Senate Bill 1004 (Hernandez) is designed to expand access to palliative care services for Medi-Cal Managed Care Plan enrollees.

California’s Medi-Cal program serves over 13 million people, and of those, over 10 million are in a Managed Care Plan (MCP).

The Coalition for Compassionate Care of California is working directly with the California Department of Health Care Services (DHCS) to shape the standards by which MCPs will ensure access to palliative care for Medi-Cal enrollees.


Latest SB 1004 News

  • 2017 Legislative Session Updates

    It’s been another busy legislative year for us so far, with bills of interest moving forward in both the Assembly and the Senate. An important part of our work at CCCC is to track and take action on legislation that impacts the space of palliative care, hospice, or advance care planning. To keep up with ...

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  • California state capitol

    Draft budget proposes significant delay in Medi-Cal palliative care services

    JANUARY 11, 2017 (Sacramento, CA)—The California Department of Health Care Services (DHCS) shared a 2017-18 budget document yesterday showing that Gov. Jerry Brown is proposing to delay the implementation of a program that would expand access to palliative care services for Medi-Cal Managed Health Care Plan enrollees. DHCS had previously indicated April 2016 as the ...

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  • Department of Health Care Services director to talk policy at palliative care summit

    Department of Health Care Services director to talk policy at palliative care summit

    How can public policy influence access to palliative care services in California?
    This important topic will be addressed by Jennifer Kent, MPA, director of the California Department of Health Care Services (DHCS), in a general session at the Coalition for Compassionate Care of California 9th annual palliative care summit.
    Reserve your spot today!
    Kent is supportive of ...

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  • palliative care team

    SB 1004 palliative care stakeholder webinar scheduled for Sept. 8

    UPDATED Sept. 8. 2016:
    On Sept. 8, 2016, the California Department of Health Care Services (DHCS) held a webinar to review its policy paper (PDF) describing General Eligibility and Disease-Specific Eligibility Criteria under Senate Bill 1004 (Hernandez).
    The next step in implementing this legislation is for DHCS to draft and distribute an “All Plan Letter” to instruct ...

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  • Report: California Making Progress Toward a Supportive Environment for End-of-Life Care

    New Study Benchmarks the State’s Progress Against IOM Report
    SACRAMENTO, CA—A year after the release of a landmark report on death and dying in America, a new state-based report finds that California is making strides to create a more supportive environment for people facing serious illness.
    Dying in California: A Status Report on End-of-Life Care – the ...

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  • California featured in palliative care report card

    California gets “B” on Palliative Care Report Card

    A state-by-state report card by the Center to Advance Palliative Care demonstrates that access to palliative care remains inadequate for millions of Americans living with serious illness despite continuing growth in the number of U.S. hospitals reporting palliative care programs.
    California received a “B” grade in the report.
    Scores for the ten most populous states are as ...

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  • Medi-Cal

    Department of Health Care Services seeks comments on quality measures for Medi-Cal’s pilot palliative care service

    UPDATE (June 25, 2015): The Department of Health Care Services extended the deadline to comment on the quality measures for the Medi-Cal pilot palliative care service. People interested in providing comments have until 5 p.m. on Friday, June 26, 2015.

    Stakeholder meeting unveils performance measures, consumer and provider education for SB 1004
    The California Department of Health Care Services (DHCS) ...

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  • SB 1004 recommendations

    CCCC submits recommendations to Medi-Cal regarding implementation of SB 1004

    Despite growing recognition of the value and cost-effectiveness of palliative care services, there continues to be significant disparities in how palliative care is defined, delivered and evaluated—not just in California, but across the nation.
    Through the implementation of SB 1004, California’s Medi-Cal system has a unique opportunity to serve as a leader in the creation of ...

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  • palliative care team

    California policy: POLST registry, advance directive database, palliative care benefits under Medi-Cal, and more

    When it comes to public policy, a lot has happened in the last few weeks.
    The deadline for bill introduction was Feb. 27, and the Coalition for Compassionate Care of California has been reviewing bills to determine which ones are relevant to our mission.
    Here is what you need to know…
    PROPOSED LEGISLATION
    NEW AB 637: Bill would allow ...

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  • California state capitol

    Join us for first SB 1004 stakeholder meeting in February 2015

    Implementation of Senate Bill 1004—which requires the state to establish standards for Medi-Cal managed care plans to ensure delivery of palliative care services—is one of many factors which will transform palliative care in California.
    The Coalition for Compassionate Care of California is working closely with the California Department of Health Care Services (DHCS) on establishing these standards.
    We ...

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