EXECUTIVE COMMITTEE MEETING

Board of Governors

August 24, 2020 ● 2:00 PM

L.A. Care Health Plan

1055 W. 7th Street, Los Angeles, CA 90017

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8/21/2020 11:16 AM

AGENDA Executive Committee Meeting Board of Governors Monday, August 24, 2020, 2:00 P.M. L.A. Care Health Plan, 1055 West 7th Street, 10th Floor, Los Angeles

California Governor issued Executive Order No. N-29-20, which among other provisions amends the Ralph M. Brown Act. Accordingly, members of the public should now listen to this meeting

via teleconference as follows:

To join the meeting via videoconference please register by using the link below: https://lacare.webex.com/lacare/j.php?MTID=m67df7c0f6367babb1cc48e16ff81ca4a

To join the meeting via teleconference please dial: (213) 306-3065 Meeting Number: 146 710 4984

Members of the Executive Committee or staff may also participate in this meeting via teleconference. The public may listen to the Executive Committee’s meeting by teleconference.

The public is encouraged to submit its public comments or comments on Agenda items in writing. You can e-mail public comments to BoardServices@lacare.org, or send a text or

voicemail to: 213 628-6420.

The text, voicemail, or email must indicate if you wish to be identified or remain anonymous, and must also include the name of the item to which your comment relates.

Comments received by voicemail, email or text by 2:00 pm on August 24, 2020 will be provided in writing to the members of the Board of Governors that serve on the Executive Committee. Public comments

submitted will be read for 3 minutes.

Once the meeting has started, voicemails, emails and texts for public comment should be submitted before the item is called by the meeting Chair. If you wish to submit public comment on an item, you must

submit it at any time prior to the time the Chair announces the item and asks for public comment. The Chair will announce when public comment period is over.

All votes in a teleconferenced meeting shall be conducted by roll call. If you are an individual with a disability and need a reasonable modification or accommodation pursuant

to the Americans with Disabilities Act (“ADA”) please contact L.A. Care Board Services staff prior to the meeting for assistance by text to 213 628-6420 or by email to BoardServices@lacare.org.

WELCOME

Hector De La Torre, Chair

1. Approve today’s meeting Agenda Chair

2. Public Comment (please see instructions above)

Chair

3. Approve June 22, 2020 Meeting Minutes

Chair

4. Chair’s Report

Chair

5. Chief Executive Officer Report

John Baackes Chief Executive Officer

COMMITTEE ITEMS

6. Government Affairs Update

Legislative Matrix

Cherie Compartore Senior Director, Government Affairs

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8/21/2020 11:16 AM

7. The Keck Graduate Institute initial funding for the Integrated Master of Science in Community Medicine Doctor of Medicine (MSCM-MD) Program (EXE 100)

John Baackes

8. Elevating the Safety Net Residency Support Program and Provider Loan Repayment Program (EXE 101)

John Baackes Cynthia Carmona

Senior Director, Safety Net Initiatives

9. 2021 Board & Committee Meeting Schedule (EXE 102) Linda Merkens Senior Manager, Board Services

10. Revision Human Resource Policy HR 312 (Recruitment) (EXE A) Terry Brown Chief Human Resources Officer

11. Approve the list of items that will be considered on a Consent Agenda for September 3, 2020 Board of Governors Meeting

Minutes of July 30, 2020 Board of Governors meeting

2021 Board & Committee Meeting Schedule

Quarterly Investment Report

Ntooitive Contract Amendment

Collective Medical Technologies Contract Amendment

United Guard Service Contract

Cognizant Contract Amendment

Chair

ADJOURN TO CLOSED SESSION (Est. time: 30 mins.)

Chair

12. CONTRACT RATES Pursuant to Welfare and Institutions Code Section 14087.38(m)

Plan Partner Rates

Provider Rates

DHCS Rates

13. REPORT INVOLVING TRADE SECRET Pursuant to Welfare and Institutions Code Section 14087.38(n) Discussion Concerning New Service, Program, Business Plan Estimated date of public disclosure: August 2022

14. CONFERENCE WITH LABOR NEGOTIATOR Pursuant to Section 54957.6 of the Ralph M. Brown Act Agency Designated Representative: John Baackes Unrepresented Employee: All L.A. Care Employees

15. CONFERENCE WITH LEGAL COUNSEL – ANTICIPATED LITIGATION Significant exposure to litigation pursuant to Section 54956.9(d) (2) of Ralph M. Brown Act Three Potential Cases

16. CONFERENCE WITH LABOR NEGOTIATOR Pursuant to Section 54957.6 of the Ralph M. Brown Act Agency Designated Representative: Hector De La Torre Unrepresented Employee: Chief Executive Officer

RECONVENE IN OPEN SESSION

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8/21/2020 11:16 AM

ADJOURN Chair The next Executive Committee is scheduled on Monday, September 28, 2020 at 2:00 p.m.

Public comments will be read for three minutes or less.

The order of items appearing on the agenda may change during the meeting. If a teleconference location is listed at the top of this agenda, the public can listen to the meeting by calling the teleconference call in number provided. If teleconference arrangements are listed at the top of this Agenda, note that the arrangements may change

prior to the meeting.

ACTION MAY NOT BE TAKEN ON ANY MATTER RAISED DURING THE PUBLIC COMMENT PERIODS UNTIL THE MATTER IS SPECIFICALLY LISTED ON A FUTURE AGENDA, according to California Government Code Section 54954.2 (a)(3) and Section 54954.3.

NOTE: THE EXECUTIVE COMMITTEE CURRENTLY MEETS ON THE FOURTH MONDAY OF MOST MONTHS AT 2:00 P.M. POSTED AGENDA and MEETING MATERIALS ARE AVAILABLE FOR INSPECTION AT www.lacare.org.

Any documents distributed to a majority of the Board Members regarding any agenda item for an open session after the agenda has been posted will be available at www.lacare.org.

AN AUDIO RECORDING OF THE MEETING MAY BE MADE TO ASSIST IN WRITING THE MINUTES AND IS RETAINED FOR 30 DAYS.

Meetings are accessible to people with disabilities. Individuals who may require any accommodations (alternative formats – i.e., large print, audio, translation of meeting materials, interpretation, etc.) to participate in this meeting and wish to request an alternative format for the agenda, meeting notice, and meeting packet may

contact L.A. Care’s Board Services Department at (213) 694-1250. Notification at least one week before the meeting will enable us to make reasonable arrangements to ensure accessibility to the meetings and to the related materials.

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DRAFT

BOARD OF GOVERNORS Executive Committee

Meeting Minutes – June 22, 2020 1055 West 7th Street, Los Angeles, CA 90017

Members Management/Staff Hector De La Torre, Chairperson John Baackes, Chief Executive Officer Al Ballesteros, Vice Chairperson Terry Brown, Chief Human Resources Officer Robert H. Curry, Treasurer Augustavia J. Haydel, Esq., General Counsel

Layla Gonzalez, Secretary Marie Montgomery, Chief Financial Officer

Stephanie Booth, MD Richard Seidman, MD, MPH, Chief Medical Officer

Hilda Perez *Absent

California Governor issued Executive Order No. N-29-20, which among other provisions amends the Ralph M. Brown Act. Members of the public can listen to this meeting via teleconference.

AGENDA ITEM/PRESENTER

MOTIONS / MAJOR DISCUSSIONS

ACTION TAKEN

CALL TO ORDER

Hector De La Torre, Chairperson, called the meetings to order for L.A. Care Executive Committee and L.A. Care’s Joint Powers Authority Executive Committee at 2:20 p.m. The meetings were held simultaneously. He welcomed everyone to the meetings and invited the members of the Committees, staff and guests to introduce themselves. He summarized the public comment process.

The Governor’s Executive Order temporarily set aside some provisions of the Brown Act because of the public health guidelines.

Board Meetings are conducted electronically so that all attendees can be safe and practice social distancing.

The Executive Community Advisory Committee also met virtually on June 10.

Comments from anyone who would like to address the Board and its committees are welcome.

L.A. Care members need us to continue the work of the Board, and the meetings are run so that members of the public can hear the meeting and can submit their comments by voice mail, text, or by email.

Staff sends comments received before the meeting to Board Members.

All public comment is included in the minutes of the meeting, and any comments

that were not read during the meeting are added to the minutes.

No public comments were received for today’s meeting.

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AGENDA ITEM/PRESENTER

MOTIONS / MAJOR DISCUSSIONS

ACTION TAKEN

At future meetings, the Chair will list the public comment received so commenters know that the Board received the comment.

Submitters of public comment must identify the Agenda item that the comment is addressing.

If the submitter does not identify an agenda item for the comment, the comment will be read for 3 minutes at the “Public Comment” item.

At the appropriate item on the Agenda, staff will read for 3 minutes the public comment from each submitter. Depending on how many comments are submitted, the 3-minute time could be adjusted to allow time for more submitters to have the comments read.

The Board will keep reviewing and improving how public comments are received and read at the meeting or distributed to the Board.

APPROVE MEETING AGENDA

The Agenda for today’s meeting was approved.

Approved unanimously by roll call. 5 AYES (Ballesteros, Booth, Curry, De La Torre and Gonzalez)

PUBLIC COMMENTS

There were no public comments.

APPROVE MEETING MINUTES

Member Booth noted a correction to her question on Proposition 56, “she asked why Proposition 56 funds were not required to support health programs as listed in the proposition people voted for”.

The minutes of the May 26, 2020 meeting were approved as amended above.

Approved unanimously by roll call. 5 AYES (Ballesteros, Booth, Curry, De La Torre and Gonzalez)

CHAIRPERSON’S REPORT

There was no report from the Chairperson.

CHIEF EXECUTIVE OFFICER REPORT

Social Justice Statement

John Baackes, Chief Executive Officer, noted the international reaction to recent events.

On June 4, L.A. Care organized a COVID-19 Health Disparity Leadership Summit so that L.A. Care and the community it works with can begin to explore to focus to address health disparities for people of color - African Americans, Latinos and Asians are experiencing a higher percentage of infections and COVID-19 deaths. With the news of

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ACTION TAKEN

George Floyd’s murder, the conversation in California has been on the impacts of institutional racism

At the last board meeting, Mr. Baackes proposed drafting a statement of principles from L.A. Care management to reaffirm support for safety net providers and to address the current issues of health disparities. A draft statement was shared with L.A. Care employees and with the Executive Community Advisory Committee (ECAC) at its June 10 meeting. The statement is now being distributed to the Regional Community Advisory Committee (RCAC) for input. The draft proposed social justice statement will be presented at the next board meeting on July 30, as a statement of principle and in unity with employees and advisory committee members. Mr. Baackes added that he is unaware of any organization that invited employees and sample of customers to participate in drafting such a statement.

L.A. Care’s Health Services Department has formed a Health Equity Task Force focused on social determinants and conditions of life that impact health indicators. Mr. Baackes asked Dr. James Kyle, Medical Director, Quality, and Marina Acosta, Health Equities Program Director II, to take the lead in forming and directing an Equity Council to address internal and external issues in this arena. A draft proposal for the structure will be brought to the July 30 board meeting. The Council will provide an outlet for employees to participate in decision making around addressing institutional or any other kind of racism.

The 2020 homeless census conducted in January 2020 in Los Angeles County showed an increase in homelessness of 13%, bringing the total number to over 66,000. Probably about half of these are L.A. Care members. L.A. Care has redirected considerable Community Health Investment Fund (CHIF) funding to organizations that serve the homeless and address food insecurity issues.

(Member Perez joined the meeting.)

Member Curry commended Mr. Baackes for recognizing the importance of involving L.A. Care’s constituencies in support and for being thorough and sensitive to cultural issues and working to implement these initiatives.

Member Booth asked about independent physician association (IPA) doctors. Mr. Baackes noted that an IPA performs functions that health plans should also perform. Over the years, IPAs have taken on some of the functions of health plans, along with

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MOTIONS / MAJOR DISCUSSIONS

ACTION TAKEN

some financial risk as part of utilization management. L.A. Care has delegated functions to over 60 contracted IPAs.

Member Perez stated she received comments from Executive Community Advisory Committee (ECAC) members regarding issues encountered at the recent ECAC WebEx meeting for those accessing a Spanish interpretation teleconference option. Members noted that the simultaneous interpretation of their comments limited the time available to express their comments and it lengthened the meeting time.

Member Perez added that RCAC members requested information about L.A. Care events and whether L.A. Care members can attend. RCAC members also want to know why the social justice statement is taking so long, although they appreciate the opportunity for input. She received input that the organizational statement should come from the CEO or the Board Chair, and asking for input from RCAC members is taking too long. Mr. Baackes stated that he accepts responsibility for the long process to request member input.

In response to the video conferencing issues, especially the roll call voting, Mr. Baackes informed the Committee that Francisco Oaxaca, Senior Director, Communications and Community Outreach, will contact Tom MacDougall, Chief Information and Technology Officer, to explore how to improve the roll call voting in a video conference.

Chair De La Torre noted that he and Mr. Baackes had made statements on racial equity at the last board meeting. Chair De La Torre agreed that member feedback is important. The social determinants of health that Mr. Baackes spoke of are issues that L.A. Care has advocated for years. The current situation requires a different perspective. There is incredible racial diversity in Los Angeles County and L.A. Care is sensitive to all issues on inequity, particularly in relation to access to health.

Government Affairs Update

Cherie Compartore, Senior Director, Government Affairs, reported:

State Budget The Legislative Leadership has reached an agreement with the Governor on the main budget bill. Over the next week or so, the Legislature will pass the budget trailer bills that will implement the statutory provisions of the main budget bill.

New Director for California Department of Health Care Services (DHCS) On June 15, Governor Newsom announced the appointment of Will Lightbourne as the

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AGENDA ITEM/PRESENTER

MOTIONS / MAJOR DISCUSSIONS

ACTION TAKEN

new Director of DHCS, replacing Dr. Brad Gilbert, who left the position after four months. Mr. Lightbourne was the director of the California Department of Social Services (DSS) from 2011-18. DSS oversees the In-Home Support Services (IHSS), CalWORKS, Child Welfare Services and Community Care Licensing programs. Prior to that, Mr. Lightbourne was the Director of Santa Clara County Social Services Agency (2000-2011), Executive Director of the Human Services Agency for the City and County of San Francisco (1996-2000), and the director of the Santa Cruz County Human Services Agency (1990-1996).

Deferred Action for Childhood Arrivals (DACA) The U.S. Supreme Court issued a 5-4 decision that blocks the Trump Administration from ending the DACA, a program established in 2012 under the Obama Administration. DACA protects nearly 700,000 young undocumented immigrants, often referred to as the “Dreamers” from deportation. Approximately 200,000 Dreamers reside in California. Nationwide, there are approximately 1.3 million non-citizens who are eligible for DACA because they were brought to the U.S. as children, have maintained residency and meet the education or military service requirements and other criteria.

The U.S. Supreme Court said that the Trump Administration did not resolve the issue of whether the program can be ended or not. The Supreme Court decision focused on whether the Administration followed proper procedure, and stated it failed to provide reason and justification for ending the program. The Court’s decision leaves all DACA protections in place and says that the Trump Administration must resume accepting new DACA applications. Today’s Court ruling continues the uncertainty of the future of DACA.

Long Term Care at Home Program DHCS announced they are planning the Long Term Care at Home Program to be implemented no sooner than January 1, 2021. The benefit would establish long-term care as a covered Medi-Cal benefit in both managed care and fee-for-service programs. The program would be provided by an outside entity to be licensed by the California Department of Public Health.

Legislation on scope of practice for non-physicians will be on the July 30 board meeting agenda for discussion, if the bill is still active. L.A. Care has not previously engaged in a position on legislation of this type.

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AGENDA ITEM/PRESENTER

MOTIONS / MAJOR DISCUSSIONS

ACTION TAKEN

Member Booth stated she looks forward to the blending of social services with health care and she is hopeful the integration will improve health outcomes.

Approve the Consent Agenda for June 4, 2020 Board of Governors meeting

Minutes of May 7, 2020 Board of Governors meeting

NTT American Solutions Contract

Approved unanimously by roll call. 6 AYES (Ballesteros, Booth, Curry, De La Torre, Gonzalez, and Perez)

PUBLIC COMMENTS

There were no public comments.

ADJOURN TO CLOSED SESSION

Augustavia J. Haydel, Esq., General Counsel, announced the items to be discussed in closed session. She announced there is no report anticipated from the closed session. The meeting adjourned to closed session at 2:59 p.m.

CONTRACT RATES Pursuant to Welfare and Institutions Code Section 14087.38(m)

Plan Partner Rates

Provider Rates

DHCS Rates

REPORT INVOLVING TRADE SECRET Pursuant to Welfare and Institutions Code Section 14087.38(n) Discussion Concerning New Service, Program, Business Plan Estimated date of public disclosure: June 2022

CONFERENCE WITH LABOR NEGOTIATOR Pursuant to Section 54957.6 of the Ralph M. Brown Act Agency Designated Representative: John Baackes Unrepresented Employee: All L.A. Care Employees

CONFERENCE WITH LEGAL COUNSEL – ANTICIPATED LITIGATION Significant exposure to litigation pursuant to Section 54956.9(d) (2) of Ralph M. Brown Act Three Potential Case

RECONVENE IN OPEN SESSION

The meeting reconvened in open session at 3:40 pm. No reportable actions were taken during the closed session.

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AGENDA ITEM/PRESENTER

MOTIONS / MAJOR DISCUSSIONS

ACTION TAKEN

ADJOURNMENT The meeting adjourned at 3:40 p.m.

Respectfully submitted by: APPROVED BY:

Linda Merkens, Senior Manager, Board Services Malou Balones, Board Specialist III, Board Services ____________________________________________ Victor Rodriguez, Board Specialist II, Board Services Hector De La Torre, Chair Date: _______________________________________

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2020LegislativeMatrixLastUpdated:August18,2020

ThefollowingisalistofprioritylegislationcurrentlytrackedbyGovernmentAffairsthathasbeenintroducedduringthe2020-2021LegislativeSessionandisofinteresttoL.A.Care.Ifthereareanyquestions,pleasecontactCherieCompartore,SeniorDirectorofGovernmentAffairsatccompartore@lacare.orgorextension5481.

InresponsetoCOVID-19,thestatelegislaturevotedtorecessinordertoallowmembersandstafftoobservesocialdistancinguntilMay,resultinginacompressedlegislativecalendar.Additionally,COVID-19hasreducedthestate's2020-2021revenuesandincreasedemergencyspendingthebudgetwillbe“slimmeddown”sincethestate’sneeds,resourcesandavailabletimehavechanged.Asaresult,theAssemblyandSenateleadershiphavedirectedtheirmemberstoonlycarrybillsthatdirectlyrelatetoCOVID-19andtodropallotherbillsthatdonotdirectlyrelatetothecrisisandtorunthemnextyear.However,therehasbeennoofficialdirectionfromSenateandAssemblyleadershiponwhatbillswillmovethroughtheprocess;andmembershavearejustifyingtheirbillpackageseventhoughsomeoftheissuesareonlytangentiallyrelatedtoCOVID-19.ThelegislativematrixincludesthebillsthatcoulddirectlyimpactL.A.Careandhavenotbeenconfirmeddroppedbytheauthor.

DirectImpactBills

BillState:CA(24)

12

TitlePublichealthomnibus.

DescriptionAB80,CommitteeonBudget.Publichealthomnibus.(1)Existingfederallaw,thefederalPatientProtectionandAffordableCareAct(PPACA),enactsvarioushealthcarecoveragemarketreformsthattookeffectJanuary1,2014.Amongotherthings,PPACArequireseachstatetoestablishanAmericanHealthBenefitExchangethatfacilitatesthepurchaseofqualifiedhealthplansbyqualifiedindividualsandqualifiedsmallemployers.ExistingstatelawestablishestheCaliforniaHealthBenefitExchange(theExchange)withinstategovernment,knownasCoveredCalifornia,specifiesthepowersanddutiesoftheboardgoverningtheExchange,andrequirestheboardtofacilitatethepurchaseofqualifiedhealthplansbyqualifiedindividualsandqualifiedsmallemployers.Existinglawprohibitsamemberoftheboardfrombeingemployedby,aconsultantto,amemberoftheboardofdirectorsof,affiliatedwith,orotherwisearepresentativeof,acarrierorotherinsurer,anagentorbroker,ahealthcareprovider,orahealthcarefacilityorhealthclinicwhileservingontheboardoronthestaffoftheExchangeandfromreceivingcompensationforserviceontheboard,exceptasspecified.ThisbillwouldcreateanexceptiontothatprohibitionbyauthorizingamemberoftheboardorofthestaffoftheExchangetoperformvolunteerservicesunderspecifiedconditions,includingthatthememberorstaffdoesnotreceivecompensation,asdescribed,forrenderingservicesanddoesnothaveanownershipinterestintheentity,facility,clinic,orprovidergroup.(2)Existinglaw,theKnox-KeeneHealthCareServicePlanActof1975,providesforlicensureandregulationofhealthcareserviceplansbytheDepartmentofManagedHealthCareandmakesawillfulviolationofthatactacrime.ExistinglawprovidesfortheregulationofhealthinsurersbytheDepartmentofInsurance.Existinglaw,theInformationPracticesActof1977,regulatesthecollectionanddisclosureofpersonalinformationregardingindividualsbystateagencies,exceptasspecified.Underexistinglaw,apersonwhowillfullyrequestsorobtainsarecordcontainingpersonalinformationfromanagencyunderfalsepretensesorapersonwhointentionallydisclosesmedical,psychiatric,orpsychologicalinformationheldbyanagencyisguiltyofamisdemeanor.ExistinglawstatestheintentoftheLegislaturetoestablishtheHealthCareCostTransparencyDatabasetocollectinformationonthecostofhealthcare,andrequirestheOfficeofStatewideHealthPlanningandDevelopmenttoconveneareviewcommitteetoadvisetheofficeontheestablishmentandimplementationofthedatabase.Existinglawrequires,subjecttoappropriation,theofficetoestablish,implemen...(clickbilllinktoseemore).

PrimarySponsorsJoaquinArambula,RichardBloom,DavidChiu,JimCooper,JimFrazier,CristinaGarcia,ReggieJones-Sawyer,MoniqueLimon,KevinMcCarty,JoseMedina,KevinMullin,AlMuratsuchi,AdrinNazarian,PatrickO'Donnell,JamesRamos,EloiseReyes,LuzRivas,BlancaRubio,MarkStone,ShirleyWeber,BuffyWicks,JimWood,AssemblyCommitteeonBudget

IntroductionDate:2018-12-03

State

CABillNumber

AB80Status

EnactedPosition

Monitor

13

TitleCommunications:broadbandservices:CaliforniaAdvancedServicesFund.

DescriptionAB570,asamended,Aguiar-Curry.Communications:broadbandservices:CaliforniaAdvancedServicesFund.(1)ExistinglawestablishestheStateDepartmentofEducationinstategovernment,andveststhedepartmentwithspecifiedpowersanddutiesrelatingtothestate’spublicschoolsystem.Thisbillwouldauthorizelocaleducationalagenciestoreporttothedepartmenttheirpupils’estimatedneedsforcomputingdevicesandinternetconnectivityadequateforat-homelearning.Thebillwouldrequirethedepartment,inconsultationwiththePublicUtilitiesCommission,tocompilethatinformationandtoannuallypostthatcompiledinformationonthedepartment’sinternetwebsite.(2)Existinglawexpresslyauthorizesacountyserviceareatoacquire,construct,improve,maintain,andoperatebroadbandinternetaccessservices,andrequiresacountyserviceareathatdoessototakecertainactionsregardingtheaccessingofcontentontheinternetbyendusersofthatservice.Thisbillwouldsimilarlyauthorizetheboardofsupervisorsofacountytoacquire,construct,improve,maintain,oroperatebroadbandinternetaccessservice,andanyothercommunicationsservicenecessarytoobtainfederalorstatesupportfortheacquisition,construction,improvement,maintenance,oroperationofbroadbandinternetaccessservice,andwouldrequireaboardthatdoessototakecertainactionsregardingtheaccessingofcontentontheinternetbyendusersofthatservice.(3)ExistinglawestablishestheOfficeofPlanningandResearchtoprovidelong-rangeplanningandresearchandasthecomprehensivestateplanningagency.Existinglawrequirestheoffice,amongotherthings,toassistlocalgovernmentsinlanduseplanning.Thisbillwouldrequiretheoffice,onorbeforeJune30,2021,todeveloprecommendationsandamodelforstreamlinedlocallanduseapprovalandconstructionpermitprocessesforprojectsrelatedtobroadbandinfrastructuredeploymentandconnectivityandtoadopt,andpostonitsinternetwebsite,therecommendationsandmodel,asspecified.(4)Underexistinglaw,thePublicUtilitiesCommissionhasregulatoryauthorityoverpublicutilities,includingtelephonecorporations.Existinglawrequiresthecommissiontodevelop,implement,andadministertheCaliforniaAdvancedServicesFund(CASF)programtoencouragedeploymentofhigh-qualityadvancedcommunicationsservicestoallCaliforniansthatwillpromoteeconomicgrowth,jobcreation,andthesubstantialsocialbenefitsofadvancedinformationandcommunicationstechnologies.Underexistinglaw,thegoaloftheprogramistoapprovefundingbyDecember31,2022,forinfrastructureprojectsthatwillprovidebroadbandaccesstonolessthan98%ofC...(clickbilllinktoseemore).

PrimarySponsorsCeciliaAguiar-Curry,AlMuratsuchi

IntroductionDate:2019-02-14

State

CABillNumber

AB570Status

InSenatePosition

Monitor

14

TitleCaliforniaConsumerPrivacyActof2018.

DescriptionAB713,asamended,Mullin.CaliforniaConsumerPrivacyActof2018.(1)Existinglaw,theCaliforniaConsumerPrivacyActof2018(CCPA),grantsaconsumervariousrightswithregardtopersonalinformationrelatingtothatconsumercollectedbyabusiness,includingtherighttoknowthecategoriesandthespecificpiecesofpersonalinformationthathavebeencollectedandtooptoutofthesaleofpersonalinformation.Theactalsograntsaconsumertherighttorequestabusinesstodeleteanypersonalinformationabouttheconsumercollectedbythebusinessandrequiresabusinesstodosouponreceiptofaverifiedrequest,exceptasspecified.Theactexceptscertaincategoriesofpersonalinformationandentitiesfromitsprovisions,includingmedicalinformation,asspecified.ThisbillwouldexceptfromtheCCPAinformationthatwasdeidentifiedinaccordancewithspecifiedfederallaw,orwasderivedfrommedicalinformation,protectedhealthinformation,individuallyidentifiablehealthinformation,oridentifiableprivateinformation,consistentwithspecifiedfederalpolicy,asprovided.ThebillalsowouldexceptfromtheCCPAabusinessassociateofacoveredentity,asdefined,thatisgovernedbyfederalprivacy,security,anddatabreachnotificationrulesifthebusinessassociatemaintains,uses,anddisclosespatientinformationinaccordancewithspecifiedrequirements.Thebillwouldfurtherexceptinformationthatiscollectedfor,usedin,ordisclosedinresearch,asdefined.Thebillwoulddefinetermsforthesepurposes.Thisbillwouldadditionallyprohibitabusinessorotherpersonfromreidentifyinginformationthatwasdeidentified,unlessaspecifiedexceptionismet.Thebillwould,beginningJanuary1,2021,requireacontractforthesaleorlicenseofdeidentifiedinformationtoincludespecifiedprovisionsrelatingtotheprohibitionofreidentification,asprovided.(2)TheCCPArequiresabusinesstomakecertaindisclosurestoconsumers,inaspecifiedform,initsonlineprivacypolicy,ifthebusinesshasanonlineprivacypolicy,andinanyCalifornia-specificdescriptionofconsumers’privacyrights,or,ifthebusinessdoesnotmaintainanonlineprivacypolicyorpolicies,onitsinternetwebsite,andtoupdatethatinformationatleastonceevery12months.Thisbillwouldrequireabusinessthatsellsordisclosesinformationthatwasdeidentifiedinaccordancewithspecifiedfederallaw,wasderivedfromprotectedhealthinformation,individuallyidentifiablehealthinformation,oridentifiableprivateinformationtoalsodisclosewhetherthebusinessdisclosesdeidentifiedhealthinformationderivedfrompersonalinformationandifso,whetherthatinformationwasde...(clickbilllinktoseemore).

PrimarySponsorsKevinMullin

IntroductionDate:2019-02-19

TitleNursepractitioners:scopeofpractice:practicewithout

IntroductionDate:2019-02-20

State

CABillNumber

AB713Status

InSenatePosition

Monitor

State

CABillNumber

AB890Status

InSenatePosition

Monitor

15

standardizedprocedures.

DescriptionAB890,asamended,Wood.Nursepractitioners:scopeofpractice:practicewithoutstandardizedprocedures.Existinglaw,theNursingPracticeAct,providesforthecertificationandregulationofnursepractitionersbytheBoardofRegisteredNursing.Existinglawauthorizestheimplementationofstandardizedproceduresthatauthorizeanursepractitionertoperformcertainactsthatareinadditiontootherauthorizedpractices,includingcertifyingdisabilityafterperformingaphysicalexaminationandcollaborationwithaphysicianandsurgeon.Aviolationoftheactisamisdemeanor.ThisbillwouldestablishtheNursePractitionerAdvisoryCommitteetoadviseandgiverecommendationstotheboardonmattersrelatingtonursepractitioners.Thebillwouldrequirethecommitteetoproviderecommendationsorguidancetotheboardwhentheboardisconsideringdisciplinaryactionagainstanursepractitioner.Thebillwouldrequiretheboard,byregulation,todefineminimumstandardsforanursepractitionertotransitiontopracticeindependently.Thebillwouldauthorizeanursepractitionerwhomeetscertaineducation,experience,andcertificationrequirementstoperform,incertainsettingsororganizations,specifiedfunctionswithoutstandardizedprocedures,includingordering,performing,andinterpretingdiagnosticprocedures,certifyingdisability,andprescribing,administering,dispensing,andfurnishingcontrolledsubstances.Thebill,beginningJanuary1,2023,wouldalsoauthorizeanursepractitionertoperformthosefunctionswithoutstandardizedproceduresoutsideofspecifiedsettingsororganizationsinaccordancewithspecifiedconditionsandrequirementsifthenursepractitionerholdsanactivecertificationissuedbytheboard.Thebillwouldrequiretheboardtoissuethatcertificationtoanursepractitionerwhomeetsadditionalspecifiededucationandexperiencerequirements.Thebillwouldalsorequiretheboardtorequestthedepartment’sOfficeofProfessionalExaminationServices,oranequivalentorganization,toperformanoccupationalanalysisofnursepractitionersperformingcertainfunctions.ThebillwouldrequiretheoccupationalanalysistobecompletedbyJanuary1,2023.Thebillwouldrequiretheboardtotakespecifiedmeasurestoidentifyandassesscompetencies.Thebillwouldrequiretheboardtoidentifyanddevelopasupplementalexaminationforlicenseesifneededbasedontheassessment,asprovided.Existinglawmakesitunlawfulforspecifiedhealingartspractitioners,includingphysiciansandsurgeons,psychologists,andacupuncturists,toreferapersonforcertainservices,includinglaboratory,diagnosticnuclearmedicine,andphysicaltherapy,ifthephysiciana...(clickbilllinktoseemore).

PrimarySponsorsJimWood

OrganizationalNotes

LasteditedbyJoanneCampbellatMay27,2020,3:40PMLHPC-Support

16

TitleHealthcareserviceplans:regulations:exemptions.

DescriptionAB1124,asamended,Maienschein.Healthcareserviceplans:regulations:exemptions.Existingfederallawdefinesavoluntaryemployees’beneficiaryassociationasanorganizationcomposedofavoluntaryassociationofemployeesthatprovidesforthepaymentoflife,sick,accident,orsimilarbenefitstomembers,theirdependents,ordesignatedbeneficiaries.Existingfederallawdefinesawelfareplanasanyplan,fund,orprogramestablishedormaintainedbyanemployeroremployeeorganization,orboth,forthepurposeofprovidingparticipantsortheirbeneficiariesspecifiedbenefits,suchasmedical,surgical,orhospitalcareorbenefits.Existinglawfurtherdefinesamultiemployerplanasaplantowhichmorethanoneemployerisrequiredtocontribute,thatismaintainedpursuanttooneormorecollectivebargainingagreementsbetweenoneormoreemployeeorganizationsandmorethanoneemployer,andthatmeetsotherspecifiedrequirements.Existinglaw,theKnox-KeeneHealthCareServicePlanActof1975,providesforthelicensureandregulationofhealthcareserviceplansbytheDepartmentofManagedHealthCare.ExistinglawexemptsspecifiedpersonsorplansfromtherequirementsoftheactandauthorizestheDirectoroftheDepartmentofManagedHealthCare(director)toexemptadditionalspecifiedpersonsorplansifthedirectorfinds,amongotherthings,thattheexemptionisinthepublicinterest.Underexistinglaw,upontherequestoftheDirectorofHealthCareServices,thedirectormustexemptacounty-operatedpilotprogramcontractingwiththeStateDepartmentofHealthCareServices,andmayexemptanon-county-operatedpilotprogram,subjecttoanyconditionstheDirectorofHealthCareServicesdeemsappropriate.Existinglawalsoexemptsahealthcareserviceplanoperatedbyacity,county,cityandcounty,publicentity,politicalsubdivision,orpublicjointlabormanagementtrustthatsatisfiescertaincriteria,includingthattheplanrequiresproviderstobereimbursedsolelyonafee-for-servicebasis.Thisbillwouldauthorizethedirector,nolaterthanMarch1,2021,toauthorize2pilotprograms,oneinnorthernCaliforniaandoneinsouthernCalifornia,underwhichprovidersapprovedbythedepartmentmayundertakerisk-bearingarrangementswithavoluntaryemployees’beneficiaryassociationwithenrollmentofmorethan100,000lives,notwithstandingthefee-for-servicerequirementdescribedabove,oratrustfundthatisawelfareplanandamultiemployerplanwithenrollmentofmorethan25,000lives,fortheperiodofJuly1,2021,toDecember31,2022,inclusive,ifcertaincriteriaaremet,includingthateachrisk-bearingproviderisregisteredwiththedepartmentas...(clickbilllinktoseemore).

PrimarySponsorsBrianMaienschein

IntroductionDate:2019-02-21

State

CABillNumber

AB1124Status

InSenatePosition

Monitor

17

TitlePharmacypractice:vaccines.

DescriptionAB1710,asamended,Wood.Pharmacypractice:vaccines.Existinglaw,thePharmacyLaw,providesforthelicensingandregulationofpharmacistsbytheCaliforniaStateBoardofPharmacyintheDepartmentofConsumerAffairs.AviolationofthePharmacyLawisacrime.ExistinglawauthorizesapharmacisttoindependentlyinitiateandadministervaccineslistedontheroutineimmunizationschedulesrecommendedbythefederalAdvisoryCommitteeonImmunizationPractices(ACIP)incompliancewithindividualACIPvaccinerecommendations,andpublishedbythefederalCentersforDiseaseControlandPrevention(CDC)forpersons3yearsofageorolder.ThisbillwouldalsoauthorizeapharmacisttoindependentlyinitiateandadministeranyCOVID-19vaccinesapprovedbythefederalFoodandDrugAdministration(FDA)underthecircumstancesdescribedabove.Becauseaviolationoftheseprovisionswouldbeacrime,thebillwouldimposeastate-mandatedlocalprogram.TheCaliforniaConstitutionrequiresthestatetoreimburselocalagenciesandschooldistrictsforcertaincostsmandatedbythestate.Statutoryprovisionsestablishproceduresformakingthatreimbursement.Thisbillwouldprovidethatnoreimbursementisrequiredbythisactforaspecifiedreason.

PrimarySponsorsJimWood

IntroductionDate:2019-02-22

TitleMedi-Cal:pharmacybenefits.

DescriptionAB2100,asamended,Wood.Medi-Cal:pharmacybenefits.(1)ExistinglawestablishestheMedi-Calprogram,administeredbytheStateDepartmentofHealthCareServicesandunderwhichhealthcareservicesareprovidedtoqualifiedlow-incomepersonspursuanttoascheduleofbenefits,whichincludespharmacybenefits,throughvarioushealthcaredeliverysystems,includingfee-for-serviceandmanagedcare.TheMedi-Calprogramis,inpart,governedandfundedbyfederalMedicaidprogramprovisions.Existinglawauthorizesthedepartmenttoenterintovarioustypesofcontractsfortheprovisionofservicestobeneficiaries,includingcontractswithamanagedcareplan.ExistinglawgenerallyrequiresMedi-CalmanagedcareplancontractorstobelicensedpursuanttotheKnox-KeeneHealthCareServicePlanActof1975.TheKnox-KeeneHealthCareServicePlanActprovidesforthelicensureandregulationofhealthcareserviceplansbytheDepartmentofManagedHealthCare.Underthisact,ahealthcareserviceplanisrequiredtoprovideanexternal,independentreviewprocess,whichmeetsprescribedstandards,toexaminetheplan’scoveragedecisionsonexperimentalorinvestigationaltherapiesforanenrolleewhomeetsspecified

IntroductionDate:2020-02-05

State

CABillNumber

AB1710Status

InSenatePosition

Monitor

State

CABillNumber

AB2100Status

InSenatePosition

Monitor

18

criteria,includingthattheenrolleewasdeniedcoveragebytheplanforadrug,device,procedure,orothertherapyrecommendedorrequested.ExistinglawrequirestheDepartmentofManagedHealthCaretoestablishtheIndependentMedicalReviewSystem,whichgenerallyservestoaddressgrievancesinvolvingdisputedhealthcareservices.Byexecutiveorder,theGovernordirectedthedepartmenttotransitionpharmacyservicesforMedi-Calmanagedcaretoafee-for-servicebenefitbyJanuary1,2021.Existinglawrequiresthedepartmenttoconveneanadvisorygrouptoreceivefeedbackonthechanges,modifications,andoperationaltimeframesontheimplementationofpharmacybenefitsofferedintheMedi-Calprogram,andtoprovideregularupdatesonthepharmacytransition,includingadescriptionofchangesinthedivisionofresponsibilitiesbetweenthedepartmentandmanagedcareplansrelatingtothetransitionoftheoutpatientpharmacybenefittofee-for-service.ThisbillwouldrequirethedepartmenttoestablishtheIndependentPrescriptionDrugMedicalReviewSystem(IPDMRS),commencingonJanuary1,2021,whichgenerallymodelstheabove-describedrequirementsoftheKnox-KeeneHealthCareServicePlanAct.ThebillwouldprovidethatanyMedi-CalbeneficiarygrievanceinvolvingadisputedhealthcareserviceiseligibleforreviewundertheIPDMRS,andwoulddefine“disputedhealthcareservice”asanyoutpatientprescriptiondrugeligibleforcoverageandpaymentbytheMedi-Calprog...(clickbilllinktoseemore).

PrimarySponsorsJimWood

OrganizationalNotes

LasteditedbyCherieCompartoreatMar3,2020,7:07PMOrganizationSponsor:CAPharmacistsAssociation,WesternCenteronLaw&Poverty

19

TitleHealthcareserviceplansandhealthinsurers:reportingrequirements.

DescriptionAB2118,asamended,Kalra.Healthcareserviceplansandhealthinsurers:reportingrequirements.Existinglaw,theKnox-KeeneHealthCareServicePlanActof1975,providesforthelicensureandregulationofhealthcareserviceplansbytheDepartmentofManagedHealthCare,andmakesawillfulviolationoftheactacrime.ExistinglawprovidesfortheregulationofhealthinsurersbytheDepartmentofInsurance.Existinglawrequiresahealthcareserviceplanorhealthinsurerofferingacontractorpolicyintheindividual,small,andlargegroupmarketstofilespecifiedinformation,includingtotalearnedpremiumsandtotalincurredclaimsforeachcontractorpolicyform,withtheappropriatedepartmentatleast120daysbeforeimplementingaratechange.Existinglawrequiresalargegroupmarkethealthcareserviceplanorinsurertoreportadditionalinformationrelatingtocostsharingandspecifiedaggregaterateinformation.ExistinglawrequirestheDepartmentofManagedHealthCareandtheDepartmentofInsurancetoconductanannualpublicmeetingregardinglargegrouprates.ThisbillwouldrequirehealthcareserviceplansandhealthinsurerstoreporttotheDepartmentofManagedHealthCareandtheDepartmentofInsurance,respectively,byOctober1,2021,andannuallythereafter,forproductsintheindividualandsmallgroupmarkets,andforrateseffectiveduringthe12-monthperiodendingJanuary1ofthefollowingyear,onspecifiedinformation,includingpremiums,costsharing,benefits,enrollment,andtrendfactors,andwouldexcludeprescribedinformationfromthereportingrequirementsuntilJanuary1,2023.Thebillwouldrequireeachdepartment,beginningin2022,toannuallypresentthereportedinformationatspecifiedmeetings,includingapublicmeetingoftheexecutiveboardoftheCaliforniaHealthBenefitExchange.ThebillwouldalsorequireeachdepartmenttoposttheinformationreportedunderthissectiononitsinternetwebsitenolaterthanDecember15ofeachyear.Becauseaviolationofthebillbyahealthcareserviceplanwouldbeacrime,thebillwouldimposeastate-mandatedlocalprogram.TheCaliforniaConstitutionrequiresthestatetoreimburselocalagenciesandschooldistrictsforcertaincostsmandatedbythestate.Statutoryprovisionsestablishproceduresformakingthatreimbursement.Thisbillwouldprovidethatnoreimbursementisrequiredbythisactforaspecifiedreason.

PrimarySponsorsAshKalra

IntroductionDate:2020-02-06

State

CABillNumber

AB2118Status

InSenatePosition

Monitor

OrganizationalNotes

LasteditedbyJoanneCampbellatMay18,2020,9:16PMOrganizationSponsor:HealthAccessCAHP:OpposedUnlessAmended

20

TitleHealthcarecoverage:independentdisputeresolutionprocess.

DescriptionAB2157,asintroduced,Wood.Healthcarecoverage:independentdisputeresolutionprocess.ExistinglawprovidesforthelicensureandregulationofhealthcareserviceplansbytheDepartmentofManagedHealthCare,andprovidesfortheregulationofhealthinsurersbytheDepartmentofInsurance.Existinglawrequireseachdepartmenttoestablishanindependentdisputeresolutionprocesstoresolveaclaimdisputebetweenahealthcareserviceplanorhealthinsurer,asappropriate,andanoncontractingindividualhealthprofessional,andsetsforthrequirementsandguidelinesforthatprocess,includingcontractingwithanindependentorganizationforthepurposeofconductingthereviewprocess.Existinglawrequireseachdepartmenttoestablishuniformwrittenproceduresforthesubmission,receipt,processing,andresolutionofthesedisputes,asspecified.Existinglawrequirestheindependentorganization,indecidingthedispute,tobaseitsdecisionregardingtheappropriatereimbursementonallrelevantinformation.Thisbillwouldrequiretheproceduresestablishedbyeachdepartmenttoincludeaprocessforeachpartytosubmitintoevidenceinformationthatwillbekeptconfidentialfromtheotherparty,inordertopreservetheconfidentialityofthesourcecontract.Thebillwouldspecificallyrequiretheindependentorganizationtoconductadenovoreviewoftheclaimdispute,basedsolelyontheinformationanddocumentstimelysubmittedintoevidencebytheparties.Thebillwouldrequiretheindependentorganizationtoassignreviewerstoeachcasebasedontheirrelevanteducation,background,andmedicalclaimspaymentandclinicalexperience.

PrimarySponsorsJimWood

IntroductionDate:2020-02-10

State

CABillNumber

AB2157Status

InSenatePosition

Monitor

21

TitleTelehealth.

DescriptionAB2164,asamended,RobertRivas.Telehealth.ExistinglawprovidesfortheMedi-Calprogram,whichisadministeredbythedepartment,underwhichqualifiedlow-incomeindividualsreceivehealthcareservices,includingfederallyqualifiedhealthcenter(FQHC)servicesandruralhealthclinic(RHC)services.TheMedi-Calprogramis,inpart,governedandfundedbyfederalMedicaidprogramprovisions.FQHCandRHCservicesarereimbursed,totheextentthatfederalfinancialparticipationisobtained,toprovidersonaper-visitbasis,anda“visit”isdefinedasaface-to-faceencounterbetweenapatientofanFQHCorRHCandspecifiedhealthcareprofessionals,includingdentalproviders.Existinglawprohibitsarequirementofin-personcontactbetweenahealthcareproviderandaMedi-Calpatientwhentheservicemaybeprovidedbytelehealth,and,forpurposesoftelehealth,prohibitsthedepartmentfromlimitingthetypeofsettingwhereMedi-Calservicesareprovided.Existinglawauthorizes,totheextentthatfederalfinancialparticipationisavailable,theuseofhealthcareservicesbystoreandforwardundertheMedi-Calprogram,subjecttobillingandreimbursementpoliciesdevelopedbythedepartment,andprohibitsarequirementofin-personcontactbetweenahealthcareproviderandaMedi-Calpatientwhentheseservicesareprovidedbystoreandforward.ThisbillwouldprovidethatanFQHCorRHC“visit”includesanencounterbetweenanFQHCorRHCpatientandahealthcareproviderusingtelehealthbysynchronousinteractionorasynchronousstoreandforward.ThebillwouldspecifythatanFQHCorRHCisnotprecludedfromestablishingapatientwhoislocatedwithintheFQHC’sorRHC’sfederaldesignatedserviceareathroughsynchronousinteractionorasynchronousstoreandforwardasofthedateofserviceifspecifiedrequirementsaremet.Thebillwouldrequirethedepartmenttoadoptregulations,asspecified,andtoprovideastatusreporttotheLegislatureonasemiannualbasisuntilthoseregulationshavebeenadopted.

PrimarySponsorsRobertRivas,RudySalas,JimWood

IntroductionDate:2020-02-11

State

CABillNumber

AB2164Status

InSenatePosition

Support

OrganizationalNotes

LasteditedbyJoanneCampbellatJun17,2020,5:05PMLHPC-Support

22

TitleTransgenderWellnessandEquityFund.

DescriptionAB2218,asamended,Santiago.TransgenderWellnessandEquityFund.ExistinglawestablishesanOfficeofHealthEquityintheStateDepartmentofPublicHealthforpurposesofaligningstateresources,decisionmaking,andprogramstoaccomplishcertaingoalsrelatedtohealthequityandprotectingvulnerablecommunities.Existinglawrequirestheofficetodevelopdepartment-wideplanstoclosethegapsinhealthstatusandaccesstocareamongthestate’sdiverseracialandethniccommunities,women,personswithdisabilities,andthelesbian,gay,bisexual,transgender,queer,andquestioningcommunities,asspecified.ThisbillwouldestablishtheTransgenderWellnessandEquityFund,undertheadministrationoftheoffice,forthepurposeoffundinggrants,uponappropriationbytheLegislature,totransgender-led(Trans-led)organizationsandhospitals,healthcareclinics,andothermedicalprovidersthatprovidegender-conforminghealthcareservicesandhaveanestablishedpartnershipwithaTrans-ledorganization,tocreate,orfundexisting,programsfocusedoncoordinatingtrans-inclusivehealthcare,asdefined,forpeoplethatidentifyastransgender,gendernonconforming,orintersex.

PrimarySponsorsMiguelSantiago,ScottWiener

IntroductionDate:2020-02-12

State

CABillNumber

AB2218Status

InSenatePosition

Support

23

TitleChildhoodleadpoisoning:screeningandprevention.

DescriptionAB2276,asamended,Reyes.Childhoodleadpoisoning:screeningandprevention.ExistinglawprovidesfortheMedi-Calprogram,whichisadministeredbytheStateDepartmentofHealthCareServices,underwhichqualifiedlow-incomeindividualsreceivehealthcareservices.TheMedi-Calprogramis,inpart,governedandfundedbyfederalMedicaidprogramprovisions.ExistinglawauthorizesthedepartmenttoentercontractswithmanagedcareplanstoprovideMedi-Calservices,andimposesrequirementsontheMedi-Calmanagedcareplans,includingnetworkadequacystandards.Underexistinglaw,Medi-Calcoversearlyandperiodicscreening,diagnostic,andtreatmentservicesforindividualsunder21yearsofage,consistentwithfederallaw.ThisbillwouldrequirethedepartmenttoensurethataMedi-Calbeneficiarywhoisachildreceivesbloodleadscreeningtestsatspecifiedagesconsistentwithstateregulatorystandards.ThebillwouldrequireeachMedi-Calmanagedcareplantoestablishamonitoringsystemrelatedtobloodleadscreeningteststhatincludesstandardreportingrequirements,asspecified,torequireitscontractinghealthcareproviderswhoareresponsibleforperformingaperiodichealthassessmentofachildtotesteachchildpursuanttospecifiedstandardsofcareforleadtesting,toinformachild’sparent,parents,guardian,orotherpersonchargedwiththeirsupportandmaintenancewithspecifiedinformation,includingtherisksandeffectsofleadexposure,andtonotifyachild’shealthcareproviderandparent,parents,guardian,orotherpersonchargedwiththeirsupportandmaintenancewhenthatchildhasmissedarequiredbloodleadscreeningtest.Thebillwouldprovidethatitisthegoalofthestatethatchildrenatriskofleadexposurereceivebloodleadscreeningtests.ThebillwouldrequirethedepartmenttoreportitsprogresstowardbloodleadscreeningtestsforMedi-Calbeneficiarieswhoarechildren,asspecified,annuallyonitsinternetwebsite.ExistinglawestablishestheChildhoodLeadPoisoningPreventionProgram,whichisadministeredbytheStateDepartmentofPublicHealth.Existinglawrequiresthedepartmenttoadoptregulationsestablishingastandardofcarethatincludethedeterminationofspecifiedriskfactorsforleadexposure,includingachild’stimespentinahome,school,orbuildingbuiltbefore1978.ExistinglawrequirestheseregulationstobedevelopedbyJuly1,2019.Existinglawrequiresthedepartmenttoensureappropriatecasemanagementforchildrenwhohavebeenidentifiedwithleadpoisoning,andauthorizesthedepartmenttocontractwithanypublicorprivateentity,includinganylocalagency,toperformthatduty.Thisbillwouldadds...(clickbilllinktoseemore).

PrimarySponsorsEloiseReyes,CristinaGarcia,BillQuirk,RudySalas,ConnieLeyva

IntroductionDate:2020-02-14

State

CABillNumber

AB2276Status

InSenatePosition

Monitor

OrganizationalNotes

LasteditedbyJoanneCampbellatAug18,2020,6:11PMREMOVED***LHPC-OpposeUnlessAmended

24

TitleNursingprograms:stateofemergency.

DescriptionAB2288,asamended,Low.Nursingprograms:stateofemergency.Existinglaw,theNursingPracticeAct,providesforthelicensureandregulationofthepracticeofnursingbytheBoardofRegisteredNursingandrequiresanapplicantforlicensuretohavecompletedanursingprogramataschoolofnursingthatisapprovedbytheboard.Existingregulatorylawsetsforthcurriculumrequirementsfornursingprograms,includingpreceptorshipsandclinicalpracticehours,andalsorequirementsforclinicalfacilitiesthatmaybeusedforclinicalexperience.Thisbillwouldauthorizeanapprovednursingprogramtosubmitarequesttoaboardnursingeducationconsultanttorevisecertainclinicalexperiencerequirements,includingreducingtherequireddirectpatienthoursandusingpreceptorshipswithoutmaintainingspecifiedwrittenpolicies,forenrolledstudentsuntiltheendofthe2020–21academicyearandwhenevertheGovernordeclaresastateofemergencyinthecountywhereanagencyorfacilityusedbytheapprovednursingprogramislocated.Thebillwouldrequiretheboardnursingeducationconsultanttoapprovetherequestifspecifiedconditionsaresatisfiedandtorejecttherequestiftheapprovednursingprogramfailstomeettheconditionsorfailstosubmitinformationsatisfactorytotheboard.ThebillwouldrequiretheboardtonotifytheappropriatepolicycommitteesoftheLegislatureifaboardnursingeducationconsultantdeniesarequest.Thisbillwoulddeclarethatitistotakeeffectimmediatelyasanurgencystatute.

PrimarySponsorsEvanLow

IntroductionDate:2020-02-14

State

CABillNumber

AB2288Status

InSenatePosition

Monitor

25

TitleTelehealth:mentalhealth.

DescriptionAB2360,asamended,Maienschein.Telehealth:mentalhealth.Existinglaw,theKnox-KeeneHealthCareServicePlanActof1975,providesforlicensureandregulationofhealthcareserviceplansbytheDepartmentofManagedHealthCareandmakesawillfulviolationofthatactacrime.ExistinglawalsoprovidesfortheregulationofhealthinsurersbytheDepartmentofInsurance.Existinglawrequireshealthcareserviceplancontractsandhealthinsurancepoliciesthatprovidehospital,medical,orsurgicalcoveragetoprovidecoverageforthediagnosisandmedicallynecessarytreatmentofseverementalillnesses,asdefined,ofapersonofanyage.Existinglawalsorequireshealthcareserviceplansandhealthinsurers,byJuly1,2019,todevelopmaternalmentalhealthprograms,asspecified.Thisbillwouldrequirehealthcareserviceplansandhealthinsurers,byJuly1,2021,toprovideaccesstoatelehealthconsultationprogramthatmeetsspecifiedcriteriaandprovidesproviderswhotreatchildrenandpregnantandcertainpostpartumpersonswithaccesstoamentalhealthconsultationprogram,asspecified.Thebillwouldrequiretheconsultationbyamentalhealthclinicianwithexpertiseappropriateforpregnant,postpartum,andpediatricpatientstobeconductedbytelephoneortelehealthvideo,andtoincludeguidanceontherangeofevidence-basedtreatmentoptions,screeningtools,andreferrals.Thebillwouldrequirehealthcareserviceplansandinsurerstocommunicateinformationrelatingtothetelehealthprogramatleasttwiceayearinwriting.Thebillwouldrequirehealthcareserviceplansandhealthinsurerstomonitordatapertainingtotheutilizationoftheprogramtofacilitateongoingqualityimprovements,asnecessary,andtoprovideadescriptionoftheprogramtotheappropriatedepartment.Thebillwouldexemptcertainspecializedhealthcareserviceplansandhealthinsurersfromtheseprovisions.Becauseawillfulviolationofthebill’srequirementbyahealthcareserviceplanwouldbeacrime,thebillwouldimposeastate-mandatedlocalprogram.TheCaliforniaConstitutionrequiresthestatetoreimburselocalagenciesandschooldistrictsforcertaincostsmandatedbythestate.Statutoryprovisionsestablishproceduresformakingthatreimbursement.Thisbillwouldprovidethatnoreimbursementisrequiredbythisactforaspecifiedreason.

PrimarySponsorsBrianMaienschein

IntroductionDate:2020-02-18

State

CABillNumber

AB2360Status

InSenatePosition

Monitor

OrganizationalNotes

LasteditedbyJoanneCampbellatJul27,2020,5:20PMOrganizationSponsor:2020MomCAHP:OpposedLHPC:OpposeUnlessAmended

26

TitleHealthcarecoverage:financialassistance.

DescriptionSB65,asamended,Pan.Healthcarecoverage:financialassistance.Existingfederallaw,thefederalPatientProtectionandAffordableCareAct(PPACA),enactsvarioushealthcarecoveragemarketreforms.Amongotherthings,thePPACArequireseachstatetoestablishanAmericanHealthBenefitExchangethatfacilitatesthepurchaseofqualifiedhealthplansbyqualifiedindividualsandqualifiedsmallemployersandrequiresthatstateentitytomeetcertainotherrequirements.ExistinglawcreatestheCaliforniaHealthBenefitExchange(theExchange),alsoknownasCoveredCalifornia,forthepurposeoffacilitatingtheenrollmentofqualifiedindividualsandqualifiedsmallemployersinqualifiedhealthplansasrequiredunderthePPACA.UntilJanuary1,2023,existinglawrequirestheExchange,amongotherduties,toadministeranindividualmarketassistanceprogramtoprovideassistance,includingpremiumassistancesubsidies,toprogramparticipantswithhouseholdincomesatorbelow600%ofthefederalpovertylevel.Thisbillwouldreducepremiumstozeroforprogramparticipantswithhouseholdincomesatorbelow138%ofthefederalpovertylevel,andwouldspecifythepremiumassistancesubsidyamountforprogramparticipantswithhouseholdincomesof139%to600%,inclusive,ofthefederalpovertylevel.ThebillwouldrequirethefinancialassistanceadministeredbytheExchangetoincludecost-sharingreductionassistancetoreducethecopays,deductibles,coinsurance,out-of-pocketmaximums,andothercostsharingofaprogramparticipantwithahouseholdincomeof200%to400%,inclusive,ofthefederalpovertylevel.

PrimarySponsorsRichardPan

IntroductionDate:2019-01-08

TitleHealthCareandEssentialWorkersProtectionAct:personalprotectiveequipment.

DescriptionSB275,asamended,Pan.HealthCareandEssentialWorkersProtectionAct:personalprotectiveequipment.ExistinglawestablishestheStateDepartmentofPublicHealthtoimplementvariousprogramsthroughoutthestaterelatingtopublichealth,includinglicensingandregulatinghealthfacilitiesandcontrolofinfectiousdiseases.Thisbill,theHealthCareandEssentialWorkersProtectionAct,wouldrequiretheStateDepartmentofPublicHealthtoestablishapersonalprotectiveequipment(PPE)stockpiletoensureanadequatesupplyofPPEforhealthcareworkersand

IntroductionDate:2019-02-13

State

CABillNumber

SB65Status

InAssemblyPosition

Support

OrganizationalNotes

LasteditedbyJoanneCampbellatMay27,2020,4:09PMOrganizationSponsor:HealthAccessSupport-CaliforniaAssociationofHealthPlans,LocalHealthPlansofCalifornia

State

CABillNumber

SB275Status

InAssemblyPosition

Monitor

27

essentialworkers,asdefined,andwouldrequirethestockpiletobeatleastsufficientfora90-daypandemicorotherhealthemergency.ThebillwouldrequirethedepartmenttoestablishguidelinesfortheprocurementofthePPEstockpile,takingintoaccount,amongotherthings,theamountofeachtypeofPPEthatwouldberequiredforallhealthcareworkersandessentialworkersinthestateduringthepandemicorotherhealthemergency,whichwouldrepresenttheamountofPPEtobemaintainedinthestockpile.Thebillwouldrequirehealthcareemployers,includingclinics,healthfacilities,andhomehealthagencies,tomaintainastockpileofunexpiredPPEforuseintheeventofadeclaredstateofemergencyandwouldrequirethestockpiletobeatleastsufficientfora30-day,60-day,or90-daypandemicorotherhealthemergency,accordingtospecifieddeadlines.Thebillwouldassessacivilpenaltyonahealthcareemployerwhoviolatesthatrequirementofupto$25,000foreachviolation,asspecified.Thebillwoulddeclareahealthcareemployer’sfailuretoprovidePPEtoitshealthcareworkersuponreasonablerequesttobeanindependentviolationofthebill’srequirements.ThebillwouldauthorizetheDepartmentofIndustrialRelationstoexemptahealthcareemployerfromtheabove-requiredcivilpenaltiesifthedepartmentdeterminesthatsupplychainlimitationsmakemeetingthemandatedlevelofsuppliesinfeasibleandthehealthcareemployerhasmadeareasonableattempttoobtainPPE,asspecified.ThebillwouldrequiretheDepartmentofIndustrialRelationstoadoptregulations,inconsultationwiththeStateDepartmentofPublicHealth,settingforthrequirementsforthePPEstockpile,andwouldauthorizetheDepartmentofIndustrialRegulationstoincorporatebyreferenceexistingguidancefromthedepartmentandfromthefederalOccupationalSafetyandHealthAdministrationregardingstandardsforPPEusage.ThebillwouldalsoestablishthePersonalProtectiveEquipmentAdvisoryCommittee(committee)tobecomprisedof8members,asspecified,appointedbytheSecretaryofLabor.ThebillwouldrequiretheDepartmentofIn...(clickbilllinktoseemore).

PrimarySponsorsRichardPan,ConnieLeyva

OrganizationalNotes

LasteditedbyJoanneCampbellatJun23,2020,7:01PMSponsoredbySEIU

28

TitleHealthcare:omnibusbill.

DescriptionSB406,asamended,Pan.Healthcare:omnibusbill.(1)Existingfederallaw,thePatientProtectionandAffordableCareAct(PPACA),enactsvarioushealthcaremarketreforms.Existinglaw,theKnox-KeeneHealthCareServicePlanActof1975,providesforthelicensureandregulationofhealthcareserviceplansbytheDepartmentofManagedHealthCareandmakesawillfulviolationoftheactacrime.ExistinglawprovidesfortheregulationofhealthinsurersbytheDepartmentofInsurance.Existinglawrequiresagrouporindividualhealthcareserviceplancontractorhealthinsurancepolicyissued,amended,renewed,ordeliveredonorafterSeptember23,2010,tocomplywiththerequirementsofthePPACA,andanyrulesorregulationsissuedunderthePPACA,thatrequireagrouphealthplanandhealthinsuranceissuerofferinggrouporindividualhealthinsurancecoverageto,ataminimum,providecoverageforspecifiedpreventiveservices,andprohibitstheplanorhealthinsuranceissuerfromimposinganycost-sharingrequirementsforthosepreventiveservices.Existinglawalsoprohibitsaplanorhealthinsurerofferinggrouporindividualcoveragefromimposinglifetimeorannuallimitsonthedollarvalueofbenefitsforaparticipant,beneficiary,orinsured.Existinglawrequiresaplanandahealthinsuranceissuertocomplywiththoseprovisionstotheextentrequiredbyfederallaw.Thisbillwoulddeletetherequirementthataplanorahealthinsurercomplywiththerequirementtocoverpreventivehealthserviceswithoutcostsharingtotheextentrequiredbyfederallaw,andwouldinsteadrequireagrouporindividualhealthcareserviceplancontractorhealthinsurerto,ataminimum,providecoverageforspecifiedpreventiveserviceswithoutanycost-sharingrequirementsforthosepreventiveservices,therebyindefinitelyextendingthoserequirements.Thebillwouldalsodeletetherequirementthataplanorahealthinsurercomplywiththeprohibitiononlifetimeorannuallimitstotheextentrequiredbyfederallaw,andwouldinsteadprohibitanindividualorgrouphealthcareserviceplancontractorhealthinsurerfromestablishinglifetimeorannuallimitsonthedollarvalueofbenefitsforanenrolleeorinsured,therebyindefinitelyextendingtheprohibitionsonlifetimeorannuallimits,exceptasspecified.Becauseawillfulviolationoftheseprovisionsbyahealthcareserviceplanwouldbeacrime,thebillwouldimposeastate-mandatedlocalprogram.(2)ExistinglawauthorizestheStateRegistrar,alocalregistrar,oracountyrecordertofurnishacertifiedcopyofabirth,death,marriage,ormilitaryservicerecordtoanauthorizedperson,asdefined,whosubmitsawritten,faxe...(clickbilllinktoseemore).

PrimarySponsorsRichardPan,LenaGonzalez,ShannonGrove,MelissaHurtado,ConnieLeyva,MelissaMelendez,HollyMitchell,BillMonning,Rubio

IntroductionDate:2019-02-20

State

CABillNumber

SB406Status

InAssemblyPosition

Monitor

29

TitleHealthcare:prescriptiondrugs.

DescriptionSB852,asamended,Pan.Healthcare:prescriptiondrugs.ExistinglawauthorizestheDepartmentofGeneralServicestoenterintoexclusiveornonexclusivecontractsonabidornegotiatedbasiswithmanufacturersandsuppliersofsingle-sourceormultisourcedrugs.Existinglawauthorizesthedepartmenttoobtainfromthosemanufacturersandsuppliersdiscounts,rebates,orrefundsbasedonquantitiespurchased,aspermissibleunderfederallaw.Existinglawauthorizesthosecontractstoincludepricediscounts,rebates,refunds,orotherstrategiesaimedatmanagingescalatingprescriptiondrugprices.Existinglawrequirescertainstateagenciestoparticipateinthatprescriptiondrugbulkpurchasingprogram,includingtheStateDepartmentofStateHospitalsandtheStateDepartmentofDevelopmentalServices.ExistinglawestablishestheCaliforniaHealthandHumanServicesAgency,whichincludesdepartmentschargedwiththeadministrationofhealth,social,andotherhumanservices.ThisbillwouldestablishtheOfficeofDrugContractingandManufacturingwithintheCaliforniaHealthandHumanServicesAgencyto,amongotherthings,increasepatientaccesstoaffordabledrugs.Thebillwouldrequiretheoffice,onorbeforeJanuary1,2022,tocontractorpartnerwithatleastonedrugcompanyorgenericdrugmanufacturerandmakeeveryefforttoproduceatleast10genericprescriptiondrugs,asdeterminedbytheoffice.ThebillwouldrequiretheofficetonotifytheLegislatureifitcontractsforfewerthan10drugs.Thebillwouldrequiretheofficetodevelopaplanfortheproductionofinsulinandpursueenteringintocontractsorpartnershipsfortheproductionofinsulin.ThebillwouldrequiretheofficetoprepareandsubmitareporttotheLegislatureonorbeforeJanuary1,2022,that,amongotherthings,assessesthefeasibilityoftheofficetodirectlymanufacturegenericprescriptiondrugsandincludesanestimateofthecostofbuildingoracquiringmanufacturingcapacity.ThebillwouldalsorequiretheofficetoprepareandsubmitareporttotheLegislatureonorbeforeJanuary1,2023,thatassessesthemajorproblemsfacedbypatientsinaccessingaffordablegenericprescriptiondrugs,describesthestatusofthedrugstargetedformanufactureundertheoffice’scontractsorpartnerships,andanalyzeshowtheoffice’sactivitieshaveimpactedcompetition,access,andcostsforthosedrugs.

PrimarySponsorsRichardPan

IntroductionDate:2020-01-13

State

CABillNumber

SB852Status

InAssemblyPosition

Monitor

30

TitleHealthcoverage:mentalhealthorsubstanceusedisorders.

DescriptionSB855,asamended,Wiener.Healthcoverage:mentalhealthorsubstanceusedisorders.Existinglaw,theKnox-KeeneHealthCareServicePlanActof1975,providesforthelicensureandregulationofhealthcareserviceplansbytheDepartmentofManagedHealthCareandmakesawillfulviolationoftheactacrime.ExistinglawalsoprovidesfortheregulationofdisabilityinsurersbytheDepartmentofInsurance.Existinglaw,knownastheCaliforniaMentalHealthParityAct,requireseveryhealthcareserviceplancontractordisabilityinsurancepolicyissued,amended,orrenewedonorafterJuly1,2000,thatprovideshospital,medical,orsurgicalcoveragetoprovidecoverageforthediagnosisandmedicallynecessarytreatmentofseverementalillnessesofapersonofanyage,andofseriousemotionaldisturbancesofachildunderthesametermsandconditionsappliedtoothermedicalconditions,asspecified.Existinglawrequiresthosebenefitstoinclude,amongotherthings,outpatientservices,inpatienthospitalservices,partialhospitalservices,andprescriptiondrugs,iftheplancontractorpolicyincludescoverageforprescriptiondrugs.Thisbillwouldreviseandrecastthoseprovisions,andwouldinsteadrequireahealthcareserviceplancontractordisabilityinsurancepolicyissued,amended,orrenewedonorafterJanuary1,2021,toprovidecoverageformedicallynecessarytreatmentofmentalhealthandsubstanceusedisorders,asdefined,underthesametermsandconditionsappliedtoothermedicalconditions.Thebillwouldprohibitahealthcareserviceplanordisabilityinsurerfromlimitingbenefitsorcoverageformentalhealthandsubstanceusedisorderstoshort-termoracutetreatment.Thebillwouldrevisethecoveredbenefitstoincludebasichealthcareservices,asdefined,intermediateservices,andprescriptiondrugs.Thisbillwouldrequireahealthcareserviceplanordisabilityinsurerthatprovideshospital,medical,orsurgicalcoveragetobasemedicalnecessitydeterminationsandtheutilizationreviewcriteriatheplanorinsurer,andanyentityactingontheplan’sorinsurer’sbehalf,appliestodeterminethemedicalnecessityofhealthcareservicesandbenefitsforthediagnosis,prevention,andtreatmentofmentalhealthandsubstanceusedisorders,oncurrentgenerallyacceptedstandardsofmentalhealthandsubstanceusedisordercare.Thebillwouldrequirethehealthcareserviceplanorinsurertoapplyspecifiedclinicalcriteriaandguidelinesinconductingutilizationreviewofthecoveredhealthcareservicesandbenefitsandwouldprohibittheplanorinsurerfromapplyingdifferent,additional,orconflictingcriteriathanthecriteriaandguidelinesinthespecifie...(clickbilllinktoseemore).

PrimarySponsorsScottWiener,CeciliaAguiar-Curry,JimBeall,DavidChiu

IntroductionDate:2020-01-14

State

CABillNumber

SB855Status

InAssemblyPosition

Monitor

OrganizationalNotes

LasteditedbyJoanneCampbellatJul27,2020,6:32PMOrganizationSponsor:SteinbergInstitute,TheKennedyForumCAHP-OpposeDMHC-OpposeUnlessAmended

31

TitleCommunicablediseases:datacollection.

DescriptionSB932,asamended,Wiener.Communicablediseases:datacollection.ExistinglawrequirestheStateDepartmentofPublicHealthtoestablishalistofreportablecommunicableandnoncommunicablediseasesandconditionsandtospecifytherequirementsforreportingeachlisteddiseaseandcondition,includingthetimingandmechanismformakingareport.Thisbillwouldrequireanyelectronictoolusedbylocalhealthofficersforthepurposeofreportingcasesofcommunicablediseasestothedepartment,asspecified,toincludethecapacitytocollectandreportdatarelatingtosexualorientationandgenderidentity.Thebillwouldalsorequireahealthcareproviderthatknowsoforisinattendanceonacaseorsuspectedcaseofanyspecifiedcommunicablediseasetoreporttothelocalhealthofficerforthejurisdictioninwhichthepatientresides,thepatient’ssexualorientationandgenderidentity,ifknown.Byimposingnewdutiesonlocalhealthofficers,thisbillwouldimposeastate-mandatedlocalprogram.TheCaliforniaConstitutionrequiresthestatetoreimburselocalagenciesandschooldistrictsforcertaincostsmandatedbythestate.Statutoryprovisionsestablishproceduresformakingthatreimbursement.Thisbillwouldprovidethat,iftheCommissiononStateMandatesdeterminesthatthebillcontainscostsmandatedbythestate,reimbursementforthosecostsshallbemadepursuanttothestatutoryprovisionsnotedabove.Thisbillwoulddeclarethatitistotakeeffectimmediatelyasanurgencystatute.

PrimarySponsorsScottWiener

IntroductionDate:2020-02-05

State

CABillNumber

SB932Status

InAssemblyPosition

None

32

TitleMedi-Cal:CountyofSacramento.

DescriptionSB1029,asamended,Pan.Medi-Cal:CountyofSacramento.(1)ExistinglawestablishestheMedi-Calprogram,administeredbytheStateDepartmentofHealthCareServices,underwhichhealthcareservicesareprovidedtoqualifiedlow-incomepersonsundervarioushealthcaredeliverysystems,includingfee-for-serviceandmanagedcare.TheMedi-Calprogramis,inpart,governedandfundedbyfederalMedicaidprogramprovisions.Existinglawauthorizesthedepartmenttoenterintovarioustypesofcontractsfortheprovisionofservicestobeneficiaries,includingcontractswithMedi-Calmanagedcareplans.ExistinglawprovidesthatincountiesselectedbytheDirectorofHealthCareServiceswiththeconcurrenceofthecounty,aspecialcountyhealthauthoritymaybeestablished,andinanycounty,byordinance,aspecialcommissionmaybeestablished,inordertomeettheproblemsofdeliveryofpubliclyassistedmedicalcareineachcounty,andtodemonstratewaysofpromotingqualitycareandcostefficiency.Existinglawauthorizesseveralcounties,includingtheCountyofAlameda,toestablish,byordinance,ahealthauthority,andspecifiedcounties,suchastheCountiesofSanJoaquinandTulare,toestablish,byordinance,aspecialcountyhealthcommission.ThisbillwouldauthorizetheBoardofSupervisorsoftheCountyofSacramentotoestablish,byordinance,ahealthauthoritytoperformspecifiedduties,includingnegotiatingandenteringintocontractswithhealthplans,asprescribed.Thebillwouldprovidethatanyparticipatinghealthplansshallbedesignatedbythehealthauthorityforapprovalbythedepartment,andthathealthplansapprovedbythedepartmentshallbeeligibletocontractwiththedepartment.Thebillwouldrequirethehealthauthoritytobegovernedbyacommission,wouldrequiretheboardtoappointcommissionmembers,andwouldrequirethosememberstoincludespecifiedindividuals,includingrepresentativesofnonprofitcommunityhealthcentersandhospitalsystemsthatoperateintheCountyofSacramento.Thebillwouldspecifytheresponsibilitiesanddutiesofeachmemberofthecommission,includingservingthepublicinterestofMedi-Calbeneficiariesservedbythehealthauthorityandensuringthefiscalsolvencyofthehealthauthority.Thebillwouldrequirethecommissiontoestablishadvisorycommittees,includinganexecutivecommittee,andwouldprohibitmembersofthecommissionandadvisorycommitteesfromreceivingcompensationforactivitiesrelatingtotheirduties,exceptasspecified.ThebillwouldprovidethatamemberofthecommissionshallnotbedeemedtobeinterestedinacontractenteredintobythedepartmentifthememberisaMedi-Calrecipie...(clickbilllinktoseemore).

PrimarySponsorsRichardPan

IntroductionDate:2020-02-14

State

CABillNumber

SB1029Status

InAssemblyPosition

Monitor

OrganizationalNotes

LasteditedbyJoanneCampbellatJun17,2020,5:25PMLHPC-Support

33

TitleTelecommunications:CaliforniaAdvancedServicesFund.

DescriptionSB1130,asamended,LenaGonzalez.Telecommunications:CaliforniaAdvancedServicesFund.(1)Underexistinglaw,thePublicUtilitiesCommissionhasregulatoryauthorityoverpublicutilities,includingtelephonecorporations.Existinglawrequiresthecommissiontodevelop,implement,andadministertheCaliforniaAdvancedServicesFund(CASF)programtoencouragedeploymentofhigh-qualityadvancedcommunicationsservicestoallCaliforniansthatwillpromote,amongotherthings,thesubstantialsocialbenefitsofadvancedinformationandcommunicationstechnologies.ExistinglawauthorizesthecommissiontocollectasurchargefordepositintotheCASF.Existinglawprovidesthatthegoaloftheprogramisto,nolaterthanDecember31,2022,approvefundingforinfrastructureprojectsthatwillprovidebroadbandaccesstonolessthan98%ofCaliforniahouseholds,asprovided.Existinglawrequiresthecommission,inapprovinginfrastructureprojects,toapproveprojectsthatprovidelast-milebroadbandaccesstohouseholdsthatareunservedbyanexistingfacility-basedbroadbandprovider,andgivepreferencetoprojectsinareaswhereinternetconnectivityisonlyavailablethroughdial-service,asprovided.Existinglawauthorizesthecommissiontocollectasumnottoexceed$330,000,000toimplementtheCASFprogramthroughtheimpositionofasurchargethatiscollectedstartingonJanuary1,2018,andcontinuingthroughthe2022calendaryear.ExistinglawprohibitsthesurchargecollectedfortheCASFprogramfromexceeding$66,000,000unlessthecommissiondeterminesthatcollectingahigheramountofsurchargefortheCASFprograminanyyearwillnotresultinanincreaseinallsurchargescollectedfromtelephonecustomersforthatyear.Thisbillwouldinsteadrequirethecommissiontodevelop,implement,andadministertheCaliforniaAdvancedServicesFundprogramtoencouragedeploymentof21stcentury-readycommunications,asprovided.Thebillwouldprovidethatthegoaloftheprogramisto,nolaterthanDecember31,2024,approvefundingforinfrastructureprojectsthatwillprovidehigh-capacity,future-proofinfrastructure,asdefined,basedoncurrentengineeringandscientificinformationavailableatthetimeofprogramapplication,asprovided.Thebillwouldrequirethecommission,inapprovinginfrastructureprojects,toapproveprojectswithagoalofprovidinghigh-capacity,future-proofinfrastructuretohouseholdsthatareunservedareas,asdefined,orunservedhigh-povertyareas,asdefined.Thebillwouldinsteadrequirethecommissiontoprioritizeprojectsinunservedareasandunservedhigh-povertyareas,asprovided.Thebillwouldalsorequirethecommissiontoensurethat...(clickbilllinktoseemore).

PrimarySponsorsLenaGonzalez

IntroductionDate:2020-02-19

State

CABillNumber

SB1130Status

InAssemblyPosition

Monitor

34

TitleNurse-midwives:scopeofpractice.

DescriptionSB1237,asamended,Dodd.Nurse-midwives:scopeofpractice.(1)Existinglaw,theNursingPracticeAct,establishestheBoardofRegisteredNursingwithintheDepartmentofConsumerAffairsforthelicensureandregulationofthepracticeofnursing.Aviolationoftheactisacrime.Existinglawrequirestheboardtoissueacertificatetopracticenurse-midwiferytoapersonwho,amongotherqualifications,meetseducationalstandardsestablishedbytheboardortheequivalentofthoseeducationalstandards.Existinglawauthorizesacertifiednurse-midwife,underthesupervisionofalicensedphysicianandsurgeon,toattendcasesofnormalchildbirthandtoprovideprenatal,intrapartum,andpostpartumcare,includingfamily-planningcare,forthemother,andimmediatecareforthenewborn.Existinglawdefinesthepracticeofnurse-midwiferyasthefurtheringorundertakingbyacertifiedperson,underthesupervisionoflicensedphysicianandsurgeonwhohascurrentpracticeortraininginobstetrics,toassistawomaninchildbirthsolongasprogressmeetscriteriaacceptedasnormal.Existinglawrequiresallcomplicationstobereferredtoaphysicianimmediately.Existinglawexcludestheassistingofchildbirthbyanyartificial,forcible,ormechanicalmeans,andtheperformanceofanyversionfromthedefinitionofthepracticeofnurse-midwifery.Thisbillwoulddeletetheabove-describedprovisionsdefiningthepracticeofnurse-midwifery,woulddeletetheconditionthatacertifiednurse-midwifepracticeunderthesupervisionofaphysicianandsurgeon,andwouldinsteadauthorizeacertifiednurse-midwifetoattendcasesoflow-riskpregnancy,asdefined,andchildbirthandtoprovideprenatal,intrapartum,andpostpartumcare,includingfamily-planningservices,interconceptioncare,andimmediatecareofthenewborn,consistentwithstandardsadoptedbyaspecifiedprofessionalorganization,oritssuccessor,asapprovedbytheboard.Thebillwouldauthorizeacertifiednurse-midwifetopracticewithaphysicianandsurgeonundermutuallyagreed-uponpoliciesandprotocolsthatdelineatetheparametersforconsultation,collaboration,referral,andtransferofapatient’scare,signedbyboththecertifiednurse-midwifeandaphysicianandsurgeontoprovideapatientwithspecifiedservices.Thebill,exceptasspecified,wouldrequirethepatienttobetransferredtothecareofaphysicianandsurgeontoprovidethoseservicesifthenurse-midwifedoesnothavethosemutuallyagreed-uponpoliciesandprotocolsinplace,andwouldauthorizethereturnofthatpatienttothecareofthenurse-midwifeafterthephysicianandsurgeonhasdeterminedthattheconditionorcircumstancethatrequired,...(clickbilllinktoseemore).

PrimarySponsorsBillDodd,AutumnBurke

IntroductionDate:2020-02-20

State

CABillNumber

SB1237Status

InAssemblyPosition

Monitor

35

TitleRacismasapublichealthcrisis.

DescriptionSCR92,asintroduced,Pan.Racismasapublichealthcrisis.Thismeasurewouldrecognizeracismasathreattopublichealth.

PrimarySponsorsRichardPan

IntroductionDate:2020-06-25

State

CABillNumber

SCR92Status

InSenatePosition

Support

BillState:US(1)

36

TitleFamiliesFirstCoronavirusResponseAct

DescriptionFamiliesFirstCoronavirusResponseActThisbillrespondstotheCOVID-19(i.e.,coronavirusdisease2019)outbreakbyprovidingpaidsickleave,taxcredits,andfreeCOVID-19testing;expandingfoodassistanceandunemploymentbenefits;andincreasingMedicaidfunding.DIVISIONA--SECONDCORONAVIRUSPREPAREDNESSANDRESPONSESUPPLEMENTALAPPROPRIATIONSACT,2020SecondCoronavirusPreparednessandResponseSupplementalAppropriationsAct,2020ThisdivisionprovidesFY2020supplementalappropriationsforfederalagenciestorespondtotheCOVID-19outbreak.Thesupplementalappropriationsaredesignatedasemergencyspending,whichisexemptfromdiscretionaryspendinglimits.TITLEI--DEPARTMENTOFAGRICULTUREThistitleprovidesappropriationstotheDepartmentofAgriculture(USDA)fortheSpecialSupplementalNutritionProgramforWomen,Infants,andChildren(WIC);andtheEmergencyFoodAssistanceProgram(TEFAP).(Sec.1101)ThissectionallowsUSDAtoapprovestateplanstoprovideemergencySupplementalNutritionAssistanceProgram(SNAP,formerlyknownasthefoodstampprogram)benefitstohouseholdswithchildrenwhowouldotherwisereceivefreeorreduced-priceschoolmealsiftheirschoolswerenotclosedduetotheCOVID-19publichealthemergency.Thechild'sschoolmustbeclosedforatleastfiveconsecutivedaysforthehouseholdtobeeligibleforbenefits.StatesmayprovidethebenefitsusingtheElectronicBenefitTransfersystem.(Sec.1102)ThissectionprovidesappropriationstoUSDAforgrantstotheNorthernMarianaIslands,PuertoRico,andAmericanSamoafornutritionassistanceinresponsetoaCOVID-19publichealthemergency.TITLEII--DEPARTMENTOFDEFENSEThistitleprovidesappropriationstotheDefenseHealthProgramforCOVID-19diagnostictestingandservices.TITLEIII--DEPARTMENTOFTHETREASURYThistitleprovidesappropriationstotheInternalRevenueServicetoimplementthetaxcreditsincludedinthisbill.TITLEIV--DEPARTMENTOFHEALTHANDHUMANSERVICESThistitleprovidesappropriationstotheIndianHealthServiceforCOVID-19diagnostictestingandservices.TITLEV--DEPARTMENTOFHEALTHANDHUMANSERVICESThistitleprovidesappropriationstotheAdministrationforCommunityLivingfornutritionprogramsthatassisttheelderly.ThetitlealsoprovidesappropriationstothePublicHealthandSocialServicesEmergencyFund.ThefundsareprovidedfortheNationalDisasterMedicalSystemtoreimbursethecostsofprovidingCOVID-19diagnostictestingandservicestoindividualswithouthealthinsurance.TITLEVI--DEPARTMENTOFVETERANSAFFAIRSThistitleprovidesappropriationstotheVeteransHealthAdministrationforCOVID-19diagnostictestingandservices.TITLEVII--GENERALPROVISIONS--THIS...(clickbilllinktoseemore).

PrimarySponsorsNitaLowey

IntroductionDate:2020-03-11

State

USBillNumber

HR6201Status

EnactedPosition

Monitor

37

Board of Governors

MOTION SUMMARY

Date: August 24, 2020 Motion No. EXE 100.0920

Committee: Executive Chairperson: Hector De La Torre

Issue: Provide support for the development of an Integrated Master of Science in Community

Medicine Doctor of Medicine (MSCM-MD) Program at the Keck Graduate Institute at The Claremont Colleges.

New Contract Amendment Sole Source RFP/RFQ was conducted in <<N/A>>

Background: L.A. Care has been approached by the Keck Graduate Institute (KGI) at The

Claremont School of Medicine regarding a new program in development aimed at addressing the health care workforce shortage and health disparities.

The Integrated Master of Science in Community Medicine Doctor of Medicine (MSCM-MD) Program would be a five-year program that includes a two-year online gateway Master of Science in Community Medicine degree followed by a three-year Doctor of Medicine Program. The program would begin with 200-250 students accepted into the gateway program, targeting graduates from the California State University System. From there, 80 high performing students would be selected to participate in The Claremont School of Medicine program.

Participants in the program would progressively develop competencies in the basic sciences and skills of community medicine required to improve health, lower the burden of illness and injury among patients, communities and consumers, and provide leadership in the systems and programs that provide these services.

KGI is seeking $10 million in their first round of funding this year while they establish a Board of Governors and initial staffing for the program. They hope to have full financing secured ($40-50 million) by 2022 and continue to build the program. The first class would be admitted to the gateway program in the Fall of 2022 and the first School of Medicine class would be admitted in the Fall of 2024.

L.A. Care considers this program well-aligned with our Elevating the Safety Net (ESN) Guiding Principles of increasing health access, promoting equity and cultural competence, as well as building a premier health care workforce. L.A. Care’s ESN programs seek to increase access for our members in Los Angeles County and improve equity and cultural competence among our provider network. We believe these aims will improve health outcomes for our members, including by addressing social determinants of health. L.A. Care’s support of this program will serve important public purpose for the reasons discussed and is aligned with our mission of improving and providing access to quality healthcare to the most vulnerable members of L.A. County.

For this reason, we recommend supporting this endeavor through a $5 million initial contribution to KGI.

Member Impact: This initiative aligns with L.A. Care’s organizational goal 2.2: develop and

38

Board of Governors

MOTION SUMMARY

Page 2 of 2

implement strategies to promote quality performance in the provider network. The initiative aligns with organizational goal 4.3: mobilize our community resources to ensure that we are responsive and accountable to the needs of our members and constituents. Goal 4.5 is also addressed: foster innovative approaches to improving the health status of our members and the quality of care provided by the safety net.

Budget Impact: L.A. Care will appropriate retained earnings, an element of the fund balance, to set aside

as Board Designated to fund the workforce development initiative presented above.

Motion: 1) To authorize staff to execute an agreement in the amount of $5 million with The Keck Graduate Institute in initial funding for the Integrated Master of Science in Community Medicine Doctor of Medicine (MSCM-MD) Program for the period of January 1, 2021 through December 31, 2024;

2) in authorizing execution of the agreement, the Committee finds that the support of this program serves a public purpose and further L.A. Care’s mission for reasons outlined in this motion.

39

Board of Governors

MOTION SUMMARY

Date: August 24, 2020 Motion No. EXE 101.0920

Committee: Executive Chairperson: Hector De La Torre

Issue: Continue authorization of expenditures under the Elevating the Safety Net (ESN) for

Residency Support Program (RSP) and Provider Loan Repayment Program (PLRP).

Background: On June 24, 2019 the Executive Committee approved motion EXE A.0619 to

support and launch ESN’s new Residency Support Program (RSP), granting six institutions to add 13 new slots to their respective residency programs and 2.2 FTE new core faculty for a total investment of $5,268,342. Also, on April 27, 2020, the Executive Committee approved motion EXE 101.0520 to award Uncommon Good $6 million in grant funds to continue administering loan repayment assistance to providers through the end of the fiscal year. Residency Support Program (RSP) L.A. Care re-invited five of six institutions previously awarded RSP grants to apply for a 2nd round of funding in Summer/Fall 2021. The invites include; AltaMed Health Services Corporation, Charles Drew University (CDU), the UCLA Foundation and White Memorial Medical Center Charitable Foundation. The review committee, comprised of L.A. Care staff and executive leadership, reviewed the proposals submitted by applicants and recommends awarding funds to all five institutions. The proposed investment of up to $4,500,000 would fund 12 new residency slots and 2.2 FTE of core faculty across the five institutions over the course of three years. Proposed awards are as follows:

Institution Expansion Award

AltaMed Health Services Corporation

Family Medicine: 3 FTE new resident slots; salaries and benefits for 3 years

$1,388,930

Charles Drew University of Medicine & Science

Family Medicine: 1 FTE new Social Medicine Fellow for 1 year and .3 FTE for 3 Core faculty for 3 years; salaries and benefits

$921,060

Internal Medicine: 1 FTE new Chief Resident for 1 year and .5 FTE Core faculty for 3 years; salaries and benefits

$563,068

UCLA Foundation Pediatric Medicine: 2 FTE new resident slots for 3 years; salaries, benefits and expenses

$552,193

White Memorial Medical Center Charitable Foundation

Family Medicine: 1 FTE new resident slot and .2 FTE Core faculty for 3 years; salaries and benefits

$479,334

Internal Medicine: 1 FTE new resident slot and .2 FTE Core faculty salaries for 3 years

$480,000

TOTAL 9 New Resident Slots/Fellows/Chief Residents 1.8 FTE for 6 Core Faculty

$4,384,585

40

Board of Governors

MOTION SUMMARY

Provider Loan Repayment Program (PLRP) To continue the success of the program, the review committee would like to provide additional support to providers being awarded PLRP funds and request an additional $6 million grant to be awarded during this fiscal year. The program is currently administered by Uncommon Good. The program has continued to be successful with providing loan debt relief to nearly 70 providers since inception of the program, and we continue to receive applications.

Member Impact: This initiative aligns with L.A. Care’s organizational goal 2.2: develop and

implement strategies to promote quality performance in the provider network. The initiative also aligns with organizational goal 4.3: mobilize our community resources to ensure that we are responsive and accountable to the needs of our members and constituents. Goal 4.5 is also addressed: foster innovative approaches to improving the health status of our members and the quality of care provided by the safety net.

Budget Impact: L.A. Care will appropriate retained earnings, an element of the fund balance, to set aside

as Board Designated to fund the workforce development initiative presented above.

Motion: 1. Approve and authorize an expenditure of up to $4.5 million to the continue Residency Support Program (RSP).

2. Approve and authorize expenditure of up to $6,000,000 to continue Provider Loan Repayment Program (PLRP).

41

Board of Governors

MOTION SUMMARY

Date: August 24, 2020 Motion No. EXE 102.0920

Committee: Executive

Chairperson: Hector De La Torre

Issue: Approval of 2021 schedule of meetings for the Board of Governors and Committees.

Background: The meetings are scheduled according to these guidelines established by the Board:

Hold the Finance & Budget and Executive Committee meetings on the fourth Monday. Ten Finance & Budget and ten Executive Committee meetings are scheduled; with meeting cancellations determined by agenda content.

Schedule eight Board meetings in 2021, with two tentatively scheduled meetings in March and October; meeting cancellations determined by agenda content.

Six Compliance & Quality Committee meetings; with meeting cancellations determined by agenda content.

Audit, Governance and Services Agreement Committees meet as needed.

The schedule is consistent with L.A. Care’s enabling statute (California Welfare & Institutions Code Section 14087) which requires six board meetings per year, and the proposed meeting frequency is in line with other public health plans in California.

The chart below shows the frequency of meetings since 2013:

Meeting 2021 2020 2019 2018 2017 2016 2015 2014 2013

Board of Governors 8* 8* 8 9 8 8 14 12 10

Executive 10* 10* 10 10 10 10 10 12 8

Finance & Budget 10* 9* 10 9 9 10 11 10 8

Compliance & Quality 6* 6* 6 5 5 4 6 5 5

*2020 and 2021 meeting frequency is projected

Member Impact: Public input is welcome at all Board and Committee meetings.

Budget Impact: None.

Motion: To approve the 2021 Board of Governors meeting schedule as submitted.

42

2021 Regular Board and Committee Meeting schedule BoG: Board of Governors, meets at 2:00 for approximately 3 hours, and

meets all day in September for strategic discussion C&Q: Compliance and Quality Committee, meets at 2:00 p.m. for approximately 2 hours

Exec: Executive Committee meets at 2:00 p.m. for approximately 90 minutes F&B: Finance & Budget Committee meets at 1:00 p.m. for approximately 60 minutes

CHCAC: Children’s Health Consultant Advisory Committee meets at 8:30 a.m. for approximately 2 hours ECAC: Executive Community Advisory Committee meets at 10:00 a.m. for approximately 2 hours

TAC: Technical Advisory Committee meeting schedule to be determined JPA and LACH: Joint Powers Authority and L.A. Care Community Health Plan

meet concurrently with a BoG meeting

Meetings are usually held at 1055 West 7th Street, 1st Floor, Los Angeles, CA 90017 Except where offsite meetings are indicated below or if a different address is posted on the

meeting agenda.

January 2021 No Board meeting 1/13 – ECAC 1/21 – C&Q 1/19 – CHCAC 1/25 –F&B, Exec TBD – Audit, TAC

February 2021 2/4 – BoG 2/10 - ECAC 2/22 –F&B, Exec

March 2021 3/4 BoG (tentative) 3/10 – ECAC 3/16 – CHCAC 3/18 - C&Q 3/22 – F&B, Exec TBD – GOV

April 2021 4/1 – BoG 4/14 - ECAC 4/26 – F&B, Exec TBD - TAC

May 2021 5/6 – BoG 5/12 – ECAC 5/18 – CHCAC 5/20 – C&Q 5/24 – F&B, Exec

June 2021 6/3 – BoG (offsite)* 6/9 - ECAC 6/28 – F&B, Exec

July 2021 7/29 – BOG

August 2021 No Board meeting 8/11 - ECAC 8/17 – CHCAC 8/19 – C&Q 8/23 – F&B, Exec TBD – Audit, TAC

September 2021 9/2 – BoG (offsite all day retreat)* 9/8 - ECAC 9/21 - CHCAC 9/16 - C&Q 9/27 - F&B, Exec TBD –GOV

October 2021 10/7 BoG (tentative) 10/13 - ECAC 10/25 - F&B, Exec TBD - TAC

November 2021 11/4 – BoG 11/10 – ECAC 11/15 - F&B, Exec* *Due to Thanksgiving holiday 11/16 – CHCAC 11/18 – C&Q

December 2021 12/2 – BoG 12/8 – ECAC No other meetings

*Offsite locations are tentative

43

Board of Governors

MOTION SUMMARY

Date: August 24, 2020 Motion No. EXE A.0820

Committee: Executive Chairperson: Hector De La Torre

Issue: Approve revisions to Human Resources Policy & Procedure HR-312 (Recruitment) mainly

relating to addressing violation of the AICPA Code of Professional Conduct.

New Contract Amendment Sole Source RFP/RFQ was conducted

Background: L.A. Care Health Plan (L.A. Care) desires to make a positive impression on our

candidates for employment so that they feel welcomed, receive all appropriate and required information, and are treated with dignity and respect. We want to ensure that our recruitment and selection process adheres to all legal guidelines and internal policies and practices.

Staff is proposing additional revisions to HR-312, as noted in the attached document, if L.A. Care is interested in hiring a candidate that was a partner, principal, or professional employee in any key position that would cause violation of the AICPA Code of Professional Conduct, generally accepted government auditing standards, or other applicable independence rules, the Talent Acquisition Advisor will review the candidates application to verify their employment history and Section 1.279 Considering or Subsequent Employment or Association with an Attest Client (L.A. Care) within the AICPA Code of Professional Conduct to ensure there are no compliance issues. If there are any compliance issues the TAA will immediately stop recruitment of the candidate.

Member Impact: None

Budget Impact: None

Motion: To approve the Human Resources Policy & Procedure HR-312 (Recruitment), as presented.

44

RECRUITMENT HR-312 DEPARTMENT HUMAN RESOURCES

Supersedes Policy Number(s) 6212

DATES Effective Date 4/16/1997 Review Date 04/17/2020

Next Annual Review Date 04/17/2021

Legal Review Date 2/6/2020

Committee Review Date 4/2/2020

LINES OF BUSINESS

Cal MediConnect L.A. Care Covered L.A. Care Covered Direct MCLA PASC-SEIU Plan Internal Operations

DELEGATED ENTITIES / EXTERNAL APPLICABILITY

PP – Mandated PP – Non-Mandated PPGs/IPA Hospitals Specialty Health Plans Directly Contracted Providers Ancillaries Other External Entities

ACCOUNTABILITY MATRIX

ATTACHMENTS

ELECTRONICALLY APPROVED BY THE FOLLOWING

OFFICER DIRECTOR

NAME Terry Brown Edward Topps

DEPARTMENT Human Resources Human ResourcesHR Technology and Talent Acquisition

TITLE Chief Human Resources Officer Director, HR Technology & Talent Acquisition

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AUTHORITIES > HR-501, “Executive Committee of the Board: HR Roles and Responsibilities” > California Welfare & Institutions Code §14087.9605

REFERENCES

HISTORY REVISION

DATE DESCRIPTION OF REVISIONS

2/8/2010 Revision 4/25/2018 Revision, recruitment processes updated 10/2/2019 Revisions

DEFINITIONS Please visit the L.A. Care intranet for a comprehensive list of definitions used in policies:

http://insidelac/ourtoolsandresources/departmentpoliciesandprocedures

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AICPA Code of Professional Conduct

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1.0 OVERVIEW:

1.1 L.A. Care Health Plan (L.A. Care) desires to make a positive impression on our candidates for employment so that they feel welcomed, receive all appropriate and required information, and are treated with dignity and respect. We want to ensure that our recruitment and selection process adheres to all legal guidelines and internal policies and practices.

2.0 DEFINITIONS:

2 . 1 N / A

3 .0 POLICY:

3.1 Employee knowledge, skills and experience comprise the most valuable resource of L.A. Care. Our recruitment efforts and selection processes have been developed in an effort to attract and retain the best qualified and high performing staff members.

4.0 PROCEDURES:

4.1 Initiating the recruitment process for a budgeted position

4.1.1 The hiring manager works with Resource Review Board (RRB), Total Rewards (TR), Talent Acquisition (TA), Human Resources Business Partners (HRBP) and Finance Departments to create a new or reclassified position.

4.1.2 The hiring manager is responsible for ensuring that the job description fully and clearly represents the job skills, competencies, educational requirements and level of experience the hiring manager is seeking.

4.1.3 Once the job description is reviewed and/or modified by the hiring manager, it is sent to TR for review and approval. The approved job description is sent to TA from TR to facilitate the posting of the position and to start the recruitment activities.

4.2 Initiating the recruitment process for a budgeted or non-budgeted position

4.2.1 The hiring manager will work with their HRBP to request the approval of budgeted and non-budgeted position from the RRB. The request should describe the value and benefits for adding the requested position.

4.2.1.1 If the position is newly created, a job description must be completed by the hiring manager;

4.2.1.2 If the request is for an existing position, the job description should be reviewed for accuracy by the hiring manager.

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4.2.2 Once position is approved by the RRB, the HRBP will submit position approval and job description to TR to assign a position control number. The approved job description is sent to TA from TR to facilitate the posting of the position and to start the recruitment activities.

4.3 Initiating the Recruitment Process for temporary positions

4.3.1 Requests for temporary staffing budgets are made by the requesting Department Director at the beginning of the fiscal year through the Finance department.

4.3.2 Hiring manager will contact TA for the temporary staffing need and provide approved job description. TA will contact L.A. Care approved staffing agencies.

4.3.3 A modified job description, containing only the description of the position, is created by the TA and provided to the agency to fill temporary staffing request.

4.4 Job Vacancy Posting

4.4.1 Internal posting of jobs will be for a period of at least three calendar days on the Intranet before an offer of employment can be made. External posting on various websites will run concurrently with the internal job posting, unless otherwise discussed with the Talent Acquisition Advisor (TAA).

4.4.2 Positions deemed as confidential will require approval of the Chief Human Resources Officer (CHRO) and will not need to go through the regular position posting process.

4.5 Applicant Screening and Interviewing

4.5.1 The TAA, unless told otherwise, will pre-screen all applications and resumes received for the open position, using the key areas of skill, competency, experience and education, as identified by the hiring manager.

4.5.2 Consideration for the use of either a contingency or retained search firm, for difficult to fill positions, is at the discretion of the Director, Talent Acquisition. The selection of the firm and negotiation of the fee schedule will be completed by the Director, HR Technology and Talent Acquisition. During the selection and negotiation of fees of a contingent or retained search firm, the hiring manager should have limited contact with the recruitment firm. The hiring manager, with the assistance from TA, will become involved with the selected recruitment firm during the development of job specifications, the review of presented resumes and the selection and interview of the final candidates.

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4.5.3 The decision to hire rests with the hiring manager subject to approval by HR and the hiring manager’s direct supervisor. Once the decision to hire has been made, TR will provide approved salary recommendation to TA. The hiring manager is notified by TA of the recommended salary. Any deviation from what was approved by TR requires additional approval from the Director, Total Rewards or Chief Human Resources Officer.

4.5.4 After contingent verbal job offer is extended, candidate must complete the on-line job application, if one was not previously completed, which includes authorization to complete a background check.

4.5.5.1 If a finalist candidate for a position at L.A. Care previously was a partner, principal, or professional employee in any key position with a company (including an auditing vendor) as defined and subject to the AICPA Code of Professional Conduct, generally accepted government auditing standards, or other applicable independence rules, the TAA will review the candidate’s application to verify employment history and will conduct a review of whether the hiring of the candidate will result in violating AICPA Code of Professional Conduct, generally accepted government auditing standards, or other applicable financial or audit independence rules. If proceeding with hiring of the candidate will result in non-compliance with the above listed AICPA Code of Professional Conduct, generally accepted government auditing standards or other applicable independence rules, the candidate will be considered not eligible and TAA will immediately stop recruitment of the candidate

4.6 Extending a Job Offer

4.6.1 The actual offer of employment is made by the TAA, unless otherwise requested by the hiring manager. The hiring process requires that the candidate successfully passes the official background investigation, verification of licensure, certification and registrations, and ability to work in the United States025. All required new hire documentation must be completed no later than their first day of work.

4.6.2 Coordination of the official date of hire (actual first day at work) and the coordination of other necessary paperwork and documentation is handled at the time of the offer of employment, by the Talent Acquisition Department.

4.6.3 The hiring manager is responsible for ensuring the new hire’s workstation is set up with all necessary equipment (i.e. computer and phone) prior to the start date.

5.0 MONITORING:

5.1 Human Resources reviews its policies routinely to ensure that they are updated appropriately and has processes in place to ensure that the appropriate required steps are taken under this policy.

6.0 REPORTING: 49

6.1 Any suspected violations to this policy should be reported to your HRBP

7.0 L.A. Care reserves the right to modify, rescind, delete, or add to this policy at any time, with or without notice.

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