Section 1379.5 Of Article 6. Operation And Renewal Requirements And Procedures From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 6.
1379.5
. (a) On and after July 1, 2008, every contract between a
plan and a health care provider who provides health care services in
Mexico to an enrollee of the plan shall require the health care
provider knowing of, or in attendance on, a case or suspected case of
any disease or condition listed in subdivision (j) of Section 2500
of Title 17 of the California Code of Regulations to report the case
to the health officer of the jurisdiction in California where the
patient in the case resides, or if the patient resides in Mexico and
is employed in California, the contract shall require a health care
provider to report the case to the health officer of the jurisdiction
where the patient in the case is employed. The contract provision
shall require the health care provider to make the report in
accordance with subdivision (d) of Section 2500 of Title 17 of the
California Code of Regulations, except that for reports in cases
where the patient resides in Mexico the contract shall require the
report to be made to the health officer of the jurisdiction where the
patient is employed.
(b) For purposes of this section, the terms "case," "health care
provider," "health officer," "in attendance," and "suspected case"
shall have the same meanings as set forth in subdivision (a) of
Section 2500 of Title 17 of the California Code of Regulations.
(c) A plan's obligations under this section shall be limited to
the following:
(1) Ensuring that the contracts executed by providers who provide
health care services in Mexico satisfy the requirements set forth in
subdivision (a).
(2) Giving the following written notice to the provider at the
time the signed contract is delivered: