Reports - Healthy Families - Insurance - CA

Section § 12693.92

This section requires an annual report about a health insurance program for children, in line with federal guidelines. The report must be given to the Legislature and interested parties. By July 1, 2000, it should include details on how preventive services are assured by health plans, the performance of these plans, and changes in children's health over time. From July 1, 2001, the report must specifically address changes in children's health status. Additionally, any documents submitted to meet federal requirements, including any changes, must be shared with the Legislature's fiscal and policy committees.

(a) The program shall prepare an annual report in conformance with the requirements of Section 2108 of Title XXI of the Social Security Act (P.L. 105-33). A copy of the report shall be provided to the Legislature and other interested parties.

(b) As soon as possible, but no later than July 1, 2000, the board shall include in its annual report information on (1) how assurance of preventive services by health plans and health care providers is achieved; (2) the performance of health plans and providers in providing preventive services and addressing barriers to service delivery; and (3) the mechanism or mechanisms that will be used to identify changes over time in the health status of children enrolled in the program. Beginning no later than July 1, 2001, the report shall include information about changes in the health status of children participating in the program.

(c) The board shall immediately provide the fiscal and policy committees of the Legislature with a copy of their submittal to the federal government to meet the requirements for state plan provisions as contained in Chapter 1 of Title XXI of the Social Security Act. Any and all subsequent amendments to the state plan shall also be provided accordingly.

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Section § 12693.93

This law requires the board to evaluate a program that aims to expand health coverage for children. The evaluation must follow federal guidelines and include measuring how well health plans and providers deliver preventive services. It should also assess any changes in the health status of children who are part of the program over time.

The board shall prepare an evaluation of the program and other state efforts to expand coverage to children in conformance with Section 2108 of Title XXI of the Social Security Act. The evaluation shall incorporate measurement of the delivery of preventive services by health plans and health care providers and assessment of changes over time in the health status of children participating in the program.

children's health coverage preventive services health status evaluation ...

Section § 12693.95

This law focuses on addressing gaps in drug and alcohol treatment services for children in a specific health program. By April 15, 1998, a proposal was required to assess the feasibility of using federal funds to finance these services through counties. It mandates cooperation between several state departments to review treatment service needs and data collection from participating health plans. The aim is to determine the adequacy of current services and make necessary improvements. Health plans are encouraged to collect data voluntarily and later required to report it to support policy decisions.

(a) The board in consultation with the Department of Alcohol and Drug Programs shall provide the Legislature by April 15, 1998, a proposal assessing the viability of providing additional drug and alcohol treatment services for children enrolled in the program.

If the board determines that it is feasible to provide additional federal funds received pursuant to Title XXI (commencing with Section 2101) of the Social Security Act to counties to finance drug and alcohol services and required federal approval is obtained, the board shall negotiate with participating health plans to establish memoranda of understanding between plans and counties to facilitate referral of children in need of these services.

(b) Based on the April 15, 1998, report by the board to the Legislature, the Legislature finds and declares that there is a statewide gap in publicly funded alcohol and other drug treatment for adolescents which is significant and systemic.

(1) Therefore, the State Department of Health Care Services, in cooperation with the board, shall do the following:

(A) Review capacity needs for the Healthy Families Program target group after year one data has been collected and an assessment of the adequacy of the benefit can be made.

(B) Request that counties provide data on the number of adolescents requesting alcohol and other drug treatment and whether they are participating in the Healthy Families Program.

(2) The board shall do the following:

(A) Request the participating health plans to voluntarily collect data, as prescribed by the board, on the number of children needing services that exceed the substance abuse benefit in their plan.

(B) Upon contract renewal, require participating health plans to collect and report the data.

(C) By September 1, 1999, provide the policy and fiscal committees of the Legislature with an analysis of the data obtained by the Department of Alcohol and Drug Programs and from the participating health plans.

drug and alcohol treatment children's health program Healthy Families Program ...

Section § 12693.925

The Managed Risk Medical Insurance Board is required to report to the California Legislature by January 30, 2004, about the State Children’s Health Insurance Program. They need to list categories of vulnerable children, such as immigrant and homeless kids, who should be targeted by public health initiatives.

Additionally, the board must provide recommendations on innovative methods, using federal programs, to address health needs and barriers for these children, both in urban and rural areas. This includes input from advisory panels and organizations that support these communities.

Finally, implementing this section depends on receiving federal financial support.

(a) The Managed Risk Medical Insurance Board shall report to the Legislature on or before January 30, 2004, the following information with respect to the State Children’s Health Insurance Program:

(1) A list of the categories of vulnerable children who should be the targets of public health initiatives, including, but not limited to, immigrant children, homeless children, and other children that face health disparities.

(2) Recommendations on innovative methods available under the federal program for addressing health needs and barriers to care for the identified groups of vulnerable children. The board shall report as many recommendations as possible that are available under the federal program and the expected impact of each recommendation.

(3) Recommendations on innovative methods available under the federal program for developing in urban areas initiatives similar to the rural demonstration projects. The board shall report as many recommendations as possible that are available under the federal program and the expected impact of each recommendation.

(b) The board shall seek input, at regularly scheduled meetings of the board, from the Healthy Families Advisory Panel and stakeholder organizations, including, but not limited to, organizations that represent immigrant and homeless populations, other communities that experience health disparities, and traditional providers of care to low-income populations.

Managed Risk Medical Insurance Board State Children’s Health Insurance Program vulnerable children ...