reglab/statecodes huggingface dataset:
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3 - AID AND MEDICAL ASSISTANCE › CHAPTER 13 - Adult Protective Services › Section 15767.

15767. (a) The department, in consultation with representatives from the County Welfare Directors Association of California, the California Elder Justice Coalition, and other relevant stakeholders, shall convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The recommendations shall include identification of potential outcome measures and other data elements that can be tracked and made publicly available for purposes of program planning.
(b) (1) The department shall submit recommendations developed pursuant to subdivision (a) to the Legislature by November 1, 2022.
(2) A report to be submitted pursuant to paragraph (1) shall be submitted in compliance with Section 9795 of the Government Code.
(Added by Stats. 2021, Ch. 85, Sec. 71. (AB 135) Effective July 16, 2021.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 1 - General Provisions › Section 15800.

15800. (a) (1) Commencing October 1, 2013, the State Department of Health Care Services shall administer the AIM-Linked Infants Program to address the health care needs of children formerly covered pursuant to clause (ii) of subparagraph (A) of paragraph (6) of subdivision (a) of Section 12693.70 of the Insurance Code. The department is vested with the same powers, purposes, responsibilities, and jurisdiction exercised by the Managed Risk Medical Insurance Board as they relate to those children. Nothing in this paragraph shall be construed to alter, diminish, or supersede the authority of the Managed Risk Medical Insurance Board to exercise the same powers, purposes, responsibilities, and jurisdiction within the Healthy Families Program established under Part 6.2 (commencing with Section 12693) of Division 2 of the Insurance Code.
(2) (A) Commencing on July 1, 2014, the State Department of Health Care Services shall administer any other programs under, and succeeds to and is vested with the same powers, purposes, responsibilities, and jurisdiction exercised by, the Managed Risk Medical Insurance Board.
(B) Commencing on July 1, 2014, any reference in any statute, except for this chapter, Chapter 3 (commencing with Section 15850), and Section 12739.61 of, and Part 6.8 (commencing with Section 12739.77) of Division 2 of, the Insurance Code, and in any regulation, contract, or any other document, to the Managed Risk Medical Insurance Board is deemed to instead refer to the State Department of Health Care Services.
(3) The department may, before October 1, 2013, conduct transition activities necessary to ensure the efficient transfer of the program identified in paragraph (1) and populations served by that program.
(4) The department may, before July 1, 2014, conduct transition activities necessary to ensure the efficient transfer of the programs identified in paragraph (2) and populations served by these programs.
(b) The department shall seek any federal waivers, approvals, and state plan amendments necessary to implement this part. This part shall only be implemented to the extent that necessary federal approvals are obtained and federal financial participation is available for eligible programs and services.
(Amended by Stats. 2014, Ch. 31, Sec. 58. (SB 857) Effective June 20, 2014.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 1 - General Provisions › Section 15801.

15801. (a)  The terms of all regulations and orders adopted by the Managed Risk Medical Insurance Board in effect preceding July 1, 2014, that relate to the operation of the program and to the children transferred by the act that added this section and are not rendered legally unenforceable by the act that added this section shall be fully enforceable by the State Department of Health Care Services within the AIM-Linked Infants Program and the Medi-Cal Access Program unless and until the department adopts regulations for the Medi-Cal Access Program. Nothing in this subdivision shall be construed to alter, diminish, or supersede the authority of the Managed Risk Medical Insurance Board to interpret, enforce, maintain, or amend the same regulations for purposes of the Healthy Families Program established under Part 6.2 (commencing with Section 12693) of Division 2 of the Insurance Code.
(b) All regulations and orders adopted by the Managed Risk Medical Insurance Board that relate to the programs transferred pursuant to paragraph (2) of subdivision (a) of Section 15800 in effect on July 1, 2014, and not rendered legally unenforceable by the act adding this subdivision shall remain in effect and shall be fully enforceable unless and until readopted, amended, or repealed by the State Department of Health Care Services, or until they expire by their own terms.
(Amended by Stats. 2014, Ch. 31, Sec. 59. (SB 857) Effective June 20, 2014.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 1 - General Provisions › Section 15802.

15802. (a) The State Department of Health Care Services may issue rules and regulations to carry out the purposes of this part.
(b) Notwithstanding subdivision (a) or Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department, without taking any further regulatory actions, may implement, interpret, or make specific this part and amend or repeal regulations and orders adopted by the Managed Risk Medical Insurance Board as provided in Section 15801 by means of all-county letters, plan letters, plan or provider bulletins, or similar instructions, without taking regulatory action during the transition of the programs to the department. Thereafter, the adoption and readoption of regulations to implement, interpret, or make specific this part shall be deemed to be an emergency that calls for immediate action to avoid serious harm to the public peace, health, safety, or general welfare for purposes of Sections 11346.1 and 11349.6 of the Government Code, and the department is exempted from the requirement that it describe facts showing the need for immediate action. The regulations shall become effective immediately upon filing with the Secretary of State.
(Added by Stats. 2013, Ch. 23, Sec. 68. (AB 82) Effective June 27, 2013.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 1 - General Provisions › Section 15802.5.

15802.5. Effective on July 1, 2014, all permanent or probationary civil service employees who are employed by the Managed Risk Medical Insurance Board shall be transferred to the State Department of Health Care Services or the California Health Benefits Exchange as described in Section 12739.78 of the Insurance Code, and their civil service status, position, and rights, including return rights, shall be determined pursuant to Section 12739.78 of the Insurance Code.
(Added by Stats. 2014, Ch. 31, Sec. 60. (SB 857) Effective June 20, 2014.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 1 - General Provisions › Section 15803.

15803. (a) To implement this part and clause (ii) of subparagraph (A) of paragraph (6) of subdivision (a) of Section 12693.70 of the Insurance Code, the State Department of Health Care Services may contract with public or private entities. Contracts entered into under this part may be on a noncompetitive bid basis and are exempt from the following:
(1) Part 2 (commencing with Section 10100) of Division 2 of the Public Contract Code and any policies, procedures, or regulations authorized by that part.
(2) Article 4 (commencing with Section 19130) of Chapter 5 of Part 2 of Division 5 of Title 2 of the Government Code.
(3) Review or approval of contracts by the Department of General Services.
(b) During the transition of the programs to the department, the department shall also be exempt from the review or approval of feasibility study reports and the requirements of Sections 4819.35 to 4819.37, inclusive, and 4920 to 4928, inclusive, of the State Administrative Manual.
(c) For contracts entered into under this part, the State Department of Health Care Services shall not be required to specify the amounts encumbered for each contract, but may allocate funds to each contract based on the projected or actual subscriber enrollments to a total amount not to exceed the amount appropriated for the program including family contributions.
(Amended by Stats. 2014, Ch. 31, Sec. 61. (SB 857) Effective June 20, 2014.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 1 - General Provisions › Section 15804.

15804. On October 1, 2013, or when the State Department of Health Care Services has implemented Chapter 2 (commencing with Section 15810), whichever occurs later, the Managed Risk Medical Insurance Board shall cease to provide coverage to the children transferred to the AIM-Linked Infants Program, pursuant to Section 15800.
(Amended by Stats. 2014, Ch. 31, Sec. 62. (SB 857) Effective June 20, 2014.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 1 - General Provisions › Section 15806.

15806. (a) A contract, lease, license, bond, or any other agreement to which the Managed Risk Medical Insurance Board is a party is not void or voidable by reason of the act that added this section, but shall continue in full force and effect, with the State Department of Health Care Services assuming all of the rights, obligations, liabilities, and duties of the Managed Risk Medical Insurance Board and any of its predecessors that relate to the duties, powers, purposes, responsibilities, and jurisdiction vested by the act that added this section in the State Department of Health Care Services. The assumption by the State Department of Health Care Services does not in any way affect the rights of the parties to the contract, lease, license, or agreement.
(b) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 64. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15810.

15810. (a) This chapter, formerly known as the AIM-Linked Infants Program, shall be known, and may be cited, as the Medi-Cal Access Program.
(b) This section shall become operative on July 1, 2014.
(Repealed (in Sec. 66) and added by Stats. 2014, Ch. 31, Sec. 67. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15811.

15811. (a) The definitions contained in this section govern the construction of this chapter, unless the context requires otherwise.
(b) “Access-linked infant” means any infant born to a woman enrolled in either the program under this chapter or the Access for Infants and Mothers Program under Part 6.3 (commencing with Section 12695) of Division 2 of the Insurance Code.
(c) “Applicant” means an individual who applies for coverage through the program.
(d) “Department” means the State Department of Health Care Services.
(e) “Fund” means the Perinatal Insurance Fund.
(f) “Health education services relating to tobacco use” means tobacco use prevention and education services, including, when appropriate, tobacco use cessation services, in accordance with protocols established by the department in coordination with the California Tobacco Control Program of the State Department of Public Health.
(g) “Participating health plan” means a health plan with which the department contracts to provide health care services to individuals eligible pursuant to Section 15832.
(h) “Program” means the Medi-Cal Access Program.
(i) “Subscriber” means an individual who is eligible for and enrolled in the program.
(j) “Subscriber contribution” means the cost to the subscriber to participate in the program.
(k) This section shall become operative on July 1, 2014.
(Repealed (in Sec. 68) and added by Stats. 2014, Ch. 31, Sec. 69. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15814.

15814. (a) The department, in coordination with the California Tobacco Control Program of the State Department of Public Health, shall develop protocols relating to health education for tobacco use to the extent necessary to comply with paragraph (1) of subdivision (b) of Section 30122 of the Revenue and Taxation Code. These protocols shall include, but not be limited to, all of the following:
(1) Referral to perinatal and related support services.
(2) Outreach services and assessment of smoking status.
(3) Individualized counseling and advocacy services.
(4) Motivational messages.
(5) Cessation services, if appropriate.
(6) Incentives to maintain a healthy lifestyle.
(7) Followup assessment.
(8) Maintenance and relapse prevention services.
(b) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 70. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15818.

15818. (a) Each participating health plan contracting with the department pursuant to this chapter shall provide health education services related to tobacco use to all program participants to the extent necessary to comply with paragraph (1) of subdivision (b) of Section 30122 of the Revenue and Taxation Code.
(b) The education activities required by subdivision (a) shall include all of the following:
(1) Dissuading persons from beginning to smoke.
(2) Encouraging smoking cessation.
(3) Providing information on the health effects of tobacco use on the user, children, and nonsmokers.
(c) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 71. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15822.

15822. Health care services under the program shall include, but are not limited to, all of the following:
(a) Preventive, screening, diagnostic, and treatment services furnished directly by a licensed clinic, either onsite or by formal written contract, on a case-managed basis, to patients who remain less than 24 hours at the clinic for an illness or injury, advice, counseling, outreach, and translation as needed.
(b) Physician services.
(c) Emergency first aid, perinatal, obstetric, radiology, laboratory, and nutrition services.
(d) Services of advanced practice nurses or mid-level practitioners who are authorized to perform any of the services listed in this section within the scope of their licensure.
(e) All services and benefits set forth in Chapter 7 (commencing with Section 14000) of Part 3.
(Added by Stats. 2013, Ch. 23, Sec. 68. (AB 82) Effective June 27, 2013.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15824.

15824. To the extent permitted by federal law, services for individuals eligible under this chapter shall be provided, at the department’s discretion and to the extent the department determines the selected delivery system is cost effective, through the Medi-Cal fee-for-service or managed care delivery system, or both.
(Added by Stats. 2013, Ch. 23, Sec. 68. (AB 82) Effective June 27, 2013.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15827.

15827. (a) The department shall administer the program in a manner that ensures that program expenditures do not exceed amounts available in the fund.
(b) This section shall be implemented only if and to the extent that it does not jeopardize the state’s ability to receive federal financial participation under the federal Patient Protection and Affordable Care Act (Public Law 111-148), or any amendment or extension of that act.
(c) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 74. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15828.

15828. The department shall coordinate with other state agencies, as appropriate, to help ensure continuity of health care services.
(Added by Stats. 2013, Ch. 23, Sec. 68. (AB 82) Effective June 27, 2013.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15830.

15830. (a) The department may contract with a variety of health plans and types of health care service delivery systems in order to offer subscribers a choice of plans, providers, and types of service delivery.
(b) Participating health plans contracting with the department pursuant to this chapter shall provide benefits or coverage to subscribers only as determined by the department pursuant to subdivision (b) of Section 15826.
(Added by Stats. 2013, Ch. 23, Sec. 68. (AB 82) Effective June 27, 2013.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15833.

15833. (a) A person eligible pursuant to paragraph (1) of subdivision (a) of Section 15832 shall not be eligible to participate in the program if, at the time of application, she is eligible for Medi-Cal without a share of cost or for Medicare.
(b) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 77. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15834.

15834. A person shall not be eligible for covered services under the program if those services are covered through private health care coverage arrangements at the time of eligibility.
(Added by Stats. 2013, Ch. 23, Sec. 68. (AB 82) Effective June 27, 2013.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15835.

15835. (a) Subscribers enrolled pursuant to paragraph (1) of subdivision (a) of Section 15832 shall not be disenrolled for failure to pay subscriber contributions. The department may impose or contract for collection actions to collect unpaid subscriber contributions.
(b) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 78. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15836.

15836. (a) If a subscriber is dissatisfied with any action, or failure to act, that has occurred in connection with eligibility or covered services under this chapter, the subscriber may appeal to the department and shall be accorded an opportunity for a fair hearing. Hearings may be conducted pursuant to the provisions of Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code.
(b) The department may place a lien on compensation or benefits that are recovered or recoverable by a subscriber for whom benefits have been provided under a policy or plan issued under this chapter from any party or parties responsible for the compensation or benefits.
(Added by Stats. 2013, Ch. 23, Sec. 68. (AB 82) Effective June 27, 2013.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15838.

15838. (a) A provider who is furnished documentation of a subscriber’s enrollment in the program shall not seek reimbursement or attempt to obtain payment for any covered services provided to that subscriber other than from the participating health plan or insurer covering the subscriber or from the department.
(b) Subdivision (a) shall not apply to any copayment required by the department under this chapter for the covered services provided to the subscriber.
(c) For purposes of this chapter, “provider” means any professional person, organization, health facility, or other person or institution licensed by the state to deliver or furnish health care services and includes as that term is defined in subdivision (o) of Section 14043.1.
(Added by Stats. 2013, Ch. 23, Sec. 68. (AB 82) Effective June 27, 2013.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15839.

15839. (a) Services that would be covered under the program that are provided to pregnant women who, after receiving those services, are subsequently determined to be eligible for coverage under this chapter may be reimbursed as determined by the department. In no case shall services received prior to 40 days before a woman’s date of application be eligible for reimbursement.
(b) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 79. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15840.

15840. (a) (1) At a minimum, coverage provided pursuant to this chapter shall be provided to subscribers during one pregnancy, and until the end of the month in which the 60th day after pregnancy occurs, and to eligible children less than two years of age who were born of a pregnancy covered under this program or the Access for Infants and Mothers program under former Part 6.3 (commencing with Section 12695) of Division 2 of the Insurance Code to a woman enrolled in the Access for Infants and Mothers program.
(2) (A) Upon the effective date reflected in any necessary federal approvals obtained by the department pursuant to subdivision (c) of Section 14005.185, a subscriber described in paragraph (1) shall be eligible for an additional 10-month period following the 60-day postpartum period, for a total of 12 months of continuous eligibility after the end of pregnancy.
(B) This paragraph shall be implemented only if, and to the extent that, any necessary federal approvals are obtained pursuant to Section 14005.185 and federal financial participation is available, and subject to an annual appropriation by the Legislature for this purpose.
(b) Coverage provided pursuant to this chapter shall include, at a minimum, those services required to be provided by health care service plans approved by the Secretary of Health and Human Services as a federally qualified health care service plan pursuant to Section 417.101 of Title 42 of the Code of Federal Regulations.
(c) Medically necessary prescription drugs shall be a required benefit in the coverage provided pursuant to this chapter.
(d) To the extent required pursuant to Section 15818 to comply with paragraph (1) of subdivision (b) of Section 30122 of the Revenue and Taxation Code, health education services related to tobacco use shall be a benefit in the coverage provided under this chapter.
(e) If the conditions described in paragraph (1) of subdivision (b) of Section 15832, as added by Section 137 of the act that added this subdivision, have been met, this section shall become inoperative on January 1, 2025, or the date certified by the department pursuant to paragraph (2) of subdivision (b) of Section 15832, as added by Section 137 of the act that added this subdivision, whichever is later, and shall be repealed on January 1 directly following that date.
(Amended by Stats. 2022, Ch. 47, Sec. 138. (SB 184) Effective June 30, 2022. Conditionally inoperative on or after January 1, 2025, by its own provisions. Repealed January 1 following the inoperative date. See later operative version added by Sec. 139 of Stats. 2022, Ch. 47.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15840.

15840. (a) (1) At a minimum, coverage provided pursuant to this chapter shall be provided to subscribers during one pregnancy, and until the end of the month in which the 60th day after pregnancy occurs, and to eligible children less than two years of age, or less than five years of age pursuant to Section 15832, who were born of a pregnancy covered under this program or the Access for Infants and Mothers program under former Part 6.3 (commencing with Section 12695) of Division 2 of the Insurance Code to a person enrolled in the Access for Infants and Mothers program.
(2) (A) Upon the effective date reflected in any necessary federal approvals obtained by the department pursuant to subdivision (c) of Section 14005.185, a subscriber described in paragraph (1) shall be eligible for an additional 10-month period following the 60-day postpartum period, for a total of 12 months of continuous eligibility after the end of pregnancy.
(B) This paragraph shall be implemented only if, and to the extent that, any necessary federal approvals are obtained pursuant to Section 14005.185 and federal financial participation is available, and subject to an annual appropriation by the Legislature for this purpose.
(b) Coverage provided pursuant to this chapter shall include, at a minimum, those services required to be provided by health care service plans approved by the Secretary of Health and Human Services as a federally qualified health care service plan pursuant to Section 417.101 of Title 42 of the Code of Federal Regulations.
(c) Medically necessary prescription drugs shall be a required benefit in the coverage provided pursuant to this chapter.
(d) To the extent required pursuant to Section 15818 to comply with paragraph (1) of subdivision (b) of Section 30122 of the Revenue and Taxation Code, health education services related to tobacco use shall be a benefit in the coverage provided under this chapter.
(e) This section shall become operative on January 1, 2025, or the date certified by the department pursuant to paragraph (2) of subdivision (b) of Section 15832, as added by Section 137 of the act that added this subdivision, whichever is later, and shall be repealed on January 1 directly following that date.
(Repealed (in Sec. 138) and added by Stats. 2022, Ch. 47, Sec. 137. (SB 184) Effective June 30, 2022. Conditionally operative on or after January 1, 2025, by its own provisions. Repealed January 1 following the operative date.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15841.

15841. (a) Through its courts, statutes, and under its Constitution, California protects a woman’s right to reproductive privacy. California reaffirms these protections and specifically its Supreme Court decision in People v. Belous (1969) 71 Cal.2d 954, 966-68.
(b) The State Department of Health Care Services may accept or use moneys under Title XXI of the Social Security Act (known as the Children’s Health Insurance Program or CHIP), as interpreted in Section 457.10 of Title 42 of the Code of Federal Regulations, to fund services for women pursuant to Section 14007.7 and this chapter only when, during the period of coverage, the woman is the beneficiary. The scope of services covered under Medi-Cal and this chapter, as defined in statutes, regulations, and state plans, is not altered by this section or the state plan amendment submitted pursuant to this section.
(c) California’s CHIP plan and any amendments submitted and implemented pursuant to this section shall be consistent with subdivisions (a) and (b).
(d) This section is a declaration of existing law.
(e) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 82. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15842.

15842. Notwithstanding any other law, for a subscriber who is determined by the California Children’s Services Program to be eligible for benefits under the program pursuant to Article 5 (commencing with Section 123800) of Chapter 3 of Part 2 of Division 106 of the Health and Safety Code, a provider shall not be responsible for the provision of, or payment for, the particular services authorized by the California Children’s Services Program for the particular subscriber for the treatment of a California Children’s Services Program eligible medical condition. Providers shall refer a child whom they reasonably suspect of having a medical condition that is eligible for services under the California Children’s Services Program to the California Children’s Services Program. The California Children’s Services Program shall provide case management and authorization of services if the child is found to be medically eligible for the California Children’s Services Program. Diagnosis and treatment services that are authorized by the California Children’s Services Program shall be performed by paneled providers for that program and approved special care centers of that program in accordance with treatment plans approved by the California Children’s Services Program. All other services provided under this chapter shall be available to the subscriber.
(Added by Stats. 2013, Ch. 23, Sec. 68. (AB 82) Effective June 27, 2013.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15844.

15844. A child enrolled in the program under this chapter who has a medical condition that is eligible for services pursuant to the California Children’s Services Program, and whose family is not financially eligible for the California Children’s Services Program, shall have the medically necessary treatment services for his or her California Children’s Services Program eligible medical condition authorized and paid for by the California Children’s Services Program. County expenditures for the payment of services for the child shall be waived and these expenditures shall be paid for by the state from Title XXI of the federal Social Security Act (42 U.S.C. Sec. 1397aa et seq.) funds and state general funds.
(Added by Stats. 2013, Ch. 23, Sec. 68. (AB 82) Effective June 27, 2013.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15846.

15846. The department shall encourage all providers who provide services under the program to have viable protocols for screening and referring children needing supplemental services outside of the scope of the screening, preventive, and medically necessary and therapeutic services covered by the contract to public programs providing such supplemental services for which they may be eligible, as well as for coordination of care between the provider and the public programs. The public programs for which providers may be required to develop screening, referral, and care coordination protocols may include the California Children’s Services Program, the regional centers, county mental health programs, programs administered by the Department of Alcohol and Drug Programs or its successor agency or agencies, and programs administered by local education agencies.
(Added by Stats. 2013, Ch. 23, Sec. 68. (AB 82) Effective June 27, 2013.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15847.

15847. (a) It shall constitute unfair competition for purposes of Chapter 5 (commencing with Section 17200) of Part 2 of Division 7 of the Business and Professions Code for an insurer, an insurance agent or broker, or an administrator, as defined in Section 1759 of the Insurance Code, to refer an individual employee or employee’s dependent to the program, or arrange for an individual employee or employee’s dependent to apply to the program, for the purpose of separating that employee or employee’s dependent from group health coverage provided in connection with the employee’s employment.
(b) Any employee described in subdivision (a) shall have a personal right of action to enforce subdivision (a).
(c) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 83. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15847.3.

15847.3. (a) It shall constitute an unfair labor practice contrary to public policy, and enforceable under Section 95 of the Labor Code, for any employer to refer an individual employee or employee’s dependent to the program, or to arrange for an individual employee or employee’s dependent to apply to the program, for the purpose of separating that employee or employee’s dependent from group health coverage provided in connection with the employee’s employment.
(b) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 84. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15847.5.

15847.5. (a) It shall constitute an unfair labor practice contrary to public policy and enforceable under Section 95 of the Labor Code for any employer to change the employee-employer share-of-cost ratio or to make any other modification of maternity care coverage for employees or employees’ dependents that results in the enrollment of the employees or employees’ dependents in the program established pursuant to this chapter.
(b) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 85. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15847.7.

15847.7. (a) For purposes of Sections 15847, 15847.3, and 15847.5, “group health coverage” includes any health care service plan, self-insured employee welfare benefit plan, or disability insurance providing medical or hospital benefits.
(b) This section shall become operative on July 1, 2014.
(Amended by Stats. 2015, Ch. 455, Sec. 62. (SB 804) Effective January 1, 2016.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15848.

15848. (a) The Perinatal Insurance Fund is continued in existence in the State Treasury under the administration of the department.
(b) Amounts deposited in the fund shall only be used for the purposes specified by this chapter.
(c) Notwithstanding Section 13340 of the Government Code, the fund is hereby continuously appropriated, without regard to fiscal years, to the department, for the purposes specified in this chapter.
(d) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 87. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15848.5.

15848.5. (a) The department shall authorize the expenditure of money in the fund to cover program expenses, including program expenses that exceed subscriber contributions.
(b) From money appropriated by the Legislature to the fund, the department may expend sufficient funds for operating expenses incurred in carrying out this chapter.
(c) The department shall develop and utilize all appropriate cost containment measures to maximize the coverage offered under the program.
(d) This section shall become operative on July 1, 2014.
(Added by Stats. 2014, Ch. 31, Sec. 88. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 2 - Medi-Cal Access Program › Section 15849.

15849. (a) Effective July 1, 2022, to the extent allowable under federal law, notwithstanding the provisions of this chapter to the contrary, the department may elect not to impose subscriber contributions for purposes of coverage as described in this chapter, including, but not limited to, subscriber contributions for Access-linked infants, for an applicable coverage period.
(b) If the department elects to not impose subscriber contributions for an applicable coverage period pursuant to subdivision (a) or elects to reinstate such subscriber contributions for a subsequent coverage period, the department shall specify that election in the published Medi-Cal Local Assistance Estimate for the impacted state fiscal year or years, subject to appropriation by the annual Budget Act.
(Added by Stats. 2022, Ch. 47, Sec. 140. (SB 184) Effective June 30, 2022.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 3 - County Children s Health Initiative Program › Section 15850.

15850. This chapter shall be known, and may be cited, as the County Children’s Health Initiative Program (CCHIP).
(Amended by Stats. 2023, Ch. 266, Sec. 9. (AB 614) Effective January 1, 2024.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 3 - County Children s Health Initiative Program › Section 15850.1.

15850.1. For purposes of this chapter, the following definitions shall apply:
(a) “Administrative costs” means those expenses that are described in Section 1397ee(a)(1)(D) of Title 42 of the United States Code.
(b) “Applicant” means a county, county agency, a local initiative, or a county organized health system.
(c) “Department” means the State Department of Health Care Services.
(d) “Child” means a person under 19 years of age.
(e) “Comprehensive health insurance coverage” means the coverage provided in Section 2103 of the Social Security Act (42 U.S.C. Sec. 1397cc) and shall be equivalent to the coverage provided to state employees through the Public Employees’ Retirement System for the most recent plan year preceding the applicable program plan year, except that the plans may provide a mechanism for inpatient hospital care provided under the mental health benefit through which applicants may agree to a treatment plan in which each inpatient day may be substituted for two residential treatment days or three day treatment program days.
(f) “County Children’s Health Initiative Program” or “CCHIP” means the program established pursuant to this chapter.
(g) “County organized health system” means a health system implemented pursuant to Article 2.8 (commencing with Section 14087.5) of Chapter 7 of Part 3 of this division and Article 1 (commencing with Section 101675) of Chapter 3 of Part 4 of Division 101 of the Health and Safety Code.
(h) “Fund” means the County Health Initiative Matching Fund.
(i) “Local initiative” means a prepaid health plan that is organized by, or designated by, a county government or county governments, or organized by stakeholders, of a region designated by the department to provide comprehensive health care to eligible Medi-Cal beneficiaries. The entities established pursuant to Sections 14018.7, 14087.31, 14087.35, 14087.36, 14087.38, and 14087.96 are local initiatives.
(j) “Optional targeted low-income children group” means the population described in Section 1905(u)(2)(B) of the Social Security Act (42 U.S.C. Sec. 1396d(u)(2)(B)) and in Section 14005.26.
(k) “Access program” means the Medi-Cal Access Program under Chapter 2 (commencing with Section 15810).
(l) “Health care service plan” includes Medi-Cal managed care plans contracting with the department under Chapter 7 (commencing with Section 14000) or Chapter 8 (commencing with Section 14200) of Part 3.
(Amended by Stats. 2023, Ch. 266, Sec. 10. (AB 614) Effective January 1, 2024.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 3 - County Children s Health Initiative Program › Section 15850.5.

15850.5. (a) Notwithstanding any other law, except as provided in subdivision (b), each applicant who was participating in CCHIP, formerly known as the County Health Initiative Matching Fund, on March 23, 2010, pursuant to former Part 6.4 (commencing with Section 12699.50) of Division 2 of the Insurance Code, shall participate in the program established by this chapter, maintaining eligibility standards, methodologies, and procedures at least as favorable to eligible individuals as those in effect on March 23, 2010, and in a manner that satisfies the maintenance of effort obligation established in Section 2105(d)(3) of the Social Security Act (42 U.S.C. Sec. 1397ee(d)(3)).
(b) (1) If an applicant county participating in CCHIP, formerly known as the County Health Initiative Matching Fund, on March 23, 2010, elects to cease funding the nonfederal share of program expenditures made pursuant to Section 15852, the department shall administer the program within that applicant county consistent with subdivision (a).
(2) Notwithstanding any other law, the state general fund shall provide funding amounts equal to the total nonfederal share of all expenditures incurred by the department pursuant to paragraph (1).
(3) The nonfederal share amounts described in paragraph (2) shall be deposited in the County Health Initiative Matching Fund created pursuant to Section 15852, and those funds shall be used by the department for purposes otherwise consistent with that section.
(c) Notwithstanding any other law, as of the enactment of this section, the department shall not approve any additional applicant for participation under this chapter other than those applicants participating as of March 23, 2010.
(d) This section shall only be operative to extent that federal financial participation is not jeopardized and any necessary federal approvals are secured.
(e) This section shall become inoperative on the date that the maintenance of effort obligation pursuant to Section 2105(d)(3) of the Social Security Act (42 U.S.C. Sec. 1397ee(d)(3)) is no longer applicable to the state for purposes of this chapter.
(Amended by Stats. 2023, Ch. 266, Sec. 11. (AB 614) Effective January 1, 2024. Inoperative on date prescribed by its own provisions.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 3 - County Children s Health Initiative Program › Section 15852.

15852. (a) The County Health Initiative Matching Fund is hereby continued in existence within the State Treasury. The fund shall accept funding, including but not limited to, funding from intergovernmental transfers as follows:
(1) The nonfederal matching fund requirement for federal financial participation through the State Children’s Health Insurance Program (Subchapter 21 (commencing with Section 1397aa) of Chapter 7 of Title 42 of the United States Code).
(2) Funding associated with a proposal approved pursuant to subdivision (e) Section 15853.
(3) State general fund amounts pursuant to subdivision (b) of Section 15850.5.
(b) Notwithstanding Section 13340 of the Government Code, amounts deposited in the fund shall be continuously appropriated to the department without regard to fiscal year, and shall be used only for the purposes specified by this section.
(c) The department shall administer this fund and the provisions of this chapter for the express purpose of allowing local or state funds to be used to facilitate increasing the state’s ability to utilize federal funds available to California and for costs associated with a proposal pursuant to subdivision (e) of Section 15853 or for costs incurred by the department pursuant to paragraph (1) of subdivision (b) of Section 15850.5. Federal funds shall be used prior to the expiration of their authority for programs designed to improve and expand access for uninsured persons.
(d) The department shall be reimbursed from the fund to cover the cost to administer the program.
(Added by Stats. 2014, Ch. 31, Sec. 89. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, pursuant to Section 15864.)
2023 California Code › Welfare and Institutions Code - WIC › DIVISION 9 - PUBLIC SOCIAL SERVICES › PART 3.3 - Health Care Coverage Assistance › CHAPTER 3 - County Children s Health Initiative Program › Section 15854.5.

15854.5. (a) Effective July 1, 2022, to the extent allowable under federal law, and notwithstanding the provisions of this chapter to the contrary, the department may elect not to impose subscriber contributions for purposes of coverage as described in this chapter for an applicable coverage period.
(b) If the department elects to not impose subscriber contributions for an applicable coverage period pursuant to subdivision (a) or elects to reinstate such subscriber contributions for a subsequent coverage period, the department shall specify that election in the published Medi-Cal Local Assistance Estimate for the impacted state fiscal year or years, subject to appropriation by the annual Budget Act.
(Added by Stats. 2022, Ch. 47, Sec. 142. (SB 184) Effective June 30, 2022.)