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​Palliative Care and SB 1004

SB 1004 (Hernandez, Chapter 574, Statutes of 2014) requires the Department of Health Care Services (DHCS) to “establish standards and provide technical assistance for Medi-Cal managed care plans to ensure delivery of palliative care services.”
Click here to view the full image, including the descriptive text, of the SB 1004 care model.  


Two other Medi-Cal benefits are closely related to palliative care: advance care planning and hospice.
A number of Medi-Cal managed care health plans, hospitals and health systems, and other providers are already incorporating palliative care strategies such as advance care planning, pain and symptom management, and palliative care consultations into their overall models of care.  DHCS encourages those strategies to improve patient satisfaction and outcomes for Medi-Cal beneficiaries at all stages of life and illness, and to help meet the goals of Let’s Get Healthy California and the DHCS Quality Strategy.
SB 1004 policy is informed by related efforts under the Coordinated Care Initiative, the Medi-Cal 2020 Public Hospital Redesign & Incentives in Medi-Cal (PRIME) program, and the Section 2703 Health Homes Program. In addition, DHCS established a Pediatric Palliative Care Waiver Program, known as Partners for Children and approved in April 2009.
To be added to the stakeholder distribution list for palliative care/SB 1004 efforts, or to send comments or questions, please contact the following email address:

Policy Update

      DHCS has issued a revised policy paper for SB 1004 palliative care, which was discussed during the September 8, 2016 stakeholder webinar.

Stakeholder Engagement

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Stakeholder Input


Last modified on: 8/9/2017 8:29 AM