CSHP Tracked Legislation (2019-2020)
Share |

TABLE OF CONTENTS

Support/Sponsor Legislation     Watch Legislation
AB 4 - Medi-Cal: eligibility
    AB 138 - California Community Health Fund
AB 362 -  Controlled substances: overdose prevention program     AB 241 - Implicit bias: continuing education: requirements
AB 384 - Information privacy: digital health feedback systems (ingestible/implanted/topical sensors
    AB 319 - Narcotic treatment: medication-assisted treatment: Drug Medi-Cal
AB 528 - Controlled substances: CURES database (Will become omnibus bill with multiple, non-controversial provisions
    AB 387- Physicians and surgeons: prescriptions
AB 714 - Opioid prescription drugs: prescribers
    AB 476 - Department of Consumer Affairs: task force: foreign-trained professionals
AB 715 - Medi-Cal: program for aged and disabled persons
    AB 544 - Inactive License fees - no retroactive fees
AB 744 - Healthcare coverage: telehealth     AB 613 - Professions and vocations: regulatory fees
AB 890 - Nurse Practitioners
    AB 648 - Healthcare

AB 1131 - Medi-Cal: comprehensive medication management (CSHP Sponsored Bill)

    AB 667 - Medi-Cal
AB 1264 - Healing arts licensees: self-administered hormonal contraceptives

AB 768 - Professions and vocations
AB 1494 - Medi-Cal: telehealth: state of emergency


AB 770 - Medi-Cal: federally qualified health clinics: rural health clinics
SB 29 - Medi-Cal: eligibility

AB 824 - Business: preserving access to affordable drugs
SB 159 - HIV: pre-exposure and post-exposure prophylaxis (CSHP Sponsored Bill)

    AB 848 - Medi-Cal: covered benefits: continuous glucose monitors
SB 207 - Medi-Cal: asthma preventive services
    AB 851 - Drug masking products
SB 276 - Immunizations: medical exemptions  
AB 862 - Professional Licenses
SB 382 - Health care coverage: state of emergency     AB 882 - Termination of employment: drug testing
SB 441 - Electronic health records: vendors
    AB 888 - Opioid prescriptions: information: nonpharmacological treatments for pain
SB 446 - Medi-Cal: hypertension medication management services     AB 973 - Pharmacies: compounding
SB 476 - Pharmacist-in-charge: Disciplinary proceedings
    AB 1058 - Medi-Cal: specialty mental health services and substance use disorder treatment
    AB 1088 - Medi-Cal: eligibility
Opposition Legislation
    AB 1218 - Controlled Substances
AB 690 - Remote dispensing site pharmacy: pharmacy technician: qualifications
    AB 1246 - Healthcare coverage: basic health care services
AB 1468 - Opioid Prevention and Rehabilitation Act
    AB 1656 - Treatment of addicts: narcotic drugs
SB 617 - Pharmacy technicians: supervision
    AB 1670 - Health Care Coverage

    SB 66 - Medi-Cal: federally qualified health center and rural health clinic services

    SB 305 - Compassionate Access to Medical Cannabis Act or Ryan's Law
Chaptered Legislation
    SB 425 - Health care practitioners: licensee's file
AB 149 - Controlled substances: Prescriptions (delays serialized Rx requirement till 1/1/20)
   

    SB 491 - Pharmacies: compounding
    SB 525 - Medi-Cal: reimbursements: blood factors
Dead Legislation
    SB 569 - Controlled substances: prescriptions: declared local, state, or federal emergency
-NA-     SB 642 - Pharmacy benefit management: Prescription Acquisition and Adjudication Agency

    SB 650 - Unused medications: cancer medication recycling

    SB 653 - Dental hygienists: registered dental hygienist in alternative practice: scope of practice

    SB 697 - Physician assistants: scope of practice

    SB 700 - Business and professions: noncompliance with support orders and tax delinquencies
Last Updated: May 3, 2019  

 


Legislative Resources
Legend/Glossary Terms

 

 


AB 4 - Medi-Cal: Eligibility (View Bill)

Bill Author: Assembly Members Bonta, Chiu, Santiago
CSHP Position: Support, Priority Level 3

Bill Summary:
The Medi-Cal program provides low-income individuals heath care services. Medi-Cal is partially funded by federal Medicaid. Federal law prohibits payment to a state for medical assistance furnished to an alien who is not lawfully admitted for permanent residence or otherwise permanently residing in the United States under color of law. Until the federal provisions are reviewed/met, persons less than 19 years of age are enrolled in restricted-scope Medi-Cal. This bill would extend eligibility for full-scope Medi-Cal benefits to individuals of all ages regardless of immigration status. This bill would require collaborations between counties and public hospitals to best utilize financial resources to provide services.
The bill also allows these individuals to keep their primary care provider without gaps in care.


 

AB 138 - California Community Health Fund / Sugar Sweetened Beverage Fee (View Bill)
Bill Author: Richard Bloom (D - Santa Monica)
CSHP Position: Watch

Bill Summary:
In an effort to curb certain health related conditions, like obesity, diabetes and tooth decay, this bill would create a tax on sugary drinks for distributors (sugary drinks has a long definition in the bill). The bill would also create a California Community Health Fund.  Which would allocate money to specific state departments to promote health equity.


 

AB 149 - Controlled Substances: Prescriptions (View Bill)
Bill Author: Cooper
CSHP Position: Moot- Bill Passed and Chaptered

Bill Summary:
Corrects issues related to effective date of AB 1753, passed in 2018 mandating changes to California Secure Prescription Form.


 

AB 241 - Implicit Bias: Continuing Education: Requirements (View Bill)
Bill Author: Kamlager-Dove
CSHP Position: Watch

Bill Summary:
Bill would require curriculum for continue education for a physician and surgeon to include specified instruction in the understanding of implicit bias in medical treatment.


 

AB 319 - Narcotic treatment: Medication Assisted Narcotic Treatment (View Bill)
Bill Author: Blanca Rubio and Waldron
CSHP Position: Watch

Bill Summary:
This bill would Medi-Cal to create reimbursement rates and rate billing codes for authorized medications that are provided by licensed narcotic treatment programs electing to provide noncontrolled medications approved by the United States Food and Drug Administration for patients with a substance use disorder.


 

AB 362 - Controlled Substances: Overdose Prevention Program (View Bill)
Bill Author: Eggman
CSHP Position: Support if Amended, Priority Level 2

Bill Summary:
This bill would, until January 1, 2026, authorize the City and County of San Francisco to approve entities to operate overdose prevention programs that satisfy specified requirements, including, among other things, the provision of a hygienic space supervised by healthcare health care professionals, as defined, where adults who use drugs can consume preobtained drugs, use sterile consumption supplies, and access to referrals to substance use disorder treatment.
For purposes of this paragraph, “healthcare “health care professional” includes, but is not limited to, a physician, physician assistant, nurse practitioner, licensed vocational nurse, registered nurse, psychiatrist, psychologist, licensed clinical social worker, licensed professional clinical counselor, mental health provider, social service provider, or substance use disorder provider, trained in overdose recognition and reversal pursuant to Section 1714.22 of the Civil Code.


 

AB 384 - Information privacy: digital health feedback systems (View Bill)
Bill Author: Chau
CSHP Position:Support, Priority Level 3

Bill Summary:
This bill would expand the protection of medical information to any digital health feedback system.


 

AB 387 - Physicians and surgeons: prescriptions  (View Bill)
Bill Author: Gabriel
CSHP Position:Watch

Bill Summary:
This bill would require a physician and surgeon to indicate the purpose for a drug or device on the prescription for that drug or device when providing a prescription to a patient unless the patient chooses to opt out of having the purpose for the drug or device included on the prescription.



AB 476 - Department of Consumer Affairs: task force: foreign-trained professionals (View Bill)
Bill Author: Blanca Rubio
CSHP Position: Watch

Bill Summary:
Naming itself “California Opportunity Act of 2019” An act to add Section 110.5 to the Business and Professions Code, relating to professions and vocations. Existing law provides for the licensure and regulation of various professions and vocations by boards within the Department of Consumer Affairs. Existing law establishes the Bagley-Keene Open Meeting Act, which requires state boards, commissions, and similar state-created multimember bodies to give public notice of meetings and conduct their meetings in public unless authorized to meet in closed session.
This bill would require the Department of Consumer Affairs to create a task force, as specified, to study and write a report of its findings and recommendations regarding the licensing of foreign-trained professionals with the goal of integrating foreign-trained professionals into the state’s workforce, as specified. 

 

 

AB 528 - Controlled Substances: CURES database (View Bill)
Bill Author: Low
CSHP Position: Support if Amended, Priority Level 2

Bill Summary:
This bill would require a dispensing pharmacy, clinic, or other dispenser to report the information required by the CURES database no more than one working day after a controlled substance is dispensed.


 

AB 544 - Professions and vocations: inactive license fees and accrued and unpaid renewal fees (View Bill)
Bill Author: Brough
CSHP Position: Watch

Bill Summary:
Caps licensure renewal fees for inactive licenses at 50% of active license renewal fee.


 

AB 613 - Professions and vocations: regulatory fees (View Bill)
Bill Author: Low
CSHP Position: Watch

Bill Summary:
Exiting law establishes the Department of Consumer Affairs, which is comprised of boards that are established for the purpose of regulating various professions and vocations, and generally authorizes a board to charge fees for the reasonable regulatory cost of administering the regulatory program for the profession or vocation. Existing law establishes the Professions and Vocations Fund in the State Treasury, which consists of specified special funds and accounts, some of which are continuously appropriated.
This bill would authorize each board within the department to increase every 4 years any fee authorized to be imposed by that board by an amount not to exceed the increase in the California Consumer Price Index for the preceding 4 years, subject to specified conditions. The bill would require the Director of Consumer Affairs to approve any fee increase proposed by a board except under specified circumstances. By authorizing an increase in the amount of fees deposited into a continuously appropriated fund, this bill would make an appropriation.


 

AB 648 - Wellness programs (View Bill)
Bill Author: Nazarian
CSHP Position: Watch

Bill Summary:
This bill  would prohibit health care service plans and insurers from  sharing any personal information or data collected through a wellness program, and would prohibit health care service plans or insurers from taking any adverse action, as defined, against an enrollee or member, or insured (“individual”), if the action of the health care service plans or insurers is in response to a matter related to a wellness program, such as an individual’s election to not participate in a wellness program. The bill would establish and impose upon health care service plans and insurers various requirements related to a wellness programs, such as requiring a health care service plan or insurer to provide an individual information concerning its policies and practices pertaining to wellness programs, as specified. The bill would require a health care service plan or insurer, for purposes of administering and operating a wellness program, to limit its collection, dissemination, retention, and use of any personal information of an individual to only information that is reasonably necessary to operate a wellness program, and would extend various requirements, to the extent that they are applicable, to any entity that the health care service plan or insurer contracts with for purposes of administering or operating a wellness program on their behalf. The bill would authorize the commissioner to assess penalties on an insurer for any violation of these provisions, as specified. The bill would authorize the director and commissioner to adopt regulations to conform to federal law in the event that the provisions conflict with federal law


 

AB 667 - Medi-Cal (View Bill)
Bill Author: Muratsuchi
CSHP Position: Watch

Bill Summary:
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, and under which qualified low-income individuals receive healthcare services. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, healthcare, as administered under the Medi-Cal program, is considered a component of public social services.
This bill would make technical, nonsubstantive changes to those provisions.


 

AB 690 - Remote dispensing site pharmacy: pharmacy technician: qualifications (View Bill)
Bill Author: Aguiar-Curry
CSHP Position: Oppose-2

Bill Summary:
 The Pharmacy Law requires the California State Board of Pharmacy within the Department of Consumer Affairs to license and regulate the practice of pharmacy, including pharmacists, pharmacy technicians, and pharmacies. The Pharmacy Law requires the board to issue a remote dispensing site pharmacy license to a supervising pharmacy, as defined, of a remote dispensing site pharmacy, as defined, if certain requirements are met. The Pharmacy Law authorizes a registered pharmacy technician who meets certain requirements, including meeting qualifications established in regulations adopted by the board, to work at a remote dispensing site pharmacy and perform specific tasks under the supervision of a pharmacist at a supervising pharmacy using a tele pharmacy system. This bill would establish qualifications for a registered pharmacy technician to work at a remote dispensing site pharmacy, relating to licensing, certification, education, and minimum work experience.  


 

AB 714 - Opioid prescription drugs: prescribers (View Bill)
Bill Author: Wood
CSHP Position: Support, Priority Level 3

Bill Summary:
Existing law requires a prescriber, as defined, to offer to a patient a prescription for naloxone hydrochloride or another drug approved by the United States Food and Drug Administration for the complete or partial reversal of opioid depression when certain conditions are present, including if the patient presents with an increased risk for overdose or a history of substance use disorder, and to provide education on overdose prevention to patients receiving a prescription and specified other persons. This bill would make those provisions applicable only to a patient receiving a prescription for an opioid or benzodiazepine medication, and would make the provisions specific to opioid-induced respiratory depression, opioid overdose, opioid use disorder, and opioid overdose prevention, as specified. The bill would exclude from the above-specified provisions requiring prescribers to offer a prescription and provide education prescribers when prescribing, ordering, or administering medications to a patient in an inpatient health facility and prescribers prescribing to a patient in outpatient-based hospice care. The bill would define terms for purposes of those provisions. 


 

AB 715 - Medi-Cal: program for aged and disabled persons (View Bill)
Bill Author: Wood
CSHP Position: Support, Priority Level 3

Bill Summary:
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 healthcare services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law requires the department to exercise its option under federal law to implement a program for aged and disabled persons, as described. Existing law requires an individual under these provisions to satisfy certain financial eligibility requirements, including, among other things, that the individual’s countable income does not exceed an income standard equal to 100% of the applicable federal poverty level, plus an income disregard of $230 for an individual, or $310 in the case of a couple, except that the income standard determined shall not be less than the SSI/SSP payment level for a disabled individual or couple, as applicable. Existing law requires the department to implement this program by means of all-county letters or similar instructions without taking regulatory action and thereafter requires the department to adopt regulations.
This bill would instead require, upon receipt of federal approval, all countable income over 100% of the federal poverty level, up to 138% of the federal poverty level, to be disregarded, after taking all other disregards, deductions, and exclusions into account for those persons eligible under the program for aged and disabled persons. The bill would require that provision to be implemented after the Director of Health Care Services determines, and communicates that determination in writing to the Department of Finance, that systems have been programmed for implementation of that provision, but no sooner than January 1, 2020.
The bill would require the department to implement, interpret, or make specific the above-described program for aged and disabled persons by means of all-county letters, plan or provider bulletins, or similar instructions until regulations are adopted, and would require the department to adopt regulations by July 1, 2023. The bill would require the department to provide a status report on a semiannual basis to the Legislature until regulations are adopted. The bill would require the implementation of the program only if and to the extent that any necessary federal approvals have been obtained.
Because counties are required to make Medi-Cal eligibility determinations, and this bill would expand Medi-Cal eligibility by increasing the income disregard amounts and would increase the responsibility of counties in determining Medi-Cal eligibility, the 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.


 

AB 744 - Health care coverage: telehealth (View Bill)
Bill Author
: Aguiar-Curry
CSHP Position: Support if amended, Priority Level 2

Bill Summary:
Permits telehealth to be billed at same rate as equivalent live health services.  Prohibits lifetime maximum for telehealth.
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and makes a willful violation of the act a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law prohibits a health care service plan or health insurer from requiring that in-person contact occur between a healthcare provider and a patient, and from limiting the type of setting where services are provided, before payment is made for covered services provided appropriately through telehealth services.
This bill would require a contract issued, amended, or renewed on or after January 1, 2020, between a health care service plan and a healthcare provider for the provision of healthcare services to an enrollee or subscriber, or a contract issued, amended, or renewed on or after January 1, 2020, between a health insurer and a healthcare provider for an alternative rate of payment to specify that the health care service plan or health insurer reimburse a healthcare provider for the diagnosis, consultation, or treatment of an enrollee, subscriber, insured, or policyholder delivered through telehealth services on the same basis and to the same extent that the health care service plan or health insurer is responsible for reimbursement for the same service through in-person diagnosis, consultation, or treatment. The bill would authorize a health care service plan or health insurer to offer a contract or policy containing a deductible, co-payment, or coinsurance requirement for a healthcare service delivered through telehealth services, subject to specified limitations. The bill would prohibit a health care service plan contract or policy or health insurance issued, amended, or renewed on or after January 1, 2020, from imposing an annual or lifetime dollar maximum for telehealth services, and would prohibit those contracts and policies from imposing a deductible, co-payment, or coinsurance, or a plan year, calendar year, lifetime, or other durational benefit limitation or maximum for benefits or services that is not equally imposed on all terms and services covered under the contract. 


 

AB 768 - Professions and vocations (View Bill)
Bill Author
: Brough
CSHP Position:Watch

Bill Summary:
This bill would authorize the department of Consumer Affairs and each board in the department to charge a fee not to exceed $2 for the certification of a copy of any record, document, or paper in its custody. The bill would also require that the delinquency, penalty, or late fee for any licensee within the department to be 50% of the renewal fee for that license, but not to exceed $150.


 

AB 770 - Medi-Cal: federally qualified health clinics: rural health clinics (View Bill)
Bill Author
: Eduardo Garcia and Mathis
CSHP Position:Watch

Bill Summary:
Existing law provides for 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. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law provides that federally qualified health center (FQHC) services and rural health clinic (RHC) services, as defined, are covered benefits under the Medi-Cal program, to be reimbursed, in accordance with Medicare reasonable cost principles, and to the extent that federal financial participation is obtained, to providers on a per-visit basis that is unique to each facility. Existing law prescribes the reimbursement rate methodology for establishing and adjusting the per-visit rate. Under existing law, if an FQHC or RHC is partially reimbursed by a 3rd-party payer, such as a managed care entity, the department is required to reimburse the FQHC or RHC for the difference between its per-visit rate programs on a contract-by-contract basis. Existing law authorizes an FQHC or RHC to apply for an adjustment to its rate based on a change in the scope of service that it provides within 150 days following the beginning of the FQHC’s or RHC’s fiscal year. Existing law provides that the department’s implementation of FQHC and RHC services is subject to federal approval and the availability of federal financial participation.
This bill would require the methodology of the adjusted per-visit rate to exclude, among other things, a provider productivity standard. The bill would authorize an FQHC or RHC to apply for a rate adjustment for the adoption, implementation, or upgrade of a certified electronic health record system as a change in the scope of service. The bill would clarify specified terms, including the meaning of “scope of service,” would expand the meaning of “visit” to include FQHC and RHC services rendered outside of the facility location, and would modify how the department reimburses an FQHC or RHC that is partially reimbursed by a 3rd-party payer. The bill would require a health care provider who contracts with an FQHC or RHC to provide services outside of the facility on behalf of the facility, and for which the facility bills for those services, to comply with specified requirements, including actively serving patients in the same county as, or a county adjacent to, the physical location of the billing FQHC or RHC. The bill would repeal the provisions authorizing an FQHC or RHC to apply for an adjustment to its rate based on a change in the scope of service that it provides within 150 days following the beginning of the FQHC’s or RHC’s fiscal year, and would instead extend the time frame for an FQHC or RHC to file a scope of service rate change to any time during the fiscal year. The bill would require the department to ensure that department staff conducting audits related to FQHC and RHC services receive appropriate training on federal and state laws governing those facilities, and would make various conforming and technical changes.


 

AB 824 - Business: preserving access to affordable drugs (View Bill)
Bill Author
: Wood
CSHP Position: Watch

Bill Summary:
Resolving Patent Infringement Claims.



AB 848 - Medi-Cal: Reimbursement: Opioid Addiction Treatment (View Bill)
Bill Author
: Gray
CSHP Position:Watch

Bill Summary:
Resolving Patent Infringement Claims.



AB 851 -Drug masking products (View Bill)
Bill Author
: Cooper
CSHP Position: Watch

Bill Summary:
This bill would prohibit a person from distributing, delivering, selling, or possessing with intent to distribute, deliver, or sell, a drug masking product.



AB 862 - Department of Motor Vehicles: offices (View Bill)
Bill Author
: Kiley
CSHP Position: Watch

Bill Summary:
Existing law governs the denial, suspension, and revocation of certain professional licenses for specified conduct. This bill would make non-substantive changes to this provision.


 

AB 882- Termination of employment: drug testing: medication-assisted treatment (View Bill)
Bill Author
: McCarty
CSHP Position: Watch

Bill Summary:
Existing law requires an employer who regularly employs 25 or more employees to reasonably accommodate any employee who voluntarily participates in an alcohol or drug rehabilitation program, provided the employer does not suffer undue hardship.
This bill would prohibit an employer, regardless of the number of employees, from discharging an employee for testing positive for a drug that is being used as a medical-assisted treatment, under the care of a physician or licensed treatment program, as specified.


 

AB 888 - Opioid prescriptions: information: nonpharmacological treatments for pain(View Bill)
Bill Author
: Low
CSHP Position: Watch

Bill Summary:
This bill would require a signed informed consent before prescribing opioid therapy and would mandate discussion of other non-pharmacological treatments, except in an emergency.


 

AB 890 - Nurse practitioners: scope of practice: unsupervised practice (View Bill)
Bill Author
: Wood
CSHP Position: Support, Priority Level 3

Bill Summary:
This bill would allow a nurse-practitioner to practice independently from a physician or surgeon after “X” hours of experience.


 

AB 973 - Pharmacies: compounding(View Bill)
Bill Author
: Irwin
CSHP Position: Watch

Bill Summary:
Expressly states that the compounding of drug preparations by a pharmacy for furnishing, 
distribution, or use shall be consistent with standards established in the pharmacy compounding chapters of the United States Pharmacopeia—National Formulary (USP), 
including relevant testing and quality assurance.
1) Provides that the compounding of drug preparations by a pharmacy for furnishing, distribution, or use in California shall be consistent with standards established in the pharmacy compounding chapters of the United States Pharmacopeia—National Formulary (USP 41–NF 36), including relevant testing and quality assurance. 
2) Authorizes the Board to adopt regulations to impose additional standards for compounding drug preparations.



AB 1058 - Medi-Cal: specialty mental health services and substance use disorder treatment (View Bill)
Bill Author
: Salas
CSHP Position: Watch

Bill Summary:
This bill would declare the intent of the Legislature to enact legislation to establish a pilot program in several counties to support the integration of specialty mental health services and substance use disorder treatment provided under the Medi-Cal program, as specified.


 

AB 1088 - Medi-Cal: eligibility (View Bill)
Bill Author
: Wood
CSHP Position:Watch

Bill Summary:
This bill would provide for Medi-Cal eligible aged, blind, or disabled individual who would be otherwise eligible for Medi-Cal benefit without share of cost.  The bill would require the State Department of Health Care Services to adopt regulations to implement this bill by July 1, 2021 if certain conditions are met.  Existing law limits the income for aged, blind, or disabled Medi-Cal eligible persons not exceed the poverty level, or 200% of a specified supplemental security income standard.  This bill is operational if and only if federal financial participation is available and necessary federal approvals have been obtained.



AB 1131 - Medi-Cal: comprehensive medication management (View Bill)
Bill Author
: Gloria
CSHP Position:Support/Co-sponsor
Submit Your Letter of Support Here

Bill Summary:
Patients meeting specific conditions would qualify for CMM as covered benefit of Medical. These conditions include: 8+ meds, identified by prescriber as high risk, referred for CMM, has been discharged from facility and is need of CMM.



AB 1218 - Controlled substances (View Bill)
Bill Author
: Cooper
CSHP Position: Watch

Bill Summary:
This bill would authorize the Department of Justice to deny an application, or revoke or suspend a permit, if any of those individuals has been convicted of any misdemeanor or felony. The bill would additionally require the department to retain jurisdiction of a canceled or expired permit in order to proceed with any investigation or disciplinary action relating to a permittee.



AB 1246 - Healthcare coverage: basic health care services (View Bill)
Bill Author
: Limón
CSHP Position:Watch

Bill Summary:
This bill would require large group health insurance policies, except certain specialized health insurance policies, issued, amended, or renewed on or after January 1, 2020, to include coverage for medically necessary basic health care services and, to the extent the policy covers prescription drugs, coverage for medically necessary prescription drugs.



AB 1264 - Healing arts licensees: self-administered hormonal contraceptives (View Bill)
Bill Author
: Cottie Petrie-Norris
CSHP Position:Support, Priority Level 3

Bill Summary:
Existing law authorizes certain healing arts licensees to use a self-screening tool that will identify patient risk factors for the use of self-administered hormonal contraceptives by a patient, and, after appropriate prior examination, to prescribe, furnish, or dispense self-administered hormonal contraceptives to a patient. This bill would specify that “appropriate prior examination” for purposes of those provisions does not require a real-time interaction between the patient and the healing arts license.



AB 1468 - Opioid Prevention and Rehabilitation Act (View Bill)
Bill Author
: McCarty and Gallagher
CSHP Position:Oppose, Priority Level 2

Bill Summary:
Requires manufacturers or wholesalers that sell or distribute opioid drugs to submit to CDPH a report that details all opioid drugs sold or distributed in this state during the preceding fiscal year. Commencing with the 2021–22 fiscal year, requires CDPH, in consultation with BoP, to calculate the proportionate share a manufacturer or wholesaler will pay into the Opioid Prevention and Rehabilitation Program Fund (aggregate of $100,000,000 annually). The Fund will used exclusively for opioid prevention and rehabilitation services across the state. The bill sunsets 7/1/2027.



AB 1494 - Medi-Cal: telehealth: state of emergency (View Bill)
Bill Author
: Aguiar-Curry
CSHP Position:Support, Priority Level 3

Bill Summary:
Provides that face-to-face contact nor a patient’s physical presence on the premises of an enrolled community clinic, is required for services provided by the clinic to a Medi-Cal beneficiary during or immediately following a state of emergency, as specified. The bill would authorize DHCS to apply this provision to services provided by another enrolled fee-for-service Medi-Cal provider, clinic, or facility. 
The bill would require that telehealth services, telephonic services, and other specified services be reimbursable when provided by one of those entities during or immediately following a state of emergency, as specified. 



AB 1656 - Treatment of addicts: narcotic drugs (View Bill)
Bill Author
: Gallagher
CSHP Position:Watch

Bill Summary:
This bill codifies what has been the practice in hospitals for decades regarding medical/surgical treatment of addicts where narcotic withdrawal is a comorbidity rather than the primary purpose for the admission.



AB 1670 - Health care coverage (View Bill)
Bill Author
: Holden
CSHP Position: Watch

Bill Summary:
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and makes a willful violation of the act a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Under existing law, if a health care service plan or insurer, or one of its contracting providers, denies, modifies, or delays a health care service because the proposed service is not a covered benefit, the statement of that decision is to clearly specify the provision in the policy or contract that excludes that coverage.
This bill would authorize a provider that contracts with a health care service plan or health insurer to bill an enrollee or insured for a service that is not a covered benefit if the enrollee or insured consents in writing and that written consent meets specified criteria. The bill would require a contracting provider to provide an enrollee or insured with a written estimate of the person’s total cost, based on the standard rate the provider would charge for the service, if the service sought is not a covered benefit under the person’s health care service plan contract or health insurance policy. The bill would require these written consent and estimate documents to be in the language spoken by the enrollee or insured, if the language is a primary language of a limited-English-proficient population group meeting a specified numeric threshold. Because a willful violation of the bill’s requirements relative to health care service plans would be a crime, the 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 no reimbursement is required by this act for a specified reason.



SB 29 - Medi-Cal: eligibility (View Bill)
Bill Author
: Durazo
CSHP Position: Support, Priority Level 3

Bill Summary:
This bill would extend eligibility for full-scope Medi-Cal benefits to individuals of all ages who are otherwise eligible for those benefits but for their immigration status, and would delete provisions delaying implementation until the director makes the determination described above. The bill would expand the requirements of the eligibility and enrollment plan, such as ensuring that an individual maintains their primary care provider without disruption to their continuity of care, would require the department to collaborate with the counties and designated public hospitals to maximize federal financial participation, and would require the department to work with designated public hospitals to mitigate financial losses related to the implementation of these requirements. Because counties are required to make Medi-Cal eligibility determinations and this bill would expand Medi-Cal eligibility, the bill would impose a state-mandated local program.

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.



SB 66 - Medi-Cal: federally qualified health center and rural health clinic services (View Bill)
Bill Author
: Atkins and McGuire
CSHP Position: Watch

Bill Summary:
Existing law provides for 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. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law provides that federally qualified health center (FQHC) services and rural health clinic (RHC) services, as defined, are covered benefits under the Medi-Cal program, to be reimbursed, to the extent that federal financial participation is obtained, to providers on a per-visit basis. “Visit” is defined as a face-to-face encounter between a patient of an FQHC or RHC and specified health care professionals, including a physician and marriage and family therapist. Under existing law, “physician,” for these purposes, includes, but is not limited to, a physician and surgeon, an osteopath, and a podiatrist.
This bill would authorize reimbursement for a maximum of 2 visits taking place on the same day at a single location if after the first visit the patient suffers illness or injury requiring additional diagnosis or treatment, or if the patient has a medical visit and a mental health visit or a dental visit, as defined. The bill would authorize an FQHC or RHC that currently includes the cost of a medical visit and a mental health visit that take place on the same day at a single location as a single visit for purposes of establishing the FQHC’s or RHC’s rate to apply for an adjustment to its per-visit rate, and after the department has approved that rate adjustment, to bill a medical visit and a mental health visit that take place on the same day at a single location as separate visits, in accordance with the bill.



SB 159 - HIV: preexposure and postexposure prophylaxis (View Bill)
Bill Author
: Wiener
CSHP Position:Support if Amended,Priority Level 1

Bill Summary:
Existing law authorizes a pharmacist to dispense or furnish drugs only pursuant to a valid prescription, except as provided, such as furnishing emergency contraceptives, hormonal contraceptives, and naloxone hydrochloride, pursuant to standardized procedures. 
This bill would authorize a pharmacist to initiate and furnish preexposure prophylaxis and postexposure prophylaxis if a pharmacist completes training and complies with specified requirements.

 


SB 207 - Medi-Cal: asthma preventive services (View Bill)
Bill Author
: Hurtado
CSHP Position:Support if Amended, Priority Level 2

Bill Summary:
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income persons receive health care benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing federal law authorizes, at the option of the state, preventive services, as defined, to be provided by practitioners other than physicians or other licensed practitioners.
This bill would include asthma preventive services, as defined, as a covered benefit under the Medi-Cal program. The bill would require the department, in consultation with external stakeholders, to approve 2 accrediting bodies with expertise in asthma to review and approve training curricula for asthma preventive services providers, and would require the curricula to be consistent with specified federal and clinically appropriate guidelines. The bill would require a supervising licensed Medi-Cal provider and the Medi-Cal asthma preventive services provider to satisfy specified requirements, including the Medi-Cal asthma preventive services provider’s completion of a training program approved by one of the accrediting bodies. The bill would authorize the department to implement, interpret, or make specific these provisions without taking regulatory action until regulations are adopted. The bill would require the department to adopt regulations by July 1, 2023, and to provide semiannual status reports to the Legislature until regulations have been adopted. The bill would require the department to seek any federal waivers or other state plan amendments as necessary, and would require these provisions to be implemented if federal approvals are obtained, as specified.


 

SB 276 - Medi-Cal: asthma preventive services (View Bill)
Bill Author
: Pan
CSHP Position:Support, Priority Level 3

Bill Summary:
This is closes a loophole from the 2015 SB 277 bill that eliminated personal exemptions for childhood immunizations and required that any exemption be approved by a licensed physician.



SB 305 - Compassionate Access to Medical Cannabis Act or Ryan’s Law (View Bill)
Bill Author
: Hueso
CSHP Position: Watch

Bill Summary:
Requires a health care facility to permit a terminally ill patient, defined as a prognosis of one year or less to live, to use medical cannabis within the health care facility.


 

SB 382 - Health care coverage: state of emergency (View Bill)
Bill Author
: Nielsen and Stern
CSHP Position: Support, Priority Level 3

Bill Summary:
This bill would require a health care service plan contract or health insurance policy entered into, amended, or renewed on or after January 1, 2020, to provide reimbursement of at least the administrative day rate to enrollees and insureds who remain in acute care hospitals, but no longer meet medically necessary criteria, due to a lack of access to postacute care services during a state of emergency. The bill would specify that a plan or insurer may be required to identify enrollees or insureds being cared for in acute care hospitals and create individualized postacute care services plans during a state of emergency. Because a willful violation of the bill’s requirements relative to health care service plans would be a crime, the bill would impose a state-mandated local program.
Specific language that could impact pharmacies:
This may require the insurer to take actions, including, but not limited to, the following:
(1) Relax time limits for prior authorization, precertification, or referrals.
(2) Extend filing deadlines for claims.
(3) Suspend prescription refill limitations and allow an impacted insured to refill his or her the insured’s prescriptions at an out-of-network pharmacy.
(4) Authorize an insured to replace medical equipment or supplies.


 
 

SB 425 -  Health care practitioners: licensee’s file: probationary physician’s and surgeon’s certificate: unprofessional conduct (View Bill)
Bill Author: Hill
CSHP Position: Watch

Bill Summary:
Existing law requires the Medical Board of California and specified other boards responsible for the licensure, regulation, and discipline of health care practitioners to separately create and maintain a central file of the names of all persons who hold a license, certificate, or similar authority from that board, including prescribed historical information for each licensee. Existing law makes the contents of any central file that are not public records confidential, except that the licensee or their counsel or a representative are authorized to inspect and have copies made of the licensee’s complete file other than the disclosure of the identity of an information source. Existing law authorizes a board to protect an information source by providing a copy of the material with only those deletions necessary to protect the identity of the source or by providing a comprehensive summary of the substance of the material.
This bill would delete the specification that the summary be comprehensive.
Existing law establishes a peer review process for certain healing arts licentiates, as defined, and requires the chief of staff of a medical or professional staff or other chief executive officer, medical director, or administrator of any peer review body and the chief executive officer or administrator of any licensed health care facility or clinic to report specified information, including the denial or revocation of staff privileges, as defined, for a medical disciplinary cause or reason, within 15 days of the denial or revocation to the relevant state licensing agency. Existing law makes a violation of this reporting requirement punishable by a civil fine.


 

SB 441 - Electronic health records: vendors (View Bill)
Bill Author
: Galgiani
CSHP Position: Support, Priority Level 2

Bill Summary:
Establishes agency to regulate electronic health record vendors operating in California. Requires the agency to review federal law and policy for opportunities to regulate electronic health record vendors and to establish an interoperability enforcement structure. The bill would require the office to promulgate regulations for this purpose. 


 

SB 446 - Medi-Cal: hypertension medication management services (View Bill)
Bill Author: Stone
CSHP Position: Support, Priority Level 3

Bill Summary:
This is a reintroduction of SB 1264 from last year.


 

SB 476 - Pharmacy: Pharmacist Employer Advisory Task Force (View Bill)
Bill Author: Stone
CSHP Position: Support if Amended.

Bill Summary:
Existing law, the Pharmacy Law, provides for the licensure and regulation of pharmacists by the California State Board of Pharmacy in the Department of Consumer Affairs. Existing law authorizes the board to appoint an executive officer to perform the duties delegated by the board. The law requires each pharmacy to designate a pharmacist-in-charge, proposed by the pharmacy and approved by the board, who is responsible for the pharmacy’s compliance with all state and federal laws and regulations pertaining to the practice of pharmacy. 
This bill would enact the Professional Pharmacist Integrity Act. The bill would create the Pharmacist Employer Advisory Task Force comprised of specified individuals, including the executive officer or their designee and various other designated representatives. The bill would require the task force to study and submit a report to the Legislature on the prevalence of management interference upon ability of pharmacists-in-charge to do their jobs, and any legislative recommendations for improvement. The bill would require the report to include, among other provisions, a survey of pharmacists-in-charge to determine whether they feel they have sufficient authority and autonomy to carry out their statutory mandate and an analysis of the past 5 years of board discipline to determine the extent to which nonpharmacist management interference contributed to wrongdoing. The bill would require the task force to submit its report to the appropriate policy and fiscal committees of the Legislature before January 1, 2022. The bill would repeal the act on January 1, 2022


 

SB 491 - Pharmacies: compounding (View Bill)
Bill Author: Stone
CSHP Position: Watch

Bill Summary:
Under the Pharmacy Law, a violation of which is a crime, the California State Board of Pharmacy licenses and regulates the practice of pharmacy. That law authorizes a pharmacy to furnish prescription drugs only to certain entities, including specific health care entities, and individual patients or another pharmacy either pursuant to prescription or as otherwise authorized by law.
This bill would authorize a pharmacy that provides compounding services to manufacture a nonpatient-specific dangerous drug for a general acute care hospital in order to help alleviate a commercial shortage of that drug.


 

SB 525 - Medi-Cal: reimbursement: blood factors (View Bill)
Bill Author
: Stone
CSHP Position:Watch

Bill Summary:
Existing law provides for 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. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law provides for a schedule of benefits covered by the Medi-Cal program, including the purchase of prescribed drugs subject to the Medi-Cal list of contract drugs and utilization controls. Existing law authorizes the department to enter into contracts with manufacturers of drugs, to maintain a list of contract drugs, including blood factors, and to require pharmaceutical manufacturers to provide various rebates to the state. Existing law requires the reimbursement for blood factors to be by national drug code number and to not exceed 120% of the average sales price of the last quarter reported.
This bill would instead require the reimbursement for blood factors to be the lower of the wholesale acquisition cost,120% of the average sales price of the last quarter reported. or the actual acquisition cost for the drug plus a professional dispensing fee of $0.14 per unit. The bill would define those costs and fees for these purposes.


 

SB 569 - Controlled substances: prescriptions: declared local, state, or federal emergency (View Bill)
Bill Author: Stone
CSHP Position: Watch

Bill Summary:
This bill would allow California pharmacists to fill prescriptions for controlled substances not written on a California Security Prescription blank during a period of declared emergency.


 

SB 617 - Pharmacy technicians: supervision (View Bill)
Bill Author
: Glazer
CSHP Position: Oppose, Priority Level 2

Bill Summary:
Allows an employer, with labor unions representing pharmacists and technicians, to specify a 3 to 1 tech to pharmacist ratio in a bona fide collective bargaining agreement. This ratio applies even for one pharmacist on duty.


 

SB 642 - Pharmacy benefit management: Prescription Acquisition and Adjudication Agency (View Bill)
Bill Author
: Stone
CSHP Position:Watch

Bill Summary:
This bill would make technical, no substantive changes to that provision.


 

SB 650 - Cancer Medication Advisory Task Force (View Bill)
Bill Author: Rubio
CSHP Position: Watch

Bill Summary:
Existing law, the Pharmacy Law, provides for the licensure and regulation of the practice of pharmacy by the California State Board of Pharmacy, which that law establishes in the Department of Consumer Affairs. The board also administers and enforces the Uniform Controlled Substances Act. Existing law authorizes a county to establish a voluntary drug repository and distribution program for the purpose of distributing surplus medications to persons in need of financial assistance to ensure access to necessary pharmaceutical therapies. Existing law requires a surplus medication collection and distribution intermediary, established for the purpose of facilitating the donation of medications to, or transfer of medications between, participating entities under the program, to be licensed by the board.
This bill would establish the Cancer Medication Advisory Task Force for the purpose of identifying the best mechanism to enable the transfer of unused cancer medications to persons in need of financial assistance to ensure access to necessary pharmaceutical therapies. The bill would require the task force to be comprised of 6 specified members appointed by the Governor and would require members of the task force to serve without compensation. The bill would require the task force to, among other things, analyze the effectiveness of those existing provisions of law that authorize a county to establish the voluntary drug repository and distribution program and to determine necessary revisions, if any, to those provisions. The bill would require the task force to submit a report that includes specified information to the California State Board of Pharmacy, the Governor’s office, and the Legislature on or before January 1, 2021. The bill would repeal these provisions on January 1, 2022.


 

SB 653 - Dental hygienists: registered dental hygienist in alternative practice: scope of practice (View Bill)
Bill Author: Chang
CSHP Position: Watch

Bill Summary:
Existing law, the Dental Practice Act, provides for the licensure and regulation of the practice of registered dental hygienists, registered dental hygienists in extended functions, and registered dental hygienists in alternative practice by the Dental Hygiene Board of California within the Department of Consumer Affairs. Existing law makes certain violations of specific provisions relating to healing arts by a licensee a crime.
Existing law specifies the scope of practice of a registered dental hygienist and requires any procedure performed by a registered dental hygienist that does not specifically require direct supervision of a dentist to be performed under the general supervision of a dentist. Existing law authorizes a registered dental hygienist to provide, without supervision, dental hygiene preventive services in addition to oral screenings in a specified federal, state, or local public health program.
This bill would authorize a registered dental hygienist to provide, without supervision, fluoride varnish to a patient. The bill would additionally authorize a registered dental hygienist to provide dental hygiene preventive services and oral screenings at specified sponsored events and nonprofit organizations.
Existing law authorizes a registered dental hygienist in alternative practice to perform any of the duties or functions authorized to be performed by a registered dental hygienist as an employee of a dentist, as an employee of another registered dental hygienist in alternative practice, as an employee of specified clinics, or as an employee of a professional corporation. Existing law authorizes a registered dental hygienist in alternative practice to perform additional duties and functions in residences of the homebound, schools, residential facilities and other institutions, and dental health professional shortage areas, as provided, and requires the duties and functions performed in these settings to be under the general supervision of a dentist when specified.


 

SB 655 - Pharmacy (View Bill)
Bill Author
: Roth
CSHP Position: Support, Priority Level 3

Bill Summary:
Increases the hours requirement for a pharmacy technician externship program, authorizes a reverse distributor to acquire a dangerous drug or device from a previously licensed source, updates renewal requirements for an advanced pharmacist recognition, requires licensing fees for government entities, and makes technical changes, as specified.


 

SB 697 - Physician assistants: practice agreement: supervision (View Bill)
Bill Author
: Caballero
CSHP Position: Watch

Bill Summary:
This bill would have given PA’s their own board (not under the Medical Board).  It also would have allowed them to utilize a “practice3 agreement” under a clinic, facility or physician, rather than just under a physician.


 

SB 700 - Business and professions: noncompliance with support orders and tax delinquencies (View Bill)
Bill Author: Roth
CSHP Position: Watch

Bill Summary:Under existing law, each applicant for the issuance or renewal of a license, certificate, registration, or other means to engage in a business or profession regulated by specified entities, who is not in compliance with a judgment or order for child or family support, is subject to support collection and enforcement proceedings by the local child support agency. Existing law also makes each licensee or applicant whose name appears on a list of the 500 largest tax delinquencies subject to suspension or revocation of the license or renewal by a state governmental licensing entity, as specified.

This bill would make nonsubstantive changes to those provisions.


  

Legislative Resources
Legend/Glossary Terms

Contacts

California Society of Health-System Pharmacists
1314 H Street, Suite 200
Sacramento, CA 95814
Office: (916) 447-1033
Fax: (916) 447-2396
Email: info@cshp.org
Hours: M-F 8:00am – 5:00pm

Connect