2009 California Insurance Code - Section 12693.92-12693.95 :: Chapter 15. Reports

12693.92.  (a) The program shall prepare an annual report in
conformance with the requirements of Section 2108 of Title XXI of the
Social Security Act (P.L. 105-33). A copy of the report shall be
provided to the Legislature and other interested parties.
   (b) As soon as possible, but no later than July 1, 2000, the board
shall include in its annual report information on (1) how assurance
of preventive services by health plans and health care providers is
achieved; (2) the performance of health plans and providers in
providing preventive services and addressing barriers to service
delivery; and (3) the mechanism or mechanisms that will be used to
identify changes over time in the health status of children enrolled
in the program. Beginning no later than July 1, 2001, the report
shall include information about changes in the health status of
children participating in the program.
   (c) The board shall immediately provide the fiscal and policy
committees of the Legislature with a copy of their submittal to the
federal government to meet the requirements for state plan provisions
as contained in Chapter 1 of Title XXI of the Social Security Act.
Any and all subsequent amendments to the state plan shall also be
provided accordingly.

12693.925.  (a) The Managed Risk Medical Insurance Board shall
report to the Legislature on or before January 30, 2004, the
following information with respect to the State Children's Health
Insurance Program:
   (1) A list of the categories of vulnerable children who should be
the targets of public health initiatives, including, but not limited
to, immigrant children, homeless children, and other children that
face health disparities.
   (2) Recommendations on innovative methods available under the
federal program for addressing health needs and barriers to care for
the identified groups of vulnerable children. The board shall report
as many recommendations as possible that are available under the
federal program and the expected impact of each recommendation.
   (3) Recommendations on innovative methods available under the
federal program for developing in urban areas initiatives similar to
the rural demonstration projects. The board shall report as many
recommendations as possible that are available under the federal
program and the expected impact of each recommendation.
   (b) The board shall seek input, at regularly scheduled meetings of
the board, from the Healthy Families Advisory Panel and stakeholder
organizations, including, but not limited to, organizations that
represent immigrant and homeless populations, other communities that
experience health disparities, and traditional providers of care to
low-income populations.
   (c) This section shall be implemented only to the extent that
federal financial participation is obtained.

12693.93.  The board shall prepare an evaluation of the program and
other state efforts to expand coverage to children in conformance
with Section 2108 of Title XXI of the Social Security Act. The
evaluation shall incorporate measurement of the delivery of
preventive services by health plans and health care providers and
assessment of changes over time in the health status of children
participating in the program.

12693.95.  (a) The board in consultation with the Department of
Alcohol and Drug Programs shall provide the Legislature by April 15,
1998, a proposal assessing the viability of providing additional drug
and alcohol treatment services for children enrolled in the program.
   If the board determines that it is feasible to provide additional
federal funds received pursuant to Title XXI (commencing with Section
2101) of the Social Security Act to counties to finance drug and
alcohol services and required federal approval is obtained, the board
shall negotiate with participating health plans to establish
memoranda of understanding between plans and counties to facilitate
referral of children in need of these services.
   (b) Based on the April 15, 1998, report by the board to the
Legislature, the Legislature finds and declares that there is a
statewide gap in publicly funded alcohol and other drug treatment for
adolescents which is significant and systemic.
   (1) Therefore, the Department of Alcohol and Drug Programs, in
cooperation with the board, shall do the following:
   (A) Review capacity needs for the Healthy Families Program target
group after year one data has been collected and an assessment of the
adequacy of the benefit can be made.
   (B) Request that counties provide data on the number of
adolescents requesting alcohol and other drug treatment and whether
they are participating in the Healthy Families Program.
   (2) The board shall do the following:
   (A) Request the participating health plans to voluntarily collect
data, as prescribed by the board, on the number of children needing
services that exceed the substance abuse benefit in their plan.
   (B) Upon contract renewal, require participating health plans to
collect and report the data.
   (C) By September 1, 1999, provide the policy and fiscal committees
of the Legislature with an analysis of the data obtained by the
Department of Alcohol and Drug Programs and from the participating
health plans.