Medi-Cal: private duty nursing.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Appropriations
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill modifies California’s Medi-Cal program to designate private duty nursing services provided to children under 21 by home health agencies as ‘specialty care’ for reimbursement purposes. It requires the Department of Health Care Services to assess whether these services comply with federal Medicaid requirements and to report its findings to the Legislature by March 1, 2027. The bill excludes this designation from the impact of the Protect Access to Health Care Act of 2024.
Key provisions
- Designates private duty nursing services for children under 21 as ‘specialty care’ for Medi-Cal reimbursement.
- Requires the Department of Health Care Services to assess compliance with federal Medicaid requirements.
- Mandates a report to the Legislature by March 1, 2027, detailing the assessment findings.
- Excludes the ‘specialty care’ designation from the impact of the Protect Access to Health Care Act of 2024.
- Defines ‘private duty nursing agency’ and ‘private duty nursing services’ as they relate to Medi-Cal.
- Specifies that private duty nursing services provided in a child’s home or community-based setting are covered.
Who is affected
- Medi-Cal recipients
- Children under 21 years of age
- Home health agencies
- California Department of Health Care Services
- Legislature
Notable changes
Bill text
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Sponsors
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1 on record
Primary sponsor
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