BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



           ------------------------------------------------------------ 
          |SENATE RULES COMMITTEE            |                   SB 303|
          |Office of Senate Floor Analyses   |                         |
          |1020 N Street, Suite 524          |                         |
          |(916) 651-1520         Fax: (916) |                         |
          |327-4478                          |                         |
           ------------------------------------------------------------ 
           
                                         
                                      VETO


          Bill No:  SB 303
          Author:   Alquist (D), et al
          Amended:  9/2/09
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  8-3, 4/1/09
          AYES:  Alquist, Cedillo, DeSaulnier, Leno, Maldonado,  
            Negrete McLeod, Pavley, Wolk
          NOES:  Strickland, Aanestad, Cox

           SENATE JUDICIARY COMMITTEE  :  3-2, 4/28/09
          AYES:  Corbett, Florez, Leno
          NOES:  Harman, Walters  
           
           SENATE APPROPRIATIONS COMMITTEE  :  7-5, 5/28/09
          AYES:  Kehoe, Corbett, DeSaulnier, Hancock, Leno, Oropeza,  
            Yee
          NOES:  Cox, Denham, Runner, Walters, Wyland
          NO VOTE RECORDED:  Wolk

           SENATE FLOOR  :  25-13, 6/2/09
          AYES: Alquist, Calderon, Cedillo, Corbett, Correa,  
            DeSaulnier, Ducheny, Florez, Hancock, Kehoe, Leno, Liu,  
            Lowenthal, Maldonado, Negrete McLeod, Oropeza, Padilla,  
            Pavley, Romero, Simitian, Steinberg, Wiggins, Wolk,  
            Wright, Yee
          NOES: Aanestad, Ashburn, Benoit, Cogdill, Cox, Denham,  
            Dutton, Hollingsworth, Huff, Runner, Strickland, Walters,  
            Wyland
          NO VOTE RECORDED: Harman, Vacancy

           SENATE FLOOR  :  22-13, 9/10/09
                                                           CONTINUED





                                                                SB 303
                                                                Page  
          2

          AYES:  Alquist, Calderon, Cedillo, Corbett, DeSaulnier,  
            Ducheny, Florez, Hancock, Leno, Liu, Lowenthal,  
            Maldonado, Negrete McLeod, Pavley, Price, Romero,  
            Simitian, Steinberg, Wiggins, Wolk, Wright, Yee
          NOES:  Aanestad, Benoit, Cogdill, Correa, Cox, Denham,  
            Dutton, Harman, Hollingsworth, Huff, Runner, Strickland,  
            Walters
          NO VOTE RECORDED:  Ashburn, Kehoe, Oropeza, Padilla, Wyland
           
          ASSEMBLY FLOOR  :  50-26, 9/8/09 - See last page for vote


           SUBJECT  :    Nursing facility residents:  informed consent

           SOURCE  :     California Advocates for Nursing Home Reform
                      California Alliance for Retired Americans


           DIGEST  :    This bill enacts the Nursing Facility Resident  
          Informed Consent Protection Act of 2009, which establishes  
          the right of a resident of a skilled nursing or  
          intermediate care facility (nursing facility) to receive  
          information material to the decision to accept or refuse  
          any treatment or procedure, including the administration of  
          psychotherapeutic drugs, and codifies existing regulations  
          requiring attending physicians to obtain informed consent  
          after providing specified material information.

           Assembly Amendments  require treatment to be withheld if the  
          resident did not voluntarily agree or is now refusing  
          treatment, and requires facility staff, if the resident or  
          the resident's representative has questions or concerns  
          about treatment risks, benefits or alternatives, to  
          immediately refer the questions or concerns to the  
          attending or prescribing physician and surgeon.

           ANALYSIS :    Under existing law, long-term health care  
          facilities include skilled nursing facility (SNFs),  
          intermediate care facilities, congregate living facilities,  
          nursing facilities, and pediatric day health and respite  
          facilities.  Existing law defines a SNF as a health  
          facility that provides skilled nursing care and supportive  
          care to patients whose primary need is for the availability  
          of skilled nursing care on an extended basis.  

                                                           CONTINUED





                                                                SB 303
                                                                Page  
          3


          Existing law requires SNFs to be licensed and certified by  
          the Department of Public Health (DPH).  Existing law also  
          requires DPH to conduct periodic inspections of SNFs, to  
          ensure compliance with statutory and regulatory  
          requirements, and authorizes DPH to assess penalties,  
          including citations which may result in monetary fines,  
          against SNFs that have violated federal or state law.

          Existing law requires an attending physician of a SNF  
          resident, who has the capacity to make decisions concerning  
          his or her own health care, to obtain the informed consent  
          of the resident when prescribing, ordering, or increasing  
          an order for an antipsychotic medication.  Existing law  
          also requires the attending physician to, with the  
          resident's consent, notify the resident's family member, as  
          designated within the resident's medical record, within 48  
          hours of the prescription, order, or increase of an order  
          of an antipsychotic medication, as specified.  

          Existing law establishes various rights that SNF residents  
          are entitled to, including rights to good personal hygiene,  
          quality food in sufficient quantities, activity programs,  
          and readmission to the SNF after they have been discharged  
          from a hospital, as specified.  Existing law states that  
          the rights of a resident judicially determined to be  
          incompetent, determined by a physician to be medically  
          incapable of understanding his or her rights, or who  
          exhibits a communication barrier, shall devolve to the  
          patient's guardian, conservator, next of kin, sponsoring  
          agency, or representative payer, as specified.

          Existing regulations:

          1. Set forth various resident rights, in addition to what  
             is set forth in statute, including the right to receive  
             all information that is material to a resident's  
             decision concerning whether to accept or refuse any  
             proposed treatment or procedure.  Existing regulations  
             require SNFs to ensure that these rights are not  
             violated.

          2. State that it is the responsibility of the physician to  
             determine what information the resident would consider  

                                                           CONTINUED





                                                                SB 303
                                                                Page  
          4

             material to a decision to accept or refuse a proposed  
             treatment or procedure, and that the disclosure of  
             material information, and obtaining informed consent, is  
             the responsibility of the physician.  Existing  
             regulations also specify that the material information  
             relating to the administration of psychotherapeutic  
             drugs, physical restraints, or other devices that impede  
             the body's normal function, that shall be disclosed,  
             shall include:

             A.    The reason for the treatment and the nature and  
                seriousness of the patient's illness.

             B.    The nature of the procedures to be used in the  
                proposed treatment, as specified.

             C.    The degree and duration of improvement or  
                remission expected with or without the proposed  
                treatment.

             D.    The associated side effects and significant risks  
                of the proposed treatment, as specified.

             E.    Why the proposed treatment is recommended, as well  
                as possible alternative treatments and risks.

             F.    The patient has the right to accept or refuse the  
                proposed treatment, and upon consent of the  
                treatment, to revoke his or her consent at any time  
                for any reason.

          3. Require SNFs, before the administration of  
             psychotherapeutic drugs, physical restraints, or other  
             devices that impede the body's normal function, to  
             verify that the patient's health record contains  
             documentation that the patient has given informed  
             consent, and also to ensure that all decisions regarding  
             the withdrawal or withholding of life sustaining  
             treatments are documented in the resident's health  
             record.

          4. Require SNFs to specify, in the resident's rights  
             policies and procedures, how the facility will verify  
             that the resident provided informed consent or refused  

                                                           CONTINUED





                                                                SB 303
                                                                Page  
          5

             treatment pertaining to the administration of  
             psychotherapeutic drugs, physical restraints, or other  
             devices that impede the body's normal function.

          5. Grant the rights of a resident that has been determined  
             by a court, or a physician, as specified, to lack  
             capacity to understand his or her rights or proposed  
             treatments, to the resident's representative, such as a  
             conservator, next of kin, or other legally recognized  
             health care decision maker.

          This bill:

           1.Codifies a regulatory requirement that the attending  
             physician be the responsible party to determine what  
             information a reasonable person in the resident's  
             condition and circumstances would consider material to a  
             decision to accept or refuse a proposed treatment or  
             procedure.  Specifies that information that is commonly  
             appreciated need not be disclosed.  Codifies current  
             related regulatory definitions. 

           2.Requires the physician to disclose the material  
             information and obtain informed consent.

           3.Requires information material to a decision concerning  
             the administration of a psychotherapeutic drug to  
             include: 

             A.    The reason for the treatment and the nature and  
                seriousness of the resident's illness, as specified  
                in existing regulations.

             B.    The nature of the procedure to be used in the  
                proposed treatment, including the procedure's  
                probable frequency and duration, as specified in  
                existing regulations.

             C.    The probable degree and duration, whether  
                temporary or permanent, of improvement or remission  
                expected with or without the proposed treatment, as  
                specified in existing regulations.

             D.    The nature, degree, duration, and probability of  

                                                           CONTINUED





                                                                SB 303
                                                                Page  
          6

                the side effects and significant risks that are  
                commonly known by the health professions, as  
                specified in existing regulations.

             E.    The reasonable alternative treatments and risks,  
                and why the health professional is recommending a  
                particular treatment, as specified in existing  
                regulations.

             F.    That the resident has the right to accept or  
                refuse the proposed treatment, and, if he or she  
                consents, the right to revoke his or her consent  
                for any reason at any time, as specified in  
                existing regulations. 

           4.Adds, to the information on risks associated with  
             psychotherapeutic drugs from the existing regulations in  
             3) d) above, the following:

             A.    Whether a proposed medication is being  
                prescribed for a purpose or medical condition other  
                than the purpose or medical condition for which the  
                United States Food and Drug Administration (FDA)  
                has specifically approved that medication.

             B.    In writing, any current boxed warning labels and  
                accompanying detailed information regarding  
                contradictions, warnings, and precautions required  
                by the FDA.

           5.Codifies a regulatory requirement that nursing facility  
             staff, before initiating the administration of  
             psychotherapeutic drugs, verify that the resident's  
             health record contains a notation by the attending or  
             prescribing physician and surgeon that the physician and  
             surgeon has obtained the informed consent of the  
             resident to the proposed treatment or procedure. 

           6.Requires health facility staff to verify with the  
             resident or resident's representative that the resident  
             has voluntarily agreed to accept the proposed treatment  
             or procedure after receiving information from the  
             attending physician and surgeon and to document this  
             verification in the resident's health record.  If the  

                                                           CONTINUED





                                                                SB 303
                                                                Page  
          7

             resident did not voluntarily agree or is now refusing  
             treatment, requires the treatment to be withheld. 
           
           7.If the resident or the resident's representative has  
             questions or concerns about treatment risks, benefits or  
             alternatives, requires facility staff to immediately  
             refer the questions or concerns to the attending or  
             prescribing physician and surgeon. 

           8.Requires facilities to ensure that all decisions  
             concerning the withdrawal or withholding of life  
             sustaining treatment are documented in the resident's  
             health record. 

           9.Requires facility residents' rights policies and  
             procedures governing consent, informed consent and  
             refusal of treatment, to specify how the facility will  
             verify that the resident provided informed consent or  
             refused treatment or procedures regarding the  
             administration of psychotherapeutic drugs. 

          10.Codifies a regulatory provision that nothing in this  
             bill shall be construed to require a facility to obtain  
             informed consent each time a treatment or procedure is  
             administered unless material circumstances or risks  
             change. 

          11.Requires the California Department of Public Health  
             (DPH) to inspect nursing facilities for compliance with  
             this bill during DPH's periodic inspections or complaint  
             investigations. 

          12.Specifies that a violation of the informed consent  
             rights provided in this bill constitutes a class "B",  
             "A," or "AA" violation pursuant to existing law. 

          13.Clarifies nothing in this bill impairs or otherwise  
             alters other non-conflicting statutory or regulatory  
             requirements, including, but not limited to,  
             requirements contained in DPH's regulations or otherwise  
             related requirements for informed consent for the  
             administration of psychotherapeutic drugs. 

          14.States legislative findings and declarations related to  

                                                           CONTINUED





                                                                SB 303
                                                                Page  
          8

             the risks associated with the prescription of  
             psychotherapeutic drugs, the lack of information  
             provided to nursing facility residents, and the lack of  
             enforcement of current regulations on informed consent  
             for nursing facility residents.

          15.States legislative intent to codify and enhance current  
             regulatory provisions related to nursing facility  
             patient rights to informed consent on any proposed  
             treatment or procedure, including the administration of  
             psychotherapeutic drugs.

           Background
           
          Psychotherapeutic drugs are defined in existing state  
          regulations as medications meant to control behavior or to  
          treat thought disorder process.  Psychotherapeutic drugs,  
          such as anti-depressants, are widely used in nursing  
          facilities to treat residents for various conditions.   
          According to data provided by the Centers for Medicare and  
          Medicaid Services (CMS) On-Line Survey, Certification, and  
          Reporting system, approximately 58 percent of California  
          nursing facility residents were administered  
          psychotherapeutic drugs in 2007.  

          Antipsychotic drugs are a group of psychotherapeutic drugs  
          that are primarily designed to treat severe conditions such  
          as schizophrenia.  Studies show that the use of  
          antipsychotic drugs in nursing homes throughout California  
          and the nation has increased during recent years, as more  
          and more physicians prescribe these drugs, for "off-label"  
          use, to patients with Alzheimer's disease and other forms  
          of dementia.  According to a 2008 CMS report, approximately  
          20 percent of California nursing facility residents were  
          administered antipsychotic drugs.

          Antipsychotic drugs are known to have major side effects  
          and risks, including increased risk of heart attack,  
          stroke, and death among elderly patients, thereby prompting  
          the federal FDA to require black box warnings on their  
          labels, informing patients of the health risks associated  
          with their use.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    

                                                           CONTINUED





                                                                SB 303
                                                                Page  
          9

          Local:  Yes

          According to the Senate Appropriations Committee:

                          Fiscal Impact (in thousands)

           Major Provisions                2009-10     2010-11     
           2011-12   Fund
           
          Medi-Cal SNF nurse       $40-$80             General/
            training reimbursement      $61-$126            Federal

           SUPPORT  :   (Verified  9/9/09)

          California Advocates for Nursing Home Reform (co-source)
          California Alliance for Retired Americans (co-source)
          Advocacy, Inc.
          Alameda County Network of Mental Health
          Alzheimer's Association
          American Association of Retired Persons
          Bet Tzedek Legal Services
          California Senior Legislature
          Congress of California Seniors
          Consumer Attorney's of California
          Contra Costa County Advisory Council of Aging
          Dayle McIntosh Center
          Disability Rights CA
          Foundation Aiding the Elderly
          Gray Panthers Sacramento
          Kings Tulare Area Agency on Aging
          Long-Term Care Services of Ventura County, Inc.
          Older Women's League of California
          Ombudsman Services of Northern California
          Pathways
          Source Employees International Union

           OPPOSITION  :    (Verified  9/9/09)

          Association of California Healthcare Districts
          California Association of Health Facilities
          California Hospital Association
          California Medical Association
          Crestwood Behavioral Health, Inc.


                                                           CONTINUED





                                                                SB 303
                                                                Page  
          10

           ARGUMENTS IN SUPPORT  :    The California Advocates for  
          Nursing Home Reform (CANHR) states that nursing homes have  
          increasingly turned to psychotherapeutic drugs to sedate  
          and control residents, especially those who display  
          confused or agitated behaviors caused by dementia.  CANHR  
          states that while these drugs are sometimes appropriately  
          prescribed to treat mental health conditions, many of the  
          psychotherapeutic drugs being used in nursing homes,  
          particularly antipsychotic drugs designed to treat serious  
          psychiatric disorders, are dangerous and used without  
          medical justification.  CANHR states that this bill  
          addresses these concerns by codifying existing regulations  
          that establish a nursing home resident's right to informed  
          consent concerning the use of psychoactive drugs,  
          strengthening requirements for informed consent  
          verification, and clarifying that DPH shall inspect for  
          compliance with informed consent requirements.  CANHR  
          states that this bill also removes a problematic conflict  
          between the statute and the regulation by replacing an  
          existing statute regarding the residents' rights devolving  
          to their representatives, with existing regulatory language  
          that contains an updated, more complete and accurate list  
          of persons who can exercise a resident's rights.  CANHR  
          states that this bill will not create any new costs as  
          physicians are already required to obtain informed consent,  
          SNFs are already required to verify consent, and DPH is  
          already required and funded to inspect for compliance with  
          these requirements. CANHR asserts that this bill will help  
          ensure that these existing duties are carried out in an  
          appropriate manner.

           ARGUMENTS IN OPPOSITION  :    The California Association of  
          Health Facilities (CAHF) opposes the bill unless amended,  
          and states that this bill would make a SNF liable for  
          citations and penalties for the acts and/or omissions of an  
          attending physician for whom a facility has no control.   
          CAHF states that this bill adds a new right to informed  
          consent, which is the physician's responsibility to obtain,  
          in the section of the code that sets forth facility  
          requirements, and suggests amending the bill to instead  
          place this requirement in the section of the law dealing  
          with existing informed consent requirements.  CAHF states  
          that this bill place additional, prescriptive requirements  
          on the physician, with a new procedure for informed  

                                                           CONTINUED





                                                                SB 303
                                                                Page  
          11

          consent, but would hold SNFs liable for citations and fines  
          if the attending physician does not carry out his/her  
          obligations to seek informed consent.  CAHF states that  
          this bill will require nursing staff to have a conversation  
          with residents to verify that the patient was fully  
          informed about his/her proposed treatment, which creates  
          the risk that nursing staff will talk to the patient about  
          the proposed treatment which would violate their scope of  
          practice.  CAHF also states that this bill will delete the  
          current law related to the rights of a resident who has  
          been judicially determined to be incompetent, and replaces  
          it with broader language concerning the rights of residents  
          who lack capacity.  CAHF states that it is concerned about  
          the impact of placing the rights of these residents with  
          the residents' representatives, which will lead to greater  
          confusion about to whom a resident's rights are granted,  
          and thus, more litigation.  CAHF proposes that this  
          language be stricken from the bill.
           

          GOVERNOR'S VETO MESSAGE:
          
              "I am returning Senate Bill 303 without my signature.  


             My Administration is concerned about the  
             inappropriate use of psychotherapeutic medications,  
             especially antipsychotics, in skilled nursing  
             facilities.  One recent study concluded that over  
             half of the residents receiving antipsychotic therapy  
             were being treated outside the current Center for  
                                                                                          Medicare and Medicaid Service guidelines. 

             I have instructed my Department of Public Health to  
             identify providers that may be inappropriately  
             prescribing these medications and thereby posing a  
             threat to the health and safety of residents in  
             skilled nursing facilities. If the department's  
             analysis indicates that such inappropriate  
             prescribing behavior is occurring and recommends  
             statutory changes in this area, I ask the Legislature  
             to immediately seek changes to correct it. 

             I thank the author for bringing this issue to my  

                                                           CONTINUED





                                                                SB 303
                                                                Page  
          12

             Administration's attention and will continue to  
             monitor this closely."  


          ASSEMBLY FLOOR  : 
          AYES:  Ammiano, Arambula, Beall, Block, Blumenfield,  
            Brownley, Caballero, Charles Calderon, Carter, Chesbro,  
            Coto, Davis, De La Torre, De Leon, Evans, Feuer, Fong,  
            Fuentes, Furutani, Gilmore, Hall, Harkey, Hayashi,  
            Hernandez, Hill, Huffman, Jeffries, Jones, Krekorian,  
            Lieu, Bonnie Lowenthal, Ma, Mendoza, Monning, Nava, John  
            A. Perez, V. Manuel Perez, Portantino, Ruskin, Salas,  
            Saldana, Skinner, Smyth, Solorio, Swanson, Torlakson,  
            Torres, Torrico, Yamada, Bass
          NOES:  Adams, Anderson, Bill Berryhill, Tom Berryhill,  
            Blakeslee, Conway, Cook, DeVore, Duvall, Emmerson,  
            Fletcher, Fuller, Gaines, Garrick, Hagman, Huber, Knight,  
            Logue, Miller, Nestande, Niello, Nielsen, Silva, Audra  
            Strickland, Tran, Villines
          NO VOTE RECORDED:  Buchanan, Eng, Galgiani, Vacancy
           

           JJA:do  1/7/10   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                                ****  END  ****


















                                                           CONTINUED