BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 773
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          Date of Hearing:   April 21, 2009

                            ASSEMBLY COMMITTEE ON HEALTH
                                  Dave Jones, Chair
                     AB 773 (Lieu) - As Amended:  April 14, 2009
           
          SUBJECT  :   Health facilities: fines.

           SUMMARY  :   Increases fines the Department of Public Health (DPH)  
          can assess for violations of classes "AA," "A," and "B"  
          citations at long-term health care facilities.  Specifically,  
           this bill  :  

          1)Increases the civil penalty for a class "AA" citation from the  
            current level of $25,000-$100,000 to $50,000 up to $125,000  
            for each citation to a nursing home.  A second "AA" citation  
            within a two year period may result in revocation of the  
            facility's license.

          2)Increases the civil penalty for a class "A" citation from the  
            current level of $2,000-$20,000, to $5,000-0$50,000 for each  
            citation.

          3)Increases the civil penalties for a class "B" citation from  
            the current level of $100-$1,000, to $1,000-$5,000 for each  
            citation.

          4)Requires a cited facility, within 30 days of the issuance of a  
            citation for class "AA" or "A," to send written disclosure of  
            the violation for which the citation was issued to the  
            families or contacts of all current residents or patients.   
            Permits an additional assessment of a $1,000 fine for failure  
            to comply with this provision.

          5)Makes legislative findings and declarations on the need to  
            improve nursing home care in California, as specified.

           EXISTING LAW  :

          1)The Long-Term, Health, Safety, and Security Act of 1973  
            authorizes DPH to administer various requirements related to  
            long-term care facilities.  Violations of these provisions are  
            punishable by specified citations and penalties, and in  
            determining the amount of a civil penalty requires DPH to  
            consider all relevant facts, including the severity of the  








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            risk to the patient, the patient's medical condition or  
            disability, the good faith efforts of the facility to prevent  
            violations, and the facility's history of compliance. Requires  
            DPH to meet the burden of proof to impose a penalty; a  
            licensee may argue that its behavior was consistent with  
            actions reasonably expected of a licensee under similar  
            circumstances.

          2)Defines class "AA" citations as violations which DPH  
            determines have been a direct proximate cause of death to a  
            patient or resident of a long-term care facility.  Class "AA"  
            civil penalties range from $25,000 to $100,000 for each  
            citation.

          3)Defines class "A" citations as violations which DPH determines  
            present either imminent danger of death or serious harm to  
            residents or which may result in a substantial probability of  
            death or serious physical harm.  Class "A" civil penalties  
            range from $2,000 to $20,000 for each citation.

          4)Defines class "B" citations as violations which DPH determines  
            have a direct relationship to the health, safety, or security  
            of long-term health facility residents.  Class "B" violations  
            are subject to civil penalties of $100 to $1,000 for each  
            violation.

           FISCAL EFFECT  :   This bill has not yet been analyzed by a fiscal  
          committee.

           COMMENTS  :   

           1)PURPOSE OF THIS BILL  :  This bill, according to the author, is  
            intended to provide additional protection and improved quality  
            of life to California residents of long-term care facilities.   
            The author and sponsor note that increased funding and  
            administrative oversight have not reduced the number of  
            citations at this state's nursing facilities and the  
            supporters believe stricter penalties will result in fewer  
            violations.
           
          2)OFFICE OF INSPECTOR GENERAL  .  The federal Department of Health  
            and Human Services, Office of the Inspector General (OIG),  
            annually surveys national information on nursing home  
            deficiencies.  In the most recent (2008) report, "Trends in  
            Nursing Home Deficiency and Complaints," OIG found that in  








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            each of the past three years, over 91% of nursing homes  
            surveyed were cited for deficiencies and a greater percentage  
            of for-profit nursing homes were cited than were  
            not-for-profit and government nursing homes.  The most common  
            deficiency categories were quality of care, resident  
            assessment, and quality of life.  Additionally, 17% of nursing  
            homes surveyed in 2007 were cited for actual harm or immediate  
            jeopardy deficiencies, and 3.6% were cited for substandard  
            quality of care deficiencies, representing a slight increase  
            since 2005.  Since 2005, the number of substantiated  
            complaints decreased nearly 3%. Almost all California  
            long-term care facilities (99.1%) were cited during 2007.
           
          3)SUPPORT  .  The Alzheimer's Association, California Council,  
            writes in support of this bill that there are a number of  
            strategies for improving nursing home quality of care,  
            including technical assistance and linking rates to citation  
            history, but when a determination is made that a violation has  
            occurred, fines should be assessed and they should be in an  
            amount sufficient to deter irresponsible behavior.
           
          4)OPPOSITION  .  The California Association of Health Facilities  
            (CAHF), opposed to the bill, finds there is little evidence to  
            suggest that higher state fines promote additional facility  
            compliance or better equip DPH to deal with a problem  
            facility.  CAHF argues federal requirements drive most nursing  
            home operations and the federal process provides a  
            comprehensive menu of sanctions which include federal fines of  
            up to $10,000 per day per violation.  CAHF notes that  
            California is one of only a very few states which have opted  
            to maintain it's own sanctioning process and that nearly one  
            half of all citations/fines originate from "self-reported"  
            incidents in which facilities report their own violations.  
           
           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Alzheimer's Association
          American Federation of State, County and Municipal Employees
          California Retired Teachers Association
          Professional Fiduciary Association of California

           Opposition 
           








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          Aging Services of California
          California Association of Health Facilities
          California Hospital Association
          Country Care Convalescent Hospital
          Crestwood Behavioral Health, Inc.
          Vista Healthcare Center

           Analysis Prepared by  :    John D. Miller/ HEALTH / (916) 319-2097