Bill Text: CA AB791 | 2015-2016 | Regular Session | Introduced


Bill Title: Electronic health records.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2016-02-01 - From committee: Filed with the Chief Clerk pursuant to Joint Rule 56. [AB791 Detail]

Download: California-2015-AB791-Introduced.html
BILL NUMBER: AB 791	INTRODUCED
	BILL TEXT


INTRODUCED BY   Assembly Member Cooley

                        FEBRUARY 25, 2015

   An act to amend Section 14046.1 of the Welfare and Institutions
Code, relating to Medi-Cal.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 791, as introduced, Cooley. Electronic health records.
   Existing law establishes the Medi-Cal program, which is
administered by the State Department of Health Care Services, under
which basic health care services are provided to qualified low-income
persons. The Medi-Cal program is, in part, governed and funded by
federal Medicaid provisions.
   Existing law, until July 1, 2021, and only to the extent that
federal participation is available, requires the department to
establish and administer the Medi-Cal Electronic Health Records
Incentive Program to provide federal incentive payments to Medi-Cal
providers for the implementation and use of electronic health records
systems. Existing law requires the department to develop the State
Medicaid Health Information Technology Plan, as specified, for
federal approval, and requires the department to accept applications
from, and make incentive payments to, eligible professionals and
facilities that meet all of the standards of the federal Electronic
Health Record Technology Program. Existing law requires the state
plan to specify criteria for enrollment, eligibility, and data
collection, and to specify a process for provider outreach and
department coordination with established regional extension centers
in the state, among other plan components.
   This bill would additionally require the State Medicaid Health
Information Technology Plan to specify the process by which patient
advance health care directive information would be managed, including
the secure preparation, storage, printing, and display of the
patient's advance health direction information, as prescribed.
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 14046.1 of the Welfare and Institutions Code is
amended to read:
   14046.1.  (a) The program shall be administered in accordance with
the State Medicaid Health Information Technology Plan, as developed
by the department and approved by the federal Centers for Medicare
and Medicaid Services. Upon federal approval, the department shall
provide copies of the plan to the appropriate fiscal and policy
committees of the Legislature.
   (b) The State Medicaid Health Information Technology Plan shall
address all of the following:
   (1) Identify and establish the planning, policies, and procedures
required to operationalize the Medi-Cal Electronic Health Record
Incentive Program.
   (2) Specify the criteria for enrollment, eligibility, and data
collection.
   (3) Specify timeframes for technology modifications.
   (4) Specify the process for provider outreach and department
coordination with established regional extension centers in the
state, established to provide technical support to providers.
   (5) Establish the audit and appeals processes.
   (6) Participate in the National Level Registry. 
   (7) Specify the process by which patient advance health care
directive information shall be managed, including all of the
following:  
   (A) The ability for an individual to securely complete an online
advance health care directive form expressing the individual's
end-of-life care treatment decisions.  
   (B) The ability to securely print a paper form, memorializing
those end-of-life decisions, for physical signature by the individual
and a witness.  
   (C) The ability to securely upload, verify, and store an image of
the signed signature page or pages.  
   (D) The ability to securely display information fields from a
patient's online advance health care directive form to authorized
users.                                            
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