BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1457
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          Date of Hearing:   May 5, 2009

                            ASSEMBLY COMMITTEE ON HEALTH
                                  Dave Jones, Chair
                 AB 1457 (Davis) - As introduced:  February 27, 2009
           
          SUBJECT  :   Long-term health care facilities: admission  
          contracts.

           SUMMARY  :   Requires owners of five or more long-term care  
          facilities (LTCFs) nationwide to disclose the name of the  
          facility's owner and the name of the single entity responsible  
          for patient care and operation of the facility on each contract  
          for admission.  

           EXISTING LAW  :

          1)Prohibits any person, firm, partnership, association,  
            corporation, or political subdivision of the state to operate,  
            establish, manage, conduct, or maintain a health facility in  
            this state without first obtaining a license.

          2)Requires an applicant for licensure to operate a health  
            facility to file an application with the Department of Public  
            Health (DPH) with verified evidence of financial resources  
            sufficient to operate the facility, names and addresses of the  
            owner of the building and grounds, and the name of the person  
            in charge of the facility.

          3)Requires skilled nursing and intermediate care facilities to  
            disclose the name and business address of each general partner  
            if the applicant is a partnership; or, each director and  
            officer if the applicant is a corporation; and, each person  
            having a beneficial ownership interest of 5% or more if the  
            applicant is a corporation or partnership.

          4)Requires any facility operated under a management contract to  
            disclose the names and address of any person having more than  
            5% ownership interest, and, if the management company is a  
            subsidiary of another company the facility must disclose the  
            name and address of the parent company.  

          5)Requires LTCFs to prominently and clearly display a notice  
            informing consumers that information regarding the facility is  
            available from the State Long-Term Care Ombudsman.








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          6)Requires all LTCFs to use a standardized admission agreement  
            developed and adopted by DPH.  Permits use of an abbreviated  
            admission agreement for patients whose length of stay is  
            anticipated to be less than fourteen days.

          7)Requires a specified Patient's Bill of Rights be attached to  
            all LTCF contracts.

          8)Requires the facility to communicate the content of the  
            contract to and obtain the signature of the person to be  
            admitted.

           FISCAL EFFECT  :   None


           COMMENTS  :   

           1)PURPOSE OF THIS BILL  .  According to the author, this bill will  
            improve the quality of care in nursing homes by informing  
            nursing home residents of the ownership and management  
            structure of the LTCF which provides their care.  The bill  
            will require identification of the responsible owners of each  
            facility, as well as parties providing management and  
            administrative services, on each contract agreement. 

           2)BACKGROUND  .  Recently the New York Times (Times) published a  
            series of articles analyzing trends at nursing homes purchased  
            by private investment groups.  The review by the Times was  
            based on an analysis of data available from the federal  
            Centers for Medicare and Medicaid Services (CMS) and examined  
            more than 1,200 nursing homes and 14,000 other homes. The  
            analysis compared investor-owned homes against national  
            averages in a number of categories including complaints to  
            regulators, fines levied by state and federal authorities and  
            health and safety violations.  The Times had previously  
            documented that in recent years large private equity firms  
            have purchased six of the nation's largest nursing home  
            chains, containing over 141,000 beds, or approximately 9% of  
            the nation's total number of nursing home beds.  The Times  
            found that at the facilities purchased by private equity  
            firms, regulators say residents have fared more poorly than  
            occupants of other homes related to common problems like  
            depression, loss of mobility and loss of ability to dress or  
            bathe themselves according to data from the CMS. The typical  








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            nursing home acquired by a large investment company before  
            2006 scored worse than the national rates in twelve of  
            fourteen categories.  Almost 60% had cut the number of  
            registered nurses, reduced the levels of daily care, and  
            experienced increases in fines and penalties.  According to  
            the Times, the changes in ownership have helped fuel a rise in  
            quality of care deficiencies among investor owned chains,  
            including increases in physical restraints, pressure sores,  
            and easily prevented infections.

          In November of 2007 the U.S. House of Representatives Ways and  
            Means Subcommittee on Health held hearings on the effect of  
            private equity investment on the quality of care in nursing  
            homes, which, according to the Times, were prompted by the  
            purchase of the nation's largest nursing home chain, HCR Manor  
            Care for $6.3 billion by the Carlyle Group, a private equity  
            firm.  Testimony before the committee, again according to the  
            Times, reported that a number of the privately purchased  
            nursing home chains have instituted complex corporate  
            restructuring to avoid liability when residents suffered  
            neglect. 

          California requires extensive information regarding the  
            ownership and control of skilled nursing facilities and  
            intermediate care facilities through the licensure process.   
            The state requires nursing home licensees and applicants to  
            disclose the ownership structure (for profit corporation,  
            partnership, etc.) and contact information for all principals.  
             The state requires any subsidiary organization to identify  
            the parent company, and requires any management agreement to  
            identify its owners and individuals with more than a 5%  
            interest.  The licensee is further required to identify the  
            owner of record of the real property and the individual in  
            charge of the facility.  Failure to comply with these  
            requirements is grounds for revocation of the license and all  
            ownership information is required to be updated upon any  
            change.  

           3)SUPPORT  .  The California Advocates for Nursing Home Reform, in  
            support of this bill, note that publicly available ownership  
            information, such as that posted in nursing homes or online,  
            often fails to identify the person or entity that is fully  
            responsible for the nursing home's operation.  This bill  
            requires disclosure of the ownership on a nursing home's  
            admission agreement, a document that all residents sign at  








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            admission.  CANHR argues that nursing home residents deserve  
            to know who owns the facility they live in, and given the  
            recent trends in nursing home ownership, this disclosure is  
            increasingly important.

           4)OPPOSE UNLESS AMENDED  .  The California Association of Health  
            Facilities (CAHF) state they are not opposed to the concept of  
            requiring facilities to include certain ownership information  
            on the admission contracts.  However, CAHF believes that there  
            are technical problems with this bill's language as drafted  
            which make the proposal ambiguous and subject to  
            misinterpretation.

           5)PREVIOUS AND RELATED LEGISLATION  .  

             a)   SB 1525 (Mello), Chapter 885, Statutes of 1989 requires  
               nursing home licensees and applicants to disclose complete  
               ownership information on the license application.

             b)   SB 1649 (Mello), Chapter 567, Statutes of 1996 requires  
               that any ownership changes be disclosed at the annual  
               license renewal and that all ownership information be made  
               available to the public.  

          6)QUESTIONS AND COMMENTS  . 

             a)   This bill applies to owners of five or more "long term  
               care facilities".  The definition of "long-term care  
               facility" includes several different types of facilities  
               such as those for the developmentally disabled and  
               congregate living.  The term "skilled nursing facility or  
               intermediate care facility" would be more consistent with  
               the author's intent.

             b)   This bill requires the owner of five or more facilities  
               "nationwide" to disclose ownership information.   
               Legislative Counsel advises that it is very difficult for  
               DPH to determine if an applicant or licensee owns or  
               operates facilities in other states.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Senior Legislature (sponsor)








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          California Advocates for Nursing Home Reform

           Oppose unless amended  : 

          California Association of Health Facilities
           
          Opposition 
           
          None on File.
           
          Analysis Prepared by  :    John Miller / HEALTH / (916) 319-2097