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AB-2360 Maternal and child mental health: telepsychiatry pilot project.(2019-2020)

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Date Published: 02/18/2020 09:00 PM
AB2360:v99#DOCUMENT


CALIFORNIA LEGISLATURE— 2019–2020 REGULAR SESSION

Assembly Bill
No. 2360


Introduced by Assembly Member Maienschein

February 18, 2020


An act to add Part 4.2 (commencing with Section 5887) of Division 5 to the Welfare and Institutions Code, relating to mental health.


LEGISLATIVE COUNSEL'S DIGEST


AB 2360, as introduced, Maienschein. Maternal and child mental health: telepsychiatry pilot project.
Existing law requires the State Department of Public Health to develop and maintain a statewide community-based comprehensive perinatal services program to, among other things, ensure the appropriate level of maternal, newborn, and pediatric care services necessary to provide the healthiest outcomes for mothers and infants. Existing law also requires the department, until January 1, 2023, to investigate and apply for federal funding opportunities to support maternal mental health.
Existing law requires licensed health care practitioners providing prenatal or postpartum care to screen or offer to screen mothers for maternal mental health conditions, and health care service plans and health insurers to develop maternal mental health programs, as specified. Existing law also requires each general acute care hospital with a perinatal unit to develop and implement a program to provide education and information to postpartum women, families, and specified hospital employees regarding maternal mental health conditions, including postpartum depression.
This bill would require the State Department of Health Care Services to contract with a third-party provider to establish and administer a centralized telepsychiatry doctor-to-doctor consultation service to provide primary care physicians with specialized information regarding the mental health issues of children and perinatal women. The bill would require the department to choose 3 to 5 counties to participate in the program on or before July 1, 2021. The bill would require the department to contract with an outside evaluation firm to evaluate the pilot program and to issue a report on the program on or before November 1, 2023.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: NO  

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


SECTION 1.

 Part 4.2 (commencing with Section 5887) is added to Division 5 of the Welfare and Institutions Code, to read:

PART 4.2. Child and Perinatal Women Telepsychiatry Program

5887.
 (a) The State Department of Health Care Services shall contract with a third-party provider, as specified in Section 5887.2, to establish and administer a centralized telepsychiatry doctor-to-doctor consultation service to provide primary care physicians with specialized information regarding the mental health issues of children and perinatal women.
(b) The department shall establish a process by which counties may apply and the department shall choose three to five counties to participate in the pilot program and receive access to the telepsychiatry consultation services. Participating counties shall be selected on or before July 1, 2021. The department shall use the following criteria to choose the participating counties:
(1) At least one large county, one medium-sized county, and one small county shall be selected.
(2) Diversity of demographics, including both urban and rural counties and counties of varying sizes and locations in the state, shall be considered.
(3) The department shall prioritize counties that lack accessibility to mental health providers for children and perinatal women.
(4) The county’s ability to comply with the requirements of Section 5887.4 and the reporting requirements necessary to produce the report required in Section 5887.6.

5887.2.
 (a) The department shall require all of the following from the third-party entity with which it contracts to provide the telepsychiatry consultation services:
(1) The entity shall establish and administer a call-in or video conference line that is free to enrolled providers in the participating counties.
(2) Consulting staff shall be available in real time, 24 hours a day, 7 days a week.
(3) Consulting staff shall be mental health professionals, including psychiatrists or psychologists, with adequate training in maternal and child mental health.
(4) The entity shall create and distribute marketing materials and training tools to educate frontline providers in participating counties about enrolling in and accessing the telepsychiatry consultation services line.
(5) The entity shall provide metrics to the department and the evaluation firm contracted pursuant to Section 5887.6 relating to use of telepsychiatry services, by county, and any other information required to produce the report required in Section 5887.6.
(b) (1) Services provided through the telepsychiatry consultation services program shall include, but not be limited to, all of the following:
(A) Assistance in understanding the range of mental health disorders that can affect children and perinatal women.
(B) Signs and symptoms of mental health disorders in children and perinatal women.
(C) Important nuances between disorders.
(D) A menu of treatment options to offer the patient.
(E) Safe medications and dosing guidelines.
(2) The consulting staff shall assist the primary care physician to develop a treatment plan in line with patient preferences and needs.

5887.4.
 Counties that are chosen to participate in the pilot program may use county mental health funds, including innovation funds provided pursuant to Section 5892 to the extent those funds are available and may be used in accordance with the provisions of the Mental Health Services Act, to do all of the following:
(a) Train providers on the need for, and availability of, the telepsychiatry consultation services line and enroll providers in the service.
(b) Create and make available lists of in-network or contracted therapists and support groups for both parents and children and perinatal women, and lists of providers available via telepsychiatry.
(c) Coordinate with other mental health services for children and perinatal women.
(d) Establish local support groups for children and perinatal women in need of mental health services.

5887.6.
 (a) The department shall contract with an outside evaluation firm to evaluate the pilot program and shall issue a report on the program on or before November 1, 2023.
(b) (1) A report to be submitted pursuant to this section shall be submitted in compliance with Section 9795 of the Government Code.
(2) Pursuant to Section 10231.5 of the Government Code, this section is repealed on January 1, 2028.