BILL ANALYSIS
Senate Appropriations Committee Fiscal Summary
Senator Christine Kehoe, Chair
950 (Hernandez)
Hearing Date: 8/2/2010 Amended: 7/15/2010
Consultant: Katie Johnson Policy Vote: Health 7-1
_________________________________________________________________
____
BILL SUMMARY: AB 950 would establish hospice facility as a new
health facility licensing category under the authority of the
California Department of Public Health and would permit licensed
and certified hospice services providers to provide inpatient
hospice services through the operation of a hospice facility.
_________________________________________________________________
____
Fiscal Impact (in thousands)
Major Provisions 2010-11 2011-12 2012-13 Fund
CDPH regulations $70 $120 $0 Special*
OSHPD cost report review $0 $270 $35 Special**
CDPH licensure revenue $0 $0 ($110) Special*
and program costs at least $110 commencing
upon adoption of regulations
*State Department of Public Health Licensing and Certification
Fund
** California Health Data and Planning Fund
_________________________________________________________________
____
STAFF COMMENTS: This bill meets the criteria for referral to the
Suspense File.
This bill would establish "hospice facility" as a new health
facility licensing category under the authority of the
California Department of Public Health (CDPH) Licensing and
Certification Division. It would provide that the licensing fee
for hospice facility applicants would be set at the fee amount
of that for congregate living health facilities, $203 per bed,
for the first year of licensure. Thereafter, CDPH would annually
publish the hospice licensure fee based on the department's
costs in its list of annual fees for the licensure of health
facilities. If CDPH were to license 30 facilities with 18 beds
each, costs would be approximately $110,000 per year. There
could also be increased costs to the department to conduct site
inspections.
CDPH would be required to develop regulations that would govern
hospice facility licensure by June 30, 2015. The regulations
would address, at a minimum, staffing standards, patient rights,
disaster preparedness plans, seismic safety building
requirements, and the scope of services to be provided within a
hospice facility. It would cost CDPH approximately $70,000 in FY
2010-2011 and $120,000 in FY 2011-2012 to develop regulations.
This bill would also require hospice facilities to file cost
reports with the Office of Statewide Health Planning and
Development (OSHPD). If 30 facilities sought licensure as
hospice facilities, costs to OSHPD would be approximately
$270,000 in FY 2011-2012 and minor and absorbable ongoing.