BILL NUMBER: AB 620	AMENDED
	BILL TEXT

	AMENDED IN SENATE  AUGUST 15, 2013
	AMENDED IN SENATE  JULY 11, 2013
	AMENDED IN SENATE  JUNE 27, 2013
	AMENDED IN SENATE  JUNE 6, 2013
	AMENDED IN ASSEMBLY  APRIL 15, 2013
	AMENDED IN ASSEMBLY  APRIL 2, 2013

INTRODUCED BY   Assembly Member Buchanan

                        FEBRUARY 20, 2013

   An act to add Sections 1279.8, 1507.15, 1569.317, and 1584.5 to
the Health and Safety Code, relating to health and care facilities.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 620, as amended, Buchanan. Health and care facilities: missing
patients and participants.
   Existing law provides for the licensure and regulation of the
health facilities, as defined. Existing law requires certain types of
health facilities, such as acute care hospitals and skilled nursing
facilities, to develop, implement, and comply with a patient safety
plan for the purpose of improving the health and safety of patients
and reducing preventable patient safety events, as specified. A
person who violates the provisions governing health facilities is
guilty of a misdemeanor, as specified.
   The Community Care Facilities Act provides for the licensure and
regulation of community care facilities, as defined, including
residential facilities and facilities that provide adult day
programs. A person who violates the act is guilty of a misdemeanor.
   Existing law, the California Residential Care Facilities for the
Elderly Act, requires the State Department of Social Services to
license and regulate residential care facilities for the elderly, as
defined. A person who violates the act is guilty of a misdemeanor.
   Existing law, the California Adult Day Health Care Act, provides
for the licensure and regulation of adult day health care centers, as
defined, by the State Department of Public Health. A person who
negligently, repeatedly, or willfully violates the act is guilty of a
misdemeanor.
   This bill would require specified health facilities, including
various kinds of intermediate care facilities, congregate living
health facilities, and skilled nursing facilities, community care
facilities providing adult residential care or offering adult day
programs, residential care facilities for the elderly, and adult day
health care centers to develop and comply with  an absentee
notification plan or  a safety plan, as specified, for the
purpose of addressing issues that arise when a patient, resident, or
participant, as applicable, is missing from the facility. The bill
would require the plan to include a requirement that an administrator
of the facility, or his or her designee, inform the patient's,
resident's, or participant's authorized representative when that
patient, resident, or participant is missing from the facility  ,
except under specified circumstances, and to include the
circumstances in which local law enforcement must be notified.
Because  negligent, repeated, or willful  violations
of these provisions would be misdemeanors, the bill would impose a
state-mandated local program.
   The California Constitution requires the state to reimburse local
agencies and school districts for certain costs mandated by the
state. Statutory provisions establish procedures for making that
reimbursement.
   This bill would provide that no reimbursement is required by this
act for a specified reason.
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: yes.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 1279.8 is added to the Health and Safety Code,
to read:
   1279.8.   (a)    Every health facility, as
defined in subdivision (c), (d), (e), (g), (h), (i), or (m) of
Section 1250, shall, for the purpose of addressing issues that arise
when a patient is missing from the facility, develop and comply with
 a patient safety   an absentee notification
 plan as part of the written plans and procedures that are
required pursuant to federal or state law. The plan shall include a
requirement that an administrator of the facility, or his or her
designee, inform the patient's authorized representative when that
patient is missing from the facility. The plan shall include the
circumstances in which an administrator of the facility, or his or
her designee, shall notify local law enforcement when a patient is
missing from the facility. 
   (b) This section shall not apply to state hospitals under the
jurisdiction of the State Department of State Hospitals when the
executive director of the state hospital, or his or her designee,
determines that informing the patient's authorized representative
that a patient is missing will create a risk to the safety and
security of the state hospital. 
  SEC. 2.  Section 1507.15 is added to the Health and Safety Code, to
read:
   1507.15.  Every community care facility that provides adult
residential care or offers an adult day program shall, for the
purpose of addressing issues that arise when an adult resident or an
adult day program participant is missing from the facility, develop
and comply with a written safety plan for each resident or
participant. The plan shall be part of the written Needs and Services
Plan. The plan shall include a requirement that an administrator of
the facility, or his or her designee, inform the resident's or
participant's authorized representative when that resident or
participant is missing from the facility. The plan also shall include
the circumstances in which an administrator of the facility, or his
or her designee, shall notify local law enforcement when a resident
or participant is missing from the facility.
  SEC. 3.  Section 1569.317 is added to the Health and Safety Code,
to read:
   1569.317.  Every residential care facility for the elderly, as
defined in Section 1569.2, shall, for the purpose of addressing
issues that arise when a resident is missing from the facility,
develop and comply with a resident safety plan as part of the written
record of the care the resident will receive in the facility, as
described in Section 1569.80. The plan shall include a requirement
that an administrator of the facility, or his or her designee, inform
the resident's authorized representative when that resident is
missing from the facility. The plan shall include the circumstances
in which an administrator of the facility, or his or her designee,
shall notify local law enforcement when a resident is missing from
the facility.
  SEC. 4.  Section 1584.5 is added to the Health and Safety Code, to
read:
   1584.5.  Every adult day health care center shall, for the purpose
of addressing issues that arise when an adult day health care
participant is missing from the facility, develop and comply with
 a participant safety   an absentee notification
 plan, as part of the individual plan of care, as defined in
Section 1570.7. The plan shall include a requirement that an
administrator of the facility, or his or her designee, inform the
participant's authorized representative when that participant is
missing from the facility. The plan shall include the circumstances
in which an administrator of the facility, or his or her designee,
shall notify local law enforcement when a participant is missing from
the facility.
  SEC. 5.  No reimbursement is required by this act pursuant to
Section 6 of Article XIII B of the California Constitution because
the only costs that may be incurred by a local agency or school
district will be incurred because this act creates a new crime or
infraction, eliminates a crime or infraction, or changes the penalty
for a crime or infraction, within the meaning of Section 17556 of the
Government Code, or changes the definition of a crime within the
meaning of Section 6 of Article XIII B of the California
Constitution.