AB 32

  • California Assembly Bill
  • 2021-2022 Regular Session
  • Introduced in Assembly
  • Passed Assembly Jun 01, 2021
  • Passed Senate Aug 31, 2022
  • Signed by Governor Sep 25, 2022

Telehealth.

Bill Subjects

Telehealth.

Abstract

Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, Medi-Cal services may be provided pursuant to contracts with various types of managed care health plans, including through a county organized health system. Under existing law, in-person contact between a health care provider and a patient is not required under the Medi-Cal program for services appropriately provided through telehealth. Existing law provides that neither face-to-face contact nor a patient's physical presence on the premises of an enrolled community clinic is required for services provided by the clinic to a Medi-Cal beneficiary during or immediately following a proclamation declaring a state of emergency. Existing law defines "immediately following" for this purpose to mean up to 90 days following the termination of the proclaimed state of emergency, unless there are extraordinary circumstances. Under existing law, federally qualified health center (FQHC) services and rural health clinic (RHC) services are covered benefits under the Medi-Cal program, to be reimbursed, to the extent that federal financial participation is available, to providers on a per-visit basis. "Visit" is defined as a face-to-face encounter between an FQHC or RHC patient and any of specified health care professionals. Under existing law, "visit" also includes an encounter between an FQHC or RHC patient and specified medical professionals when services delivered through that interaction meet the applicable standard of care. Existing law prohibits an FQHC or RHC from establishing a new patient relationship using an audio-only synchronous interaction and authorizes the department to provide specific exceptions to that prohibition, developed in consultation with affected stakeholders and published in departmental guidance. This bill would authorize the department to authorize an FQHC or RHC to establish a new patient relationship using an audio-only synchronous interaction when the visit is related to sensitive services, as defined, and authorize an FQHC or RHC to establish a new patient relationship using an audio-only synchronous interaction when the patient requests an audio-only modality or attests they do not have access to video. Existing law provides that face-to-face contact is not required when covered health care services are provided by video synchronous interaction, audio-only synchronous interaction, remote patient monitoring, or other permissible virtual communication modalities when those services and settings meet certain criteria. Existing law, effective as specified, requires a provider furnishing services via audio-only synchronous interaction to also offer those same health care services via video synchronous interaction to preserve beneficiary choice. Existing law authorizes the department to provide specific exceptions to that requirement based on a Medi-Cal provider's access to requisite technologies, as specified. Existing law also prohibits a health care provider from establishing a new patient relationship with a Medi-Cal beneficiary via, among other interactions, telephonic (audio-only) synchronous interaction. Existing law authorizes the department to provide specific exceptions to that prohibition, as specified. This bill would authorize the department to take into consideration the availability of broadband access when providing those specific exceptions. The bill would authorize the department to authorize a health care provider to establish a new patient relationship using an audio-only synchronous interaction when the visit is related to sensitive services, as defined, and authorize a health care provider to establish a new patient relationship using an audio-only synchronous interaction when the patient requests an audio-only modality or attests they do not have access to video. This bill would incorporate additional changes to Section 14132.100 of the Welfare and Institutions Code proposed by SB 966 to be operative only if this bill and SB 966 are enacted and this bill is enacted last.

Bill Sponsors (26)

Gonzalez

     
Coauthor

Votes


Actions


Sep 25, 2022

California State Legislature

Approved by the Governor.

California State Legislature

Chaptered by Secretary of State - Chapter 515, Statutes of 2022.

Sep 13, 2022

California State Legislature

Enrolled and presented to the Governor at 4 p.m.

Aug 31, 2022

Assembly

Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 71. Noes 0.).

Assembly

In Assembly. Concurrence in Senate amendments pending.

Senate

Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0.).

Aug 30, 2022

Senate

Ordered to special consent calendar.

Aug 25, 2022

Senate

Read second time. Ordered to third reading.

Aug 24, 2022

Senate

Read third time and amended. Ordered to second reading.

Aug 23, 2022

Senate

Read second time. Ordered to third reading.

Aug 22, 2022

Senate

Read third time and amended. Ordered to second reading.

Aug 11, 2022

Senate

From committee: Do pass. (Ayes 7. Noes 0.) (August 11).

Senate

Read second time. Ordered to third reading.

Aug 08, 2022

Senate

In committee: Referred to suspense file.

  • Referral-Committee
suspense file.

Aug 01, 2022

Senate

From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR.

  • Amendment-Introduction
  • Amendment-Passage
  • Reading-1
  • Reading-2
  • Referral-Committee
Com. on APPR.

Jul 27, 2022

Senate

In committee: Hearing postponed by committee.

Jun 30, 2022

Senate

From committee: Do pass and re-refer to Com. on APPR. (Ayes 10. Noes 0.) (June 29). Re-referred to Com. on APPR.

  • Committee-Passage
  • Committee-Passage-Favorable
  • Referral-Committee
Com. on APPR.

Jun 20, 2022

Senate

From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.

  • Amendment-Introduction
  • Amendment-Passage
  • Reading-1
  • Reading-2
  • Referral-Committee
Com. on HEALTH.

Jul 08, 2021

Senate

In committee: Set, first hearing. Hearing canceled at the request of author.

Jun 09, 2021

Senate

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Jun 02, 2021

Senate

In Senate. Read first time. To Com. on RLS. for assignment.

Jun 01, 2021

Assembly

Read third time. Passed. Ordered to the Senate. (Ayes 78. Noes 0.)

May 25, 2021

Assembly

Read second time. Ordered to third reading.

May 24, 2021

Assembly

Read second time and amended. Ordered returned to second reading.

May 20, 2021

Assembly

From committee: Amend, and do pass as amended. (Ayes 16. Noes 0.) (May 20).

May 12, 2021

Assembly

In committee: Set, first hearing. Referred to APPR. suspense file.

  • Referral-Committee
APPR APPR. suspense file.

Apr 28, 2021

Assembly

From committee: Do pass and re-refer to Com. on APPR. (Ayes 13. Noes 0.) (April 27). Re-referred to Com. on APPR.

  • Committee-Passage
  • Committee-Passage-Favorable
  • Referral-Committee
Com. on APPR.

Apr 27, 2021

Assembly

Coauthors revised.

Apr 26, 2021

Assembly

Re-referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Apr 22, 2021

Assembly

From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.

Apr 19, 2021

Assembly

Measure version as revised on April 15 corrected.

Apr 15, 2021

Assembly

Coauthors revised.

Feb 16, 2021

Assembly

Re-referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Feb 12, 2021

Assembly

From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.

Jan 11, 2021

Assembly

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Dec 08, 2020

Assembly

From printer. May be heard in committee January 7.

Dec 07, 2020

Assembly

Read first time. To print.

Bill Text

Bill Text Versions Format
AB32 HTML
12/07/20 - Introduced PDF
02/12/21 - Amended Assembly PDF
04/22/21 - Amended Assembly PDF
05/24/21 - Amended Assembly PDF
06/20/22 - Amended Senate PDF
08/01/22 - Amended Senate PDF
08/22/22 - Amended Senate PDF
08/24/22 - Amended Senate PDF
09/02/22 - Enrolled PDF
09/25/22 - Chaptered PDF

Related Documents

Document Format
04/23/21- Assembly Health PDF
05/11/21- Assembly Appropriations PDF
05/25/21- ASSEMBLY FLOOR ANALYSIS PDF
06/27/22- Senate Health PDF
08/05/22- Senate Appropriations PDF
08/23/22- Sen. Floor Analyses PDF
08/26/22- Sen. Floor Analyses PDF
08/31/22- ASSEMBLY FLOOR ANALYSIS PDF

Sources

Data on Open States is updated periodically throughout the day from the official website of the California State Legislature.

If you notice any inconsistencies with these official sources, feel free to file an issue.