BILL ANALYSIS                                                                                                                                                                                                    



                                                               AB 542
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       ASSEMBLY THIRD READING
       AB 542 (Feuer)
       As Amended May 5, 2009
       Majority vote 

        HEALTH              13-3        APPROPRIATIONS      12-5         
        
        ------------------------------------------------------------------ 
       |Ayes:|Jones, Ammiano, Block,    |Ayes:|De Leon, Ammiano, Charles  |
       |     |Carter,     De La Torre,  |     |Calderon, Davis, Fuentes,  |
       |     |De Leon, Hall, Hayashi,   |     |Hall, John A. Perez,       |
       |     |Hernandez, Bonnie         |     |Price, Skinner, Solorio,   |
       |     |Lowenthal, Nava, V.       |     |Torlakson, Krekorian       |
       |     |Manuel Perez, Salas       |     |                           |
       |     |                          |     |                           |
       |-----+--------------------------+-----+---------------------------|
       |Nays:|Adams, Conway, Audra      |Nays:|Nielsen, Duvall, Harkey,   |
       |     |Strickland                |     |Miller,                    |
       |     |                          |     |Audra Stickland            |
        ------------------------------------------------------------------ 
        
       SUMMARY  :  Requires the Department of Managed Health Care (DMHC) to  
       adopt regulations establishing uniform policies and practices  
       governing the nonpayment of hospitals for substantiated adverse events  
       by public and private payers, consistent with those developed by the  
       federal Centers for Medicare and Medicaid Services (CMS), and revises  
       and expands the existing requirements for hospitals to report  
       specified adverse events.  Specifically, this bill  :  

       1)Requires DMHC, in collaboration with Department of Public Health  
         (DPH), Department of Health Care Services (DHCS), the California  
         Public Employees' Retirement System (CalPERS), and the California  
         Department of Insurance (CDI) to adopt and implement regulations  
         that establish uniform policies and practices governing the  
         nonpayment of hospitals for substantiated adverse events, as  
         follows:

          a)   On or before September 1, 2010, adopt regulations for  
            nonpayment polices and practices consistent with those developed  
            by CMS pursuant to the Deficit Reduction Act of 2005 (DRA), that  
            have the following characteristics:

            i)     Are high cost, high volume, or both;
            ii)    Are not present on admission; and,








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            iii)   Could reasonably have been prevented through the  
              application of evidence-based guidelines.

          b)   Synchronize definitions, coding, and practices, to the extent  
            feasible, with CMS policies  regarding nonpayment for  
            substantiated adverse events; and,

          c)   By January 1, 2012, and annually thereafter, update payment  
            policies and practices regarding nonpayment for substantiated  
            adverse events to reflect changes made to those developed and  
            implemented by CMS.

       2)Authorizes DMHC and other departments involved to consult with  
         individuals with relevant clinical expertise to assist in the  
         development of the regulations.

       3)Following the adoption of the regulations by DMHC, requires the  
         collaborating agencies listed in 1) above to adopt regulations that  
         are identical or substantially similar to those promulgated by DMHC.

       4)In accordance with the DMHC regulations, prohibits a hospital from  
         charging a patient or payer, and exempts a patient or payer from  
         being required to pay for, substantiated adverse events.

       5)Requires contracts between hospitals, and health plans and health  
         insurers, to be consistent with the DMHC nonpayment regulations.

       6)Requires the adoption of the nonpayment policies developed by DMHC  
         by the Healthy Families Program (HFP) administered by the Managed  
         Risk Medical Insurance Board (MRMIB), and by Medi-Cal, administered  
         by DHCS, and to the extent feasible, all other programs administered  
         by DHCS, but limits the implementation of the nonpayment policies  
         for state and local government programs to the extent federal  
         financial participation for those programs is not jeopardized.

       7)Prohibits a hospital from billing a HFP enrollee, a Medi-Cal  
         recipient, or an enrollee of a health plan or health insurer for  
         care and services denied as a result of the nonpayment regulations,  
         as specified.

       8)Requires a hospital to exclude from specified Medi-Cal cost reports  
         costs related to adverse events subject to the nonpayment  
         regulations.









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       9)Revises the existing adverse event reporting requirements applicable  
         to hospitals, adds additional reportable events in compliance with  
         reportable events developed by CMS,  applies the reporting  
         requirements to licensed surgical clinics, and requires DPH to  
         determine whether an adverse event reported by a hospital was  
         substantiated or not.

       10)Requires hospitals to report annually to the hospital board of  
         directors, or other similar governing body, the following:  a) the  
         number of adverse events that occurred in the facility in the most  
         recent 12-month period; b) the outcomes for each patient involved;  
         and, c) a comparison to comparable institutions of rates of adverse  
         events, if this data exists and is publicly available.  Specifies  
         that disclosure of the required information to the hospital board  
         will not be considered a waiver of privilege for the purposes of the  
         statutory peer review process. 

       11)Requires DPH to collect information regarding substantiated adverse  
         events, including patient name and payer source, and to provide the  
         information to state government payers, including but not limited  
         to, DHCS and MRMIB.  Requires state payers to use the information  
         collected only for program administration and requires the agencies  
         to maintain the confidentiality of the information.  Prohibits state  
         payers from further disclosing the information except to consultants  
         and contractors for the purposes of program administration, as  
         specified.  Requires any costs associated with the collection of  
         data to be shared on a pro rata basis by the state agencies  
         receiving the information.  

       12)Makes legislative findings and declarations regarding the right of  
         patients to quality medical care delivered in a timely and  
         appropriate manner, the opportunity for health facilities to prevent  
         most adverse events, as specified, and stating that it is the policy  
         of the state that patients and purchasers not be billed for  
         substantiated adverse events.

        EXISTING LAW  :

       1)Establishes state licensing and federal Medicare and Medicaid  
         program certification requirements for health facilities, including  
         general acute care hospitals.  Requires DPH to administer licensing  
         and certification requirements for California health facilities.   
         Requires health facilities to pay annual licensing fees, describes  
         specified hospital fees, and requires the fees to be adjusted  








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         annually, as directed by the Legislature in the annual Budget Act.

       2)Requires every health facility for which a license or special permit  
         has been issued to be periodically inspected by a representative or  
         representatives appointed by DPH, depending upon the type and  
         complexity of the health facility or special service to be  
         inspected.  Requires inspections to be conducted no less than once  
         every two years and as often as necessary to insure the quality of  
         care being provided.

       3)Requires general acute care hospitals, acute psychiatric hospitals,  
         and special hospitals to report an adverse event, as defined, to  
         DPH, no later than five days after the event has been detected or in  
         the case of an urgent or emergent threat, no later than 24 hours  
         after the adverse event has been detected.  Reportable adverse  
         events are:

           a)   Surgical

             i)     Surgery performed on the wrong body part;
            ii)    Surgery performed on the wrong patient;
            iii)   Retention of a foreign object in a patient after surgery  
              or other procedure; and, 
            iv)    Intraoperative or immediately post-operative death in a  
              normal, healthy patient.

           a)   Product or device  

            i)     Patient death or serious disability associated with the  
              use of contaminated drugs, devices, or biologics provided by  
              the health care facility;
            ii)    Patient death or serious disability associated with the  
              use or function of a device in patient care in which the device  
              is used or functions other than as intended; and, 
            iii)   Patient death or serious disability associated with  
              intravascular air embolism that occurs while being cared for in  
              a health care facility.

           b)   Patient protection  

            i)     Infant discharged to the wrong person;
            ii)    Patient death or serious disability associated with  
              patient disappearance for more than four hours; and, 
            iii)   Patient suicide or attempted suicide resulting in serious  








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              disability while being cared for in a health care facility.

           c)   Care management  

            i)     Patient death or serious disability associated with a  
              medication error;
            ii)    Patient death or serious disability associated with a  
              hemolytic reaction due to the administration of  
              ABO-incompatible blood or blood products;
            iii)   Maternal death or serious disability associated with labor  
              or delivery on a low-risk pregnancy while being cared for in a  
              health care facility;
            iv)    Patient death or serious disability associated with  
              hypoglycemia, the onset of which occurs while the patient is  
              being cared for in a health care facility;
            v)     Death or serious disability associated with failure to  
              identify and treat hyperbilirubinemia in neonates; 
            vi)    Stage 3 or 4 pressure ulcers acquired after admission to a  
              health care facility; and, 
            vii)   Patient death or serious disability due to spinal  
              manipulative therapy.

           d)   Environmental  

            i)     Patient death or serious disability associated with an  
              electric shock while being cared for in a health care facility;
            ii)    Any incident in which a line designated for oxygen or  
              other gas to be delivered to a patient contains the wrong gas  
              or is contaminated by a toxic substance;
            iii)   Patient death or serious disability associated with a burn  
              incurred from any source while being cared for in a health care  
              facility; 
            iv)    Patient death associated with a fall while being cared for  
              in a health care facility; and,
            v)     Patient death or serious disability associated with the  
              use of restraints or bedrails while being cared for in a health  
              care facility.

           e)   Criminal  

            i)     Any instance of care ordered by or provided by someone  
              impersonating a physician, nurse, pharmacist, or other licensed  
              health care provider;
            ii)    Abduction of a patient of any age; 








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            iii)   Sexual assault on a patient within or on the grounds of a  
              health care facility; and,  
             iv)    Death or significant injury of a patient or staff member  
              resulting from a physical assault that occurs within or on the  
              grounds of a health care facility.  
        
        FISCAL EFFECT  :  According to the Assembly Appropriations Committee:

       1)One-time fee-supported special fund costs of $500,000, combined, to  
         DMHC, CDI, DHCS, MRMIB and CalPERS to establish non-payment policies  
         and procedures, promulgate regulations, and provide oversight to the  
         initial requirements of this bill;

       2)Unknown on-going costs for administering agencies and programs to  
         provide oversight and support workload related to updating payment  
         prohibitions, and to handle appeals; and,  

       3)Significant annual savings to Medi-Cal and HFP of more than $10  
         million to the extent the payment prohibitions reduce public costs.   
         According to 2008 data, 1,500 adverse events were reported to DPH.   
         The estimated medical costs of these events were more than $50  
         million and the Medi-Cal portion was more than $13 million (50%  
         General Fund).  Actual savings to payers may grow as reporting  
         strengthens.  However, part of the policy rationale for the payment  
         prohibitions is to focus attention on error prevention efforts.  To  
         the extent the prohibitions improve care, savings to payers will be  
         less.

        COMMENTS  :  The author states this bill is necessary to improve health  
       care practices and protect patients by shielding them from having to  
       pay for medical errors.  The author states that while California  
       passed legislation [SB 1301 (Alquist), Chapter 647, Statutes of 2006]  
       making California the 24th state to require reporting of "never  
       events," California did not join with the 11 other states where  
       billing for such events is prohibited.  The author argues that this  
       bill will protect patients who have been harmed by medical errors from  
       also being responsible for paying the bill for those errors.  The  
       author contends that making health care providers financially  
       responsible for the commission of medical errors will provide a  
       greater incentive to ensure such grievous and devastating errors never  
       occur.

       In 2003, The National Quality Forum (NQF) published a consensus report  
       titled "Serious Reportable Events in Healthcare."  In that report, the  








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       NQF noted the historic lack of any national reporting system of health  
       care errors and adverse events, and the lack of a standard definition  
       of what constitutes an error or adverse event.  The NQF identified 27  
       serious adverse events it determined are serious, largely preventable  
       and of concern to the public and health care providers.  

       CMS is implementing a provision of the DRA dealing with nonpayment for  
       specified adverse events.  The DRA required hospitals to begin  
       reporting secondary diagnoses that are present on admission, starting  
       with discharges on or after October 1, 2007.  Since October 2008, CMS  
       will not reimburse hospitals for the added cost of care for ten  
       conditions, including three serious preventable events, unless the  
       conditions are present on admission.  Private payers, including Anthem  
       Blue Cross (the new trade name for Blue Cross of California) and  
       Aetna, have also announced similar nonpayment policies.  Anthem Blue  
       Cross (the new trade name for Blue Cross of California) a policy aimed  
       at ensuring that members will not be charged if any of these three  
       events occur: 1) Surgery performed on the wrong body part; 2) Surgery  
       performed on the wrong patient; and, 3) Wrong surgery performed on a  
       patient.  In addition, Anthem announced steps to ensure that "only the  
       appropriate payment is made and no additional charges [will be]  
       incurred" if any of eight other events occur.

       Effective July 1, 2007, in California, hospitals are required to  
       report specified adverse events to DPH within five days of their  
       discovery.  Events that are ongoing, urgent or emergent threats to the  
       welfare, health, or safety of patients, personnel, or visitors must be  
       reported within 24 hours.  California's definition of adverse events  
       was borrowed from the list of events developed by the NQF in  
       conjunction with CMS.  The reportable adverse events include a wide  
       array of medical, pharmaceutical, and nursing care errors, as well as  
       criminal acts.  DPH is required to investigate all adverse event  
       reports, and if substantiated, the reports and outcomes of the  
       investigations and inspections become public information.  DPH must  
       make an onsite inspection within 48 hours for ongoing urgent or  
       emergent threats of imminent danger or serious bodily harm.  DPH must  
       complete other investigations where there is no threat of imminent  
       danger or serious bodily harm within 45 days.  In addition, before  
       making the report, hospitals must inform affected patients about the  
       report.

       Consumer and labor organizations, and some private health plans, have  
       supported prior versions of this bill.  Consumer groups argue that  
       this bill operates on the simple premise that doctors and hospitals  








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       should be paid for doing the right thing, not the wrong thing.   
       Supporters maintain that the approach in this bill offers protections  
       to the consumer and will help reduce the incidence of adverse events  
       by properly placing the responsibility of cost on the party able to  
       prevent the mistakes in the first place.

       Provider organizations have opposed this bill in prior versions.   
       Generally, providers are concerned that the medical events for which  
       payment may be denied should be preventable and within the provider's  
       control.  The most recent amendments to this bill will require DMHC to  
       adopt regulations that apply the CMS nonpayment policies to all state  
       and private payers.

        
       Analysis Prepared by  :    Deborah Kelch / HEALTH / (916) 319-2097 

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