Bill Text

Bill Information

PDF |Add To My Favorites |Track Bill | print page

AB-3175 Child life specialist services.(2017-2018)

SHARE THIS:share this bill in Facebookshare this bill in Twitter
Date Published: 04/20/2018 04:00 AM
AB3175:v97#DOCUMENT

Amended  IN  Assembly  April 19, 2018
Amended  IN  Assembly  March 23, 2018

CALIFORNIA LEGISLATURE— 2017–2018 REGULAR SESSION

Assembly Bill No. 3175


Introduced by Assembly Member Rubio

February 16, 2018


An act to add Article 5.1 (commencing with Section 124000) to Chapter 3 of Part 2 of Division 106 of the Health and Safety Code, relating to child health.


LEGISLATIVE COUNSEL'S DIGEST


AB 3175, as amended, Rubio. Child life specialist services.
Existing law establishes various programs and services for the promotion of child health, administered by the State Department of Public Health or the State Department of Health Care Services. Existing law provides for the regulation of health facilities by the State Department of Public Health.
This bill would require specified health practice settings to offer child life specialist services, as defined, and to meet certain conditions relating to the availability of child life specialists in those settings.
Existing law establishes the California Children’s Services Program (CCS Program), which is a statewide program, administered by the State Department of Health Care Services and by counties, as specified, that provides medically necessary services for physically handicapped children whose parents are unable to pay for those services. Existing law establishes the Medi-Cal program, which is administered by the department and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions.
Existing law authorizes the State Department of Health Care Services to establish, no sooner than July 1, 2017, a Whole Child Model program, under which managed care plans served by a county organized health system or Regional Health Authority in designated counties provide CCS Program services to Medi-Cal-eligible CCS children and youth.
This bill would require the CCS Program to offer child life specialist services, and would require a child life specialist to comply with the provider paneling requirements of the program in order to participate as a program provider. This bill would require the transition of those child life specialist services into the Medi-Cal managed care health plan contract in Whole Child Model counties, as specified, and would require the department to obtain any necessary federal approvals to implement that transition.
By creating new duties for counties in implementing child life specialist services under the CCS Program, this bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: YES  

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


SECTION 1.

 Article 5.1 (commencing with Section 124000) is added to Chapter 3 of Part 2 of Division 106 of the Health and Safety Code, to read:
Article  5.1. Child Life Specialist Services

124000.
 For purposes of this article, “child life specialist” means a person, certified by the Association of Child Life Professionals, who, in the scope of his or her practice, helps infants, children, youth, and families to cope with the stress and uncertainty of acute and chronic illness, injury, trauma, disability, loss, and bereavement, and provides evidence-based, developmentally, and psychologically appropriate interventions, including therapeutic play, preparation for procedures, and education to reduce fear, anxiety, and pain.

124001.
 (a) This section shall apply applies to all pediatric and adolescent hospital units, neonatal intensive care units, hospice and palliative care facilities, and outpatient specialty clinics, including, but not limited to, clinics providing diabetes treatment, cystic fibrosis treatment, hematology, oncology, and surgery, whose primary purpose is to serve ill, injured, and dying children and youth, and families with children or youth who are receiving medical services. services through the California Children’s Services Program.
(b) The practice settings described in subdivision (a) shall meet all of the following conditions:
(1) Offer child life specialist services, on both weekdays and weekends.

(2)Meet a child life specialist-to-patient ratio of 1-to-15 to 1-to-20, inclusive, for appropriate levels of services, consistent with recommendations by the American Academy of Pediatrics.

(3)

(2) Ensure that child life specialist services are part of the core interdisciplinary teams of, and the end-of-life care of, the practice setting.

124002.
 (a) The California Children’s Service Program (CCS Program), established pursuant to Article 5 (commencing with Section 123800), shall offer child life specialist services.
(b) (1) In accordance with subdivision (b) of, and except as specified in subdivision (c) of, Section 123850, the child life specialist services that are offered under the CCS Program pursuant to subdivision (a) shall be transitioned into the Medi-Cal managed care health plan contract in Whole Child Model counties, pursuant to Article 2.985 (commencing with Section 14094.4) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code, for children who are enrolled in the Medi-Cal managed care health plan and the CCS Program.
(2) A child life specialist participating in the Whole Child Model Program shall contribute toward improved care coordination of primary, specialty, and behavioral health services for CSS and non-CCS conditions.
(3) The State Department of Health Care Services shall obtain any necessary federal approvals to implement this subdivision.
(c) A child life specialist shall comply with the provider paneling requirements of the CCS Program in order to participate as a CCS Program provider.

SEC. 2.

 If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.