SB 228: Comprehensive Perinatal Services Program.
- Session Year: 2025-2026
- House: Senate
- Latest Version Date: 2025-05-23
Current Status:
In Progress
(2025-08-29: August 29 hearing: Held in committee and under submission.)
Introduced
In Committee
Awaiting First Chamber Vote
Passed First Chamber
In Committee
Awaiting Second Chamber Vote
Passed Second Chamber
Enacted
Existing law establishes the Comprehensive Perinatal Services Program, the goals of which are to decrease and maintain the decreased level of perinatal, maternal, and infant mortality and morbidity in the State of California and to support methods of providing comprehensive prenatal care that prevent prematurity and the incidence of low birth weight infants. Under the program, the State Department of Public Health is required to develop and maintain a statewide comprehensive community-based perinatal services program and enter into contracts, grants, or agreements with health care providers to deliver these services in a coordinated effort. Existing law also requires the department to monitor the delivery of services under those contracts, grants, and agreements through a uniform health data collection system that utilizes epidemiologic methodology.
This bill would specify that the State Department of Health Care Services is responsible for implementing comprehensive community-based perinatal services for purposes of the Medi-Cal program. By July 1, 2027, the bill would require the State Department of Health Care Services, in consultation with the State Department of Public Health, to clarify each departments roles and responsibilities in the Comprehensive Perinatal Services Program by regulation. The bill would, among other things, require the State Department of Health Care Services to develop a training on administering the program, require all perinatal providers in the program to attend the training, and require all Medi-Cal managed care plans to ensure providers receive the training. The bill would require the State Department of Health Care Services, no later than July 15, 2026, to submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies reports that identify the number of pregnant and postpartum individuals that received and were offered Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive. The bill would also require the State Department of Health Care Services, commencing January 1, 2028, and every 3 years thereafter, to submit to those committees, and post on its internet website, a report that identifies reports that identify the number of pregnant and postpartum individuals that received and were offered Comprehensive Perinatal Services Program services during the previous 3 years. The bill would also state the intent of the Legislature to enact additional legislation relating to the program in order to implement several legislative recommendations made in a specified report issued by the California State Auditors office including by, among other things, requiring the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties. duties, as specified.
Existing law establishes the Comprehensive Perinatal Services Program, the goals of which are to decrease and maintain the decreased level of perinatal, maternal, and infant mortality and morbidity in the State of California and to support methods of providing comprehensive prenatal care that prevent prematurity and the incidence of low birth weight infants. Under the program, the State Department of Public Health is required to develop and maintain a statewide comprehensive community-based perinatal services program and enter into contracts, grants, or agreements with health care providers to deliver these services in a coordinated effort. Existing law also requires the department to monitor the delivery of services under those contracts, grants, and agreements through a uniform health data collection system that utilizes epidemiologic methodology.
This bill would transfer administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services. The bill would, among other things, authorize the State Department of Health Care Services to enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement those provisions. specify that the State Department of Health Care Services is responsible for implementing comprehensive community-based perinatal services for purposes of the Medi-Cal program. By July 1, 2027, the bill would require the State Department of Health Care Services, in consultation with the State Department of Public Health, to clarify each departments roles and responsibilities in the Comprehensive Perinatal Services Program by regulation. The bill would, among other things, require the State Department of Health Care Services to develop a training on administering the program, require all perinatal providers in the program to attend the training, and require all Medi-Cal managed care plans to ensure providers receive the training. The bill would require the State Department of Health Care Services, no later than January July 15, 2026, to submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive. The bill would also require the State Department of Health Care Services, commencing January 1, 2028, and every 3 years thereafter, to submit to those committees, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous 3 years. The bill would also state the intent of the Legislature to enact additional legislation relating to the program in order to implement several legislative recommendations made in a specified report issued by the California State Auditors office including by, among other things, requiring the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.
Existing law establishes the Comprehensive Perinatal Services Program, the goals of which are to decrease and maintain the decreased level of perinatal, maternal, and infant mortality and morbidity in the State of California and to support methods of providing comprehensive prenatal care that prevent prematurity and the incidence of low birth weight infants. Under the program, the State Department of Public Health is required to develop and maintain a statewide comprehensive community-based perinatal services program and enter into contracts, grants, or agreements with health care providers to deliver these services in a coordinated effort. Existing law also requires the department to monitor the delivery of services under those contracts, grants, and agreements through a uniform health data collection system that utilizes epidemiologic methodology.
This bill would transfer administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services. The bill would, among other things, authorize the State Department of Health Care Services to enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement those provisions. The bill would require the State Department of Health Care Services, no later than January 15, 2026, to submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the Comprehensive Perinatal Services Program from January 1, 2022, to January 1, 2025, inclusive. The bill would also require the State Department of Health Care Services, commencing January 1, 2028, and every 3 years thereafter, to submit to those committees, and post on its internet website, a report that identifies the providers that conducted reviews of the Comprehensive Perinatal Services Program during the previous 3 years. The bill would also state the intent of the Legislature to enact additional legislation relating to the program in order to implement legislative recommendations made in a specified report issued by the California State Auditors office including by, among other things, requiring the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.
Existing law establishes the Comprehensive Perinatal Services Program, the goals of which are to decrease and maintain the decreased level of perinatal, maternal, and infant mortality and morbidity in the State of California and to support methods of providing comprehensive prenatal care that prevent prematurity and the incidence of low birth weight infants. Under the program, the State Department of Public Health is required to develop and maintain a statewide comprehensive community-based perinatal services program and enter into contracts, grants, or agreements with health care providers to deliver these services in a coordinated effort. Existing law also requires the department to monitor the delivery of services under those contracts, grants, and agreements through a uniform health data collection system that utilizes epidemiologic methodology.
This bill would transfer administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services. The bill would, among other things, authorize the State Department of Health Care Services to enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement those provisions. The bill would also state the intent of the Legislature to enact additional legislation relating to the program in order to implement legislative recommendations made in a specified report issued by the California State Auditors office including by, among other things, requiring the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.
It is the intent of the Legislature to enact legislation implementing several recommendations made in California State Auditor Report 2023-103: The Comprehensive Perinatal Services Program to enhance monitoring and oversight of the program:
(a)Clarify that the State Department of Health Care Services is primarily responsible for the delivery of the Comprehensive Perinatal Services Program benefits benefit as the single state agency pursuant to Section 10740 of the Welfare and Institutions Code that oversees the Medi-Cal program. It is the intent of the Legislature that the State Department of Health Care Services collaborate with the State Department of Public Health when appropriate.
(b)Require the State Department of Health Care Services to collaborate with the State Department of Public Health on updated regulations related to the Comprehensive Perinatal Services Program.
(c)Require the State Department of Health Care Services to develop a system of oversight to ensure that managed care plans and providers and fee-for-service providers are aware of and offer Comprehensive Perinatal Services Program services to all pregnant and postpartum Medi-Cal members. beneficiaries.
(d)Require the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties. duties as part of monitoring and overseeing Medi-Cals Comprehensive Perinatal Services Program benefit in both the managed care and fee-for-service delivery systems.
SEC. 2.Section 123486 is added to the Health and Safety Code, to read:123486.Notwithstanding Section 131051, the duties and responsibilities outlined in this article do not supersede the State Department of Health Care Services authority as the designated single state agency for the administration of the federal Medicaid program pursuant to Section 10740 of the Welfare and Institutions Code and as designated in Californias Medicaid state plan. As such, in addition to the duties required by the department, the State Department of Health Care Services is ultimately responsible for the implementation of this benefit for the purposes of the Medi-Cal program.
SEC. 3.Section 123487 is added to the Health and Safety Code, to read:123487.(a)The department shall, in collaboration with the State Department of Health Care Services, update the regulations related to the statewide comprehensive community-based perinatal services program to clarify the roles and responsibilities from each department and make adjustments to the current monitoring and oversights systems, including the monitoring of managed care plans and fee-for-service providers, by July 1, 2027.
(b)The department shall, in collaboration with the State Department of Health Care Services, develop a training on administering the perinatal program and require that all perinatal providers in the program attend the training. training, including managed care plan and fee-for-service providers.
(c)The department shall, in collaboration with the State Department of Health Care Services, develop a form for managed care plan and fee-for-service providers to collect information information, starting no later than January 31, 2026, on the offer and use of perinatal services, and shall share the information collected with the State Department of Health Care Services for inclusion in all perinatal quality assurance efforts, including the triennial report required pursuant to Section 123521.
(d)The department shall develop and implement a system to verify the information provided pursuant to subdivision (c).SEC. 4.Section 123501 is added to the Health and Safety Code, to read:123501.(a)The State Department of Health Care Services shall require all Medi-Cal managed care plans to include information on the enhanced perinatal program benefits in the plan member handbooks.
(b)The State Department of Health Care Services shall require all Medi-Cal managed care plans to ensure that providers have received the training described in Section 123487.
(c)The No later than January 31, 2026, the State Department of Health Care Services shall implement a system to ensure that Medi-Cal managed care plans and fee-for-service providers offer and provide Comprehensive Perinatal Services Program services to eligible enrollees. beneficiaries.
(d)The State Department of Health Care Services shall require Medi-Cal managed care plans, as defined in Section 14184.101 of the Welfare and Institutions Code, to conduct quality assurance reviews on perinatal providers at least once every three years, starting in January 2026, to ensure that Medi-Cal managed care plan enrollees are being offered and receive Comprehensive Perinatal Services Program services.
(e)The department shall develop and implement a system to verify compliance with subdivision (c).
SEC. 5.Section 123521 is added to the Health and Safety Code, to read:123521.(a)(1)The State Department of Health Care Services shall, no later than July 15, 2026, submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive.
(2)The State Department of Health Care Services shall, no later than July 15, 2026, submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the number of pregnant and postpartum individuals that were offered Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive.
(2)(3)Commencing January 1, 2028, and every three years thereafter, the State Department of Health Care Services shall submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous three years.
(4)Commencing January 1, 2028, and every three years thereafter, the State Department of Health Care Services shall submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the number of pregnant and postpartum individuals that were offered Comprehensive Perinatal Services Program services during the previous three years.
(b)A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
In addition to transferring administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services, it is also It is the intent of the Legislature to enact legislation implementing the remaining several recommendations to the Legislature made in California State Auditor Report 2023-103: The Comprehensive Perinatal Services Program by requiring the State Department of Health Care Services to do both of the following: to enhance monitoring and oversight of the program:
(a)Clarify that the State Department of Health Care Services is primarily responsible for the delivery of the Comprehensive Perinatal Services Program benefits as the agency that oversees the Medi-Cal program. It is the intent of the Legislature that the State Department of Health Care Services collaborate with the State Department of Public Health when appropriate.
(b)Require the State Department of Health Care Services to collaborate with the State Department of Public Health on updated regulations related to the Comprehensive Perinatal Services Program.
(a)Develop(c)Require the State Department of Health Care Services to develop a system of oversight to ensure that managed care plans and providers are aware of and offer Comprehensive Perinatal Services Program services to all pregnant and postpartum Medi-Cal members.
(b)Create(d)Require the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties.
SEC. 2.Section 123485 of the Health and Safety Code is amended to read:123485.The following definitions shall govern the construction of this article:(a)Community-based comprehensive perinatal care means a range of prenatal, delivery, postpartum, infant, and pediatric care services delivered in an urban community or neighborhood, rural area, city or county clinic, city or county health department, freestanding birth center, or other health care provider facility by health care practitioners trained in methods of preventing complications and problems during and after pregnancy, and in methods of educating pregnant women of these preventive measures, and who provide a continuous range of services. The health care practitioners shall, through a system of established linkages to other levels of care in the community, consult with, and, when appropriate, refer to, specialists.(b)Low income means all persons of childbearing age eligible for Medi-Cal benefits under Chapter 7 (commencing with Section 14000) and all persons eligible for public social services for which federal reimbursement is available, including potential recipients. Potential recipients shall include the pregnant woman and her infant in a family where current social, economic and health conditions of the family indicate that the family would likely become a recipient of financial assistance within the next five years.(c)Prenatal care means care received from conception until the completion of labor and delivery.(d)Perinatal care means care received from the time of conception through the first year after birth.(e)Qualified organization means any nonprofit, not-for-profit, or for-profit corporation with demonstrated expertise in implementing the Nurse-Family Partnership program or similar programs in different local settings.(f)Qualified trainer means anyone who has been certified by the Nurse-Family Partnership to provide training.(g)Department means the State Department of Health Care Services, unless otherwise designated.SEC. 3.Section 123486 is added to the Health and Safety Code, to read:123486.(a)Commencing January 1, 2026, the department succeeds to, and is vested with, all the powers, functions, duties, responsibilities, obligations, liabilities, and jurisdiction of the program established pursuant to this article.(b)The department may enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement this section.(c)Without limiting any other powers or duties, the department shall ensure compliance with the terms of any state plans, memoranda of understanding, administrative orders, interagency agreements, contracts, assurances, single state agency obligations, federal statutes and regulations, and any other form of agreement or obligation that vital government activities rely upon or are a condition to the continued receipt by the department of state or federal funds or services.(d)All existing regulations relating to the program that were adopted by the State Department of Public Health on or before January 1, 2026, are expressly continued in force.(e)A contract, lease, license, state or federal grant, memorandum of understanding, or any other agreement relating to the program to which the State Department of Public Health is a party is not void or voidable by reason of the act that added this section, but is continued in full force and effect, with the department assuming all of the rights, obligations, and duties of the State Department of Public Health. The assumption by the department does not in any way affect the rights of the parties to the contract, lease, license, state or federal grant, memorandum of understanding, or agreement.(f)Any legal action concerning the duties, responsibilities, obligations, liabilities, and functions described in this article shall not abate, and shall continue in the name of the department. The substitution of the department for the State Department of Public Health or the State Public Health Officer does not affect the rights of the parties to the action.(g)All financial and accounting records, documents, records, and property relating to the program shall be transferred to the department by the State Department of Public Health. The format and timing of this transfer shall be mutually agreed upon by the department and the State Department of Public Health, and shall not require formal agreement or approval by any other entity.SEC. 2.Section 123486 is added to the Health and Safety Code, to read:123486.Notwithstanding Section 131051, the duties and responsibilities outlined in this article do not supersede the State Department of Health Care Services authority as the designated single state agency for the administration of the federal Medicaid program as designated in Californias Medicaid state plan. As such, in addition to the duties required by the department, the State Department of Health Care Services is ultimately responsible for the implementation of this benefit for the purposes of the Medi-Cal program.
SEC. 3.Section 123487 is added to the Health and Safety Code, to read:123487.(a)The department shall, in collaboration with the State Department of Health Care Services, update the regulations related to the statewide comprehensive community-based perinatal services program to clarify the roles and responsibilities from each department and make adjustments to the current monitoring and oversights systems, including the monitoring of managed care plans and fee-for-service providers, by July 1, 2027.
(b)The department shall, in collaboration with the State Department of Health Care Services, develop a training on administering the perinatal program and require that all perinatal providers in the program attend the training.
(c)The department shall, in collaboration with the State Department of Health Care Services, develop a form for providers to collect information on the offer and use of perinatal services, and shall share the information collected with the State Department of Health Care Services for inclusion in the triennial report required pursuant to Section 123521.
(d)The department shall develop and implement a system to verify the information provided pursuant to subdivision (c).
SEC. 4.Section 123501 is added to the Health and Safety Code, to read:123501.(a)The State Department of Health Care Services shall require all Medi-Cal managed care plans to include information on the enhanced perinatal program benefits in the plan member handbooks.
(b)The State Department of Health Care Services shall require all Medi-Cal managed care plans to ensure that providers have received the training described in Section 123487.
(c)The State Department of Health Care Services shall implement a system to ensure that Medi-Cal managed care plans offer and provide Comprehensive Perinatal Services Program services to eligible enrollees.
(d)The State Department of Health Care Services shall require Medi-Cal managed care plans, as defined in Section 14184.101 of the Welfare and Institutions Code, to conduct quality assurance reviews on perinatal providers at least once every three years, starting in January 2026, to ensure that Medi-Cal managed care plan enrollees are being offered and receive Comprehensive Perinatal Services Program services.
SEC. 4.SEC. 5.Section 123521 is added to the Health and Safety Code, to read:123521.(a)(1)The department State Department of Health Care Services shall, no later than January July 15, 2026, submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive.
(2)Commencing January 1, 2028, and every three years thereafter, the department State Department of Health Care Services shall submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the number of pregnant and postpartum individuals that received Comprehensive Perinatal Services Program services during the previous three years.
(b)A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
All matter omitted in this version of the bill appears in the bill as amended in the Senate, March 24, 2025. (JR11)In addition to transferring administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services, it is also the intent of the Legislature to enact legislation implementing the remaining recommendations to the Legislature made in California State Auditor Report 2023-103: The Comprehensive Perinatal Services Program by requiring the State Department of Health Care Services to do all both of the following:
(a)Submit to the Assembly Health Committee and the Senate Health Committee, and to post on its internet website, every three years, a report that identifies the providers that conducted reviews of the Comprehensive Perinatal Services Program.(b)(a)Develop a system of oversight to ensure that providers are aware of and offer Comprehensive Perinatal Services Program services to all pregnant and postpartum Medi-Cal members.
(c)(b)Create and use a perinatal services data form to engage in additional data collection duties.
SEC. 2.Section 123485 of the Health and Safety Code is amended to read:123485.The following definitions shall govern the construction of this article:
(a)Community-based comprehensive perinatal care means a range of prenatal, delivery, postpartum, infant, and pediatric care services delivered in an urban community or neighborhood, rural area, city or county clinic, city or county health department, freestanding birth center, or other health care provider facility by health care practitioners trained in methods of preventing complications and problems during and after pregnancy, and in methods of educating pregnant women of these preventive measures, and who provide a continuous range of services. The health care practitioners shall, through a system of established linkages to other levels of care in the community, consult with, and, when appropriate, refer to, specialists.
(b)Low income means all persons of childbearing age eligible for Medi-Cal benefits under Chapter 7 (commencing with Section 14000) and all persons eligible for public social services for which federal reimbursement is available, including potential recipients. Potential recipients shall include the pregnant woman and her infant in a family where current social, economic and health conditions of the family indicate that the family would likely become a recipient of financial assistance within the next five years.
(c)Prenatal care means care received from conception until the completion of labor and delivery.
(d)Perinatal care means care received from the time of conception through the first year after birth.
(e)Qualified organization means any nonprofit, not-for-profit, or for-profit corporation with demonstrated expertise in implementing the Nurse-Family Partnership program or similar programs in different local settings.
(f)Qualified trainer means anyone who has been certified by the Nurse-Family Partnership to provide training.
(g)Department means the State Department of Health Care Services, unless otherwise designated.
SEC. 3.Section 123486 is added to the Health and Safety Code, to read:123486.(a)Commencing January 1, 2026, the department succeeds to, and is vested with, all the powers, functions, duties, responsibilities, obligations, liabilities, and jurisdiction of the program established pursuant to this article.
(b)The department may enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement this section.
(c)Without limiting any other powers or duties, the department shall ensure compliance with the terms of any state plans, memoranda of understanding, administrative orders, interagency agreements, contracts, assurances, single state agency obligations, federal statutes and regulations, and any other form of agreement or obligation that vital government activities rely upon or are a condition to the continued receipt by the department of state or federal funds or services.
(d)All existing regulations relating to the program that were adopted by the State Department of Public Health on or before January 1, 2026, are expressly continued in force.
(e)A contract, lease, license, state or federal grant, memorandum of understanding, or any other agreement relating to the program to which the State Department of Public Health is a party is not void or voidable by reason of the act that added this section, but is continued in full force and effect, with the department assuming all of the rights, obligations, and duties of the State Department of Public Health. The assumption by the department does not in any way affect the rights of the parties to the contract, lease, license, state or federal grant, memorandum of understanding, or agreement.
(f)Any legal action concerning the duties, responsibilities, obligations, liabilities, and functions described in this article shall not abate, and shall continue in the name of the department. The substitution of the department for the State Department of Public Health or the State Public Health Officer does not affect the rights of the parties to the action.
(g)All financial and accounting records, documents, records, and property relating to the program shall be transferred to the department by the State Department of Public Health. The format and timing of this transfer shall be mutually agreed upon by the department and the State Department of Public Health, and shall not require formal agreement or approval by any other entity.
SEC. 4.Section 123521 is added to the Health and Safety Code, to read:123521.(a)(1)The department shall, no later than January 15, 2026, submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the Comprehensive Perinatal Services Program from January 1, 2022, to January 1, 2025, inclusive.
(2)Commencing January 1, 2028, and every three years thereafter, the department shall submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, a report that identifies the providers that conducted reviews of the Comprehensive Perinatal Services Program during the previous three years.
(b)A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
SEC. 4.SEC. 5.Section 131051 of the Health and Safety Code is amended to read:131051.The duties, powers, functions, jurisdiction, and responsibilities transferred to the State Department of Public Health shall, pursuant to the act that added this section, include all of the following previously performed by the former State Department of Health Services:
(a)Under the jurisdiction of the Deputy Director for Prevention Services:
(1)The Office of AIDS, including but not limited to:
(A)The AIDS Drug Assistance Program (Chapter 6 (commencing with Section 120950) of Part 4 of Division 105).
(B)The AIDS Early Intervention Program (Chapter 4 (commencing with Section 120900) of Part 4 of Division 105).
(C)The CARE Services Program, provided for pursuant to the federal Ryan White CARE Act, 42 U.S.C. Section 300ff.
(D)The CARE/Health Insurance Premium Payment Program (federal Ryan White CARE Act, 42 U.S.C. Sec. 300ff).
(E)The Housing Opportunities for Persons with AIDS Program (Section 100119).
(F)The Residential AIDS Licensed Facilities Program (former Section 100119; Chapter 2 (commencing with Section 120815) of Part 4 of Division 105).
(G)The AIDS Case Management Program (federal Ryan White CARE Act, 42 U.S.C. Sec. 300ff; Chapter 2 (commencing with Section 120815) of Part 4 of Division 105).
(H)The AIDS Medi-Cal Waiver Program (former Section 100119; 42 U.S.C. Sec. 1396n(c)).
(I)The Bridge Project (former Section 100119).
(J)The HIV Therapeutic Monitoring Program (Chapter 16 (commencing with Section 121345) of Part 4 of Division 105).
(K)The Learning Immune Function Enhancement program (former Section 100119).
(L)The San Ysidro Prevention Project (Section 113019).
(M)The California Statewide Treatment Education Program (former Section 100119).
(N)The HIV Counseling and Testing Program (Section 113019).
(O)The Neighborhood Intervention Geared Toward High-Risk Testing program (former Section 100119).
(P)The Perinatal Transmission Prevention Project (Section 113019).
(Q)The California AIDS Clearinghouse (Section 113019).
(R)The California Disclosure Assistance and Partner Services/Partner Counseling and Referral Services (Section 113019).
(S)The African-American HIV Initiative (Section 113019; Chapter 13.7 (commencing with Section 120290) of Part 4 of Division 105).
(T)The Injection Drug User HIV Testing Utilizing Hepatitis C Testing High-Risk Initiative (Section 113019).
(U)The Prevention with Positives High-Risk Initiative (Section 113019).
(V)The Statewide Technical Assistance Initiatives (Section 113019).
(W)The HIV/AIDS Case Registry (Sections 113019, 120125, and 120130).
(2)The Office of Binational Border Health, including, but not limited to, all of the following:
(A)The California-Mexico Health Initiative (Part 3 (commencing with Section 475) of Division 1).
(B)The Early Warning Infectious Disease Surveillance Program (Chapter 2 (commencing with Section 1250) of Division 2; Chapter 2 (commencing with Section 120130) of Part 1 of Division 105).
(3)The Division of Communicable Disease Control, including, but not limited to, all of the following:
(A)The Infant Botulism Treatment and Prevention Program (Article 2.5 (commencing with Section 123700) of Chapter 3 of Part 2 of Division 106).
(B)The Sexually Transmitted Disease Control Program (Part 3 (commencing with Section 120500) of Division 105).
(C)The Infectious Disease Program (Chapter 2 (commencing with Section 120130) of Part 1 of Division 105).
(D)The Bioterrorism Epidemiology Program.
(E)The Vector Borne Disease (Part 11 (commencing with Section 116100) of Division 104).
(F)The Tuberculosis Control Program (Part 5 (commencing with Section 121350) of Division 105).
(G)The Microbial Diseases Laboratory (Chapter 2 (commencing with Section 100250) of Division 101).
(H)The Viral and Rickettsial Disease Laboratory (Chapter 2 (commencing with Section 100250) of Division 101).
(I)The West Nile Human Surveillance Program (Chapter 2 (commencing with Section 116110) of Part 11 of Division 104).
(J)The Immunization Program (Part 2 (commencing with Section 120325) of Division 105).
(K)The Vaccines for Children Program (Part 2 (commencing with Section 120325) of Division 105).
(4)The Division of Chronic Disease and Injury Control, including, but not limited to, all of the following:
(A)The IMPACT Prostate Cancer Treatment Program (Chapter 7 (commencing with Section 104322) of Part 1 of Division 103), until June 30, 2012. Commencing July 1, 2012, the duties, powers, functions, jurisdiction, and responsibilities of the State Department of Public Health regarding this program are hereby with the State Department of Health Care Services.
(B)The Every Woman Counts program (Breast and Cervical Cancer Screening Program) (Article 1.3 (commencing with Section 104150) of Chapter 2 of Part 1 of Division 103; Section 30461.6 of the Revenue and Taxation Code), until June 30, 2012. Commencing July 1, 2012, the duties, powers, functions, jurisdiction, and responsibilities of the State Department of Public Health regarding this program are hereby with the State Department of Health Care Services.
(C)The Well-Integrated Screening and Evaluation for Women Across the Nation Demonstration Project (Article 1.3 (commencing with Section 104150) of Chapter 2 of Part 1 of Division 103).
(D)The California Nutrition Network (Chapter 2 (commencing with Section 104575) of Part 3 of Division 103).
(E)The Cancer Research Program (Article 2 (commencing with Section 104175) of Chapter 2 of Part 1 of Division 103).
(F)The Translational Cancer Research and Technology Transfer Program (Article 2 (commencing with Section 104175) of Chapter 2 of Part 1 of Division 103).
(G)The Ken Maddy California Cancer Registry (Chapter 2 (commencing with Section 103875) of Part 2 of Division 102).
(H)The California Osteoporosis Prevention and Education Program (Chapter 1 (commencing with Section 125700) of Part 8 of Division 106).
(I)The Preventive Health Care for the Aging Program (Part 4 (commencing with Section 104900) of Division 103).
(J)The California Arthritis Prevention Program (former Section 100185).
(K)The Office of Oral Health (Chapter 3 (commencing with Section 104750) of Part 3 of Division 103).
(L)The Childrens Dental Disease Prevention Program (Article 3 (commencing with Section 104770) of Chapter 3 of Part 3 of Division 103).
(M)The Community Water Fluoridation Program (Article 3.5 (commencing with Section 116409) of Chapter 4 of Part 12 of Division 104).
(N)The California Asthma Public Health Initiative (Chapter 6.5 (commencing with Section 104316) of Part 1 of Division 103).
(O)The California Obesity Prevention Initiative (Chapter 2 (commencing with Section 104575) of Part 3 of Division 103).
(P)The School Health Connections program (Chapter 2 (commencing with Section 104575) of Part 3 of Division 103).
(Q)The California Project LEAN (Chapter 2 (commencing with Section 104575) of Part 3 of Division 103).
(R)The California Center for Physical Activity (Section 131085).
(S)The California Diabetes Program (Section 131085).
(T)The Preventive Medicine Residency Program (Section 131090).
(U)The California Epidemiologic Investigation Service (Article 4 (commencing with Section 100325) of Chapter 2 of Part 1 of Division 101).
(V)The Continuing Professional Education Program (Section 131090).
(W)The Injury Surveillance and Epidemiology Program (Part 2 (commencing with Section 104325) of Division 103).
(X)The State and Local Injury Control Program (Chapter 1 (commencing with Section 104325) of Part 2 of Division 103).
(Y)The Office on Disability and Health (former Section 100185).
(Z)The Alzheimers Disease Program (Article 4 (commencing with Section 125275) of Chapter 2 of Part 5 of Division 106).
(AA)The California Tobacco Control Program (Chapter 1 (commencing with Section 104350) of Part 3 of Division 103).
(5)The Division of Drinking Water and Environmental Management, including, but not limited to, all of the following:
(A)The Medical Waste Management Program (Part 14 (commencing with Section 117600) of Division 104).
(B)The Department of Defense Oversight Program (Radiologic Guidance and Approvals) (Part 9 (commencing with Section 114650) of Division 104).
(C)The Nuclear Emergency Response Program (Part 9 (commencing with Section 114650) of Division 104).
(D)The Institutions Program (Environmental Surveys) (Article 5 (commencing with Section 116025) of Chapter 5 of Part 10 of Division 104).
(E)The Drinking Water Field Management program (Chapter 4 (commencing with Section 116270) of Part 12 of Division 104).
(F)The Environmental Health Specialist Registration Program (Article 1 (commencing with Section 106600) of Chapter 4 of Part 1 of Division 104).
(G)The Sanitation and Radiation Laboratory (Article 2 (commencing with Section 100250) of Chapter 2 of Part 1 of Division 101); Chapter 4 (commencing with Section 116270) of Part 12 of Division 104). 104.
(H)The Radon Program (Chapter 7 (commencing with Section 105400) of Part 5 of Division 103; Chapter 4 (commencing with Section 116270) of Part 12, and Article 2 (commencing with Section 106750) of Chapter 4 of Part 1, of Division 104).
(I)The Shellfish Sanitation Program (Chapter 5 (commencing with Section 112150) of Part 6 of Division 104).
(J)The Ocean Beach Safety Programs (Article 2 (commencing with Section 115875) of Chapter 5 of Part 10 of Division 104).
(K)The Bioterrorism Planning and Response for Drinking Water, Medical Waste, and Environmental Health program (Article 6 (commencing with Section 101315) of Chapter 3 of Part 3 of Division 101).
(L)The Safe Drinking Water State Revolving Fund (Chapter 4.5 (commencing with Section 116760) of Part 12 of Division 104).
(M)The Drinking Water Technical Programs (Chapter 4 (commencing with Section 16270) of Part 12 of Division 104; Chapter 4.5 (commencing with Section 116760) of Part 12 of Division 104; Article 3 (commencing with Section 106875) of Chapter 4 of Part 1 of Division 104; Chapter 5 (commencing with Section 116775) of Part 12 of Division 104; Chapter 5 (commencing with Section 115825) of Part 10 of Division 104; Chapter 7 (commencing with Section 13500) of Division 7 of the Water Code; Section 13411 of the Water Code).
(N)The Water Security, Clean Drinking Water, Coastal and Beach Protection Act of 2002 (Proposition 50) (Division 26.5 (commencing with Section 79500) of the Water Code).
(6)The Division of Environmental and Occupational Disease Control, including, but not limited to, all of the following:
(A)The California Birth Defect Monitoring Program (Chapter 1 (commencing with Section 103825) of Part 2 of Division 102).
(B)The Childhood Lead Poisoning Prevention Program (Chapter 5 (commencing with Section 105275) of Part 5 of Division 103; Article 7 (commencing with Section 124125) of Chapter 3 of Part 2 of Division 106).
(C)The Lead Related Construction Program (Chapter 4 (commencing with Section 105250) of Part 5 of Division 103).
(D)The Epidemiology Studies Laboratory (Sections 25416, former Section 100170, Section 100325, and Section 104324.25).
(E)The Center for Autism and Developmental Disabilities Research and Epidemiology (former Section 100170).
(F)The Cancer Cluster/Environmental Investigations (former Section 100170).
(G)The Toxic Mold Program (Chapter 18 (commencing with Section 26100) of Division 20).
(H)The Federal Agency for Toxic Substances and Disease Registry Health Assessments, Education and Investigations program (former Section 100170).
(I)The Fish Contamination Outreach and Education program (former Section 100170).
(J)The Air Pollution and Cardiovascular Disease in the California Teachers Study Cohort Project (former Section 100170).
(K)The Delta Watershed Fish Project (outreach, education, and training to reduce exposures to mercury in fish) (former Section 100170).
(L)The Environmental Health Laboratory (former Section 100170; Article 2 (commencing with Section 100250) of Chapter 2 of Part 1 of Division 101).
(M)The Indoor Air Quality program (Chapter 7 (commencing with Section 105400) of Part 5 of Division 103).
(N)The Outdoor Air Quality program (Section 60.9 of the Labor Code).
(O)The Laboratory Response Network for Chemical Terrorism program (former Section 100170; Article 2 (commencing with Section 100250) of Chapter 2 of Part 1 of Division 101).
(P)The Air Quality and Human Monitoring Support Program (former Section 100170).
(Q)The Hazard Evaluation System and Information Service Program (Article 1 (commencing with Section 105175) of Chapter 2 of Part 5 of Division 103; Section 147.2 of the Labor Code).
(R)The Occupational Health Surveillance and Evaluation Program (Article 1 (commencing with Section 105175) of Chapter 2 of Part 5 of Division 103).
(S)The Occupational Lead Poisoning Prevention Program (Article 2 (commencing with Section 105185) of Chapter 2 of Part 5 of Division 103).
(T)The Occupational Blood Lead Registry (Article 2 (commencing with Section 105185) of Chapter 2 of Part 5 of Division 103).
(7)The Division of Food, Drug and Radiation Safety, including, but not limited to, all of the following:
(A)The Drug Licensing Program (Article 6 (commencing with Section 111615) of Chapter 6 of Part 5 of Division 104).
(B)The Consumer Product Safety Program (Part 3 (commencing with Section 108100) of Division 104).
(C)The Export Program (Article 2 (commencing with Section 110190) of Chapter 2 of Part 5 of Division 104).
(D)The Food Safety Inspection Program (Part 5 (commencing with Section 109875) and Part 6 (commencing with Section 111940) of Division 104).
(E)The Foodborne Illness and Tampering Emergency Response Program (Part 5 (commencing with Section 109875) of Division 104).
(F)The Retail Food Safety Program (Part 7 (commencing with Section 113700) of Division 104).
(G)The Food Safety Industry Education and Training Program (pursuant to Section 110485).
(H)The Medical Device Licensing Program (Article 6 (commencing with Section 111615) of Chapter 6 of Part 5 of Division 104).
(I)The Medical Device Safety Program (Part 5 (commencing with Section 109875) of Division 104).
(J)The Stop Tobacco Access to Kids Enforcement Program (STAKE) (Division 8.5 (commencing with Section 22950) of the Business and Professions Code).
(K)The Food and Drug Laboratory (Chapter 2 (commencing with Section 100250) of Division 101).
(L)The Drug Safety Program (Part 4 (commencing with Section 109250) and Part 5 (commencing with Section 109875) of Division 104).
(M)The General Food Safety Program (Part 5 (commencing with Section 109875) and Part 6 (commencing with Section 111940) of Division 104).
(N)The Food Testing Program (Chapter 2 (commencing with Section 100250) of Division 101).
(O)The Forensic Alcohol Testing Program (Article 2 (commencing with Section 100700) of Chapter 4 of Part 1 of Division 101).
(P)The Methadone Laboratory Regulating Program (Article 2 (commencing with Section 11839.23) of Chapter 10 of Part 2 of Division 10.5).
(Q)The Radiologic Health Program (Part 9 (commencing with Section 114650) of Division 104).
(R)The Mammography Program (Chapter 6 (commencing with Section 114840) of Part 9 of Division 104).
(S)The Radioactive Materials Licensing and Inspection Program (Chapter 8 (commencing with Section 114960) of Part 9 of Division 104).
(T)The Radiological Technologist Certification Program (Article 5 (commencing with Section 106955) of Part 1, and Article 3 (commencing with Section 114855) of Chapter 6 of Part 9 of Division 104).
(U)The Radioactive Waste Tracking Program (Chapter 8 (commencing with Section 114960) of Part 9 of Division 104).
(V)The Radioactive Waste Minimization Program (Chapter 8 (commencing with Section 114960) of Part 9 of Division 104).
(W)The Low Level Radioactive Waste Management, Treatment and Disposal Program (Chapter 8 (commencing with Section 114960) of Part 9 of Division 104).
(X)The Statewide Environmental Radiation Monitoring Program (pursuant to Section 114755).
(Y)The Department of Energy Oversight Program (Part 9 (commencing with Section 114650) of Division 104).
(Z)The X-Ray Machine Inspection and Registration and Mammography Quality Standards Act Inspection Program (Article 5 (commencing with Section 106955) of Part 1, and Article 3 (commencing with Section 114855) of Chapter 6 of Part 9 of Division 104).
(8)The Deputy Director for Laboratory Science, including, but not limited to, all of the following:
(A)The Environmental Laboratory Accreditation Program (Article 3 (commencing with Section 100825) of Chapter 4 of Part 1 of Division 101).
(B)The Laboratory Central Services Program (Article 2 (commencing with Section 100250) of Chapter 2 of Part 1 of Division 101).
(C)The National Laboratory Training Network (Section 131085).
(D)The Laboratory Field Services program (Chapter 3 (commencing with Section 1200) of Division 2 of the Business and Professions Code).
(b)Under the jurisdiction of the Deputy Director for Licensing and Certification:
(1)The General Acute Care Hospitals Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(2)The Acute Psychiatric Hospitals Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(3)The Special Hospitals Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(4)The Chemical Dependency Recovery Hospitals Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(5)The Skilled Nursing Facilities Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(6)The Intermediate Care Facilities Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(7)The Intermediate Care Facilities-Developmentally Disabled Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(8)The Intermediate Care Facilities-Developmentally Disabled-Habilitative Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(9)The Intermediate Care Facility-Developmentally Disabled-Nursing Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(10)The Home Health Agencies Licensing Program (Chapter 8 (commencing with Section 1725) of Division 2).
(11)The Referral Agencies Licensing Program (Chapter 2.3 (commencing with Section 1400) of Division 2).
(12)The Adult Day Health Centers Licensing Program (Chapter 3.3 (commencing with Section 1570) of Division 2).
(13)The Congregate Living Health Facilities (Chapter 2 (commencing with Section 1250) of Division 2).
(14)The Psychology Clinics Licensing Program (Chapter 1 (commencing with Section 1200) of Division 2).
(15)The Primary ClinicsCommunity and Free Licensing Program (Chapter 1 (commencing with Section 1200) of Division 2).
(16)The Specialty ClinicsRehab Clinics Licensing Program (Chapter 1 (commencing with Section 1200) of Division 2).
(17)The Dialysis Clinics Licensing Program (Chapter 1 (commencing with Section 1200) of Division 2).
(18)The Pediatric Day Health/Respite Care Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(19)The Alternative Birthing Centers Licensing Program (Chapter 1 (commencing with Section 1200) of Division 2).
(20)The Hospice Licensing Program (Chapter 2 (commencing with Section 1339.30) of Division 2).
(21)The Correctional Treatment Centers Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(22)The Medicare/Medi-Cal Certification Program (Chapter 7 (commencing with Section 14000) of Part 3 of Division 9 of the Welfare and Institutions Code).
(23)The Nursing Home Administrator Professional Certification Program (Chapter 2.35 (commencing with Section 1416) of Division 2).
(24)The Certified Nursing Assistants Professional Certification Program (Chapter 2 (commencing with Section 1337) of Division 2).
(25)The Home Health Aides Professional Certification Program (Chapter 8 (commencing with Section 1725) of Division 2).
(26)The Hemodialysis Technicians Professional Certification Program (Chapter 3 (commencing with Section 1247) of Division 2 of the Business and Professions Code; Chapter 10 (commencing with Section 1794) of Division 2).
(27)The Criminal Background Clearance Program (Chapter 2 (commencing with Section 1337), Chapter 3 (commencing with Section 1520), Chapter 3.01 (commencing with Section 1569.15), Chapter 3.4 (commencing with Section 1496.80) of Division 2, and Chapter 4 (commencing with Section 11150) of Division 8).
(c)Under the jurisdiction of the Deputy Director for Health Information and Strategic Planning:
(1)The Refugee Health Program (Subpart G of Part 400 of Title 45 of the Code of Federal Regulations).
(2)The Office of County Health Services (Article 5 (commencing with Section 101300) of Chapter 3 of Part 3 of Division 101; Part 4.7 (commencing with Section 16900) of Division 9 of the Welfare and Institutions Code).
(3)The Medically Indigent Services Program (Article 5 (commencing with Section 101300) of Chapter 3 of Part 3 of Division 101).
(4)The Office of Vital Records (Part 1 (commencing with Section 102100) of Division 102).
(5)The Office of Health Information and Research (Article 1 (commencing with Section 102175) of Chapter 2 of Part 1 of Division 102; Section 128730).
(6)The Local Public Health Services Program (Article 5 (commencing with Section 101300) of Chapter 3 of Part 3 of Division 101).
(7)The Center for Health Statistics (Part 1 (commencing with Section 102100) of Division 102; Section 128730).
(8)The Medical Marijuana Program (Article 2.5 (commencing with Section 11362.7) of Chapter 6 of Division 10 of the Health and Safety Code).
(d)Under the jurisdiction of the Deputy Director for Primary Care and Family Health:
(1)The Maternal, Child and Adolescent Health program (Part 2 (commencing with Section 123225) of Division 106).
(2)The Adolescent Family Life Program (Article 1 (commencing with Section 124175) of Chapter 4 of Part 2 of Division 106).
(3)The Advanced Practice Nurse Training program (Part 2 (commencing with Section 123225) of Division 106).
(4)The Black Infant Health Program (Part 2 (commencing with Section 123225) of Division 106).
(5)The Breastfeeding Program (Article 3 (commencing with Section 123360) of Chapter 1 of Part 2 of Division 6).
(6)The California Diabetes and Pregnancy Program (Part 2 (commencing with Section 123225) of Division 106).
(7)The California Initiative to Improve Adolescent Health (Part 2 (commencing with Section 123225) of Division 106).
(8)The Childhood Injury Prevention Program (Article 4 (commencing with Section 100325) of Chapter 2 of Division 101).
(9)The Fetal and Infant Mortality Review Program (Article 1 (commencing with Section 123650) of Chapter 3 of Part 2 of Division 106).
(10)The Human Stem Cell Research Program (Chapter 3 (commencing with Section 125290.10) of Part 5 of Division 106; Chapter 1 (commencing with Section 125300) of Part 5.5 of Division 106).
(11)The Local Health Department Maternal, Child and Adolescent Health Program (Section 123255).
(12)The Maternal Mortality Review Program (Article 4 (commencing with Section 100325) of Chapter 2 of Division 101).
(13)The Oral Health Program (Part 2 (commencing with Section 123225) of Division 106).
(14)The Preconception Health and Health Care Initiative (Part 2 (commencing with Section 123225) of Division 106).
(15)The Regional Perinatal Programs of California (Article 4 (commencing with Section 123550) of Chapter 2 of Part 2 of Division 106).
(16)The Perinatal Dispatch Centers Outreach and Education Program (Article 4 (commencing with Section 123750) of Chapter 3 of Part 2 of Division 106).
(17)The State Early Childhood Comprehensive Services program (Part 2 (commencing with Section 123225) of Division 106).
(18)The Sudden Infant Death Syndrome Program (Article 3 (commencing with Section 123725) of Chapter 3 of Part 2 of Division 106).
(19)The Youth Pilot Program (Chapter 12.85 (commencing with Section 18987) of Part 6 of Division 9 of the Welfare and Institutions Code).
(20)The Office of Family Planning (Chapter 8.5 (commencing with Section 14500) of Part 3 of Division 9 of the Welfare and Institutions Code; Division 24 (commencing with Section 24000) of the Welfare and Institutions Code), until June 30, 2012. Commencing July 1, 2012, the duties, powers, functions, jurisdiction, and responsibilities of the State Department of Public Health regarding this office are hereby with the State Department of Health Care Services.
(21)The Community Challenge Grant Program (Section 14504.1 of the Welfare and Institutions Code, and Chapter 14 (commencing with Section 18993) of Part 6 of Division 9 of the Welfare and Institutions Code).
(22)The Information and Education Program (Section 14504.3 of the Welfare and Institutions Code).
(23)The Family PACT Program (subdivision (aa) of Section 14132 and Section 24005 of the Welfare and Institutions Code), until June 30, 2012. Commencing July 1, 2012, the duties, powers, functions, jurisdiction, and responsibilities of the State Department of Public Health regarding this program are hereby with the State Department of Health Care Services.
(24)The Male Involvement Program (Section 14504 of the Welfare and Institutions Code).
(25)The TeenSMART Outreach Program (Section 14504.2 of the Welfare and Institutions Code).
(26)The Battered Women Shelter Program (Chapter 6 (commencing with Section 124250) of Part 2 of Division 106).
(27)The Women, Infants and Children Program (Article 1 (commencing with Section 123275) of Chapter 1 of Part 2 of Division 106).
(28)The WIC Supplemental Nutrition Program (Article 1 (commencing with Section 123275) of Chapter 1 of Part 2 of Division 106).
(29)The Farmers Market Nutrition Program (Section 123279).
(30)Genetic Disease Program (Chapter 1 (commencing with Section 124975) of Part 5 of Division 106).
(31)The Newborn Screening Program (Chapter 1 (commencing with Section 124975) of Part 5 of Division 106).
(32)The Prenatal Screening Program (Chapter 1 (commencing with Section 124975) of Part 5 of Division 106).
In addition to transferring administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services, it is also the intent of the Legislature to enact legislation implementing the remaining recommendations to the Legislature made in California State Auditor Report 2023-103: The Comprehensive Perinatal Services Program by requiring the State Department of Health Care Services to do all of the following:
(a)Submit to the Assembly Health Committee and the Senate Health Committee, and to post on its internet website, every three years, a report that identifies the providers that conducted reviews of the Comprehensive Perinatal Services Program.
(b)Develop a system of oversight to ensure that providers are aware of and offer Comprehensive Perinatal Services Program services to all pregnant and postpartum Medi-Cal members.
(c)Create and use a perinatal services data form to engage in additional data collection duties.
SEC. 2.Section 123485 of the Health and Safety Code is amended to read:123485.The following definitions shall govern the construction of this article:
(a)Community-based comprehensive perinatal care means a range of prenatal, delivery, postpartum, infant, and pediatric care services delivered in an urban community or neighborhood, rural area, city or county clinic, city or county health department, freestanding birth center, or other health care provider facility by health care practitioners trained in methods of preventing complications and problems during and after pregnancy, and in methods of educating pregnant women of these preventive measures, and who provide a continuous range of services. The health care practitioners shall, through a system of established linkages to other levels of care in the community, consult with, and, when appropriate, refer to, specialists.
(b)Low income means all persons of childbearing age eligible for Medi-Cal benefits under Chapter 7 (commencing with Section 14000) and all persons eligible for public social services for which federal reimbursement is available, including potential recipients. Potential recipients shall include the pregnant woman and her infant in a family where current social, economic and health conditions of the family indicate that the family would likely become a recipient of financial assistance within the next five years.
(c)Prenatal care means care received from conception until the completion of labor and delivery.
(d)Perinatal care means care received from the time of conception through the first year after birth.
(e)Qualified organization means any nonprofit, not-for-profit, or for-profit corporation with demonstrated expertise in implementing the Nurse-Family Partnership program or similar programs in different local settings.
(f)Qualified trainer means anyone who has been certified by the Nurse-Family Partnership to provide training.
(g)Department means the State Department of Public Health, Health Care Services, unless otherwise designated.
SEC. 3.Section 123486 is added to the Health and Safety Code, to read:123486.(a)Commencing January 1, 2026, the department succeeds to, and is vested with, all the powers, functions, duties, responsibilities, obligations, liabilities, and jurisdiction of the program established pursuant to this article.
(b)The department may enter into memoranda of understanding or interagency agreements or contracts with the State Department of Public Health, as necessary to implement this section.
(c)Without limiting any other powers or duties, the department shall ensure compliance with the terms of any state plans, memoranda of understanding, administrative orders, interagency agreements, contracts, assurances, single state agency obligations, federal statutes and regulations, and any other form of agreement or obligation that vital government activities rely upon or are a condition to the continued receipt by the department of state or federal funds or services.
(d)All existing regulations relating to the program that were adopted by the State Department of Public Health on or before January 1, 2026, are expressly continued in force.
(e)A contract, lease, license, state or federal grant, memorandum of understanding, or any other agreement relating to the program to which the State Department of Public Health is a party is not void or voidable by reason of the act that added this section, but is continued in full force and effect, with the department assuming all of the rights, obligations, and duties of the State Department of Public Health. The assumption by the department does not in any way affect the rights of the parties to the contract, lease, license, state or federal grant, memorandum of understanding, or agreement.
(f)Any legal action concerning the duties, responsibilities, obligations, liabilities, and functions described in this article shall not abate, and shall continue in the name of the department. The substitution of the department for the State Department of Public Health or the State Public Health Officer does not affect the rights of the parties to the action.
(g)All financial and accounting records, documents, records, and property relating to the program shall be transferred to the department by the State Department of Public Health. The format and timing of this transfer shall be mutually agreed upon by the department and the State Department of Public Health, and shall not require formal agreement or approval by any other entity.
SEC. 4.Section 131051 of the Health and Safety Code is amended to read:131051.The duties, powers, functions, jurisdiction, and responsibilities transferred to the State Department of Public Health shall, pursuant to the act that added this section, include all of the following previously performed by the former State Department of Health Services:
(a)Under the jurisdiction of the Deputy Director for Prevention Services:
(1)The Office of AIDS, including but not limited to:
(A)The AIDS Drug Assistance Program (Chapter 6 (commencing with Section 120950) of Part 4 of Division 105).
(B)The AIDS Early Intervention Program (Chapter 4 (commencing with Section 120900) of Part 4 of Division 105).
(C)The CARE Services Program, provided for pursuant to the federal Ryan White CARE Act, 42 U.S.C. Section 300ff.
(D)The CARE/Health Insurance Premium Payment Program (federal Ryan White CARE Act, 42 U.S.C. Sec. 300ff).
(E)The Housing Opportunities for Persons with AIDS Program (Section 100119).
(F)The Residential AIDS Licensed Facilities Program (former Section 100119; Chapter 2 (commencing with Section 120815) of Part 4 of Division 105).
(G)The AIDS Case Management Program (federal Ryan White CARE Act, 42 U.S.C. Sec. 300ff; Chapter 2 (commencing with Section 120815) of Part 4 of Division 105).
(H)The AIDS Medi-Cal Waiver Program (former Section 100119; 42 U.S.C. Sec. 1396n(c)).
(I)The Bridge Project (former Section 100119).
(J)The HIV Therapeutic Monitoring Program (Chapter 16 (commencing with Section 121345) of Part 4 of Division 105).
(K)The Learning Immune Function Enhancement program (former Section 100119).
(L)The San Ysidro Prevention Project (Section 113019).
(M)The California Statewide Treatment Education Program (former Section 100119).
(N)The HIV Counseling and Testing Program (Section 113019).
(O)The Neighborhood Intervention Geared Toward High-Risk Testing program (former Section 100119).
(P)The Perinatal Transmission Prevention Project (Section 113019).
(Q)The California AIDS Clearinghouse (Section 113019).
(R)The California Disclosure Assistance and Partner Services/Partner Counseling and Referral Services (Section 113019).
(S)The African-American HIV Initiative (Section 113019; Chapter 13.7 (commencing with Section 120290) of Part 4 of Division 105).
(T)The Injection Drug User HIV Testing Utilizing Hepatitis C Testing High-Risk Initiative (Section 113019).
(U)The Prevention with Positives High-Risk Initiative (Section 113019).
(V)The Statewide Technical Assistance Initiatives (Section 113019).
(W)The HIV/AIDS Case Registry (Sections 113019, 120125, and 120130).
(2)The Office of Binational Border Health, including, but not limited to, all of the following:
(A)The California-Mexico Health Initiative (Part 3 (commencing with Section 475) of Division 1).
(B)The Early Warning Infectious Disease Surveillance Program (Chapter 2 (commencing with Section 1250) of Division 2; Chapter 2 (commencing with Section 120130) of Part 1 of Division 105).
(3)The Division of Communicable Disease Control, including, but not limited to, all of the following:
(A)The Infant Botulism Treatment and Prevention Program (Article 2.5 (commencing with Section 123700) of Chapter 3 of Part 2 of Division 106).
(B)The Sexually Transmitted Disease Control Program (Part 3 (commencing with Section 120500) of Division 105).
(C)The Infectious Disease Program (Chapter 2 (commencing with Section 120130) of Part 1 of Division 105).
(D)The Bioterrorism Epidemiology Program.
(E)The Vector Borne Disease (Part 11 (commencing with Section 116100) of Division 104).
(F)The Tuberculosis Control Program (Part 5 (commencing with Section 121350) of Division 105).
(G)The Microbial Diseases Laboratory (Chapter 2 (commencing with Section 100250) of Division 101).
(H)The Viral and Rickettsial Disease Laboratory (Chapter 2 (commencing with Section 100250) of Division 101).
(I)The West Nile Human Surveillance Program (Chapter 2 (commencing with Section 116110) of Part 11 of Division 104).
(J)The Immunization Program (Part 2 (commencing with Section 120325) of Division 105).
(K)The Vaccines for Children Program (Part 2 (commencing with Section 120325) of Division 105).
(4)The Division of Chronic Disease and Injury Control, including, but not limited to, all of the following:
(A)The IMPACT Prostate Cancer Treatment Program (Chapter 7 (commencing with Section 104322) of Part 1 of Division 103), until June 30, 2012. Commencing July 1, 2012, the duties, powers, functions, jurisdiction, and responsibilities of the State Department of Public Health regarding this program are hereby with the State Department of Health Care Services.
(B)The Every Woman Counts program (Breast and Cervical Cancer Screening Program) (Article 1.3 (commencing with Section 104150) of Chapter 2 of Part 1 of Division 103; Section 30461.6 of the Revenue and Taxation Code), until June 30, 2012. Commencing July 1, 2012, the duties, powers, functions, jurisdiction, and responsibilities of the State Department of Public Health regarding this program are hereby with the State Department of Health Care Services.
(C)The Well-Integrated Screening and Evaluation for Women Across the Nation Demonstration Project (Article 1.3 (commencing with Section 104150) of Chapter 2 of Part 1 of Division 103).
(D)The California Nutrition Network (Chapter 2 (commencing with Section 104575) of Part 3 of Division 103).
(E)The Cancer Research Program (Article 2 (commencing with Section 104175) of Chapter 2 of Part 1 of Division 103).
(F)The Translational Cancer Research and Technology Transfer Program (Article 2 (commencing with Section 104175) of Chapter 2 of Part 1 of Division 103).
(G)The Ken Maddy California Cancer Registry (Chapter 2 (commencing with Section 103875) of Part 2 of Division 102).
(H)The California Osteoporosis Prevention and Education Program (Chapter 1 (commencing with Section 125700) of Part 8 of Division 106).
(I)The Preventive Health Care for the Aging Program (Part 4 (commencing with Section 104900) of Division 103).
(J)The California Arthritis Prevention Program (former Section 100185).
(K)The Office of Oral Health (Chapter 3 (commencing with Section 104750) of Part 3 of Division 103).
(L)The Childrens Dental Disease Prevention Program (Article 3 (commencing with Section 104770) of Chapter 3 of Part 3 of Division 103).
(M)The Community Water Fluoridation Program (Article 3.5 (commencing with Section 116409) of Chapter 4 of Part 12 of Division 104).
(N)The California Asthma Public Health Initiative (Chapter 6.5 (commencing with Section 104316) of Part 1 of Division 103).
(O)The California Obesity Prevention Initiative (Chapter 2 (commencing with Section 104575) of Part 3 of Division 103).
(P)The School Health Connections program (Chapter 2 (commencing with Section 104575) of Part 3 of Division 103).
(Q)The California Project LEAN (Chapter 2 (commencing with Section 104575) of Part 3 of Division 103).
(R)The California Center for Physical Activity (Section 131085).
(S)The California Diabetes Program (Section 131085).
(T)The Preventive Medicine Residency Program (Section 131090).
(U)The California Epidemiologic Investigation Service (Article 4 (commencing with Section 100325) of Chapter 2 of Part 1 of Division 101).
(V)The Continuing Professional Education Program (Section 131090).
(W)The Injury Surveillance and Epidemiology Program (Part 2 (commencing with Section 104325) of Division 103).
(X)The State and Local Injury Control Program (Chapter 1 (commencing with Section 104325) of Part 2 of Division 103).
(Y)The Office on Disability and Health (former Section 100185).
(Z)The Alzheimers Disease Program (Article 4 (commencing with Section 125275) of Chapter 2 of Part 5 of Division 106).
(AA)The California Tobacco Control Program (Chapter 1 (commencing with Section 104350) of Part 3 of Division 103).
(5)The Division of Drinking Water and Environmental Management, including, but not limited to, all of the following:
(A)The Medical Waste Management Program (Part 14 (commencing with Section 117600) of Division 104).
(B)The Department of Defense Oversight Program (Radiologic Guidance and Approvals) (Part 9 (commencing with Section 114650) of Division 104).
(C)The Nuclear Emergency Response Program (Part 9 (commencing with Section 114650) of Division 104).
(D)The Institutions Program (Environmental Surveys) (Article 5 (commencing with Section 116025) of Chapter 5 of Part 10 of Division 104).
(E)The Drinking Water Field Management program (Chapter 4 (commencing with Section 116270) of Part 12 of Division 104).
(F)The Environmental Health Specialist Registration Program (Article 1 (commencing with Section 106600) of Chapter 4 of Part 1 of Division 104).
(G)The Sanitation and Radiation Laboratory (Article 2 (commencing with Section 100250) of Chapter 2 of Part 1 of Division 101); Chapter 4 (commencing with Section 116270) of Part 12 of Division 104).
(H)The Radon Program (Chapter 7 (commencing with Section 105400) of Part 5 of Division 103; Chapter 4 (commencing with Section 116270) of Part 12, and Article 2 (commencing with Section 106750) of Chapter 4 of Part 1, of Division 104).
(I)The Shellfish Sanitation Program (Chapter 5 (commencing with Section 112150) of Part 6 of Division 104).
(J)The Ocean Beach Safety Programs (Article 2 (commencing with Section 115875) of Chapter 5 of Part 10 of Division 104).
(K)The Bioterrorism Planning and Response for Drinking Water, Medical Waste, and Environmental Health program (Article 6 (commencing with Section 101315) of Chapter 3 of Part 3 of Division 101).
(L)The Safe Drinking Water State Revolving Fund (Chapter 4.5 (commencing with Section 116760) of Part 12 of Division 104).
(M)The Drinking Water Technical Programs (Chapter 4 (commencing with Section 16270) of Part 12 of Division 104; Chapter 4.5 (commencing with Section 116760) of Part 12 of Division 104; Article 3 (commencing with Section 106875) of Chapter 4 of Part 1 of Division 104; Chapter 5 (commencing with Section 116775) of Part 12 of Division 104; Chapter 5 (commencing with Section 115825) of Part 10 of Division 104; Chapter 7 (commencing with Section 13500) of Division 7 of the Water Code; Section 13411 of the Water Code).
(N)The Water Security, Clean Drinking Water, Coastal and Beach Protection Act of 2002 (Proposition 50) (Division 26.5 (commencing with Section 79500) of the Water Code).
(6)The Division of Environmental and Occupational Disease Control, including, but not limited to, all of the following:
(A)The California Birth Defect Monitoring Program (Chapter 1 (commencing with Section 103825) of Part 2 of Division 102).
(B)The Childhood Lead Poisoning Prevention Program (Chapter 5 (commencing with Section 105275) of Part 5 of Division 103; Article 7 (commencing with Section 124125) of Chapter 3 of Part 2 of Division 106).
(C)The Lead Related Construction Program (Chapter 4 (commencing with Section 105250) of Part 5 of Division 103).
(D)The Epidemiology Studies Laboratory (Sections 25416, former Section 100170, Section 100325, and Section 104324.25).
(E)The Center for Autism and Developmental Disabilities Research and Epidemiology (former Section 100170).
(F)The Cancer Cluster/Environmental Investigations (former Section 100170).
(G)The Toxic Mold Program (Chapter 18 (commencing with Section 26100) of Division 20).
(H)The Federal Agency for Toxic Substances and Disease Registry Health Assessments, Education and Investigations program (former Section 100170).
(I)The Fish Contamination Outreach and Education program (former Section 100170).
(J)The Air Pollution and Cardiovascular Disease in the California Teachers Study Cohort Project (former Section 100170).
(K)The Delta Watershed Fish Project (outreach, education, and training to reduce exposures to mercury in fish) (former Section 100170).
(L)The Environmental Health Laboratory (former Section 100170; Article 2 (commencing with Section 100250) of Chapter 2 of Part 1 of Division 101).
(M)The Indoor Air Quality program (Chapter 7 (commencing with Section 105400) of Part 5 of Division 103).
(N)The Outdoor Air Quality program (Section 60.9 of the Labor Code).
(O)The Laboratory Response Network for Chemical Terrorism program (former Section 100170; Article 2 (commencing with Section 100250) of Chapter 2 of Part 1 of Division 101).
(P)The Air Quality and Human Monitoring Support Program (former Section 100170).
(Q)The Hazard Evaluation System and Information Service Program (Article 1 (commencing with Section 105175) of Chapter 2 of Part 5 of Division 103; Section 147.2 of the Labor Code).
(R)The Occupational Health Surveillance and Evaluation Program (Article 1 (commencing with Section 105175) of Chapter 2 of Part 5 of Division 103).
(S)The Occupational Lead Poisoning Prevention Program (Article 2 (commencing with Section 105185) of Chapter 2 of Part 5 of Division 103).
(T)The Occupational Blood Lead Registry (Article 2 (commencing with Section 105185) of Chapter 2 of Part 5 of Division 103).
(7)The Division of Food, Drug and Radiation Safety, including, but not limited to, all of the following:
(A)The Drug Licensing Program (Article 6 (commencing with Section 111615) of Chapter 6 of Part 5 of Division 104).
(B)The Consumer Product Safety Program (Part 3 (commencing with Section 108100) of Division 104).
(C)The Export Program (Article 2 (commencing with Section 110190) of Chapter 2 of Part 5 of Division 104).
(D)The Food Safety Inspection Program (Part 5 (commencing with Section 109875) and Part 6 (commencing with Section 111940) of Division 104).
(E)The Foodborne Illness and Tampering Emergency Response Program (Part 5 (commencing with Section 109875) of Division 104).
(F)The Retail Food Safety Program (Part 7 (commencing with Section 113700) of Division 104).
(G)The Food Safety Industry Education and Training Program (pursuant to Section 110485).
(H)The Medical Device Licensing Program (Article 6 (commencing with Section 111615) of Chapter 6 of Part 5 of Division 104).
(I)The Medical Device Safety Program (Part 5 (commencing with Section 109875) of Division 104).
(J)The Stop Tobacco Access to Kids Enforcement Program (STAKE) (Division 8.5 (commencing with Section 22950) of the Business and Professions Code).
(K)The Food and Drug Laboratory (Chapter 2 (commencing with Section 100250) of Division 101).
(L)The Drug Safety Program (Part 4 (commencing with Section 109250) and Part 5 (commencing with Section 109875) of Division 104).
(M)The General Food Safety Program (Part 5 (commencing with Section 109875) and Part 6 (commencing with Section 111940) of Division 104).
(N)The Food Testing Program (Chapter 2 (commencing with Section 100250) of Division 101).
(O)The Forensic Alcohol Testing Program (Article 2 (commencing with Section 100700) of Chapter 4 of Part 1 of Division 101).
(P)The Methadone Laboratory Regulating Program (Article 2 (commencing with Section 11839.23) of Chapter 10 of Part 2 of Division 10.5).
(Q)The Radiologic Health Program (Part 9 (commencing with Section 114650) of Division 104).
(R)The Mammography Program (Chapter 6 (commencing with Section 114840) of Part 9 of Division 104).
(S)The Radioactive Materials Licensing and Inspection Program (Chapter 8 (commencing with Section 114960) of Part 9 of Division 104).
(T)The Radiological Technologist Certification Program (Article 5 (commencing with Section 106955) of Part 1, and Article 3 (commencing with Section 114855) of Chapter 6 of Part 9 of Division 104).
(U)The Radioactive Waste Tracking Program (Chapter 8 (commencing with Section 114960) of Part 9 of Division 104).
(V)The Radioactive Waste Minimization Program (Chapter 8 (commencing with Section 114960) of Part 9 of Division 104).
(W)The Low Level Radioactive Waste Management, Treatment and Disposal Program (Chapter 8 (commencing with Section 114960) of Part 9 of Division 104).
(X)The Statewide Environmental Radiation Monitoring Program (pursuant to Section 114755).
(Y)The Department of Energy Oversight Program (Part 9 (commencing with Section 114650) of Division 104).
(Z)The X-Ray Machine Inspection and Registration and Mammography Quality Standards Act Inspection Program (Article 5 (commencing with Section 106955) of Part 1, and Article 3 (commencing with Section 114855) of Chapter 6 of Part 9 of Division 104).
(8)The Deputy Director for Laboratory Science, including, but not limited to, all of the following:
(A)The Environmental Laboratory Accreditation Program (Article 3 (commencing with Section 100825) of Chapter 4 of Part 1 of Division 101).
(B)The Laboratory Central Services Program (Article 2 (commencing with Section 100250) of Chapter 2 of Part 1 of Division 101).
(C)The National Laboratory Training Network (Section 131085).
(D)The Laboratory Field Services program (Chapter 3 (commencing with Section 1200) of Division 2 of the Business and Professions Code).
(b)Under the jurisdiction of the Deputy Director for Licensing and Certification:
(1)The General Acute Care Hospitals Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(2)The Acute Psychiatric Hospitals Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(3)The Special Hospitals Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(4)The Chemical Dependency Recovery Hospitals Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(5)The Skilled Nursing Facilities Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(6)The Intermediate Care Facilities Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(7)The Intermediate Care Facilities-Developmentally Disabled Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(8)The Intermediate Care Facilities-Developmentally Disabled-Habilitative Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(9)The Intermediate Care Facility-Developmentally Disabled-Nursing Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(10)The Home Health Agencies Licensing Program (Chapter 8 (commencing with Section 1725) of Division 2).
(11)The Referral Agencies Licensing Program (Chapter 2.3 (commencing with Section 1400) of Division 2).
(12)The Adult Day Health Centers Licensing Program (Chapter 3.3 (commencing with Section 1570) of Division 2).
(13)The Congregate Living Health Facilities (Chapter 2 (commencing with Section 1250) of Division 2).
(14)The Psychology Clinics Licensing Program (Chapter 1 (commencing with Section 1200) of Division 2).
(15)The Primary ClinicsCommunity and Free Licensing Program (Chapter 1 (commencing with Section 1200) of Division 2).
(16)The Specialty ClinicsRehab Clinics Licensing Program (Chapter 1 (commencing with Section 1200) of Division 2).
(17)The Dialysis Clinics Licensing Program (Chapter 1 (commencing with Section 1200) of Division 2).
(18)The Pediatric Day Health/Respite Care Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(19)The Alternative Birthing Centers Licensing Program (Chapter 1 (commencing with Section 1200) of Division 2).
(20)The Hospice Licensing Program (Chapter 2 (commencing with Section 1339.30) of Division 2).
(21)The Correctional Treatment Centers Licensing Program (Chapter 2 (commencing with Section 1250) of Division 2).
(22)The Medicare/Medi-Cal Certification Program (Chapter 7 (commencing with Section 14000) of Part 3 of Division 9 of the Welfare and Institutions Code).
(23)The Nursing Home Administrator Professional Certification Program (Chapter 2.35 (commencing with Section 1416) of Division 2).
(24)The Certified Nursing Assistants Professional Certification Program (Chapter 2 (commencing with Section 1337) of Division 2).
(25)The Home Health Aides Professional Certification Program (Chapter 8 (commencing with Section 1725) of Division 2).
(26)The Hemodialysis Technicians Professional Certification Program (Chapter 3 (commencing with Section 1247) of Division 2 of the Business and Professions Code; Chapter 10 (commencing with Section 1794) of Division 2).
(27)The Criminal Background Clearance Program (Chapter 2 (commencing with Section 1337), Chapter 3 (commencing with Section 1520), Chapter 3.01 (commencing with Section 1569.15), Chapter 3.4 (commencing with Section 1496.80) of Division 2, and Chapter 4 (commencing with Section 11150) of Division 8).
(c)Under the jurisdiction of the Deputy Director for Health Information and Strategic Planning:
(1)The Refugee Health Program (Subpart G of Part 400 of Title 45 of the Code of Federal Regulations).
(2)The Office of County Health Services (Article 5 (commencing with Section 101300) of Chapter 3 of Part 3 of Division 101; Part 4.7 (commencing with Section 16900) of Division 9 of the Welfare and Institutions Code).
(3)The Medically Indigent Services Program (Article 5 (commencing with Section 101300) of Chapter 3 of Part 3 of Division 101).
(4)The Office of Vital Records (Part 1 (commencing with Section 102100) of Division 102).
(5)The Office of Health Information and Research (Article 1 (commencing with Section 102175) of Chapter 2 of Part 1 of Division 102; Section 128730).
(6)The Local Public Health Services Program (Article 5 (commencing with Section 101300) of Chapter 3 of Part 3 of Division 101).
(7)The Center for Health Statistics (Part 1 (commencing with Section 102100) of Division 102; Section 128730).
(8)The Medical Marijuana Program (Article 2.5 (commencing with Section 11362.7) of Chapter 6 of Division 10 of the Health and Safety Code).
(d)Under the jurisdiction of the Deputy Director for Primary Care and Family Health:
(1)The Maternal, Child and Adolescent Health program (Part 2 (commencing with Section 123225) of Division 106).
(2)The Adolescent Family Life Program (Article 1 (commencing with Section 124175) of Chapter 4 of Part 2 of Division 106).
(3)The Advanced Practice Nurse Training program (Part 2 (commencing with Section 123225) of Division 106).
(4)The Black Infant Health Program (Part 2 (commencing with Section 123225) of Division 106).
(5)The Breastfeeding Program (Article 3 (commencing with Section 123360) of Chapter 1 of Part 2 of Division 6).
(6)The California Diabetes and Pregnancy Program (Part 2 (commencing with Section 123225) of Division 106).
(7)The California Initiative to Improve Adolescent Health (Part 2 (commencing with Section 123225) of Division 106).
(8)The Childhood Injury Prevention Program (Article 4 (commencing with Section 100325) of Chapter 2 of Division 101).
(9)The Comprehensive Perinatal Services Program (Article 3 (commencing with Section 123475) of Chapter 2 of Part 2; Section 14134.5 of the Welfare and Institutions Code).(10)(9)The Fetal and Infant Mortality Review Program (Article 1 (commencing with Section 123650) of Chapter 3 of Part 2 of Division 106).
(11)(10)The Human Stem Cell Research Program (Chapter 3 (commencing with Section 125290.10) of Part 5 of Division 106; Chapter 1 (commencing with Section 125300) of Part 5.5 of Division 106).
(12)(11)The Local Health Department Maternal, Child and Adolescent Health Program (Section 123255).
(13)(12)The Maternal Mortality Review Program (Article 4 (commencing with Section 100325) of Chapter 2 of Division 101).
(14)(13)The Oral Health Program (Part 2 (commencing with Section 123225) of Division 106).
(15)(14)The Preconception Health and Health Care Initiative (Part 2 (commencing with Section 123225) of Division 106).
(16)(15)The Regional Perinatal Programs of California (Article 4 (commencing with Section 123550) of Chapter 2 of Part 2 of Division 106).
(17)(16)The Perinatal Dispatch Centers Outreach and Education Program (Article 4 (commencing with Section 123750) of Chapter 3 of Part 2 of Division 106).
(18)(17)The State Early Childhood Comprehensive Services program (Part 2 (commencing with Section 123225) of Division 106).
(19)(18)The Sudden Infant Death Syndrome Program (Article 3 (commencing with Section 123725) of Chapter 3 of Part 2 of Division 106).
(20)(19)The Youth Pilot Program (Chapter 12.85 (commencing with Section 18987) of Part 6 of Division 9 of the Welfare and Institutions Code).
(21)(20)The Office of Family Planning (Chapter 8.5 (commencing with Section 14500) of Part 3 of Division 9 of the Welfare and Institutions Code; Division 24 (commencing with Section 24000) of the Welfare and Institutions Code), until June 30, 2012. Commencing July 1, 2012, the duties, powers, functions, jurisdiction, and responsibilities of the State Department of Public Health regarding this office are hereby with the State Department of Health Care Services.
(22)(21)The Community Challenge Grant Program (Section 14504.1 of the Welfare and Institutions Code, and Chapter 14 (commencing with Section 18993) of Part 6 of Division 9 of the Welfare and Institutions Code).
(23)(22)The Information and Education Program (Section 14504.3 of the Welfare and Institutions Code).
(24)(23)The Family PACT Program (subdivision (aa) of Section 14132 and Section 24005 of the Welfare and Institutions Code), until June 30, 2012. Commencing July 1, 2012, the duties, powers, functions, jurisdiction, and responsibilities of the State Department of Public Health regarding this program are hereby with the State Department of Health Care Services.
(25)(24)The Male Involvement Program (Section 14504 of the Welfare and Institutions Code).
(26)(25)The TeenSMART Outreach Program (Section 14504.2 of the Welfare and Institutions Code).
(27)(26)The Battered Women Shelter Program (Chapter 6 (commencing with Section 124250) of Part 2 of Division 106).
(28)(27)The Women, Infants and Children Program (Article 1 (commencing with Section 123275) of Chapter 1 of Part 2 of Division 106).
(29)(28)The WIC Supplemental Nutrition Program (Article 1 (commencing with Section 123275) of Chapter 1 of Part 2 of Division 106).
(30)(29)The Farmers Market Nutrition Program (Section 123279).
(31)(30)Genetic Disease Program (Chapter 1 (commencing with Section 124975) of Part 5 of Division 106).
(32)(31)The Newborn Screening Program (Chapter 1 (commencing with Section 124975) of Part 5 of Division 106).
(33)(32)The Prenatal Screening Program (Chapter 1 (commencing with Section 124975) of Part 5 of Division 106).
|
Date
|
Status
|
|---|---|
| Aug 29, 2025 | August 29 hearing: Held in committee and under submission. |
| Aug 20, 2025 | August 20 set for first hearing. Placed on APPR. suspense file. |
| Jul 9, 2025 | From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 16. Noes 0.) (July 8). Re-referred to Com. on APPR. |
| Jun 16, 2025 | Referred to Com. on HEALTH. |
| Jun 5, 2025 | In Assembly. Read first time. Held at Desk. |
| Jun 4, 2025 | Read third time. Passed. (Ayes 39. Noes 0. Page 1521.) Ordered to the Assembly. |
| Jun 2, 2025 | Ordered to special consent calendar. |
| May 27, 2025 | Read second time. Ordered to third reading. |
| May 23, 2025 | From committee: Do pass as amended. (Ayes 6. Noes 0. Page 1192.) (May 23). |
| May 23, 2025 | Read second time and amended. Ordered to second reading. |
| May 16, 2025 | Set for hearing May 23. |
| Apr 21, 2025 | April 21 hearing: Placed on APPR. suspense file. |
| Apr 8, 2025 | Set for hearing April 21. |
| Apr 7, 2025 | Read second time and amended. Re-referred to Com. on APPR. |
| Apr 3, 2025 | From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0. Page 636.) (April 2). |
| Mar 24, 2025 | From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. |
| Mar 17, 2025 | Set for hearing April 2. |
| Feb 5, 2025 | Referred to Com. on HEALTH. |
| Jan 29, 2025 | From printer. May be acted upon on or after February 28. |
| Jan 28, 2025 | Introduced. Read first time. To Com. on RLS. for assignment. To print. |
|
Date
|
Description
|
Location
|
Votes
|
|
|---|---|---|---|---|
| Jul 8, 2025 | Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar | Assembly Standing Committee on Health |
Passed |
|
| Jun 4, 2025 | Special Consent SB228 Cervantes | Senate Floor |
Passed |
|
| May 23, 2025 | Do pass as amended | Senate Standing Committee on Appropriations |
Passed |
|
| Apr 21, 2025 | Placed on suspense file | Senate Standing Committee on Appropriations |
Passed |
|
| Apr 2, 2025 | Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] | Senate Standing Committee on Health |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
|
Organization
|
Position
|
Date
|
|---|---|---|
| California Pan-Ethnic Health Network | ** Support | |
| National Association of Pediatric Nurse Practitioners | ** Support |
Date of Hearing: August 20, 2025
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Buffy Wicks, Chair
SBPCA Bill Id:SB 228
Author:(Cervantes) – As Amended Ver:May 23, 2025
Policy Committee: | Health | Vote: | 16 - 0 |
|
| ||
|
|
Urgency: No State Mandated Local Program: No Reimbursable: No
SUMMARY:
This bill requires the California Department of Public Health (CDPH), in collaboration with the Department of Health Care Services (DHCS), update regulations, create a provider training, and collect information on the Comprehensive Perinatal Services Program (CPSP). The bill requires DHCS to enhance oversight of Medi-Cal managed care plans’ provision of CPSP services and to prepare a report on the number of people offered and receiving CPSP services every three years.
Specifically, this bill:
- Requires CDPH, in collaboration with DHCS, update regulations related to the CPSP to clarify the roles and responsibilities from each department and adjust the current monitoring and oversight systems, including the monitoring of managed care plans and fee-for-service (FFS) providers, by July 1, 2027.
- Requires CDPH, in collaboration with DHCS, develop a training on administering the CPSC and require all perinatal CPSP providers, including managed care plan and FFS providers, attend the training.
- Requires, no later than January 31, 2026, CDPH, in collaboration with DHCS, develop a form for providers to collect information on the offer and use of perinatal services and requires CDPH share the information collected with DHCS for inclusion in all perinatal quality assurance efforts, including a pre-existing triennial report.
- Requires DHCS do the following:
- Require all Medi-Cal managed care plans include information on the enhanced perinatal program benefits in the plan member handbooks.
- Require all Medi-Cal managed care plans ensure providers have received CDPH’s training on administering the CPSC, described in item 2, above.
- No later than January 1, 2026, implement a system to ensure Medi-Cal managed care plans and FFS providers offer and provide CPSP services to eligible beneficiaries.
- Require Medi-Cal managed care plans conduct quality assurance reviews on perinatal providers at least once every three years, starting in January 2026, to ensure Medi-Cal plan enrollees are being offered and receiving CPSP services.
- Develop and implement a system, no later than January 31, 2026, to ensure Medi-Cal managed care plans and FFS providers offer and provide CPSP services to eligible enrollees.
- Require all Medi-Cal managed care plans include information on the enhanced perinatal program benefits in the plan member handbooks.
- Clarifies that DHCS, as the designated state agency responsible for administration of the Medicaid program, is the entity ultimately responsible for the CPSP benefit.
- Requires DHCS, no later than July 15, 2026, submit to the Assembly and Senate health committees and post on its website a report identifying the number of pregnant and postpartum individuals offered CPSP services from January 1, 2022 through January 1, 2025.
- Requires DHCS, commencing January 1, 2028, and every three years thereafter, submit to the Assembly and Senate Health Committees and post on its website a report identifying the number of pregnant and postpartum individuals that received CPSP services, and the number that were offered CPSP services during the previous three years.
- States legislative intent to implement several recommendations made in California State Auditor Report 2023-13 to enhance monitoring and oversight of CPSP.
FISCAL EFFECT:
CDPH estimates General Fund (GF) costs of $1.5 million in fiscal year (FY) 2026-27, $5.3 million in FY 2027-28, $3.1 million in FY 2028-29 and $2.2 million in FY 2029-30 and ongoing.
DHCS estimates costs of $176,000 (50% GF and 50% federal funds (FF)) in FY 2026-27 and $167,000 (50% GF/50% FF) in FY 2027-28 and ongoing for one Health Program Specialist II.
DHCS’ new staff will track submissions of facility site reviews (FSRs) and medical record reviews (MRRs), provide guidance regarding FSR and MRR protocols to Medi-Cal managed care plans (MCPs), lead the development of MCP policy guidance in various forms, including All Plan Letters, contract updates, and other MCP communications; research disputes and provide recommendations on resolution outcomes, and analyze and evaluate MCP performance and recommend enforcement actions, among other duties.
CDPH costs will cover two full-time equivalent positions to manage the development and delivery of training for all Medi-Cal providers, create a standardized data collection form, implement a system to track the offer and use of perinatal services, update regulations, and, due to information technology requirements, implement the Project Approval Lifecycle planning process.
COMMENTS:
- Purpose. According to the author:
According to a 2024 report of the State Auditor, CPSP does not provide sufficient data to track how often Medi-Cal consumers use [CPSP] services. [This bill] will help provide more transparency by enhancing the monitoring and oversight of the CPSP by providing clarity and oversight collaboration between DCHS and CDPH… Reinstating the administration and oversight of the CPSP program will help inform the usage of one of many important maternal programs in the State.
- Background. CPSP. The Legislature established CPSP in 1984 based on the results of a pilot that demonstrated obstetrical care, supplemented by psychosocial, health education and nutrition services and prenatal vitamins and minerals, could significantly reduce the incidence of low birth weight in infants. The Maternal, Child and Adolescent Health Program in CDPH oversees CPSP and the statewide system of perinatal care established in statute. The goals of CPSP are to: (a) decrease the incidence of low birthweight in infants; (b) improve the outcome of every pregnancy; (c) give every baby a healthy start in life; and, (d) lower health care costs by preventing catastrophic and chronic illness in infants and children.
CPSP is both a Medi-Cal benefit and a public health program, integrating Medi-Cal billing and coverage with quality and monitoring activities at local health jurisdictions (LHJs, usually county public health departments). To bill for CPSP services, a provider must enroll in and be CPSP-certified through their local LHJ. This certification is separate from and in addition to the basic requirement to enroll with DHCS as a Medi-Cal provider. Furthermore, to bill a Medi-Cal managed care plan for CPSP services, a provider must also be credentialed by and contracted with the plan. This design has created some implementation and coordination challenges, which were highlighted in a 2024 State Auditor’s report, discussed further below.
Recent Medi-Cal Efforts Overlap with CPSP. Because of program changes since the creation of CPSP, pregnant and postpartum people in Medi-Cal also have, outside of CPSP, coverage for a range of other services that supplement standard obstetrical care. DHCS is currently implementing numerous Medi-Cal program efforts, most notably through a number of federal demonstrations and waivers known collectively as CalAIM (California Advancing and Innovating Medi-Cal). Several such efforts are targeted at improving maternal health or overlap with the provision of CPSP services. Examples of supplemental services available to pregnant and postpartum individuals outside CPSP include Enhanced Care Management, which offers care management relating to social and behavioral health needs for high-risk populations, with certain birthing populations receiving particular efforts; community health worker and doula services; and others.
California State Auditor (CSA) Report. In February 2024, the CSA released a report that concluded both CDPH and DHCS have provided limited oversight and have not exercised their respective authority to make program improvements. The CSA also found that both CDPH and DHCS have not sufficiently communicated the availability of the program to providers or members.
Analysis Prepared by: Allegra Kim / APPR. / (916) 319-2081
SENATE RULES COMMITTEE Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | SB 228 |
THIRD READING
Bill No: SB 228
Author: Cervantes (D)
Amended: 5/23/25
Vote: 21
SENATE HEALTH COMMITTEE: 11-0, 4/2/25
AYES: Menjivar, Valladares, Durazo, Gonzalez, Grove, Limón, Padilla, Richardson, Rubio, Weber Pierson, Wiener
SENATE APPROPRIATIONS COMMITTEE: 6-0, 5/23/25
AYES: Caballero, Seyarto, Cabaldon, Grayson, Richardson, Wahab
NO VOTE RECORDED: Dahle
SUBJECT: Comprehensive Perinatal Services Program
SOURCE: Author
DIGEST:
This bill requires the California Department of Public Health, in collaboration with the Department of Health Care Services (DHCS), to update regulations, create a provider training, and collect information on the Comprehensive Perinatal Services Program (CPSP). Requires DHCS to implement a program to monitor Medi-Cal plan’s provision of CPSP services and to prepare a report on the number of people offered and receiving CPSP services every three years.
ANALYSIS:
Existing law:
- Establishes the Medi-Cal program, administered by DHCS, under which low-income individuals are eligible for medical coverage. [Welfare and Institutions Code (WIC) §14000, et seq.]
- Requires the Medi-Cal program to cover a pregnant individual who is eligible for and is receiving health care coverage under a Medi-Cal program for full-scope Medi-Cal benefits for the duration of the pregnancy and for a period of one year following the last day of the individual’s pregnancy. [WIC §14005.185]
- Establishes CPSP within the California Department of Public Health (CDPH) as a community-based system of comprehensive perinatal care for low-income women. States that prenatal care, delivery service, postpartum care, and neonatal and infant care are necessary services that have been demonstrated to be effective in preventing or reducing maternal, perinatal, and infant mortality and morbidity, including prematurity and low birth weight. Includes initial and ongoing physical assessment, psychosocial, nutrition, and health education assessments, interventions, counseling and referral, food supplement programs, vitamins, and breast-feeding and other services as appropriate. Requires all contracted providers to make these services available directly or by subcontract, and to use an appropriate multidisciplinary team. [Health and Safety Code (HSC) §123475, et seq.]
- Establishes the CPSP services as a Medi-Cal benefit. [WIC §14132]
- Defines CPSP providers to include any general practice physician, family practice physician, obstetrician-gynecologist, pediatrician, certified nurse midwife, a group, any of whose members is one of the above-named physicians, or any preferred provider organization or clinic enrolled in the Medi-Cal program and certified pursuant to the standards of this section. Allows providers to contract with medical and other practitioners for the purpose of delivering CPSP services. [WIC §14134.5]
- States that perinatal means the period from the establishment of pregnancy to one month following delivery. Requires the CPSP provider to schedule visits with appropriate providers and track the patient to make sure services have been received. Requires that the patient receive psychosocial assessment and referrals; nutrition assessment, appropriate referrals to counseling for food supplement programs, vitamins, and breastfeeding, health, childbirth, and parenting education. [WIC §14134.5]
This bill:
- Requires CDPH, in collaboration with DHCS, to update regulations related to the CPSP program to clarify the roles and responsibilities from each department and make adjustments to the current monitoring and oversight systems, including the monitoring of Medi-Cal plans by July 1, 2027.
- Requires CDPH, in collaboration with DHCS, to develop a training on administering the perinatal program and require all perinatal providers to attend the training.
- Requires CDPH, in collaboration with DHCS to develop a form for providers to collect information on the offer and use of perinatal services no later than January 31, 2026, and to share the information collected with this form with DHCS for inclusion in all perinatal quality assurance efforts, including a pre-existing triennial report.
- Requires DHCS to require Medi-Cal plans to ensure that providers receive the training described in 2) above.
- Requires DHCS to implement a system no later than January 31, 2026, to ensure that Medi-Cal plans and fee-for-service providers offer and provide CPSP services to eligible enrollees. Requires DHCS to implement a system to verify compliance with this requirement.
- Require DHCS to conduct quality assurance reviews on perinatal providers at least once every three years starting January 2026 to ensure that Medi-Cal plan enrollees are being offered and receiving CPSP services.
- Clarifies that DHCS, as the designated single state agency responsible for the administration of the Medicaid in California’s Medicaid state plan, DHCS is the entity ultimately responsible for the CPSP benefit.
- Requires DHCS to submit to the Assembly and Senate Health Committee and post on its website a report identifying the number of pregnant and postpartum individuals offered and the number of pregnant and postpartum individuals receiving CPSP services from January 1, 2022 to January 1, 2025 by July 15, 2026 and every three years thereafter starting January 1, 2028.
- States legislative intent to implement several recommendations made in California State Auditor Report 2023-13 to enhance monitoring and oversight of the program.
Comments
According to the author of this bill:
The Legislature established CPSP (AB 3021, Margolin, Chapter 1404, Statutes of 1984), which is jointly administered by both CDPH and DHCS. CPSP provides services to eligible low income pregnant and post-partum women and birthing people from conception to 60 days postpartum. In addition to standard obstetric services, patients receive enhanced services including psychosocial therapy, health and nutrition education, and more. According to a 2024 report of the State Auditor, CPSP does not provide sufficient data to track how often Medi-Cal consumers use their services. This bill will help provide more transparency by transferring the sole administration and oversight responsibilities of CPSP to DHCS. This bill will also require DHCS to submit a report to the Assembly and Senate Health committees every three years and disclose which providers conducted the reviews of the perinatal services, which is already a requirement of this program. Finally, this bill will require DHCS to publish on their website the providers who completed the reviews. Modifying the administration and oversight of the CPSP program will help inform the usage of one of many important maternal programs in the State.
Background
CPSP. CPSP is administered by the CDPH’s Maternal, Child and Adolescent Health division. CPSP provides a model of enhanced perinatal services for Medi-Cal eligible pregnant and postpartum individuals from entry to care through postpartum. These enhanced services are delivered by qualified Medi-Cal providers. CPSP services must be provided in conformance with current American College of Obstetrics and Gynecologists recommendations and California regulation. CPSP providers are reimbursed by fee-for-service Medi-Cal or according to their contract with a Medi-Cal managed care plan (Medi-Cal plan). CPSP clients receive a program orientation, initial nutrition, psychosocial and health education assessments, second and third trimester reassessments and postpartum assessments. The practitioner develops an individualized care plan to address needs identified in the assessments, conducts case coordination, and ensures that the client receives appropriate nutrition, health education and psychosocial interventions and referrals from a multidisciplinary team. The plan is developed for each CPSP client at the time of the initial assessment and updated at least every trimester and postpartum visit, and more often if needed. CPSP providers are also required to make referrals to programs and services such as the Women, Infant and Children nutrition program, genetic screening, dental care, and family planning, as well as provide case coordination to assure that health care members work together with the client to assure that the care plan is completed, and the client receives the necessary services.
State Auditor report. The California State Auditor released a report on CPSP on February 15, 2024, finding that neither DHCS nor CDPH provide sufficient oversight of CPSP. The report found that although DHCS requires the Medi-Cal plans it contracts with to conduct reviews of each of their primary care providers at least every three years, in 2022 only 45 of the approximately 2,600 providers’ reviews included an assessment of CPSP services. CDPH delegated its oversight of CPSP to local health jurisdictions, but it did not require that those jurisdictions complete the quality assurance chart reviews that would have provided insight into service quality. The auditor’s survey of the 61 local health jurisdictions found that 22 jurisdictions did not complete the chart reviews. Finally, the auditor found that the State lacks data on CPSP’s utilization necessary for its improvement. The auditor was only able to assess the usage of CPSP for 14% of Medi-Cal members in 2022. As part of the report, the auditor found that because nearly all Medi-Cal recipients are now enrolled in a Medi-Cal plan, rather than using the fee-for-service network, the Legislature should assign the primary responsibility for CPSP to DHCS, despite their failure to monitor or oversee the program thus far, and consider additional data collection duties. The auditor also made a number of other recommendation including updating the CPSP regulations, require training of perinatal providers in the fee-for-service and managed care networks, require Medi-Cal plans to conduct quality assurance reviews, and require information on CPSP in Medi-Cal plan member handbooks. In its responses to the audit, DHCS did not commit to making changes specific to CPSP, but instead committed more generally to improving access to pregnancy and pregnancy-related services and supports. CDPH did agree to update CPSP regulations in collaboration with DHCS and improve provider training on the CPSP program.
Birthing Care Pathway. In February 2025, DHCS released a Birthing Care Pathway report to summarize the current state of maternal health in Medi-Cal, outline DHCS’s vision for the Birthing Care Pathway, and identify a series of policy solutions to address the physical, behavioral, and health-related social needs of pregnant and postpartum Medi-Cal enrollees by improving access to providers, strengthening clinical care and care coordination, providing whole-person care, and modernizing how Medi-Cal pays for maternity care. With regards to CPSP, the report states that CPSP is provided inconsistently across delivery systems and counties, and many Medi-Cal recipients report being unaware of the services available. The report further states that CPSP should be modernized to ensure uniform, high-quality access to comprehensive perinatal services for all pregnant and postpartum Medi-Cal members. The report states that the separate CPSP provider enrollment process with CDPH is burdensome for providers, CPSP should be aligned with more recent clinical guidelines and best practices, and the delivery system and billing codes should be updated. The report also notes that some Workgroup members recommend extending CPSP coverage from 60 days to 12 months postpartum to align with Medi-Cal’s 12-month postpartum coverage.
FISCAL EFFECT: Appropriation: No Fiscal Com.: Yes Local: No
According to the Senate Appropriations Committee, this bill would have unknown, ongoing costs for CDPH to update regulations, develop training, and collect information (General Fund) and unknown, ongoing costs for DHCS to implement the provisions related to Medi-Cal managed care plans and fee-for-service providers and to submit the reports (General Fund and federal funds).
SUPPORT: (Verified 5/15/2025)
National Association of Pediatric Nurse Practitioners
California Pan-Ethnic Health Network
OPPOSITION: (Verified 5/15/2025)
None received.
ARGUMENTS IN SUPPORT: The National Association of Pediatric Nurse Practioners states that CPSP has been instrumental in improving perinatal health outcomes, reducing maternal and infant mortality, and preventing complications such as prematurity and low birth weight. This bill mandates DHCS to submit regular reports on the program’s review process, ensuring transparency and accountability. The inclusion of additional data collection through a perinatal services form and the creation of an oversight system to ensure that all eligible Medi-Cal members benefit from CPSP services is particularly important for improving service delivery across the state.
Prepared by: Jen Flory / HEALTH / (916) 651-4111
5/27/25 12:50:16
SENATE COMMITTEE ON
Senator Anna Caballero, Chair
2025 - 2026 Regular Session
SB 228 (Cervantes) - Comprehensive Perinatal Services Program
Version: | Policy Vote: |
Urgency: | Mandate: |
Hearing Date: | Consultant: |
Bill Summary:
SB 228 would further specify the duties of the California Department of Public Health (CDPH) and the Department of Health Care Services (DHCS) in the administration of the Comprehensive Perinatal Services Program (CPSP).
*********** ANALYSIS ADDENDUM – SUSPENSE FILE ***********
The following information is revised to reflect amendments
adopted by the committee on May 23, 2025
Fiscal Impact:
- Unknown, ongoing costs for the CDPH to update regulations, develop training, and collect information (General Fund).
- Unknown, ongoing costs for the DHCS to implement the provisions related to Medi-Cal managed care plans and fee-for-service providers and to submit the reports (General Fund and federal funds).
Author Amendments:
Clarify that provisions of the bill also apply to Medi-Cal fee-for-service providers and require the DHCS reports to also identify the number of pregnant and postpartum individuals that were offered CPSP services during the previous three years.
-- END --
SENATE COMMITTEE ON
Senator Anna Caballero, Chair
2025 - 2026 Regular Session
SB 228 (Cervantes) - Comprehensive Perinatal Services Program
Version: | Policy Vote: |
Urgency: | Mandate: |
Hearing Date: | Consultant: |
Bill Summary:
SB 228 would further specify the duties of the California Department of Public Health (CDPH) and the Department of Health Care Services (DHCS) in the administration of the Comprehensive Perinatal Services Program (CPSP).
Fiscal Impact:
- Unknown, ongoing costs for the CDPH to update regulations, develop training, and collect information (General Fund).
- Unknown, ongoing costs for the DHCS to implement the provisions related to Medi-Cal managed care plans and to provide the reports (General Fund and federal funds).
Background:
The CPSP, administered by CDPH, provides a model of enhanced perinatal services for Medi-Cal eligible pregnant and postpartum individuals from entry to care through postpartum. These enhanced services are delivered by qualified Medi-Cal providers. CPSP services must be provided in conformance with current American College of Obstetrics and Gynecologists recommendations and California regulation. CPSP providers are reimbursed by fee-for-service Medi-Cal or according to their contract with a Medi-Cal managed care plan. CPSP clients receive a program orientation, initial nutrition, psychosocial and health education assessments, second and third trimester reassessments and postpartum assessments. The practitioner develops an individualized care plan to address needs identified in the assessments, conducts case coordination, and ensures that the client receives appropriate nutrition, health education and psychosocial interventions and referrals from a multidisciplinary team. The plan is developed for each CPSP client at the time of the initial assessment and updated at least every trimester and postpartum visit, and more often if needed.
In February 2024, the California State Auditor (CSA) released a report, “The Comprehensive Perinatal Services Program: The Lack of Usage Data Prevents the State From Knowing How Often Medi‑Cal Members Receive Perinatal Care.” Among the audit results, the CSA found that both CDPH and DHCS have provided limited oversight and have not exercised their respective authority to make program improvements. The CSA also found that both CDPH and DHCS have not sufficiently communicated the availability of the program to providers or members.
Proposed Law:
Specific provisions of the bill would:
- Require CDPH to:
- In collaboration with the DHCS, update the regulations related to the statewide comprehensive community-based perinatal services program to clarify the roles and responsibilities from each department and make adjustments to the current monitoring and oversights systems, including the monitoring of managed care plans and fee-for-service providers, by July 1, 2027.
- In collaboration with the DHCS, develop a training on administering the perinatal program and require that all perinatal providers in the program attend the training.
- In collaboration with the DHCS, develop a form for providers to collect information on the offer and use of perinatal services, share the information collected with the DHCS, and develop and implement a system to verify the information provided.
- Require DHCS to:
- Require all Medi-Cal managed care plans to include information on the enhanced perinatal program benefits in the plan member handbooks.
- Require all Medi-Cal managed care plans to ensure that providers have received training, as described.
- Implement a system to ensure that Medi-Cal managed care plans offer and provide CPSP services to eligible enrollees.
- Require Medi-Cal managed care plans to conduct quality assurance reviews on perinatal providers at least once every three years, starting in January 2026, to ensure that Medi-Cal managed care plan enrollees are being offered and receive CPSP services.
- Submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, reports, as specified, that identify the number of pregnant and postpartum individuals that received CPSP services.
-- END --
SENATE COMMITTEE ON HEALTH
Senator Caroline Menjivar, Chair
BILL NO: SB 228
AUTHOR: | Cervantes | ||
VERSION: | March 24, 2025 | ||
HEARING DATE: | April 2, 2025 | ||
CONSULTANT: | Jen Flory | ||
SUBJECT: Comprehensive Perinatal Services Program
SUMMARY:
Transfers the administration of the Comprehensive Perinatal Services Program (CPSP) from the Department of Public Health to the Department of Health Care Services (DHCS), and requires DHCS to publish a triennial report identifying the providers that conducted the CPSP reviews.
Existing law:
- Establishes the Medi-Cal program, administered by DHCS, under which low-income individuals are eligible for medical coverage. [WIC §14000, et seq.]
- Requires the Medi-Cal program to cover a pregnant individual who is eligible for and is receiving health care coverage under a Medi-Cal program for full-scope Medi-Cal benefits for the duration of the pregnancy and for a period of one year following the last day of the individual’s pregnancy. [WIC §14005.185]
- Establishes CPSP within the California Department of Public Health (CDPH) as a community-based system of comprehensive perinatal care for low-income women. States that prenatal care, delivery service, postpartum care, and neonatal and infant care are necessary services that have been demonstrated to be effective in preventing or reducing maternal, perinatal, and infant mortality and morbidity, including prematurity and low birth weight. Includes initial and ongoing physical assessment, psychosocial, nutrition, and health education assessments, interventions, counseling and referral, food supplement programs, vitamins, and breast-feeding and other services as appropriate. Requires all contracted providers to make these services available directly or by subcontract, and to use an appropriate multidisciplinary team. [HSC §123475, et seq.]
- Establishes the CPSP services as a Medi-Cal benefit. [WIC §14132]
- Defines CPSP providers to include any general practice physician, family practice physician, obstetrician-gynecologist, pediatrician, certified nurse midwife, a group, any of whose members is one of the above-named physicians, or any preferred provider organization or clinic enrolled in the Medi-Cal program and certified pursuant to the standards of this section. Allows providers to contract with medical and other practitioners for the purpose of delivering CPSP services. [WIC §14134.5]
- States that perinatal means the period from the establishment of pregnancy to one month following delivery. Requires the CPSP provider to schedule visits with appropriate providers and track the patient to make sure services have been received. Requires that the patient receive psychosocial assessment and referrals; nutrition assessment, appropriate referrals to counseling for food supplement programs, vitamins, and breastfeeding, health, childbirth, and parenting education. [WIC §14134.5]
This bill:
- Transfers the administration of CPSP from CDPH to DHCS, and in doing so, authorizes DHCS and CDPH to enter into memoranda of understanding or interagency agreements to implement this change; continues and transfers all duties and obligations previously held by CDPH to DHCS; and, continues all contracts, leases, licenses, other agreements and regulations in full force.
- Requires DHCS to submit to the Assembly and Senate Health Committees, and post on its website, a report identifying the providers that conducted CPSP reviews every three years for the previous three years, starting in January 2026.
- States legislative intent to require DHCS to develop an oversight system to ensure that providers are aware of and offer CPSP services to all pregnant and postpartum Medi-Cal members and create and use a perinatal services data form to engage in additional data collection duties.
FISCAL EFFECT:
This bill has not been analyzed by a fiscal committee.
COMMENTS:
- Author’s statement. According to the author, the Legislature established CPSP (AB 3021, Margolin, Chapter 1404, Statutes of 1984), which is jointly administered by both CDPH and DHCS. CPSP provides services to eligible low income pregnant and post-partum women and birthing people from conception to 60 days postpartum. In addition to standard obstetric services, patients receive enhanced services including psychosocial therapy, health and nutrition education, and more. According to a 2024 report of the State Auditor, CPSP does not provide sufficient data to track how often Medi-Cal consumers use their services. This bill will help provide more transparency by transferring the sole administration and oversight responsibilities of CPSP to DHCS. This bill will also require DHCS to submit a report to the Assembly and Senate Health committees every three years and disclose which providers conducted the reviews of the perinatal services, which is already a requirement of this program. Finally, this bill will require DHCS to publish on their website the providers who completed the reviews. Modifying the administration and oversight of the CPSP program will help inform the usage of one of many important maternal programs in the State.
- CPSP. CPSP is administered by the CDPH’s Maternal, Child and Adolescent Health division. CPSP provides a model of enhanced perinatal services for Medi-Cal eligible pregnant and postpartum individuals from entry to care through postpartum. These enhanced services are delivered by qualified Medi-Cal providers. CPSP services must be provided in conformance with current American College of Obstetrics and Gynecologists recommendations and California regulation. CPSP providers are reimbursed by fee-for-service Medi-Cal or according to their contract with a Medi-Cal managed care plan (Medi-Cal plan). CPSP clients receive a program orientation, initial nutrition, psychosocial and health education assessments, second and third trimester reassessments and postpartum assessments. The practitioner develops an individualized care plan to address needs identified in the assessments, conducts case coordination, and ensures that the client receives appropriate nutrition, health education and psychosocial interventions and referrals from a multidisciplinary team. The plan is developed for each CPSP client at the time of the initial assessment and updated at least every trimester and postpartum visit, and more often if needed. CPSP providers are also required to make referrals to programs and services such as the Women, Infant and Children nutrition program, genetic screening, dental care, and family planning, as well as provide case coordination to assure that health care members work together with the client to assure that the care plan is completed, and the client receives the necessary services.
- State Auditor report. The California State Auditor released a report on CPSP on February 15, 2024, finding that neither DHCS nor CDPH provide sufficient oversight of CPSP. The report found that although DHCS requires the Medi-Cal plans it contracts with to conduct reviews of each of their primary care providers at least every three years, in 2022 only 45 of the approximately 2,600 providers’ reviews included an assessment of CPSP services. CDPH delegated its oversight of CPSP to local health jurisdictions, but it did not require that those jurisdictions complete the quality assurance chart reviews that would have provided insight into service quality. The auditor’s survey of the 61 local health jurisdictions found that 22 jurisdictions did not complete the chart reviews. Finally, the auditor found that the State lacks data on CPSP’s utilization necessary for its improvement. The auditor was only able to assess the usage of CPSP for 14% of Medi-Cal members in 2022. As part of the report, the auditor found that because nearly all Medi-Cal recipients are now enrolled in a Medi-Cal plan, rather than using the fee-for-service network, the Legislature should assign the primary responsibility for CPSP to DHCS, despite their failure to monitor or oversee the program thus far, and consider additional data collection duties. The auditor also made a number of other recommendation including updating the CPSP regulations, require training of perinatal providers in the fee-for-service and managed care networks, require Medi-Cal plans to conduct quality assurance reviews, and require information on CPSP in Medi-Cal plan member handbooks. In its responses to the audit, DHCS did not commit to making changes specific to CPSP, but instead committed more generally to improving access to pregnancy and pregnancy-related services and supports. CDPH did agree to update CPSP regulations in collaboration with DHCS and improve provider training on the CPSP program.
- Birthing Care Pathway. In February 2025, DHCS released a Birthing Care Pathway report to summarize the current state of maternal health in Medi-Cal, outline DHCS’s vision for the Birthing Care Pathway, and identify a series of policy solutions to address the physical, behavioral, and health-related social needs of pregnant and postpartum Medi-Cal enrollees by improving access to providers, strengthening clinical care and care coordination, providing whole-person care, and modernizing how Medi-Cal pays for maternity care. With regards to CPSP, the report states that CPSP is provided inconsistently across delivery systems and counties, and many Medi-Cal recipients report being unaware of the services available. The report further states that CPSP should be modernized to ensure uniform, high-quality access to comprehensive perinatal services for all pregnant and postpartum Medi-Cal members. The report states that the separate CPSP provider enrollment process with CDPH is burdensome for providers, CPSP should be aligned with more recent clinical guidelines and best practices, and the delivery system and billing codes should be updated. The report also notes that some Workgroup members recommend extending CPSP coverage from 60 days to 12 months postpartum to align with Medi-Cal’s 12-month postpartum coverage.
- Prior legislation. AB 608 (Schiavo of 2023) would have required DHCS to extend the CPSP benefit for up to one year after the end of a Medi-Cal beneficiary’s pregnancy and required DHCS to allow an unlicensed perinatal provider to render preventive services recommended by a licensed provider and to provide those services in a beneficiary’s home or other community setting away from a medical site. AB 608 was vetoed by Governor Newsom who stated in his veto message: “I support the author's goal to improve maternal health outcomes and reduce disparities. However, Medi-Cal already provides full-scope coverage for one year after pregnancy, and DHCS is actively working on a "Birthing Care Pathway" proposal to improve services provided during the perinatal period, reduce maternal mortality, and address disparities in maternal health outcomes. Given the significant ongoing General Fund costs of over $20 million annually to implement this bill, it should be evaluated as part of the annual budget process.”
AB 1930 (Arambula of 2022) was substantially similar to AB 608. AB 1930 was vetoed by Governor Newsom who stated in his veto message: “I support the author's efforts to improve maternal health outcomes and ensure Medi-Cal offers appropriate care for beneficiaries during and after their pregnancy. DHCS already provides full-scope coverage for all individuals for one year after pregnancy, which offers a range of services above and beyond the services provided by CPSP. However, this bill attempts to expand the services offered by comprehensive perinatal workers and make these services a Medi-Cal benefit apart from CPSP. This bill would result in millions of dollars in ongoing General Fund costs that are not accounted for in the budget.”
- Oppose unless amended. Maternal and Child Health Access, a provider of health-related social services in Los Angeles, writes in opposition to removing CDPH’s role from CPSP. They argue that as the single-state agency in charge of Medi-Cal, DHCS has always borne ultimate legal responsibility for the implementation and enforcement of Medi-Cal benefits, including CPSP, as is required under federal regulations. They instead recommend reinforcing CDPH’s role as the subject matter experts for the CPSP benefit and enhancing the enforcement of the program, particularly when the service is delivered through the managed care system.
- Policy comment. The state auditor made a number of recommendations designed to increase the oversight of CPSP in addition to transferring the responsibility of the program to DHCS. Given DHCS’s lackluster response to the auditor’s recommendations compared to CDPH’s stated willingness to implement the recommendations, the opposition’s concern with the transfer is warranted. Nonetheless, only one of the auditor’s recommendations to either department has been implemented. While the other recommendations should not require legislation to implement, given this context, spelling out additional responsibilities for each department on the monitoring and oversight of the program should help ensure that more pregnant and postpartum individuals receive the benefit of this program.
- Amendments. The author and committee have agreed to amendments so that, instead of transferring the CPSP program from CDPH to DHCS, this bill will implement other recommendations of the state auditor to improve the oversight of the program by both CDPH and DHCS. The amendments will:
- Require CDPH, in collaboration with DHCS, to update the CPSP regulations to clarify the roles and responsibilities of each department, make adjustments to the monitoring and oversight of the program, including the monitoring of managed care and fee-for-service providers by July 1, 2027;
- Require CDPH, in collaboration with DHCS, to develop a provider training on CPSP and ensure providers receive the training;
- Require CDPH, in collaboration with DHCS, to develop a form for providers to collect information on the offer and use of perinatal services;
- Require CDPH and DHCS to develop and implement oversight systems;
- Clarify DHCS’s role in the over CPSP as the single state agency responsible for the administration of Medi-Cal services;
- Require DHCS to require Medi-Cal plans to include information on CPSP in their member handbooks;
- Require DHCS to conduct quality assurance reviews on perinatal providers at least once every three years; and,
- Make adjustments to the required triennial report to allow DHCS sufficient time to prepare the report and focus the report on the number of pregnant and postpartum individuals receiving CPSP services.
SUPPORT AND OPPOSITION:
Support: None received.
Oppose: Maternal and Child Health Access (unless amended)
The Children’s Partnership (unless amended)
-- END --
Bill Author
Bill Co-Author(s):