AB 2276 — Childhood lead poisoning: screening and prevention.

Summary

Existing law establishes the Childhood Lead Poisoning Prevention Program, which is administered by the State Department of Public Health. Existing law requires the department to adopt regulations establishing a standard of care that include the determination of specified risk factors for lead exposure, including a child's time spent in a home, school, or building built before 1978. Existing law requires the department to ensure appropriate case management for children who have been identified with lead poisoning, and authorizes the department to contract with any public or private entity, including any local agency, to perform that duty. This bill would add several risk factors to be considered as part of the standard of care specified in regulations, including a child's residency in or visit to a foreign country. The bill would require the department to update its formula for allocating funds to a local agency that contracts with the department to administer the Childhood Lead Poisoning Prevention Program, and to revise funding allocations before each contract cycle. Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter contracts with managed care plans to provide Medi-Cal services, and imposes requirements on the Medi-Cal managed care plans, including network adequacy standards. Under existing law, Medi-Cal covers early and periodic screening, diagnostic, and treatment services for individuals under 21 years of age, consistent with federal law. Existing regulations of the department require a health care provider who performs a periodic health assessment of a child who receives services from a publicly funded program for low-income children, to order the child screened for lead poisoning, as specified, unless a parent or guardian of the child, or other person with legal authority to withhold consent, refuses to consent to the screening or if the risk of screening is a greater risk to the child's health than the risk of lead poisoning. Existing regulations also require the health care provider to provide oral or written guidance to a parent or guardian that includes information relating to the risk of childhood lead poisoning. This bill would require a contract between the department and a Medi-Cal managed care plan to require the Medi-Cal managed care plan, on a quarterly basis, to identify every enrollee who is a child without a record of completing the blood lead screening tests, and to remind the contracting network provider of the requirement to perform the required blood lead screening tests and the requirement to provide the oral or written guidance to a parent or guardian relating to risk of childhood lead poisoning. The bill would require the department to develop and implement procedures to ensure compliance with those requirements would authorize the department to impose sanctions for a violation of those requirements. The bill would authorize the department to implement these provisions by means of plan or county letters, or other similar instructions.

Bill Text

• Chaptered 09/28/20 - Chaptered Current pdf September 28, 2020
• Enrolled 09/01/20 - Enrolled pdf September 01, 2020
• Amended 08/25/20 - Amended Senate pdf August 25, 2020
• Amended 08/20/20 - Amended Senate pdf August 20, 2020
• Amended 08/05/20 - Amended Senate pdf August 05, 2020
• Amended 07/27/20 - Amended Senate pdf July 27, 2020
• Amended 07/22/20 - Amended Senate pdf July 22, 2020
• Amended 05/12/20 - Amended Assembly pdf May 12, 2020
• Introduced 02/14/20 - Introduced pdf February 14, 2020
• AB2276 View text html

Action History

1. September 28, 2020

   Chaptered by Secretary of State - Chapter 216, Statutes of 2020.

2. September 28, 2020

   Approved by the Governor.

3. September 10, 2020

   Enrolled and presented to the Governor at 2:30 p.m.

4. August 30, 2020

   Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 75. Noes 0. Page 5363.).

5. August 29, 2020

   In Assembly. Concurrence in Senate amendments pending.

6. August 29, 2020

   Read third time. Passed. Ordered to the Assembly. (Ayes 38. Noes 0. Page 4436.).

7. August 26, 2020

   Read second time. Ordered to third reading.

8. August 25, 2020

   Read third time and amended. Ordered to second reading.

9. August 24, 2020

   Read second time. Ordered to third reading.

10. August 20, 2020

    Read second time and amended. Ordered returned to second reading.

11. August 20, 2020

    From committee: Amend, and do pass as amended. (Ayes 7. Noes 0.) (August 20).

12. August 13, 2020

    In committee: Referred to APPR. suspense file.

13. August 05, 2020

    Read second time and amended. Re-referred to Com. on APPR.

14. August 04, 2020

    From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (August 1).

15. July 27, 2020

    From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.

16. July 22, 2020

    From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.

17. July 01, 2020

    Referred to Com. on HEALTH.

18. June 11, 2020

    In Senate. Read first time. To Com. on RLS. for assignment.

19. June 10, 2020

    Read third time. Passed. Ordered to the Senate. (Ayes 78. Noes 0. Page 4758.)

20. June 04, 2020

    Read second time. Ordered to third reading.

21. June 04, 2020

    Coauthors revised.

22. June 03, 2020

    From committee: Do pass. (Ayes 18. Noes 0.) (June 3).

23. June 02, 2020

    In committee: Set, first hearing. Referred to APPR. suspense file.

24. May 19, 2020

    From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 15. Noes 0.) (May 18). Re-referred to Com. on APPR.

25. May 13, 2020

    Re-referred to Com. on HEALTH.

26. May 12, 2020

    From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.

27. February 24, 2020

    Referred to Com. on HEALTH.

28. February 15, 2020

    From printer. May be heard in committee March 16.

29. February 14, 2020

    Read first time. To print.

Sponsors

• Eloise Gómez Reyes · Primary
• Quirk · Cosponsor
• Salas · Cosponsor
• Leyva · Cosponsor
• Jeff Gonzalez · Cosponsor
• Blanca E. Rubio · Cosponsor
• Robert Garcia · Cosponsor

Votes

Subjects