104560-104569

HEALTH AND SAFETY CODE
SECTION 104560-104569




104560.  There is established in the state department a
comprehensive perinatal outreach program.



104561.  A county or city and county may contract with the state
department to provide perinatal program coordination, patient
advocacy, and expanded access services for low-income pregnant and
postpartum women and women of childbearing age who are likely to
become pregnant integrated with the county's perinatal program.




104562.  A county that contracts with the state department for the
provision of public health services may contract with the state
department for the services described in Section 104561.



104563.  A county contracting with the state department pursuant to
this program shall supply, at a minimum, the following information:
   (a) The county's perinatal statistics.
   (b) A description of current outreach, coordination, antismoking,
antialcohol, antidrug, and other related program activities,
including those funded through the Cigarette and Tobacco Products
Surtax Fund, relating to indigent pregnant women and women of
childbearing age in the county.
   (c) A description of the additional activities and services to be
undertaken, and the number of women in each target subgroup which the
county proposes to reach with these funds.
   (d) The proposed measures of success and a description of how the
county's overall effort, and this particular effort, will be
evaluated.


104564.  A county participating in this program shall maintain the
following services, supported by this program or from other sources,
to the extent funds are available:
   (a) A coordinated and integrated system providing early outreach,
pregnancy screening, patient advocacy, targeted case management,
health education, and referral to drug and alcohol treatment and
perinatal care services to pregnant women.
   (b) (1) A patient advocacy and education component that will reach
women from all target populations at least six months prior to, and
in the earliest stages of pregnancy, and provide information, health
screenings, and assistance in obtaining appropriate services.
   (2) Patient advocates may arrange for prenatal care for eligible
pregnant women.
   (c) In developing and implementing the program described in this
section each county shall obtain the involvement and participation of
local community organizations, including clinics and schools with
special expertise in the provision of health education, perinatal
care, and alcohol and drug treatment.



104565.  (a) Health education services shall be an integral part of
each county's program pursuant to Section 104564 to provide
coordinated services to pregnant and postpartum women.
   (b) Services may be funded through the Unallocated Account in the
Cigarette and Tobacco Surtax Fund for purposes of this chapter,
including, but not limited to, all of the following:
   (1) Outreach.
   (2) Assessment of smoking status and exposure to secondhand smoke.
   (3) Development and implementation of an individualized strategy
to prevent smoking and exposure to smoke during pregnancy and the
postpartum period, including counseling and advocacy services, public
health nursing services, provision of motivational messages,
cessation services, nonmonetary incentives to maintain a healthy
lifestyle, and other cessation or tobacco use prevention activities,
including child care or transportation in conjunction with those
activities.
   (4) Provision of followup, reassessment, maintenance, and relapse
prevention services.
   (c) The services provided pursuant to this section shall expand
and enhance the health education services provided under the
comprehensive perinatal services program and shall be coordinated
with other services provided to pregnant and postpartum women.



104566.  Funds from the Cigarette and Tobacco Products Surtax Fund
may be used in combination with funds from other sources if the
services provided to each person are documented and there is an
auditable connection to services.


104567.  The program shall develop protocols, procedures,
instructional materials, inservice training, data collection formats
and requirements, and reimbursement schedules where applicable for
the provision of tobacco education to pregnant and postpartum women.




104568.  For purposes of this chapter, "outreach" includes, but is
not limited to, coordinated local systems of care-providing pregnancy
testing, screening for risk factors, care coordination, referral to
appropriate services, including, but not limited to, alcohol and drug
treatment, transportation, child care, patient incentives, and
assurance of continuous prenatal care including recruitment and
retention of physicians.



104569.  Funds appropriated for purposes of this program for a
fiscal year shall be available for expenditure without regard to
fiscal year.