AB 1162, as amended, Holden. Medi-Cal: tobacco cessation.
Existing law provides for the Medi-Cal program, 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 provides for a schedule of benefits under the Medi-Cal program. Existing law requires that preventive services assigned a grade of A or B by the United States Preventive Services Task Force be provided to Medi-Cal beneficiaries without any cost sharing by the beneficiary in order for the state to receive increased federal contributions for those services, as specified.
This bill would provide that tobacco cessation services are covered benefits under the Medi-Cal
begin delete program andend delete would require that those services include, at a minimum, begin delete unlimitedend delete quit begin delete attempts,end delete and would also require tobacco cessation services to include at least 4 counseling sessions per quit attempt and a 90-day treatment regimen of any medication approved by the federal Food and Drug Administration for tobacco cessation that is covered under the Medi-Cal program as of January 1, 2015.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
Section 14134.25 is added to the Welfare and
2Institutions Code, to read:
(a) Tobacco cessation services are covered benefits
4under the Medi-Cal program and shall, at a minimum, include
begin delete unlimitedend delete quit begin delete attempts,end delete with no required
6break between attempts, for beneficiaries of any age who use
8(b) For purposes of this section, tobacco cessation services shall
10(1) At least four tobacco cessation counseling sessions per quit
11attempt, which may be conducted in person or by telephone and
12individually or as part of a group, at the beneficiary’s option.
13(2) A 90-day treatment regimen of any medication approved
14by the federal Food and Drug Administration for tobacco cessation,
15 including prescription and over-the-counter medications.
begin delete Aend delete
18 prescription from a provider with authority to prescribe
19and proof of Medi-Cal coverage shall be sufficient documentation
20to fill a prescription for over-the-counter tobacco cessation
begin delete Theend delete
22 coverage described
23in this paragraph shall not be subject to any barriers, requirements,
begin delete restrictions, including, but not limited to, prior authorization.
26 paragraph shall apply to medications approved by the
27federal Food and Drug Administration and that are covered under
28the Medi-Cal program as of January 1, 2015.
29(c) Beneficiaries who are covered under this section shall not
30be required to receive a particular form of tobacco cessation service
P3 1as a condition of receiving any other form of tobacco cessation