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
begin delete thatend delete tobacco cessation services are covered begin delete benefitsend delete under the Medi-Cal program, would require begin delete thatend delete those services begin delete include,end delete at a minimum, 4 quit attempts per begin delete year, and wouldend delete also begin delete requireend delete tobacco cessation services to include at least 4 counseling sessions per quit attempt and a begin delete 90-dayend delete treatment regimen of any medication approved by the federal Food and Drug Administration for tobacco begin delete cessation that is covered under the Medi-Cal program as of January 1, 2015.end delete
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
begin delete program and shall, at a minimum, includeend delete
5 four quit attempts per year, with no required
10break between attempts, for beneficiaries
begin delete of any ageend delete who use tobacco.
17(b) For purposes of this section,
20 tobacco cessation services shall include:
P3 1(1) At least four tobacco cessation counseling sessions per quit
2attempt, which may be conducted in person or by telephone and
3individually or as part of a group, at the beneficiary’s option.
4(2) (A) A
begin delete 90-dayend delete treatment regimen of any medication
5approved by the federal Food and Drug Administration for tobacco
6cessation, including prescription and over-the-counter medications.
7(B) At least one prescription medication and all over-the-counter
8medications shall be available without prior authorization.
9(C) A prescription from a provider with authority to prescribe
10and proof of Medi-Cal coverage shall be sufficient documentation
11to fill a prescription for over-the-counter tobacco cessation
13(D) Except as provided in subparagraph (B), coverage described
14in this paragraph shall not be subject to any barriers, requirements,
16(E) This paragraph shall apply to medications approved by the
17federal Food and Drug Administration and that are covered under
18the Medi-Cal program as of January 1, 2015.
19(c) Beneficiaries who are covered under this section shall not
20be required to receive a particular form of tobacco cessation service
21as a condition of receiving any other form of tobacco cessation