text:
(a) An independent living center shall not be required to provide any matching funds through private contributions as a condition of receiving state funds except to acquire state incentive funds.

(b) Each independent living center, except those centers which have been both established and maintained using federal funding under Title VII(c) of the federal Rehabilitation Act of 1973 as amended as their primary base grant, as determined by the department, shall receive to the extent funds are appropriated by the Legislature, at least two hundred thirty-five thousand dollars ($235,000) in base grant funds allocated by the department. The department shall allocate to those centers with Title VII(c) base grant funds of less than two hundred thirty-five thousand dollars ($235,000) an amount that, when combined with the Title VII(c) grant, equals two hundred thirty-five thousand dollars ($235,000).

(c) State funds described in subdivision (b) may be replaced by reimbursements under the Supplemental Security Disability Insurance and the Supplemental Security Income programs provided for under Titles II and XVII of the Federal Social Security Act, Subchapter II (commencing with Section 401) and Subchapter XVII (commencing with Section 1381) of Chapter 7 of Title 42 of the United States Code to the extent appropriated by the Legislature and allocated by the department to independent living centers under this chapter. Beginning with the 1998–99 fiscal year, and each year thereafter, to the extent these funds from the Social Security Act are not appropriated by the Legislature as were appropriated in the 1997–98 fiscal year, an amount equal to the combined state and federal fund allocation to independent living centers in the Budget Act of 1997 shall be appropriated to, and allocated by, the department to independent living centers under this chapter.

(d) (1) Available state incentive funds shall be allocated at the beginning of each fiscal year based upon the average amount of private contributions received by the independent living center in the second and third preceding fiscal years.

(2) The maximum amount of incentive funds that may be allocated to any independent living center in any single fiscal year shall be computed as follows:

(A) “Pool One” is defined as 60 percent of all state incentive funds. “Pool Two” is defined as 40 percent of all state incentive funds. Each independent living center shall be entitled to an equal portion of Pool One, not to exceed the amounts raised pursuant to paragraph (1).

(B) Incentive funds from Pool One not used after the initial allocation pursuant to subparagraph (A) shall be added to Pool Two for allocation among all centers that had unmatched private contributions after distribution of Pool One funds. Pool Two funds shall be awarded in direct proportion to each center’s percentage of the total remaining unmatched private contributions raised by those independent living centers.

(3) For the purpose of determining eligibility for state incentive funds, any independent living center that uses a fiscal year other than the state fiscal year may elect to use a different fiscal year so long as the closing date of the fiscal year so elected does not precede the closing date of the equivalent state fiscal year by more than 11 months.

(4) The amount of private contributions claimed by an independent living center for each fiscal year shall be verified by the department by utilizing appropriate financial records including, but not limited to, independent audits. Audits may be performed by the department up to three years from the close of the fiscal year during which state incentive funds were received by the independent living center being audited.

(5) State incentive funds that are not distributed to independent living centers shall not be allocated or retained by the department for distribution as state incentive funds in later fiscal years.

(e) For purposes of this section:

(1) “Private funds” does not include any funds originating from any entity of the federal, state, city, or county government or any political subdivision thereof. Notwithstanding the provisions of this section, fees from any source for services provided may be included as private contributions by an independent living center for purposes of determining its allocation of incentive funds.

(2) “State incentive funds” means state funds appropriated by the Legislature for purposes of this chapter, except those funds allocated by the department pursuant to subdivisions (b) and (g) of this section.

(f) Any funds allocated under this chapter to any independent living center, other than as part of the initial allocation for each fiscal year, shall be made by contract amendment. Any contract amendment shall require the provision of services in addition to those required by the contract being amended. All those services required by contract amendment shall not be performed prior to the date the contract amendment is approved by the state.

(g) To the extent funds are appropriated by the Legislature for the purpose of providing assistive technology services described in subdivision (d) of Section 19801, two hundred ten thousand dollars ($210,000) of those funds shall be allocated to the nonprofit contractor selected by the Department of Rehabilitation to coordinate delivery of assistive technology services and the remainder shall be allocated equally among independent living centers. The nonprofit contractor shall provide statewide assistive technology information and referral and serve as a resource to the independent living centers’ assistive technology service programs.

(h) To the extent funds are appropriated by the Legislature, after allocation of base grant and incentive funds and assistive technology funds, remaining funds shall be allocated by the department among independent living centers on the basis of the ratio of the total of the general population in an independent living center’s geographic service areas as compared to the total of the general population in all independent living centers geographic services area statewide. The department shall adopt regulations for the distribution of population funds by June 30, 1999.

history: (History: Amended by Stats. 2004, Ch. 229, Sec. 61. Effective August 16, 2004.)


kind: section

code: WIC

text:
The Legislature finds and declares all of the following:

(a) Adults with disabilities, including older adults with disabilities, are presumed competent and to have the capacity to make decisions regarding their day-to-day health, safety, welfare, and social and financial affairs, unless otherwise determined through legal proceedings.

(b) All adults, to the best of their ability and with supports they choose, should be able to be informed about, and participate in, the management of their affairs.

(c) Like adults without disabilities, adults with disabilities may use a wide range of voluntary supports to help them understand, make, and communicate their own decisions. These voluntary arrangements should be encouraged and recognized as a valid way for people with disabilities to strengthen their capacity and maintain their autonomy.

(d) The capacity of an adult should be assessed with any supports, including supported decisionmaking, that the person is using or could use.

(e) Supported decisionmaking offers adults with disabilities a flexible way to maintain autonomy and decisionmaking authority over their own lives by developing and maintaining voluntary supports to assist them in understanding, making, communicating, and implementing their own informed choices.

(f) Supported decisionmaking can be a way to strengthen the capacity of an adult with a disability.

(g) Supported decisionmaking is one of several options available to adults with disabilities to understand, make, and communicate decisions and to express preferences, including, but not limited to, medical and financial powers of attorney, authorized representative forms, health care directives, release of information forms, and representative payees.

history: (History: Added by Stats. 2022, Ch. 894, Sec. 16. (AB 1663) Effective January 1, 2023.)

division: 11.5. SUPPORTED DECISIONMAKING

path: 11.5. SUPPORTED DECISIONMAKING


text:
The following definitions apply for purposes of this division:

(a) “Adult with a disability” means an adult with any disability, including an older adult with a disability or an age-related disability. Disability includes, but is not limited to, an intellectual or developmental disability, cognitive disability, communication disability, psychiatric disability, physical disability, sensory disability, learning disability, dementia, cognitive impairment, Alzheimer’s disease, major neurocognitive disorder, or chronic illness or condition.

(b) “Life decision” means any decision that affects the adult with a disability, including, but not limited to, a decision regarding any medical, psychological, financial, educational, living arrangement, access to home and community-based services, social, sexual, religious, or occupational matter.

(c) “Supported decisionmaking” means an individualized process of supporting and accommodating an adult with a disability to enable them to make life decisions without impeding the self-determination of the adult.

(d) “Supported decisionmaking agreement” means a voluntary, written agreement, written in plain language accessible to the adult with a disability and in conformance with Section 21005. A supported decisionmaking agreement shall be signed in conformance with subdivision (b) of Section 21005 and may be revoked orally or in writing at any time by either party. A supported decisionmaking agreement may include images, be read aloud, or be video or audio recorded, in addition to the written version.

(e) “Supporter” means one or more adults who meet the requirements in Section 21002 and who enter into a supported decisionmaking agreement to help the adult with a disability make decisions.


text:
(a) A supporter is bound by all existing obligations and prohibitions otherwise applicable by law that protect adults with disabilities and the elderly from fraud, abuse, neglect, coercion, or mistreatment. This division does not limit a supporter’s civil or criminal liability for prohibited conduct against the adult with a disability, including liability for fraud, abuse, neglect, breach of fiduciary duty, if any exists, coercion, or mistreatment, including liability under the Elder Abuse and Dependent Adult Civil Protection Act (Chapter 11 (commencing with Section 15600) of Part 3 of Division 9), including, but not limited to, Sections 15656 and 15657.

(b) An individual shall not be selected as a supporter or continue as a supporter of an adult with a disability in any of the following circumstances:

(1) The adult with a disability previously made, or makes, an allegation against the supporter under the Elder Abuse and Dependent Adult Civil Protection Act.

(2) The adult with a disability has obtained, or obtains, an order of protection from abuse against the supporter.

(3) The supporter is the subject of a civil or criminal order prohibiting contact with the adult with the disability, or is subject to a restraining order with respect to the adult with a disability.

(4) The supporter has been removed as the conservator of the adult with a disability, based upon a finding that they did not act in the conservatee’s best interest.

(5) The supporter is found criminally, civilly, or administratively liable for abuse, neglect, mistreatment, coercion, or fraud.

(c) A supporter shall do all of the following:

(1) Support and implement the direction, will, and preferences of the adult with a disability.

(2) Respect the values, beliefs, and preferences of the adult with a disability.

(3) Act honestly, diligently, and in good faith.

(4) Act within the scope identified by the adult with a disability.

(5) Maintain confidentiality of any information obtained by a supporter, unless the adult with a disability specifically authorizes its disclosure.

(d) (1) A supporter shall not coerce an adult with a disability.

(2) Unless the supporter has a valid legal authorization to do so and the action is within the scope of their authority, a supporter shall not do either of the following:

(A) Make decisions for, or on behalf of, the adult with a disability.

(B) Sign documents on behalf of the adult with a disability.

(3) A supporter shall not obtain information not reasonably related to matters with which the adult with a disability has requested assistance, and shall not use or disclose information for any purpose other than supporting the adult with a disability.

(4) A supporter shall not participate in any life decision in which they have a conflict of interest. This includes, but is not limited to, any decision in which the supporter has a financial or other tangible stake in the outcome.


text:
(a) An adult with a disability may choose to enter into a supported decisionmaking agreement with one or more chosen supporters. Support may include, but is not limited to, helping the adult with a disability obtain and understand information related to a life decision, communicating the decision to others, and assisting the individual to ensure their preferences and decisions are honored.

(b) An adult with a disability’s signing of a supported decisionmaking agreement does not preclude the adult with the disability from acting independently of a supported decisionmaking agreement and shall not be used by a court or other entity as evidence of incapacity. This subdivision does not limit the admissibility of evidence pursuant to Section 28 of Article 1 of the California Constitution.


text:
(a) Notwithstanding any other provision of this division, an adult with a disability is entitled to have present one or more other adults, including supporters, in any meeting or discussion, or to participate in any written communication, including, but not limited to, individual planning meetings required by state or federal law, service and care planning meetings, discharge planning meetings, meetings with health care providers and individuals who provide residential services or long-term services and supports, and communications with a bank, financial institution, or financial planner.

(b) An adult with a disability may indicate that they wish to have one or more adults attend a meeting or discussion or participate in any written communication through oral statement, gesture, or any augmentative or alternative communication method used by the adult with a disability.

(c) A third party may only refuse the presence of one of more adults, including supporters, if the third party reasonably believes that there is fraud, coercion, abuse, or other action by the individuals requested to be included that the third party is required to report pursuant to the Elder Abuse and Dependent Adult Civil Protection Act (Chapter 11 (commencing with Section 15600) of Part 3 of Division 9).

(d) The Legislature finds and declares that this section is declaratory of existing law.


text:
(a) A supported decisionmaking agreement shall be written in plain language accessible to the adult with the disability and shall include, but not be limited to, all of the following:

(1) A list of the areas in which the adult with a disability requests support.

(2) A list of the areas in which the supporter agrees to provide the support.

(3) The supporter’s agreement that they meet each of the requirements specified in Section 21002.

(4) Information advising the adult with a disability about their right to file a report under the Elder Abuse and Dependent Adult Civil Protection Act (Chapter 11 (commencing with Section 15600) of Part 3 of Division 9), including, but not limited to, Sections 15656 and 15657.

(5) Information and copies of other supported or substituted decisionmaking documents the adult with a disability has in place, including, but not limited to, powers of attorney, authorizations to share medical or educational information, authorized representative forms, or representative payee agreements.

(b) A supported decisionmaking agreement shall be signed by the adult with a disability and each supporter, in the presence of two or more attesting and disinterested witnesses who are at least 18 years of age, or a notary public. The adult with a disability may use reasonable modifications, such as assistive technology or physical assistance, to sign the agreement.

(c) A supported decisionmaking agreement should be reviewed by all supporters and the adult with a disability every two years and updated as needed. An updated agreement shall be signed as required in subdivision (b).


text:
(a) (1) A supported decisionmaking agreement is effective until it is terminated in one of the following ways:

(A) By the adult with a disability.

(B) By all supporters.

(C) By the terms of the agreement.

(D) By the death of the adult with a disability.

(E) All supporters are no longer eligible to serve pursuant to Section 21002.

(2) Any party may choose to terminate their participation in the agreement at any time by providing written or oral notice of the termination to all parties to the agreement. An adult with a disability may terminate a supported decisionmaking agreement by other conduct intended to communicate termination, including by canceling, defacing, obliterating, burning, tearing, or otherwise destroying the supported decisionmaking agreement or directing another in the presence of the adult with a disability to destroy the supported decisionmaking agreement.

(b) If there is more than one supporter, the termination by one supporter does not terminate the supported decisionmaking agreement with respect to other supporters.


text: This division does not apply to CARE court proceedings or to a CARE supporter trained and appointed under the Community Assistance, Recovery, and Empowerment (CARE) Act (Part 8 (commencing with Section 5970) of Division 5).


text:
In developing educational information or training materials on supported decisionmaking or supported decisionmaking agreements, the California Health and Human Services Agency or any departments under its jurisdiction shall do all of the following:

(a) Consider the needs of individuals who have been underserved, including, but not limited to, immigrants, individuals whose preferred language is not English, individuals from rural communities, and individuals living in long-term care facilities.

(b) Consider existing materials and resources on supported decisionmaking and best practices developed nationwide.

(c) Consult with stakeholders to provide input about the information, materials, and training being developed. The stakeholders shall include persons with a disability, including an older adult with a disability, family members of a person with a disability and family members of an older adult living in a long-term care facility, and one representative of each of the following: the State Council on Developmental Disabilities; the protection and advocacy agency described in subdivision (i) of Section 4900; the client’s rights advocate described in Section 4433; a disability organization; the California Health and Human Services Agency’s Alzheimer’s and Related Disorders Advisory Committee, the departments’ ombudsperson offices; and an organization representing older adults.


text: The California Partnership for Long-Term Care Program is hereby established.

history: (History: Amended by Stats. 1999, Ch. 802, Sec. 1. Effective January 1, 2000.)

division: 12. CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE


text: The purpose of the program is to link private long-term care insurance and health care service plan contracts that cover long-term care with the In-Home Supportive Services program (Article 7 (commencing with Section 12300) of Chapter 3 of Part 3 of Division 9) and Medi-Cal, and to provide specified in-home supportive services benefits and specified Medi-Cal benefits to the purchasers of approved and certified insurance policies and health care service plan contracts who qualify under the special provisions of this division.

history: (History: Amended by Stats. 1999, Ch. 802, Sec. 2. Effective January 1, 2000.)

path: 12. CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE


text: The State Department of Health Care Services shall seek any federal waivers and approvals necessary to accomplish the purposes of this division.

history: (History: Amended by Stats. 2016, Ch. 487, Sec. 3. (SB 1384) Effective January 1, 2017.)


text:
(a) Individuals who participate in the program and have resources above the eligibility levels for receipt of medical assistance under Title XIX of the Social Security Act (Subchapter XIX (commencing with Section 1396) of Chapter 7 of Title 42 of the United States Code) shall be eligible to receive those in-home supportive services benefits specified by the State Department of Social Services, and those Medi-Cal benefits specified by the State Department of Health Care Services, for which they would otherwise be eligible, if, prior to becoming eligible for benefits, they have purchased a long-term care insurance policy or a health care service plan contract covering long-term care that has been certified by the State Department of Health Care Services pursuant to this division.

(b) Individuals may purchase approved and certified long-term care insurance policies or health care service plan contracts which cover long-term care services in amounts equal to the resources they wish to protect, so long as the amount of insurance purchased exceeds the minimum level set by the State Department of Health Care Services pursuant to Section 22009.

(c) The resource protection provided by this division shall be effective only for long-term care policies, and health care service plan contracts that cover long-term care services, when the policy or contract is delivered, issued for delivery, or renewed on July 1, 1993, and thereafter.

history: (History: Amended by Stats. 2016, Ch. 487, Sec. 4. (SB 1384) Effective January 1, 2017.)


text:
Notwithstanding other provisions of law, the resources, to the extent described in subdivision (c), of an individual who purchases an approved and certified long-term care insurance policy or health care service plan contract which covers long-term care services shall not be considered by:

(a) The State Department of Health Care Services in determining:

(1) Medi-Cal eligibility.

(2) The amount of any Medi-Cal payment.

(3) The amount of any subsequent recovery by the state of payments made for medical services.

(b) The State Department of Social Services in determining:

(1) Eligibility for in-home supportive services provided pursuant to Article 7 (commencing with Section 12300) of Chapter 3 of Division 9.

(2) The amount of any payment for in-home supportive services.

(c) The resources not to be considered as provided by this section shall be equal to, or in some proportion set by the State Department of Health Care Services or State Department of Social Services that is less than equal to, the amount of long-term care insurance payments or benefits made as described in Section 22006.

history: (History: Amended by Stats. 2016, Ch. 487, Sec. 5. (SB 1384) Effective January 1, 2017.)


text: The State Department of Health Care Services shall only certify a long-term care insurance policy or a health care service plan contract that meets the Medi-Cal asset protection requirements.

history: (History: Amended by Stats. 2016, Ch. 487, Sec. 6. (SB 1384) Effective January 1, 2017.)


text:
(a) The State Department of Health Care Services shall only certify a long-term care insurance policy that substantially meets the requirements of Chapter 2.6 (commencing with Section 10231) of Part 2 of Division 2 of the Insurance Code, except the requirements of Sections 10232.1, 10232.2, 10232.8, 10232.9, and 10232.92 of the Insurance Code, and that provides all of the items specified in subdivision (b). The State Department of Health Care Services shall only certify a health care service plan contract that has been approved by the Department of Managed Health Care pursuant to Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code as providing substantially equivalent coverage to that required by Chapter 2.6 (commencing with Section 10231) of Part 2 of Division 2 of the Insurance Code, and that provides all of the items specified in subdivision (b). Policies issued by organizations subject to the Insurance Code and regulated by the Department of Insurance shall also be approved by the Department of Insurance.

(b) Only policies and contracts that provide all of the following items shall be certified by the department:

(1) Individual assessment and case management by a coordinating entity designated and approved by the department.

(2) Levels and durations of benefits that meet minimum standards set by the department pursuant to Section 22009.

(3) Protection against loss of benefits due to inflation. An applicant shall be offered, at the time of purchase, the following options:

(A) One option that provides, at a minimum, protection against inflation that automatically increases benefit levels by 5 percent each year over the previous year, up to an age specified by the program.

(B) At least one lower-cost option that provides protection against inflation that automatically increases benefit levels by, at a minimum, either 3 percent each year over the previous year or a fixed amount each year equal to 5 percent of the original benefit levels.

(4) A periodic record issued to the insured including an explanation of insurance payments or benefits paid that count toward Medi-Cal asset protection under this division.

(5) Compliance with any other requirements imposed by regulations adopted by the State Department of Health Care Services or the State Department of Social Services and consistent with the purposes of this division.

(c) (1) The State Department of Health Care Services may also certify a new policy or certificate, or maintain certification of a previously issued policy or certificate when the policyholder or certificate holder elects to reduce benefit levels, with a per diem benefit of at least one hundred dollars ($100) per day for a nursing facility, residential care facility, and home care and community-based services, if the policy or certificate provides a lifetime maximum benefit of not less than seventy-three thousand dollars ($73,000). A policy or certificate certified pursuant to this subdivision shall provide protection against inflation that automatically increases benefit levels by, at a minimum, either 3 percent each year over the previous year or a fixed amount each year equal to 5 percent of the original benefit levels, or, for a policyholder or certificate holder who elects to reduce benefit levels and is 70 years of age or older, 1 percent each year over the previous year.

(2) An insurer may offer a policy or certificate with the benefits described in paragraph (1) only if the insurer also offers the applicant policy benefits that provide at least a lifetime maximum benefit that, at the time of purchase, is equivalent in dollars to at least 365 times 70 percent of the average daily private pay rate for a nursing facility and a nursing facility per diem benefit of no less than 70 percent of the average daily private pay rate for a nursing facility.

(3) Except for the lifetime maximum benefit, per diem benefit, and inflation protection levels permitted by paragraphs (1) and (2), policies and certificates authorized by this subdivision shall comply with the standards described in paragraph (2) of subdivision (b).

(d) A premium rate schedule increase shall not exceed a cumulative total of 40 percent over any three-year period, and the amount of the increase shall be spread equally over each of the three years. The insurer shall send a premium increase notification each of the three years and include options, if available to the policyholder, to reduce coverage and lower the premium that would maintain partnership certification. If the Department of Insurance approves a premium rate schedule increase on or after January 1, 2023, the premium increase notification shall include the options described in paragraphs (1) to (7), inclusive, as applicable, and disclose that the policyholder or certificate holder may have additional options to lower the premium, including additional options to increase the elimination period or to reduce the daily benefit, benefit duration, and protection against inflation. Paragraphs (1) to (6), inclusive, do not require an insurer to create new benefit levels or amend its approved rate schedule. Each of the options set forth in paragraphs (1) to (7), inclusive, shall maintain partnership certification as long as the policy or certificate maintains at least the minimum benefit levels permitted by paragraph (1) of subdivision (c). Notwithstanding subdivision (b), a policy or certificate shall also maintain partnership certification if the policy or certificate is converted to a nonforfeiture benefit or a contingent benefit upon lapse. Even if a policyholder or certificate holder is not subject to a premium increase, the election of one of the available options set forth in paragraphs (1) to (7), inclusive, shall not result in a loss of partnership certification as long as the policy or certificate maintains at least the minimum benefit levels permitted by paragraph (1) of subdivision (c).

(1) Reduce the daily benefit by 50 percent, rounded up or down to the closest daily benefit level on the insurer’s approved rate schedule.

(2) Reduce the daily benefit by 25 percent, rounded up or down to the closest daily benefit level on the insurer’s approved rate schedule.

(3) Reduce the benefit duration to the lowest duration on the insurer’s approved rate schedule, but not below 12 months.

(4) Reduce the benefit duration to the next highest duration on the insurer’s approved rate schedule, relative to the current duration, but not below 12 months.

(5) Increase the elimination period to 90 days for a policy or certificate with an elimination period of less than 90 days, if the insurer’s approved rate schedule includes a 90-day elimination period.

(6) Convert a policy or certificate to a minimum coverage policy or certificate as described in paragraph (1) of subdivision (c), if the insurer offers such a policy for sale in California.

(7) Reduce the protection against inflation to a lower-cost option that automatically increases benefit levels by either 3 percent each year over the previous year or a fixed amount each year equal to 5 percent of the original benefit levels. If the policyholder or certificate holder is 70 years of age or older and experiences a 50-percent or greater increase in premium over the life of the policy or certificate, the insurer shall also offer protection against inflation that automatically increases benefit levels by 1 percent each year over the previous year. An offer made pursuant to this paragraph to reduce protection against inflation shall allow a policyholder or certificate holder, regardless of the issue date, issue age, or present age, to retain the accrued daily, weekly, monthly, and lifetime benefit amounts in effect at the time of the reduction.

history: (History: Amended by Stats. 2023, Ch. 204, Sec. 22. (AB 1140) Effective January 1, 2024.)


text:
(a) Each organization issuing policies certified by the State Department of Health Care Services under this division shall each year contribute to a fund to be used for common educational and marketing expenses for reaching the target population designated by the California Partnership for Long-Term Care Program. The amount of each participating issuer’s required annual contribution shall be determined by the department and shall not be less than twenty thousand dollars ($20,000).

(b) This section shall become operative on January 1, 2019.

history: (History: Repealed (in Sec. 8) and added by Stats. 2016, Ch. 487, Sec. 9. (SB 1384) Effective January 1, 2017. Section operative January 1, 2019, by its own provisions.)


text:
(a) The insurer or producer shall, at the time of application, provide all of the following to the applicant:

(1) A graph that illustrates the difference in premium rates and policy benefits payable in accordance with the inflation protection provisions described in Section 22005.1.

(2) An illustration of the differences in benefits between the policies described in paragraphs (1) and (2) of subdivision (c) of Section 22005.1.

(3) A description of the available lower-cost options and the advantages and disadvantages of each option, including the differences between lower and higher minimum benefits, lower and higher inflation protection options, the types of services covered, and how these options compare to the anticipated costs of home, community-based, and institutional care.

(b) The State Department of Health Care Services shall prepare the materials described in subdivision (a) on behalf of issuers as provided in Section 22005.2 and shall require that the materials be incorporated into producer training curriculum.

history: (History: Amended by Stats. 2018, Ch. 565, Sec. 4. (SB 1248) Effective January 1, 2019.)


text:
The State Department of Health Care Services, in determining eligibility for Medi-Cal, and the State Department of Social Services, in determining eligibility for in-home supportive services, shall exclude resources up to, or equal to, the amount of insurance payments or benefits paid by approved and certified long-term care insurance policies or health care service plan contracts which cover long-term care services to the extent that the benefits paid are for all of the following:

(a) In-home supportive services benefits specified in regulations adopted by the State Department of Social Services pursuant to Section 22009, or those services that Medi-Cal approves or benefits that Medi-Cal provides as specified in regulations adopted by the State Department of Health Care Services pursuant to Section 22009.

(b) Services delivered to insured individuals at home or in a community setting as part of an individual assessment and case management program provided by coordinating entities designated and approved by the State Department of Health Care Services.

(c) Services the insured individual receives after meeting the disability criteria for eligibility for long-term care benefits established by the State Department of Health Care Services.

history: (History: Amended by Stats. 2016, Ch. 487, Sec. 11. (SB 1384) Effective January 1, 2017.)


text: The program shall be designed so that the estimated aggregate state expenditures for long-term care services for individuals participating in the program do not exceed the aggregate expenditures that would be made for these services under the Medi-Cal program in effect prior to the implementation of this program.

history: (History: Amended by Stats. 1999, Ch. 802, Sec. 10. Effective January 1, 2000.)


text: Advice and counseling may be provided by the Health Insurance Counseling and Advocacy program within the California Department of Aging to individuals interested in purchasing long-term care insurance or health care service plan contracts that cover long-term care services approved and certified pursuant to this division.

history: (History: Amended by Stats. 1999, Ch. 802, Sec. 11. Effective January 1, 2000.)


text: Individuals who participate in the program shall remain eligible for those in-home supportive services benefits and those Medi-Cal benefits for which they are eligible under the program for the life of the purchaser of the policy or contract, as long as the purchaser maintains his or her insurance policy or health care service plan contract in force, or otherwise qualifies for continued benefits in accordance with regulations promulgated by the departments.

history: (History: Amended by Stats. 1999, Ch. 802, Sec. 12. Effective January 1, 2000.)


text:
(a) The State Department of Health Care Services shall adopt regulations to implement this division, including, but not limited to, regulations that establish:

(1) The population and age groups that are eligible to participate in the program.

(2) The minimum level of long-term care insurance or long-term care coverage included in health care service plan contracts that must be purchased to meet the requirement of subdivision (b) of Section 22003.

(3) (A) The amount and types of services that a long-term care insurance policy or health care service plan contract that includes long-term care services must cover to meet the requirements of this division. The types of policies or plans shall include nursing and residential care facility coverage only, home care, community-based services, and residential care facility coverage only, and comprehensive coverage.

(B) Policies that provide only home care benefits shall include coverage for electronic or other devices intended to assist in monitoring the health and safety of an insured.

(4) Which coordinating entities are designated and approved to deliver individual assessment and case management services to individuals at home or in a community setting, as required by subdivision (b) of Section 22006.

(b) The State Department of Health Care Services shall also adopt regulations to implement this division, including, but not limited to, regulations that establish:

(1) The disability criteria for eligibility for long-term care benefits as required by subdivision (c) of Section 22006.

(2) The specific eligibility requirements for receipt of the Medi-Cal benefits provided for by the program, and those Medi-Cal benefits for which participants in the program shall be eligible.

(c) The State Department of Social Services shall also adopt regulations to implement this division, including, but not limited to, regulations that establish:

(1) The specific eligibility requirements for in-home supportive services benefits.

(2) Those in-home supportive services benefits for which participants in the program shall be eligible.

(d) The State Department of Health Care Services and the State Department of Social Services shall also jointly adopt regulations that provide for the following:

(1) Continuation of benefits pursuant to Section 22008.5.

(2) The protection of a participant’s resources pursuant to Section 22004, and the ratio of resources to long-term care benefit payments as described in subdivision (c) of Section 22004.

(e) (1) The departments shall adopt emergency regulations pursuant to Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code to implement this division. The adoption of regulations pursuant to this section in order to implement this division shall be deemed to be an emergency and necessary for the immediate preservation of the public peace, health, or safety.

(2) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, emergency regulations adopted pursuant to this section shall not be subject to the review and approval of the Office of Administrative Law. The regulations shall become effective immediately upon filing with the Secretary of State. The regulations shall not remain in effect more than 120 days unless the adopting agency complies with all of the provisions of Chapter 3.5 (commencing with Section 11340) as required by subdivision (c) of Section 11346.1 of the Government Code.

history: (History: Amended by Stats. 2018, Ch. 565, Sec. 5. (SB 1248) Effective January 1, 2019.)


text:
(a) In implementing this division, the State Department of Health Care Services may contract, on a bid or nonbid basis, with any qualified individual, organization, or entity for services needed to implement the project, and may negotiate contracts, on a nonbid basis, with long-term care insurers, health care service plans, or both, for the provision of coverage for long-term care services that will meet the certification requirements set forth in Section 22005.1 and the other requirements of this division.

(b) In order to achieve maximum cost savings, the Legislature declares that an expedited process for issuing contracts pursuant to this division is necessary. Therefore, contracts entered into on a nonbid basis pursuant to this section shall be exempt from the requirements of Chapter 1 (commencing with Section 10100) and Chapter 2 (commencing with Section 10290) of Part 2 of Division 2 of the Public Contract Code.

history: (History: Amended by Stats. 2016, Ch. 487, Sec. 13. (SB 1384) Effective January 1, 2017.)


text: By no later than December 1, 2026, each law enforcement agency shall establish and maintain a written policy regarding interactions with survivors of human trafficking based on the guidelines developed by the commission pursuant to Section 23024.

history: (History: Added by Stats. 2024, Ch. 615, Sec. 1. (AB 2020) Effective January 1, 2025.)

chapter: 1. Law Enforcement Collaboration

path: 15. SURVIVORS OF HUMAN TRAFFICKING SUPPORT ACT > 1. Law Enforcement Collaboration


text:
(a) A policy established pursuant to this chapter shall, without limitation, include all of the following:

(1) A requirement that an officer contacting a survivor of human trafficking inform them that they have the right to have an advocate present during any interviews with law enforcement and other subsequent examinations and proceedings.

(2) A requirement that the officer explain the benefits of being represented by an advocate, including, without limitation, confidentiality and evidentiary privilege, emotional support, assistance in accessing resources, and assistance with understanding their legal rights.

(3) A requirement that, if the survivor requests an advocate, the officer contact the rape crisis center or another appropriate organization, such as an immigrant services organization, and arrange for an advocate to be present for any further interviews or examinations.

(4) A requirement that an officer obtain a waiver in writing if a survivor refuses an advocate, and inform them that they may revoke their waiver at any time and request an advocate.

(5) A requirement that the officer provide referrals to organizations that provide services to survivors of human trafficking, including, but not limited to, immigrant services organizations.

(6) A requirement that a law enforcement agency, in collaboration with community-based organizations, establish a process for referrals of human trafficking victims to the county social services department.

(7) A requirement that a law enforcement agency work with community-based organizations to provide referrals to services that are consistent with a survivor’s culture, sexual orientation, and gender identity.

(b) Each law enforcement agency shall also create a standardized written waiver of advocacy or may use the waiver developed by the commission pursuant to Section 23024.

division: 15. SURVIVORS OF HUMAN TRAFFICKING SUPPORT ACT


text:
(a) By no later than June 1, 2026, the Commission on Peace Officer Standards and Training shall develop and promulgate minimum guidelines for law enforcement personnel interactions with survivors of human trafficking. A law enforcement agency shall use these guidelines as a resource in creating the policy required under Section 23020 to establish procedures for law enforcement interactions with survivors of human trafficking.

(b) The guidelines shall, without limitation, meet the requirements of a policy described in Section 23022.

(c) (1) In developing the guidelines, the commission shall collaborate with appropriate groups and individuals having an interest and expertise in human trafficking. This shall include, but is not limited to, all of the following:

(A) Community-based organizations providing services to survivors of human trafficking.

(B) Organizations with experience supporting survivors of labor trafficking, including, but not limited to, immigrant legal service providers.

(C) Human trafficking victim service organizations, as defined in subdivision (d) of Section 1038.2 of the Evidence Code, and domestic violence victim service organizations, as defined in subdivision (b) of Section 1037.1 of the Evidence Code, and rape crisis centers, as used in Section 13837 of the Penal Code.

(2) When collaborating with organizations pursuant to paragraph (1), the commission shall prioritize organizations that have been providing services for at least five years.

(d) The commission shall also develop and promulgate a standardized written waiver of advocacy, as described in Section 23022.


text:
As used in this chapter, the following terms are defined as follows:

(a) “Commission” means the Commission on Peace Officer Standards and Training.

(b) “Law enforcement agency” means any department or agency of the state or any political subdivision thereof that employs any peace officer, as described in Section 830 of the Penal Code, and that provides uniformed general law enforcement services to the public. “Law enforcement agency” includes, without limitation, any municipal police department, county sheriff’s department, the California Highway Patrol, and the University of California and California State University police departments.


text: There is established in the State Department of Health Care Services the State-Only Family Planning Program to provide comprehensive clinical family planning services to low-income men and women. This division shall be known and may be cited as the State-Only Family Planning Program.

history: (History: Amended by Stats. 2012, Ch. 23, Sec. 121. (AB 1467) Effective June 27, 2012.)

division: 24. STATE-ONLY FAMILY PLANNING PROGRAM

path: 24. STATE-ONLY FAMILY PLANNING PROGRAM


text:
(a) (1) For purposes of this division, “family planning” means the process of establishing objectives for the number and spacing of children, and selecting the means by which those objectives may be achieved. These means include a broad range of acceptable and effective methods and services to limit or enhance fertility, including contraceptive methods, natural family planning, abstinence methods and basic, limited fertility management. Family planning services include, but are not limited to, preconception counseling, maternal and fetal health counseling, general reproductive health care, including diagnosis and treatment of infections and conditions, including cancer, that threaten reproductive capability, medical family planning treatment and procedures, including supplies and followup, and informational, counseling, and educational services. Family planning shall not include abortion, pregnancy testing solely for the purposes of referral for abortion or services ancillary to abortions, not including contraceptives, or pregnancy care that is not incident to the diagnosis of pregnancy.

(2) Family planning services for males shall be expanded to include laboratory tests for sexually transmitted infections and comprehensive physical examinations. Within 60 days of approval of the Family Planning, Access, Care, and Treatment (Family PACT) Waiver Program, provided for pursuant to subdivision (aa) of Section 14132, the department shall seek to amend the waiver to add this expansion. The implementation of this paragraph shall be dependent upon federal approval and receipt of federal financial participation.

(b) For purposes of this division, “department” means the State Department of Health Care Services.

history: (History: Amended by Stats. 2012, Ch. 23, Sec. 122. (AB 1467) Effective June 27, 2012.)


text:
(a) A person shall be eligible to receive services pursuant to this chapter provided that the following conditions are met:

(1) The person is a resident of California.

(2) The person has a family income at or below 200 percent of the federal poverty level.

(3) The person has no other source of health care coverage unless the use of that health care coverage would create a barrier to access because of confidentiality.

(4) The person is not otherwise eligible for existing Medi-Cal services without a share of cost.

(b) Notwithstanding any other provision of law, the provision of family planning services shall not require the consent of anyone other than the person who is to receive the services.

(c) Eligibility shall be determined at point of service by the provider. The provider shall obtain information on the individual’s family size, income, and health care coverage and then, based on that information, determine if the individual meets the eligibility criteria specified in subdivision (a). All individuals who meet the eligibility requirements shall be certified by the provider as eligible for services under the program. A Medi-Cal share of cost shall not be used to deny access to family planning services under the program. The department may require the collection on a voluntary basis or the use of the individual’s social security number, or both. No services shall be denied to a client if a social security number is not provided.

(d) Eligibility shall be based on the individual’s self-declaration of gross annual or monthly income, family size, and other source of health care coverage, signed under penalty of perjury at each annual eligibility certification. No asset information shall be used to determine eligibility.

(e) The department may establish a copayment system for services provided pursuant to this chapter that is based upon the income level of the individual and the cost of the service provided. No individual whose documented family income is at or below 100 percent of the federal poverty level shall be subject to copayment. The copayment fee shall not be used to deny access to family planning services. State reimbursement to the provider shall be offset by that amount of the copayment collected from the eligible individual. The department shall notify providers on an annual basis of the copayment fee schedule.

history: (History: Added by Stats. 1996, Ch. 197, Sec. 52. Effective July 22, 1996.)


text: The basic preventive health services covered under this program shall include measles, mumps, and rubella vaccines for women of reproductive age. Within 60 days of approval of the Family Planning, Access, Care, and Treatment (Family PACT) Waiver Program, provided for pursuant to subdivision (aa) of Section 14132, the department shall seek to amend the waiver to add this expansion. The implementation of this section shall be dependent upon federal approval and receipt of federal financial participation.

history: (History: Added by Stats. 1999, Ch. 146, Sec. 71. Effective July 22, 1999.)


text: Any male or female of reproductive age who is not at risk for pregnancy and is eligible for the program shall have available the scope of benefits provided by the program. Within 60 days of approval of the Family Planning, Access, Care, and Treatment (Family PACT) Waiver Program, provided for pursuant to subdivision (aa) of Section 14132, the department shall seek to amend the waiver to add this expansion. The implementation of this section shall be dependent upon federal approval and receipt of federal financial participation.

history: (History: Added by Stats. 1999, Ch. 146, Sec. 72. Effective July 22, 1999.)


text:
(a) This section applies to the Family Planning, Access, Care, and Treatment Program identified in subdivision (aa) of Section 14132 and this program.

(b) Only licensed medical personnel with family planning skills, knowledge, and competency may provide the full range of family planning medical services covered in this program.

(c) Medi-Cal enrolled providers, as determined by the department, shall be eligible to provide family planning services under the program when these services are within their scope of practice and licensure. Those clinical providers electing to participate in the program and approved by the department shall provide the full scope of family planning education, counseling, and medical services specified for the program, either directly or by referral, consistent with standards of care issued by the department.

(d) The department shall require providers to enter into clinical agreements with the department to ensure compliance with standards and requirements to maintain the fiscal integrity of the program. Provider applicants, providers, and persons with an ownership or control interest, as defined in federal Medicaid regulations, shall be required to submit to the department their social security numbers to the full extent allowed under federal law. All state and federal statutes and regulations pertaining to the audit or examination of Medi-Cal providers apply to this program.

(e) Clinical provider agreements shall be signed by the provider under penalty of perjury. The department may screen applicants at the initial application and at any reapplication pursuant to requirements developed by the department to determine provider suitability for the program.

(f) The department may complete a background check on clinical provider applicants for the purpose of verifying the accuracy of information provided to the department for purposes of enrolling in the program and in order to prevent fraud and abuse. The background check may include, but not be limited to, unannounced onsite inspection prior to enrollment, review of business records, and data searches. If discrepancies are found to exist during the preenrollment period, the department may conduct additional inspections prior to enrollment. Failure to remediate significant discrepancies as prescribed by the director may result in denial of the application for enrollment. Providers that do not provide services consistent with the standards of care or that do not comply with the department’s rules related to the fiscal integrity of the program may be disenrolled as a provider from the program at the sole discretion of the department.

(g) The department shall not enroll any applicant who, within the previous 10 years:

(1) Has been convicted of any felony or misdemeanor that involves fraud or abuse in any government program, that relates to neglect or abuse of a patient in connection with the delivery of a health care item or service, or that is in connection with the interference with, or obstruction of, any investigation into health care related fraud or abuse.

(2) Has been found liable for fraud or abuse in any civil proceeding, or that has entered into a settlement in lieu of conviction for fraud or abuse in any government program.

(h) In addition, the department may deny enrollment to any applicant that, at the time of application, is under investigation by the department or any local, state, or federal government law enforcement agency for fraud or abuse. The department shall not deny enrollment to an otherwise qualified applicant whose felony or misdemeanor charges did not result in a conviction solely on the basis of the prior charges. If it is discovered that a provider is under investigation by the department or any local, state, or federal government law enforcement agency for fraud or abuse, that provider shall be subject to immediate disenrollment from the program.

(i) (1) (A) Except as provided in subparagraph (B), the program shall disenroll as a program provider any individual who, or any entity that, has a license, certificate, or other approval to provide health care that is revoked or suspended by a federal, California, or other state’s licensing, certification, or other approval authority, has otherwise lost that license, certificate, or approval, or has surrendered that license, certificate, or approval while a disciplinary hearing on the license, certificate, or approval was pending. The disenrollment shall be effective on the date the license, certificate, or approval is revoked, lost, or surrendered.

(B) (i) The department may elect to not disenroll an individual or entity as a provider in the program pursuant to subparagraph (A) if the revocation, suspension, or loss of the individual’s or entity’s license, certification, or other approval in another state, or if the pending disciplinary hearing during which the individual or entity surrendered the license, certification, or other approval in another state, is based solely on conduct that is not deemed to be unprofessional conduct under California law.

(ii) The department shall seek any federal approvals that it deems necessary to implement this subparagraph. This subparagraph shall be implemented only to the extent that the department obtains any necessary federal approvals and that federal financial participation under the Medi-Cal program is available and not otherwise jeopardized.

(2) (A) Except as provided in subparagraph (B), a provider shall be subject to disenrollment if the provider submits claims for payment for the services, goods, supplies, or merchandise provided, directly or indirectly, to a program beneficiary, by an individual or entity that has been previously suspended, excluded, or otherwise made ineligible to receive, directly or indirectly, reimbursement from the program or from the Medi-Cal program and the individual has previously been listed on either the Suspended and Ineligible Provider List, which is published by the department, to identify suspended and otherwise ineligible providers or any list published by the federal Office of the Inspector General regarding the suspension or exclusion of individuals or entities from the federal Medicare and Medicaid programs, to identify suspended, excluded, or otherwise ineligible providers.

(B) (i) Subparagraph (A) does not apply if the sole basis for an individual’s listing on either the Suspended and Ineligible Provider List or any list published by the federal Office of the Inspector General regarding the suspension or exclusion of individuals or entities from the federal Medicare and Medicaid programs, to identify suspended, excluded, or otherwise ineligible providers, is conduct that is not deemed to be unprofessional conduct under California law.

(ii) The department shall request a waiver or any other federal approvals that it deems necessary to implement this subparagraph. This subparagraph shall be implemented only to the extent that the department obtains any necessary federal approvals and that federal financial participation under the Medi-Cal program is available and not otherwise jeopardized.

(3) The department shall deactivate, immediately and without prior notice, the provider numbers used by a provider to obtain reimbursement from the program when warrants or documents mailed to a provider’s mailing address, its pay to address, or its service address, if any, are returned by the United States Postal Service as not deliverable or when a provider has not submitted a claim for reimbursement from the program for one year. Prior to taking this action, the department shall use due diligence in attempting to contact the provider at its last known telephone number and to ascertain if the return by the United States Postal Service is by mistake and shall use due diligence in attempting to contact the provider by telephone or in writing to ascertain whether the provider wishes to continue to participate in the Medi-Cal program. If deactivation pursuant to this section occurs, the provider shall meet the requirements for reapplication as specified in regulation.

(4) For purposes of this subdivision:

(A) “Mailing address” means the address that the provider has identified to the department in its application for enrollment as the address at which it wishes to receive general program correspondence.

(B) “Pay to address” means the address that the provider has identified to the department in its application for enrollment as the address at which it wishes to receive warrants.

(C) “Service address” means the address that the provider has identified to the department in its application for enrollment as the address at which the provider will provide services to program beneficiaries.

(j) Subject to Article 4 (commencing with Section 19130) of Chapter 5 of Part 2 of Division 5 of Title 2 of the Government Code, the department may enter into contracts to secure consultant services or information technology including, but not limited to, software, data, or analytical techniques or methodologies for the purpose of fraud or abuse detection and prevention. Contracts under this section shall be exempt from the Public Contract Code.

(k) Enrolled providers shall attend specific orientation approved by the department in comprehensive family planning services. Enrolled providers who insert IUDs or contraceptive implants shall have received prior clinical training specific to these procedures.

(l) Upon receipt of reliable evidence that would be admissible under the administrative adjudication provisions of Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code, of fraud or willful misrepresentation by a provider under the program or commencement of a suspension under Section 14123, the department may do any of the following:

(1) Collect any State-Only Family Planning Program or Family Planning, Access, Care, and Treatment Program overpayment identified through an audit or examination, or any portion thereof from any provider. Notwithstanding Section 100171 of the Health and Safety Code, a provider may appeal the collection of overpayments under this section pursuant to procedures established in Article 5.3 (commencing with Section 14170) of Chapter 7 of Part 3 of Division 9. Overpayments collected under this section shall not be returned to the provider during the pendency of any appeal and may be offset to satisfy audit or appeal findings, if the findings are against the provider. Overpayments shall be returned to a provider with interest if findings are in favor of the provider.

(2) Withhold payment for any goods or services, or any portion thereof, from any State-Only Family Planning Program or Family Planning, Access, Care, and Treatment Program provider. The department shall notify the provider within five days of any withholding of payment under this section. The notice shall do all of the following:

(A) State that payments are being withheld in accordance with this paragraph and that the withholding is for a temporary period and will not continue after it is determined that the evidence of fraud or willful misrepresentation is insufficient or when legal proceedings relating to the alleged fraud or willful misrepresentation are completed.

(B) Cite the circumstances under which the withholding of the payments will be terminated.

(C) Specify, when appropriate, the type or types of claimed payments being withheld.

(D) Inform the provider of the right to submit written evidence that is evidence that would be admissible under the administrative adjudication provisions of Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code, for consideration by the department.

(3) Notwithstanding Section 100171 of the Health and Safety Code, a provider may appeal a withholding of payment under this section pursuant to Section 14043.65. Payments withheld under this section shall not be returned to the provider during the pendency of any appeal and may be offset to satisfy audit or appeal findings.

(m) As used in this section:

(1) “Abuse” means either of the following:

(A) Practices that are inconsistent with sound fiscal or business practices and result in unnecessary cost to the Medicaid program, the Medicare Program, the Medi-Cal program, including the Family Planning, Access, Care, and Treatment Program, identified in subdivision (aa) of Section 14132, another state’s Medicaid program, or the State-Only Family Planning Program, or other health care programs operated, or financed in whole or in part, by the federal government or any state or local agency in this state or any other state.

(B) Practices that are inconsistent with sound medical practices and result in reimbursement, by any of the programs referred to in subparagraph (A) or other health care programs operated, or financed in whole or in part, by the federal government or any state or local agency in this state or any other state, for services that are unnecessary or for substandard items or services that fail to meet professionally recognized standards for health care.

(2) “Fraud” means an intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to themselves or some other person. It includes any act that constitutes fraud under applicable federal or state law.

(3) “Provider” means any individual, partnership, group, association, corporation, institution, or other entity, and the officers, directors, owners, managing employees, or agents of any partnership, group, association, corporation, institution, or other entity, that provides services, goods, supplies, or merchandise, directly or indirectly, to a beneficiary and has been enrolled in the program.

(4) “Convicted” means any of the following:

(A) A judgment of conviction has been entered against an individual or entity by a federal, state, or local court, regardless of whether there is a post-trial motion or an appeal pending or the judgment of conviction or other record relating to the criminal conduct has been expunged or otherwise removed.

(B) A federal, state, or local court has made a finding of guilt against an individual or entity.

(C) A federal, state, or local court has accepted a plea of guilty or nolo contendere by an individual or entity.

(D) An individual or entity has entered into participation in a first offender, deferred adjudication, or other program or arrangement in which judgment of conviction has been withheld.

(5) “Professionally recognized standards of health care” means statewide or national standards of care, whether in writing or not, that professional peers of the individual or entity whose provision of care is an issue, recognize as applying to those peers practicing or providing care within a state. When the United States Department of Health and Human Services has declared a treatment modality not to be safe and effective, practitioners that employ that treatment modality shall be deemed not to meet professionally recognized standards of health care. This definition shall not be construed to mean that all other treatments meet professionally recognized standards of care.

(6) “Unnecessary or substandard items or services” means those that are either of the following:

(A) Substantially in excess of the provider’s usual charges or costs for the items or services.

(B) Furnished, or caused to be furnished, to patients, whether or not covered by Medicare, Medicaid, or any of the state health care programs to which the definitions of applicant and provider apply, and which are substantially in excess of the patient’s needs, or of a quality that fails to meet professionally recognized standards of health care. The department’s determination that the items or services furnished were excessive or of unacceptable quality shall be made on the basis of information, including sanction reports, from the following sources:

(i) The professional review organization for the area served by the individual or entity.

(ii) State or local licensing or certification authorities.

(iii) Fiscal agents or contractors, or private insurance companies.

(iv) State or local professional societies.

(v) Any other sources deemed appropriate by the department.

(7) “Enrolled or enrollment in the program” means authorized under any and all processes by the department or its agents or contractors to receive, directly or indirectly, reimbursement for the provision of services, goods, supplies, or merchandise to a program beneficiary.

(n) In lieu of, or in addition to, the imposition of any other sanctions available, including the imposition of a civil penalty under Section 14123.2 or 14171.6, the program may impose on providers any or all of the penalties pursuant to Section 14123.25, in accordance with the provisions of that section. In addition, program providers shall be subject to the penalties contained in Section 14107.

(o) (1) Notwithstanding any other law, every primary supplier of pharmaceuticals, medical equipment, or supplies shall maintain accounting records to demonstrate the manufacture, assembly, purchase, or acquisition and subsequent sale, of any pharmaceuticals, medical equipment, or supplies, to providers. Accounting records shall include, but not be limited to, inventory records, general ledgers, financial statements, purchase and sales journals, and invoices, prescription records, bills of lading, and delivery records.

(2) For purposes of this subdivision, the term “primary supplier” means any manufacturer, principal labeler, assembler, wholesaler, or retailer.

(3) Accounting records maintained pursuant to paragraph (1) are subject to audit or examination by the department or its agents. The audit or examination may include, but is not limited to, verification of what was claimed by the provider. These accounting records shall be maintained for three years from the date of sale or the date of service.

(p) Each provider of health care services rendered to any program beneficiary shall keep and maintain records of each service rendered, the beneficiary to whom rendered, the date, and any additional information that the department may by regulation require. Records required to be kept and maintained pursuant to this subdivision shall be retained by the provider for a period of three years from the date the service was rendered.

(q) A program provider applicant or a program provider shall furnish information or copies of records and documentation requested by the department. Failure to comply with the department’s request shall be grounds for denial of the application or automatic disenrollment of the provider.

(r) A program provider may assign signature authority for transmission of claims to a billing agent subject to Sections 14040, 14040.1, and 14040.5.

(s) Moneys payable or rights existing under this division shall be subject to any claim, lien, or offset of the State of California, and any claim of the United States of America made pursuant to federal statute, but shall not otherwise be subject to enforcement of a money judgment or other legal process, and no transfer or assignment, at law or in equity, of any right of a provider of health care to any payment shall be enforceable against the state, a fiscal intermediary, or carrier.

(t) (1) Notwithstanding any other law, within 30 calendar days of receiving a complete application for enrollment into the Family PACT Program from an affiliate primary care clinic licensed under Section 1218.1 of the Health and Safety Code, the department shall do one of the following:

(A) Approve the provider’s Family PACT Program application, provided the applicant meets the Family PACT Program provider enrollment requirements set forth in this section.

(B) If the provider is an enrolled Medi-Cal provider in good standing, notify the applicant in writing of any discrepancies in the Family PACT Program enrollment application. The applicant shall have 30 days from the date of written notice to correct any identified discrepancies. Upon receipt of all requested corrections, the department shall approve the application within 30 calendar days.

(C) If the provider is not an enrolled Medi-Cal provider in good standing, the department shall not proceed with the actions described in this subdivision until the department receives confirmation of good standing and enrollment as a Medi-Cal provider.

(2) The effective date of enrollment into the Family PACT Program shall be the later of the date the department receives confirmation of enrollment as a Medi-Cal provider, or the date the applicant meets all Family PACT Program provider enrollment requirements set forth in this section.

(u) Providers, or the enrolling entity, shall make available to all applicants and beneficiaries prior to, or concurrent with, enrollment, information on the manner in which to apply for insurance affordability programs, in a manner determined by the State Department of Health Care Services. The information provided shall include the manner in which applications can be submitted for insurance affordability programs, information about the open enrollment periods for the California Health Benefit Exchange, and the continuous enrollment aspect of the Medi-Cal program.

history: (History: Amended by Stats. 2024, Ch. 880, Sec. 1. (SB 1131) Effective January 1, 2025.)


text:
(a) This section applies to the Family Planning, Access, Care, and Treatment (Family PACT) Program identified in subdivision (aa) of Section 14132.

(b) A site certifier shall be a clinician employed by, or contracted with, the primary care clinic or the affiliate primary care clinic and who oversees the provision of Family PACT services at the clinic.

(c) A clinic corporation that operates a primary care clinic and that serves as a parent clinic, as described in Section 1218.1 of the Health and Safety Code, and one or more of its affiliate primary care clinics may enroll multiple, but no more than 10, service addresses under one site certifier.

(d) Any orientation or training that the department requires of a site certifier shall comply with each of the following:

(1) Is offered at least once every other month.

(2) Is offered through a virtual platform.

(3) Is updated at least annually to be consistent with current laws, policies, and medical standards.

(e) As used in this section, the following terms have the following meanings:

(1) “Affiliate primary care clinic” has the same meaning as set forth in Section 1218.1 of the Health and Safety Code.

(2) “Primary care clinic” has the same meaning as set forth in subdivision (a) of Section 1204 of the Health and Safety Code.

(3) “Service address” has the same meaning as set forth in Section 24005.

(4) “Site certifier” means an individual identified by the enrolled or enrolling provider to be responsible for ensuring that all practitioners and personnel providing services on behalf of the Family PACT Program complete and track required trainings approved by the Office of Family Planning within the department on an annual basis.

history: (History: Added by Stats. 2024, Ch. 880, Sec. 2. (SB 1131) Effective January 1, 2025.)


text:
(a) The department shall determine the scope of benefits for the program, which shall include, but is not limited to, the following:

(1) Family planning related services and male and female sterilization. Family planning services for men and women include emergency and complication services directly related to the contraceptive method and followup, consultation, and referral services, as indicated, that may require treatment authorization requests.

(2) All United States Department of Health and Human Services, Federal Drug Administration-approved birth control methods, devices, and supplies that are in keeping with current standards of practice and from which the individual may choose.

(3) Culturally and linguistically appropriate health education and counseling services, including informed consent; psychosocial and medical aspects of contraception, sexuality, fertility, pregnancy, and parenthood; infertility; reproductive health care; preconceptual and nutrition counseling; prevention and treatment of sexually transmitted infection; use of contraceptive methods, devices, and supplies; possible contraceptive consequences and followup; interpersonal communication and negotiation of relationships to assist individuals and couples in effective contraceptive method use and planning families.

(4) A comprehensive health history, updated at the next periodic visit (between 11 and 24 months after initial examination) that includes a complete obstetrical history, gynecological history, contraceptive history, personal medical history, health risk factors, and family health history, including genetic or hereditary conditions.

(5) A complete physical examination on initial and subsequent periodic visits.

(6) (A) Home test kits for sexually transmitted diseases, including any laboratory costs of processing the kit, that are deemed medically necessary or appropriate and ordered directly by an enrolled Family PACT clinician or furnished through a standing order for patient use based on clinical guidelines and individual patient health needs.

(B) For purposes of this paragraph, “home test kit” means a product used for a test recommended by the federal Centers for Disease Control and Prevention guidelines or the United States Preventive Services Task Force that has been CLIA-waived, FDA-cleared or -approved, or developed by a laboratory in accordance with established regulations and quality standards, to allow individuals to self-collect specimens for STDs, including HIV, remotely at a location outside of a clinical setting.

(C) Reimbursement under this subparagraph shall be contingent upon the addition of codes specific to home test kits in the Current Procedural Terminology or Healthcare Common Procedure Coding System to comply with Health Insurance Portability and Accountability Act requirements. The home test kit shall be sent by the enrolled Family PACT provider to a Medi-Cal-enrolled laboratory with fee based on Medicare Clinical Diagnostic Laboratory Tests Payment System Final Rule.

(D) This paragraph shall be implemented only to the extent that federal financial participation is available and not otherwise jeopardized, and any necessary federal approvals have been obtained.

(b) Benefits under this program shall be effective in 30 days after notice to providers, but not sooner than January 1, 1997.

history: (History: Amended by Stats. 2021, Ch. 486, Sec. 9. (SB 306) Effective January 1, 2022.)


text: The program formulary shall include all federal Food and Drug Administration approved contraceptive drugs, devices, and supplies that are authorized by the Medi-Cal program.

history: (History: Added by Stats. 1999, Ch. 146, Sec. 74. Effective July 22, 1999.)


text: Family planning services are confidential. All information about personal facts and circumstances obtained by the provider shall be treated as privileged communications, shall be held confidential, and shall not be divulged without the individual’s written consent, except as required by law or as may be necessary to provide emergency services to the individual or as required by the department to administer this program. Information may be disclosed in summary, statistical, or other form that does not identify particular individuals.


text:
(a) Providers shall submit claims for reimbursement for services provided on or after January 1, 1997, or receipt of notice from the department, whichever is later, and covered by this program, to the fiscal intermediary of the department for payment. Charges and individual information shall be submitted on the form or in the format specified by the department for the state-only family planning program, and providers shall be reimbursed at the rates established for those services by the department.

(b) The department shall use existing contractual claims processing services in order to promote efficiency and to maximize use of funds.

(c) Claims for state-only family planning services provided through prescription, including laboratory and pharmaceutical, shall be reimbursed in a manner determined by the department. Eligible individuals shall not be charged for any state-only family planning laboratory or pharmaceutical services.

(d) Claims for method-related complications requiring approved treatment authorization requests shall be reimbursed regardless of category of medical service.


text:
(a) Notwithstanding any other provision of law, the department may adopt any procedures as are necessary for the review of a grievance or complaint concerning the processing of claims or payment of moneys alleged by a provider of services to be payable by reason of any of the provisions of this division.

(b) Any applicant for, or recipient of, services under the state-only family planning program shall have a right to a hearing conducted by the department regarding the person’s eligibility or receipt of services. A proposed decision from the administrative law judge shall be submitted to the State Director of Health Services for adoption, modification, or rehearing. The decision of the director shall be final. A person shall not have a right to contest changes made to the eligibility standards or benefits of the state-only family planning program.


text: The department may adopt emergency regulations as necessary to implement and administer this chapter in accordance with Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code. The initial adoption of any emergency regulations following January 1, 1997, shall be deemed to be an emergency and necessary for immediate preservation of the public peace, health and safety, or general welfare. Emergency regulations adopted pursuant to this act shall remain in effect no more than 180 days.


text: The program shall be exempt from the requirements of Chapter 7 (commencing with Section 11700) of Part 1 of Division 3 of Title 2 of the Government Code and Chapter 3 (commencing with Section 12100) of Division 2 of Part 2 of the Public Contract Code as those requirements apply to the use of contractual claims processing services by the department.


text: The department shall conduct an evaluation of the effectiveness and efficiency of the program, including expanded access and reduction of unintended pregnancies, and shall report to the Legislature by no later than January 1, 2000. The department may use local assistance funds allocated to the State-Only Family Planning Program for the evaluation of the program.


text: It is the intent of the Legislature that the State Department of Health Services shall, effective March 1, 1997, conduct no other general statewide program for the provision of comprehensive clinical family planning services as referenced in Chapter 8.5 (commencing with Section 14500) of Part 3 of Division 9, while the State-Only Family Planning Program authorized by this division is in effect. For the purpose of avoiding a disruption of services, to the extent the implementation of the State-Only Family Planning Program does not occur on or before March 1, 1997, the Director of Health Services may extend the general statewide program for the provision of comprehensive clinical family planning services as referenced in Chapter 8.5 (commencing with Section 14500) of Part 3 of Division 9. This extension shall be made only upon notification to the Chairperson of the Joint Legislative Budget Committee and the chairperson of the committee in each house that considers appropriations and under no condition shall extend beyond 120 days.


text: The State-Only Family Planning Program established under this division is hereby reenacted and continued in existence in order to continue to provide comprehensive, clinical family planning services to those persons who are not eligible to receive these services under the Family Planning, Access, Care, and Treatment (Family PACT) Waiver Program established pursuant to subdivision (aa) of Section 14132, and to those persons who are not eligible to receive family planning services pursuant to subdivision (n) of Section 14132 without a share of cost.

history: (History: Repealed and added by Stats. 1999, Ch. 146, Sec. 76. Effective July 22, 1999.)


text: It is the intent of the Legislature to create a process by which the options for achieving universal health care coverage can be thoroughly examined.

history: (History: Added by Stats. 1999, Ch. 990, Sec. 1. Effective January 1, 2000.)

division: 25. HEALTH CARE COVERAGE

path: 25. HEALTH CARE COVERAGE


text:
The Secretary of the California Health and Human Services Agency shall report back to the Legislature on the options for achieving universal health care coverage, including:

(a) The options for financing universal health coverage.

(b) The institutional mechanism or mechanisms by which universal health coverage may be delivered.

(c) The extent and scope of the health coverage which all California residents may have.


text: The secretary shall report back to the Legislature on or before December 1, 2001, on the results of the process established to examine the options for providing universal health coverage.


kind: division

path: 1. ADMINISTRATION OF WELFARE AND INSTITUTIONS


kind: chapter

path: 1. ADMINISTRATION OF WELFARE AND INSTITUTIONS > 1.8. Acquisition and Disposition of Salvageable Personal Property for Charitable Purposes


title: Unattended Collection Boxes

path: 1. ADMINISTRATION OF WELFARE AND INSTITUTIONS > 2. Unattended Collection Boxes


title: CHILDREN

path: 2. CHILDREN


kind: part

path: 2. CHILDREN > 1. DELINQUENTS AND WARDS OF THE JUVENILE COURT


title: Court-Appointed Special Advocates

path: 2. CHILDREN > 1. Court-Appointed Special Advocates


title: Juvenile Court Law

path: 2. CHILDREN > 2. Juvenile Court Law


kind: article

title: General Provisions

path: 2. CHILDREN > 2. Juvenile Court Law > 1. General Provisions


title: Youth Bill of Rights

path: 2. CHILDREN > 2. Juvenile Court Law > 1.5. Youth Bill of Rights


title: Commissions and Committees

path: 2. CHILDREN > 2. Juvenile Court Law > 2. Commissions and Committees


title: Probation Commission

path: 2. CHILDREN > 2. Juvenile Court Law > 3. Probation Commission


title: The Juvenile Court

path: 2. CHILDREN > 2. Juvenile Court Law > 4. The Juvenile Court


title: Probation Officers

path: 2. CHILDREN > 2. Juvenile Court Law > 5. Probation Officers


title: Notices in Dependent Child Proceedings

path: 2. CHILDREN > 2. Juvenile Court Law > 5.5. Notices in Dependent Child Proceedings


title: Dependent Children—Jurisdiction

path: 2. CHILDREN > 2. Juvenile Court Law > 6. Dependent Children—Jurisdiction


path: 2. CHILDREN > 2. Juvenile Court Law > 7. Dependent Children—Temporary Custody and Detention


path: 2. CHILDREN > 2. Juvenile Court Law > 8. Dependent Children—Commencement of Proceedings


title: Dependent Children—Hearings

path: 2. CHILDREN > 2. Juvenile Court Law > 9. Dependent Children—Hearings


title: Dependent Children—Judgments and Orders

path: 2. CHILDREN > 2. Juvenile Court Law > 10. Dependent Children—Judgments and Orders


path: 2. CHILDREN > 2. Juvenile Court Law > 11. Dependent Children—Transfer of Cases Between Counties


path: 2. CHILDREN > 2. Juvenile Court Law > 12. Dependent Children—Modification of Juvenile Court Judgments and Orders


title: Dependent Children—Appeals

path: 2. CHILDREN > 2. Juvenile Court Law > 13. Dependent Children—Appeals


title: Foster Care of Children

path: 2. CHILDREN > 2. Juvenile Court Law > 13.5. Foster Care of Children


title: Serious Habitual Offenders

path: 2. CHILDREN > 2. Juvenile Court Law > 13.6. Serious Habitual Offenders


title: Wards—Jurisdiction

path: 2. CHILDREN > 2. Juvenile Court Law > 14. Wards—Jurisdiction


title: Wards—Temporary Custody and Detention

path: 2. CHILDREN > 2. Juvenile Court Law > 15. Wards—Temporary Custody and Detention


title: Wards—Commencement of Proceedings

path: 2. CHILDREN > 2. Juvenile Court Law > 16. Wards—Commencement of Proceedings


title: Wards—Hearings

path: 2. CHILDREN > 2. Juvenile Court Law > 17. Wards—Hearings


title: Wards—Judgments and Orders

path: 2. CHILDREN > 2. Juvenile Court Law > 18. Wards—Judgments and Orders


path: 2. CHILDREN > 2. Juvenile Court Law > 18.5. Graffiti Removal and Damage Recovery Program


title: Repeat Offender Prevention Project

path: 2. CHILDREN > 2. Juvenile Court Law > 18.6. Repeat Offender Prevention Project


path: 2. CHILDREN > 2. Juvenile Court Law > 18.7. Juvenile Crime Enforcement and Accountability Challenge Grant Program


path: 2. CHILDREN > 2. Juvenile Court Law > 18.8. County Juvenile Correctional Facilities Act


path: 2. CHILDREN > 2. Juvenile Court Law > 18.9. Juvenile Justice Community Reentry Challenge Grant Program


path: 2. CHILDREN > 2. Juvenile Court Law > 19. Wards—Transfer of Cases Between Counties


path: 2. CHILDREN > 2. Juvenile Court Law > 20. Wards—Modification of Juvenile Court Judgments and Orders


title: Deferred Entry of Judgment

path: 2. CHILDREN > 2. Juvenile Court Law > 20.5. Deferred Entry of Judgment


title: Wards—Appeals

path: 2. CHILDREN > 2. Juvenile Court Law > 21. Wards—Appeals


title: Wards and Dependent Children—Records

path: 2. CHILDREN > 2. Juvenile Court Law > 22. Wards and Dependent Children—Records


title: Home Supervision

path: 2. CHILDREN > 2. Juvenile Court Law > 22.5. Home Supervision


path: 2. CHILDREN > 2. Juvenile Court Law > 23. Wards and Dependent Children—Juvenile Halls


title: Secure Youth Treatment Facilities

path: 2. CHILDREN > 2. Juvenile Court Law > 23.5. Secure Youth Treatment Facilities


path: 2. CHILDREN > 2. Juvenile Court Law > 24. Wards and Dependent Children—Juvenile Homes, Ranches and Camps


title: Regional Youth Educational Facilities

path: 2. CHILDREN > 2. Juvenile Court Law > 24.5. Regional Youth Educational Facilities


title: Support of Wards and Dependent Children

path: 2. CHILDREN > 2. Juvenile Court Law > 25. Support of Wards and Dependent Children


title: Work Furloughs

path: 2. CHILDREN > 2. Juvenile Court Law > 26. Work Furloughs


title: 24-Hour Schools

path: 2. CHILDREN > 2. Juvenile Court Law > 27. 24-Hour Schools


title: Adjustment Schools

path: 2. CHILDREN > 2. Juvenile Court Law > 28. Adjustment Schools


path: 2. CHILDREN > 2.5. Juvenile and Gang Violence Prevention, Detention, and Public Protection Act of 1998


title: Institutions for Delinquents

path: 2. CHILDREN > 3. Institutions for Delinquents


title: Establishment and General Government

path: 2. CHILDREN > 3. Institutions for Delinquents > 1. Establishment and General Government


title: Superintendents

path: 2. CHILDREN > 3. Institutions for Delinquents > 3. Superintendents


title: Employees

path: 2. CHILDREN > 3. Institutions for Delinquents > 4. Employees


title: Conduct, Education, and Discipline

path: 2. CHILDREN > 3. Institutions for Delinquents > 6. Conduct, Education, and Discipline


title: Escapes

path: 2. CHILDREN > 3. Institutions for Delinquents > 7. Escapes


title: Paroles and Dismissals

path: 2. CHILDREN > 3. Institutions for Delinquents > 8. Paroles and Dismissals


title: Finances

path: 2. CHILDREN > 3. Institutions for Delinquents > 9. Finances


title: The California Youth Training School

path: 2. CHILDREN > 3. Institutions for Delinquents > 10. The California Youth Training School


title: The Interstate Compact for Juveniles

path: 2. CHILDREN > 4. The Interstate Compact for Juveniles


title: Youth Reinvestment Grant Program

path: 2. CHILDREN > 5. Youth Reinvestment Grant Program


title: General Provisions

path: 2. CHILDREN > 5. Youth Reinvestment Grant Program > 1. General Provisions


path: 2. CHILDREN > 5. Youth Reinvestment Grant Program > 2. Trauma-Informed Diversion Programs for Indian Children


path: 2. CHILDREN > 5. Youth Reinvestment Grant Program > 3. Trauma-Informed Diversion Programs for Minors


path: 2. CHILDREN > 5. Youth Reinvestment Grant Program > 4. Trauma-Informed Diversion Programs for Youth


title: MINORS CROSSING THE MEXICAN BORDER

path: 2. CHILDREN > 5. Youth Reinvestment Grant Program > 2. MINORS CROSSING THE MEXICAN BORDER


title: YOUTHS

path: 2.5. YOUTHS


title: The Youth Authority

path: 2.5. YOUTHS > 1. The Youth Authority


title: General Provisions and Definitions

path: 2.5. YOUTHS > 1. The Youth Authority > 1. General Provisions and Definitions


title: Department of the Youth Authority

path: 2.5. YOUTHS > 1. The Youth Authority > 2. Department of the Youth Authority


title: Board of Juvenile Hearings

path: 2.5. YOUTHS > 1. The Youth Authority > 2.5. Board of Juvenile Hearings


title: Commitments to Youth Authority

path: 2.5. YOUTHS > 1. The Youth Authority > 3. Commitments to Youth Authority


title: Powers and Duties of Youth Authority

path: 2.5. YOUTHS > 1. The Youth Authority > 4. Powers and Duties of Youth Authority


path: 2.5. YOUTHS > 1. The Youth Authority > 5. Commitment to State Prison After Expiration of Control


path: 2.5. YOUTHS > 1. The Youth Authority > 5.2. Juvenile Justice Community Resource Programs


path: 2.5. YOUTHS > 1. The Youth Authority > 5.4. Runaway Youth and Families in Crisis Project


title: Crime and Delinquency Prevention

path: 2.5. YOUTHS > 1. The Youth Authority > 5.5. Crime and Delinquency Prevention


title: Extended Detention of Dangerous Persons

path: 2.5. YOUTHS > 1. The Youth Authority > 6. Extended Detention of Dangerous Persons


path: 2.5. YOUTHS > 1. The Youth Authority > 7. County Justice System Subvention Program


path: 2.5. YOUTHS > 1. The Youth Authority > 7.5. Juvenile Offender Local Prevention and Corrections Act


title: Work Furloughs

path: 2.5. YOUTHS > 1. The Youth Authority > 8. Work Furloughs


title: Youth Correctional Centers

path: 2.5. YOUTHS > 1. The Youth Authority > 9. Youth Correctional Centers


title: Youth Service Bureaus

path: 2.5. YOUTHS > 1. The Youth Authority > 10. Youth Service Bureaus


title: Classification and Information System

path: 2.5. YOUTHS > 1. The Youth Authority > 11. Classification and Information System


title: Tattoo Removal

path: 2.5. YOUTHS > 1. The Youth Authority > 12. Tattoo Removal


title: Youthful Offender Block Grant Program

path: 2.5. YOUTHS > 1.5. Youthful Offender Block Grant Program


title: General Provisions

path: 2.5. YOUTHS > 1.5. Youthful Offender Block Grant Program > 1. General Provisions


title: Performance and Accountability

path: 2.5. YOUTHS > 1.5. Youthful Offender Block Grant Program > 2. Performance and Accountability


path: 2.5. YOUTHS > 1.5. Youthful Offender Block Grant Program > 3. Local Youthful Offender Rehabilitative Facility Construction Grants


title: Juvenile Reentry Grant

path: 2.5. YOUTHS > 1.6. Juvenile Reentry Grant


path: 2.5. YOUTHS > 1.7. Juvenile Justice Realignment Block Grant


path: 2.5. YOUTHS > 2. Youth Center and Youth Shelter Bond Act of 1988


title: General Provisions

path: 2.5. YOUTHS > 2. Youth Center and Youth Shelter Bond Act of 1988 > 1. General Provisions


path: 2.5. YOUTHS > 2. Youth Center and Youth Shelter Bond Act of 1988 > 2. Youth Center and Youth Shelter Bond Act Program


title: Governor’s Mentoring Partnership

path: 2.5. YOUTHS > 3. Governor’s Mentoring Partnership


path: 2.5. YOUTHS > 4. Office of Youth and Community Restoration


title: NARCOTIC ADDICTS

path: 3. NARCOTIC ADDICTS


title: Fentanyl Program Grants

path: 3. NARCOTIC ADDICTS > 1. Fentanyl Program Grants


title: California Rehabilitation Center

path: 3. NARCOTIC ADDICTS > 2. California Rehabilitation Center


path: 3.5. CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY DEPARTMENTS: PUBLIC NOTICE REQUIREMENTS


title: MENTAL HEALTH

path: 4. MENTAL HEALTH


path: 4. MENTAL HEALTH > 1. GENERAL ADMINISTRATION, POWERS AND DUTIES OF THE DEPARTMENT


title: General

path: 4. MENTAL HEALTH > 1. General


path: 4. MENTAL HEALTH > 2. Planning, Research, Evaluation and Quality Assurance


path: 4. MENTAL HEALTH > 2. Planning, Research, Evaluation and Quality Assurance > 1. Planning, Research, Evaluation, and Quality Assurance


title: Research and Evaluation

path: 4. MENTAL HEALTH > 2. Planning, Research, Evaluation and Quality Assurance > 2. Research and Evaluation


title: Technical Assistance

path: 4. MENTAL HEALTH > 2. Planning, Research, Evaluation and Quality Assurance > 3. Technical Assistance


path: 4. MENTAL HEALTH > 3. Facility Licensing, Program Certification, and Ratesetting


path: 4. MENTAL HEALTH > 3. Facility Licensing, Program Certification, and Ratesetting > 3. Psychiatric Health Facilities and Psychiatric Residential Treatment Facilities


path: 4. MENTAL HEALTH > 3. Facility Licensing, Program Certification, and Ratesetting > 4. Social Rehabilitation Facilities and Community Residential Treatment Programs


path: 4. MENTAL HEALTH > 3. Facility Licensing, Program Certification, and Ratesetting > 5. Programs for Seriously Emotionally Disturbed Children and Court Wards and Dependents


title: Brandon’s Law

path: 4. MENTAL HEALTH > 4. Brandon’s Law


title: Suicide Prevention Programs

path: 4. MENTAL HEALTH > 6. Suicide Prevention Programs


path: 4. MENTAL HEALTH > 6. Suicide Prevention Programs > 2. ADMINISTRATION OF STATE INSTITUTIONS FOR THE MENTALLY DISORDERED


title: Jurisdiction and General Government

path: 4. MENTAL HEALTH > 1. Jurisdiction and General Government


path: 4. MENTAL HEALTH > 2. Boards of Trustees and Other Advisory Boards


path: 4. MENTAL HEALTH > 2.5. Families of Persons With a Serious Mental Health Disorder


title: Officers and Employees

path: 4. MENTAL HEALTH > 3. Officers and Employees


title: County Use of State Hospitals

path: 4. MENTAL HEALTH > 4. County Use of State Hospitals


title: DEPARTMENTAL PROGRAM INITIATIVES

path: 4. MENTAL HEALTH > 4. County Use of State Hospitals > 3. DEPARTMENTAL PROGRAM INITIATIVES


title: Self-Help Programs

path: 4. MENTAL HEALTH > 1. Self-Help Programs


title: Human Resource Development

path: 4. MENTAL HEALTH > 2. Human Resource Development


title: Primary Intervention Program

path: 4. MENTAL HEALTH > 4. Primary Intervention Program


path: 4. MENTAL HEALTH > 5. Persons With Acquired Traumatic Brain Injury


title: Conditional Release Program

path: 4. MENTAL HEALTH > 6. Conditional Release Program


path: 4. MENTAL HEALTH > 6.5. Diversion Funding for Individuals with Serious Mental Disorders


path: 4. MENTAL HEALTH > 6.7. State Department of State Hospitals: Contracting Facilities


title: State Program Of Problem Gambling

path: 4. MENTAL HEALTH > 8. State Program Of Problem Gambling


path: 4. MENTAL HEALTH > 8. State Program Of Problem Gambling > 4. SCHOOL-BASED EARLY MENTAL HEALTH INTERVENTION AND PREVENTION SERVICES FOR CHILDREN ACT


title: General Provisions and Definitions

path: 4. MENTAL HEALTH > 1. General Provisions and Definitions


path: 4. MENTAL HEALTH > 2. School-Based Early Mental Health Intervention and Prevention Services Matching Grant Program


path: 4. MENTAL HEALTH > 3. School-Based Early Mental Health Intervention and Prevention Services Matching Grant Program Evaluations and Reports


title: DEVELOPMENTAL SERVICES

path: 4.1. DEVELOPMENTAL SERVICES


path: 4.1. DEVELOPMENTAL SERVICES > 1. GENERAL ADMINISTRATION, POWERS AND DUTIES OF THE DEPARTMENT


path: 4.1. DEVELOPMENTAL SERVICES > 2. ADMINISTRATION OF STATE INSTITUTIONS FOR THE DEVELOPMENTALLY DISABLED


title: Jurisdiction and General Government

path: 4.1. DEVELOPMENTAL SERVICES > 1. Jurisdiction and General Government


path: 4.1. DEVELOPMENTAL SERVICES > 2. Boards of Trustees and Other Advisory Boards


title: Officers and Employees

path: 4.1. DEVELOPMENTAL SERVICES > 3. Officers and Employees


path: 4.5. SERVICES FOR THE DEVELOPMENTALLY DISABLED


title: Title and Intent

path: 4.5. SERVICES FOR THE DEVELOPMENTALLY DISABLED > 1. Title and Intent