BILL ANALYSIS                                                                                                                                                                                                    Ó






                             SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:       AB 395
          AUTHOR:        Fox
          AMENDED:       June 24, 2013
          HEARING DATE:  July 3, 2013
          CONSULTANT:    Robinson-Taylor

           SUBJECT  :  Alcoholism and drug abuse treatment facilities.
           
          SUMMARY  :  Expands the types of facilities licensed by the  
          Department of Alcohol and Drug Programs (ADP) to include any  
          facility that has a nationally accredited program that uses a  
          multidisciplinary team to provide 24-hour residential medical  
          services to adults recovering from alcohol and drug abuse  
          problems. 

          Existing law:
          1.Establishes Department of Alcohol and Drug Programs (ADP) to  
            license residential treatment facilities that provide a broad  
            range of services in a supportive environment to adults who  
            are addicted to alcohol or drugs.

          2.Defines a residential treatment facility as any premise,  
            place, or building that provides 24-hour residential  
            non-medical services to adults who are recovering from  
            problems related to alcohol, drug, or alcohol and drug misuse  
            or abuse, and who need alcohol, drug, or alcohol and drug  
            recovery treatment or detoxification services.

          3.Defines residential non-medical services provided by a  
            licensed treatment facility to mean recovery services,  
            treatment services, and detoxification services.

          4.Defines a chemical dependency recovery hospital as a health  
            facility that provides 24-hour inpatient care for persons who  
            have dependency on alcohol or other drugs, or both.  Specifies  
            that the care includes, but is not limited to, patient  
            counseling, group therapy, physical conditioning, family  
            therapy, outpatient services, and dietetic services.  Requires  
            the hospital to have a medical director who is a licensed  
            physician and surgeon.

          5.Eliminates ADP on July 1, 2013, and shifts department  
            functions to the Department of Health Care Services (DHCS) and  
                                                         Continued---



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            the Department of Public Health (DPH).
          
          This bill:
          1.Defines "alcoholism or drug abuse recovery or treatment  
            facility" or "facility" to mean either of the following:

             a.   A premises, place, or building that provides 24-hour  
               residential non-medical services to adults who are  
               recovering from problems related to alcohol, drug, or  
               alcohol and drug misuse or abuse, and who need alcohol,  
               drug, or alcohol and drug recovery treatment or  
               detoxification services; or,
             b.   A premises, place, or building that provides 24-hour  
               residential services to adults who are recovering from  
               problems related to alcohol, drug, or alcohol and drug  
               misuse or abuse and who need alcohol, drug, or alcohol and  
               drug recovery treatment or detoxification services and  
               medical care if the premises, place, or building:

                        i.              Is not a chemical recovery  
                         dependency hospital;
                        ii.             Is accredited by a nationally  
                         recognized accrediting organization; and
                        iii.           Uses a multidisciplinary team that  
                         includes at least one physician and surgeon,  
                         licensed by the Medical Board of California or  
                         the Osteopathic Medical Board, who is  
                         knowledgeable about addiction medicine.

          2.Adds the following to the list of instances when the director  
            of ADP is permitted to suspend or revoke an alcoholism or drug  
            abuse recovery or treatment facility's license:

                  a.        Conduct in the operation of the facility  
                    endangers the health or safety of an individual  
                    receiving services; and,
                  b.        Failure to report to the department, within  
                    24-hours, the death of a resident for any cause, even  
                    if the death did not occur at the facility.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee analysis, this bill will result in costs to ADP  
          (and/or DHCS, which is assuming ADP's functions in this area),  
          likely greater than $150,000, to oversee programs offering a  
          medical component.  This bill will also result in potentially  
          minor and absorbable one-time costs for regulations.




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           PRIOR VOTES  :  
          Assembly Health:    18- 0
          Assembly Appropriations:17- 0
          Assembly Floor:     73- 1
           
          COMMENTS  :  
           1.Author's statement.  Medical services are especially critical  
            during the early stages of detoxification, and have been shown  
            to significantly enhance substance abuse treatment outcomes.   
            The author maintains that this bill would permit medical  
            services in ADP licensed residential treatment facilities to  
            include:
             
               a.     Medical assistance with detoxification including  
                 monitoring blood pressure and vital signs, observing for  
                 signs of seizure risk, and management of oral  
                 medications;
               b.     Psychiatric evaluation and counseling;
               c.     Prescribing and monitoring medications, including  
                 public health inoculations; and,
               d.     General oversight of the medical condition of  
                 residents in the facility.  
            
            According to the author, those who enter treatment for  
            addiction often have other health problems and non-invasive  
            counseling and medical management are crucial to their overall  
            health.  The author maintains that this bill mirrors policies  
            ADP already uses in its oversight of other programs.  Under  
            this bill, inspection and quality assurance would be provided  
            by a nationally recognized accrediting organization, such as  
            the Commission on Accreditation of Rehabilitation Facilities  
            (CARF) or the Joint Commission.  The author argues that  
            currently, ADP lacks statutory authority to license  
            residential treatment facilities that provide medical services  
            associated with detoxification.  The author states that this  
            bill is intended to allow physicians to provide limited  
            medical services in residential treatment facilities licensed  
            by ADP to assist with alcohol, drug, or alcohol and drug  
            recovery treatment or detoxification services.
          2.ADP oversight of residential treatment facilities.  ADP was  
            established in 1979 and is charged with directing,  
            coordinating and providing leadership in the state's efforts  
            to reduce or prevent alcoholism, narcotic addiction, drug  
            abuse and problem gambling.  ADP's licensing of residential  




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            treatment facilities focuses on health and safety rather than  
            the content of the treatment programs.  Once every two years,  
            a department analyst visits the program to assure that it's  
            complying with regulations.  In addition to biannual  
            compliance reviews, ADP investigates complaints and deaths and  
            may suspend and revoke licenses.  ADP may also impose fines,  
            but does not keep track of the total collected.

          Residential treatment facilities range in size from six-bed  
            facilities in residential neighborhoods to centers that  
            accommodate more than 100 beds.  Some facilities rely on  
            public funding while others, including a cluster of facilities  
            in Malibu, charge tens of thousands of dollars a month.

          Current law permits residential treatment facilities to only  
            provide "non-medical" treatment.  ADP interprets this to mean  
            that programs must not pay medical professionals directly,  
            either through a salary or a contract.  Instead, ADP  
            interprets current law to mean that each client must pay  
            medical professionals directly.  

          According to a trailer bill approved as part of the 2012-13  
            Budget, ADP is scheduled to be eliminated on July 1, 2013.   
            The majority of its functions, including the department's  
            licensing and certification functions, will be transferred to  
            DHCS.  

          3.Senate Report.  A September 2012 investigative report by the  
            Senate Office of Oversight and Outcomes (SOOO) identified gaps  
            in ADP's regulation of residential treatment programs,  
            including failure to pursue evidence of problems, slow  
            investigative responses to deaths and other serious incidents,  
            and reluctance to use the full spectrum of its statutory  
            powers to shut down programs that pose a danger to the public.  
             The report also documents widespread flouting of the state's  
            prohibition against residential treatment programs providing  
            medical care.  

          The report points out that despite ADP's interpretation of state  
            law to mean that medical professionals who operate in  
            residential treatment settings must maintain a separate  
            relationship with clients and not receive payments from the  
            program, SOOO surveyed websites, press releases, and  
            non-profit tax returns, and identified 34 programs that made  
            claims that appeared to violate state law and regulations  
            barring medical care.  Additionally, program directors  




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            interviewed for the report asserted that they must twist  
            themselves into knots to comply with the state ban while also  
            satisfying insurers and accrediting agencies that often  
            require the involvement of medical professionals.

          The SOOO reports that they found many programs that adhered to  
            the "social model" of treatment centered on counseling and  
            group meetings in the tradition of Alcoholics Anonymous.  But  
            in many ways, according to SOOO, the industry has abandoned  
            that model in favor of "comfortable" detoxification with the  
            assistance of medicines and doctors.  The report notes that  
            California is unusual among populous states in prohibiting  
            medical care in residential treatment programs.  SOOO  
            contacted nine other states and found that all but one of them  
            allowed physicians and other medical professionals to work in  
            such settings.  Several, according to the report, required the  
            involvement of physicians in programs providing  
            detoxification.  

          Among the recommendations in the report is for the Legislature  
            to consider approving a bill allowing medical care in  
            residential treatment facilities, given that many experts  
            believe that medical care is an integral part of successful  
            treatment.  However, the report adds that it would not be  
            enough to simply lift the ban.  The report suggests the state  
            may have to strengthen other laws and regulations to make sure  
            that medical care is safe and effective, for instance, and  
            address the question of whether the involvement of doctors  
            would violate a law prohibiting the corporate practice of  
            medicine.

          4.National accreditation organizations.  According to ADP,  
            accreditation by two national organizations, the Joint  
            Commission and the Commission on Accreditation of  
            Rehabilitation Facilities (CARF) is currently available for  
            such behavioral health care services as addiction treatment,  
            opioid treatment and maintenance programs, crisis  
            stabilization, case management and care coordination,  
            employment services, and vocational rehabilitation.  The Joint  
            Commission and CARF each require a facility to demonstrate  
            that its program meets their respective quality standards in  
            order to obtain accreditation.  These quality standards  
            evaluate important functions relating to client care and  
            program management, including administrative requirements,  
            financial management, personnel qualifications, client  




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            services, performance outcomes, client safety, and information  
            privacy and security.  Accreditation from either the Joint  
            Commission or CARF is valid for three years.

          The SOOO report notes that accreditation surveys represent a  
            snapshot in time and, while they may consider the track record  
            of a program, they are more focused on present activities.  If  
            a program has had problems in the past, accreditation agencies  
            like CARF want to see that it is taking steps to remedy them.   
            The report points out that accreditation is not a substitute  
            for government oversight and should be viewed as a tool that  
            government entities can use in performing oversight.  
           
          5.Prior legislation. 
               a.     SB 1014 (Committee on Budget), Chapter 36, Statutes  
                 of 2012, transfers ADP's functions to other state  
                 departments effective July 1, 2013, including the  
                 transfer of its licensing functions to DHCS.

               b.     AB 972 (Butler) of 2011 would have included  
                 provisions substantially similar to this bill.   
                 Provisions in AB 972 were subsequently deleted and the  
                 bill was amended to address a different subject.

               c.     AB 2221 (Beall) of 2010, was substantively similar  
                 to this bill.  AB 2221 died on the Senate Appropriations  
                 Committee Suspense File.

               d.     AB 1055 (Chesbro) of 2009, contained provisions  
                 substantially similar to this bill.  AB 1055 died on the  
                 Assembly Appropriations Committee Suspense File.

          6.Support.  The sponsor of this bill, the California Society of  
            Addiction Medicine, states in support that the underlying  
            California statute that guides ADP in the regulation of  
            residential treatment facilities was written at a time when  
            substance abuse treatment programs stressed self-help and peer  
            support but our understanding of the medical side of addiction  
            and treatment has since advanced while the underlying law has  
            remained the same.  The sponsor maintains that this bill takes  
            a modest first step toward solving this problem by updating  
            the law to match the actual practice in the field by allowing  
            residential treatment facilities to provide limited medical  
            services under state supervision.  Promises Treatment Centers  
            writes in support that this bill will greatly improve the  
            quality of care offered to people in residential treatment  




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            facilities by clarifying that providing competently  
            administered medical care is consistent with the state's  
            interest in supporting these facilities without jeopardizing  
            the residential nature of their services.
          
          7.Policy Comments. 
               a.     SB 1014 (Committee on Budget) transferred ADP's  
                 functions to other state departments effective July 1,  
                 2013, including the transfer of its licensing functions  
                 to DHCS.  This bill should be amended to address how the  
                 requirements of this bill interact with the transfer of  
                 ADP's licensing functions to DHCS, should this bill  
                 become law.
               
               b.     While the author's statement describes the types of  
                 medical services intended by this bill to be provided at  
                 residential treatment facilities, this bill's language  
                 currently does not specify the scope of medical services  
                 proposed to be provided in these facilities.  This bill  
                 should be amended to describe the proposed scope of  
                 medical services.

               c.     Among the recommendations in the SOOO report is for  
                 the Legislature to consider approving a bill allowing  
                 medical care in residential treatment facilities, given  
                 that many experts believe that medical care is an  
                 integral part of successful treatment.  Since this bill  
                 will require a new licensing scheme under a new  
                 department's authority, the Committee may wish to  
                 consider requiring DHCS to ensure that an evaluation of  
                 the program is completed and, within two years after  
                 implementation, submit a report to the appropriate policy  
                 and fiscal committees of the Legislature.  The  
                 requirement for submitting the report would become  
                 inoperative four years after the date the report is due.

           SUPPORT AND OPPOSITION  :
          Support:  California Society of Addiction Medicine (sponsor)
                    California Council of Community Mental Health Agencies
                    County Alcohol and Drug Program Administrators  
                              Association of California
                    Promises Treatment Centers

          Oppose:   None received.





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