BILL ANALYSIS Ó
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THIRD READING
Bill No: AB 491
Author: Ma (D), et al
Amended: 8/24/12 in Senate
Vote: 27 - Urgency
PRIOR VOTES NOT RELEVANT
SUBJECT : General acute care hospitals: cardiac
catheterization
SOURCE : Author
DIGEST : This bill allows no more than 25 percent of
cardiac catheterization laboratory inpatient services to be
performed in an appropriately equipped and staffed
outpatient setting.
Senate Floor Amendments of 8/24/12 delete the prior version
of the bill, regarding public roads and fire suppression.
The bill now addresses general acute care hospitals and
cardiac catheterization.
ANALYSIS :
Existing law:
1. Provides for the licensure and regulation of health
facilities, including general acute care hospitals,
administered by the Department of Public Health (DPH).
A violation of these provisions is a crime.
CONTINUED
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2. Authorizes DPH to approve, as prescribed, a general
acute care hospital to offer specified special services,
including, but not limited to, cardiac catheterization
laboratory services, in addition to the basic services
offered under the facility's license.
The bill:
1. Delete the requirement that a cardiac catheterization
laboratory service be located in a general acute care
hospital.
2. Permit cardiac catheterization laboratory services,
beginning on March 1, 2013, to be expanded by a general
acute care hospital to include cardiac catheterization
space that is in conformance with applicable building
code standards, including those promulgated by the
Office of Statewide Health Planning and Development
(OSHPD), as long as all of the following occur:
A. The expanded laboratory space is located in the
building so that the space is connected by an
enclosed all-weather passageway that is accessible
by staff and patients who are accompanied by staff;
B. The service performs no more than 25 percent of
its procedures on hospital inpatients; and,
C. The service complies with all policies and
procedures approved by hospital medical staff, and
all standards and regulations prescribed by DPH,
including applicable nurse-to-patient ratios, and
with all standards and regulations prescribed by
OSHPD.
D. Requires emergency regulations permitting a
general acute care hospital to operate a cardiac
catheterization laboratory service to be adopted by
DPH and OSHPD by February 28, 2013.
E. Requires cardiac catheterization laboratory
services to be reviewed by OSHPD for compliance
with the OSHPD 3 requirements of the most recent
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version of the California Building Standards Code.
FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes
Local: Yes
CTW:d 8/27/12 Senate Floor Analyses
SUPPORT/OPPOSITION: NONE RECEIVED
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