CTRC Legislative/Regulatory November 2016 Update
Please Note: CCHP has a pending legislation/regulation webpage located at the following link: http://cchpca.org/state-laws-and-reimbursement-policies
|California||AB 1568||7/1/16: Chaptered||This bill requires an access assessment to, among other items, measure managed care compliance with network adequacy requirements. Network adequacy within Medicaid managed care contracts will account for the use of alternative modalities for accessing care, including telemedicine (among other components).|
|California||SB 815||7/26/16: Chaptered||This bill requires an access assessment to, among other items, measure managed care compliance with network adequacy requirements. Network adequacy within Medicaid managed care contracts will account for the use of alternative modalities for accessing care, including telemedicine (among other components).|
|California||AB 1758||4/20/16: In Assembly Utilities and Commerce||This bill, among other things, would allocate up to $10 million from the Broadband Infrastructure Grant Account to the California Telehealth Network.|
|California||AB 2395||5/25/16: In committee: Set, first hearing. Referred to Appropriations suspense file.||This bill relates to telecommunication and replacement of a public switched telephone network, which can be utilized for telemedicine (among other items).|
|California||AB 2507||5/27/16: In Assembly Committee on Appropriations: Held in Committee
|This bill would mandate that a health care service plan contract coverage and reimbursement for services provided to a patient through telehealth to the same extent as though provided in-person. The rate will be at least as favorable as if the services were provided in-person.|
|California||SB 960||5/27/16: Held in Senate Appropriations Committee and under submission.||This bill would allow for reproductive health care provided via store-and-forward to be reimbursed by Medi-Cal.|
|California||Title 16 CCR Section 4172
|9/25/15: Proposed rule notice
Comment deadline: 11/9/15
Agency: Board of Occupational Therapy
Clarifies that an occupational therapist does not need to obtain a patient’s/client’s consent for subsequent telehealth services once the patient initially consents to receive occupational therapy services via telehealth. Deletes informed from the language and otherwise reconstructs the language in the subsection to make it read better.
|California||Title 15 CCR 1027.5, 1122.5, 1208.5, 1030||8/9/16: Proposed rule
Comment Deadline: 9/12/16
|Title: Minimum Standards for Local Detention Facilities
Agency: Board of State and Community Corrections
Provides a new definition for telehealth and allows a facility administrator for mentally disordered inmates to develop policies and procedures to identify and evaluate inmates through telehealth.
|California||Title 16 CCR Sections 1820; .5, .7; 1822||1/1/16: Effective this date||Title: LPCCS Treatment of Couples and Families
Agency: Board of Behavioral Sciences
This rule would increase the number of hours of supervised experience toward the 3,000 hours required for licensure for a licensed professional clinical counselor, which can be obtained via telehealth from 250 to 375 hours.
|California||Title 10 CCR Section 2240, .1 thru .7, .15, .16||3/23/16: Rule Adoption
|Title: Provider Network Adequacy
Agency: Department of Insurance
Updates the Department’s existing regulation, and addresses concerns regarding inadequate network access, non-network providers in network facilities, and inaccurate provider directories, by implementing the proposed amendments and additions in this regulation. Section was added to require insurers to submit documents describing the implementation and use of triage, telemedicine and health information technology to provide timely access to care. This allows insurers to demonstrate alternative means of providing adequate access, as appropriate.
|California||Title 16 CCR Sec. 1815.5||5/26/16: Adopted
|Title: Standards of Practice for Telehealth
Agency: CA Board of Behavioral Sciences
This rule would establish Standards of Practice for telehealth.
Adopted Emergency Rules (with expiration dates)
|California||Title 10 CCR Sec. 6428, 6430||2/5/15: Notice of Approval of Emergency Regulatory Action
|Title: 2016 Qualified Health Plan Recertification/New Entrant
Agency: Health Benefit Exchange
Establishes the process and requirements for eligible health issuers in the individual and SHOP exchanges to submit proposed qualified health plans (QHP) for recertification and for new health issuer entrants who are eligible and elect to propose QHPs for the Plan Year 2016. Among the application questions, it asks health issuers strategies they use to implement, or intend to implement, to promote access and care coordination through the use of telemedicine (among other things).