BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1136
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 1136 (Swanson)
          As Amended  August 15, 2011
          Majority vote
           
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          |ASSEMBLY:  |50-27|(June 2, 2011)  |SENATE: |21-18|(September 6,  |
          |           |     |                |        |     |2011)          |
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           Original Committee Reference:    L. & E.  

           SUMMARY  :  Establishes the Hospital Patient and Health Care 
          Worker Injury Protection Act (Act) to require hospitals to adopt 
          a safe patient handling policy. 

           The Senate amendments  do the following:

          1)Require employers to adopt a patient protection and health 
            care worker back and musculoskeletal injury prevention plan as 
            part of their injury and illness prevention program as a part 
            of their injury and illness prevention programs required by 
            Section 3203 of Title 8 of the California Code of Regulations 
            or any successor law or regulation. 

          2)Require the plan to include a safe patient handling policy 
            component reflected in professional occupational safety 
            guidelines for the protection of patients and health care 
            workers in health facilities.

          3)Specify that general acute care hospitals are not required to 
            hire new staff to comprise lift teams as long as direct 
            patient care assignments are not compromised.

          4)Define "health care worker" as a lift team member or other 
            staff responsible for assisting in lifting patients who is a 
            hospital employee specifically trained to handle patient 
            lifts, repositioning, and transfers using patient transfer, 
            repositioning, and lifting devices as appropriate for the 
            specific patient.

          5)Exempt general acute care hospitals within the California 
            Department of Corrections and Rehabilitation and the State 
            Department of Developmental Services.









                                                                  AB 1136
                                                                  Page  2

           AS PASSED BY THE ASSEMBLY  , this bill required all general acute 
          care hospitals to adopt a patient protection and health care 
          worker back and musculoskeletal injury prevention plan that 
          included a safe patient handling policy component to protect 
          patients and health care workers in health care facilities.  
           
           FISCAL EFFECT  :  According to the Senate Appropriations 
          Committee, increased costs of up to $100,000 special funds 
          one-time to the Department of Industrial Relations for 
          regulations.  In addition, there may be potentially significant 
          cost pressures on hospitals that do not have lift teams for 
          staff training and equipment purchase. 

           COMMENTS  :  According to the author, amendments were taken in the 
          Senate to clarify that this bill would allow hospitals to use 
          existing staff as lift team members and address fiscal concerns 
          raised by the state. 

          Six states - Maryland, Minnesota, New Jersey, Rhode Island, 
          Texas and Washington - have laws that mandate a form of safe 
          patient handling or the use of lifting equipment.  Texas 
          requires both hospitals and nursing homes to have polices for 
          safe patient handling and movement.  Washington mandates the use 
          of lift equipment by hospitals. 
           

          Analysis Prepared by  :    Shannon McKinley / L. & E. / (916) 
          319-2091 


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