CAFP's PCMH Advocacy Efforts

Framing the PCMH discussion in the key areas of CAFP business will facilitate transformation of family medicine practices toward comprehensive health care reform.

Sponsor State Legislation
Last legislative session, CAFP sponsored a bill (AB 1542) to define the PCMH based on the Joint Principles. The bill made it far in the legislative process, but got caught up in the politics surrounding the state budget agreement. CAFP hopes that the diverse coalition that supported the bill will once again join forces to advance the bill when CAFP reintroduces it early next year.

Medicaid Section 1115 Waiver
CAFP has also advocated for the medical home in non-sponsored legislation. For example, the goal of the new Medicaid Section 1115 Waiver (as detailed in SB 208) is to improve care management and coordination in public health programs for seniors, persons with disabilities, dual eligible patients (Medi-Cal and Medicare), children with special health care needs and persons with behavioral health conditions. SB 208 authorizes the state government to seek federal authority and funds through the Waiver and to enroll beneficiaries into specific organized delivery systems, such as managed care, enhanced primary care case management, or a medical home. CAFP will continue to be actively involved in the process to ensure that the new waiver reflects the true value of the PCMH. See how California proposes to advance these program changes.

Meetings with Legislators, Opinion-Makers, Payors and Business
CAFP has developed an excellent working relationship with Paul Grundy, MD, MPH, IBM’s Global Director for Health Care Transformation.  Dr. Grundy and various CAFP leaders and executive staff members have had several days of meeting in Sacramento, San Francisco and Fresno addressing PCMH.