Welfare and Institutions Code, relating to health professionals.


LEGISLATIVE COUNSEL'S DIGEST


AB 1368, as amended, Calderon. Health professionals: authorization forms.
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. Existing law provides for a schedule of benefits and services under the Medi-Cal program, subject to utilization controls. Existing law provides that specified utilization controls may be applied to any specific service or group of services that are subject to utilization controls, including prior authorization requirements. Existing law also requires the department to administer other health programs, including the California Children’s Services Program, the Genetically Handicapped Persons Program, Program and the Child Health and Disability Prevention Program.
This bill would require the department to allow a physician assistant or a nurse practitioner to sign any authorization form required by the department for benefits and services under the Medi-Cal program, the Genetically Handicapped Persons Program, or the Child Health and Disability Prevention Program, and to allow a nurse practitioner to sign any required authorization form, as specified, under the California Children’s Services Program, subject to specified criteria, including, among others, that the physician and the designated physician assistant or nurse practitioner are each enrolled as a Medi-Cal provider.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: NO  

The people of the State of California do enact as follows:


SECTION 1.Section 123823 is added to the Health and Safety Code, to read:
123823.

The department shall allow a nurse practitioner to sign any authorization form required by the department for benefits and services under this article, subject to both of the following:

(a)The nurse practitioner is a CCS-paneled provider who is authorized by the supervising physician, or the nurse practitioner’s standardized procedure or protocol, to provide the service pursuant to his or her scope of practice.

(b)The physician and the designated nurse practitioner are each enrolled as a Medi-Cal provider pursuant to Article 1.3 (commencing with Section 14043) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code.

SEC. 2.SECTION 1.

 Section 124037 is added to the Health and Safety Code, to read:

124037.
 The department shall allow a physician assistant or a nurse practitioner to sign any authorization form required by the department for benefits and services under this article, subject to both of the following:
(a) The physician assistant or the nurse practitioner is authorized by the supervising physician, or the nurse practitioner’s standardized procedure or protocol, to provide the service pursuant to his or her scope of practice.
(b) The physician and the designated physician assistant or nurse practitioner are each enrolled as a Medi-Cal provider pursuant to Article 1.3 (commencing with Section 14043) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code.

SEC. 3.SEC. 2.

 Section 125186 is added to the Health and Safety Code, to read:

125186.
 The department shall allow a physician assistant or a nurse practitioner to sign any authorization form required by the department for benefits and services under this article, subject to both of the following:
(a) The physician assistant or the nurse practitioner is authorized by the supervising physician, or the nurse practitioner’s standardized procedure or protocol, to provide the service pursuant to his or her scope of practice.
(b) The physician and the designated physician assistant or nurse practitioner are each enrolled as a Medi-Cal provider pursuant to Article 1.3 (commencing with Section 14043) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code.

SEC. 4.SEC. 3.

 Section 14133.91 is added to the Welfare and Institutions Code, immediately following Section 14133.9, to read:

14133.91.
 The department shall allow a physician assistant or a nurse practitioner to sign any authorization form required by the department for benefits and services under this chapter, subject to both of the following:
(a) The physician and the designated physician assistant or nurse practitioner are each enrolled as a Medi-Cal provider pursuant to Article 1.3 (commencing with Section 14043).
(b) The physician assistant or the nurse practitioner is authorized by the supervising physician, or the nurse practitioner’s standardized procedure or protocol, to provide the service pursuant to his or her scope of practice.