BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 973
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          ASSEMBLY THIRD READING
          AB 973 (Quirk-Silva)
          As Amended April 25, 2013
          2/3 vote  

           HEALTH              12-6        APPROPRIATIONS      16-1        
           
           ----------------------------------------------------------------- 
          |Ayes:|Pan, Ammiano, Atkins,     |Ayes:|Gatto, Harkey, Bigelow,   |
          |     |Bonilla, Bonta, Gomez,    |     |Bocanegra, Bradford, Ian  |
          |     |Roger Hern�ndez,          |     |Calderon, Campos, Eggman, |
          |     |Lowenthal, Mitchell,      |     |Gomez, Hall, Ammiano,     |
          |     |Nazarian,                 |     |Linder, Pan, Quirk,       |
          |     |V. Manuel P�rez,          |     |Wagner, Weber             |
          |     |Wieckowski                |     |                          |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Logue, Maienschein,       |Nays:|Donnelly                  |
          |     |Mansoor, Nestande,        |     |                          |
          |     |Wagner, Wilk              |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Requires the Department of Public Health (DPH) to use  
          specified funds from the state and federal Health Facilities  
          Citation Penalty Accounts to contract through a competitive bid  
          process with a nonprofit organization that meets specified  
          criteria to promote culture change and person-centered care in  
          long-term care (LTC) facilities.   Specifically,  this bill  :  

          1)Requires moneys from the State Health Facilities Penalty  
            Account (state penalty account) to be continuously  
            appropriated rather than subject to appropriation by the  
            Legislature, except with regard to the existing LTC Ombudsman  
            Program.

          2)Deletes existing law prohibiting the balance in the state  
            penalty account from exceeding $10 million dollars.  Requires  
            no more than $150,000 from the state penalty account to be  
            used for the general promotion of culture change and  
            person-centered care in the state's LTC facilities.

          3)Provides that if the amount of money in the state penalty  
            account falls below $8 million, funding for the existing LTC  
            Ombudsman Program must receive priority over funding for the  








                                                                  AB 973
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            purpose of culture change and person-centered care required by  
            this bill.

          4)Requires no more than $250,000 from the Federal Health  
            Facilities Citation Penalties Account (federal penalty  
            account) each fiscal year to be used for specific projects as  
            directed by the federal government for the improvement of  
            quality of care and quality of life for LTC residents,  
            including the promotion of person-centered care and culture  
            change.

          5)Requires the Director of DPH to contract through a competitive  
            bid process with a nonprofit organization that meets specified  
            requirements, and requires projects undertaken by the  
            nonprofit organization under the direction of the state and  
            federal government to specify the desired outcomes,  
            deliverables, and how the project is to be evaluated.

          6)Defines, for purposes of this bill, "culture change" to mean  
            the national movement for the transformation of older adult  
            services, based on person-centered values and practices where  
            the voices of elders and those working with them are  
            considered and respected.  Core person-centered values are  
            choice, dignity, respect, self-determination, and purposeful  
            living, as specified.


           FISCAL EFFECT  :  According the Assembly Appropriations Committee,  
          this bill would incur costs of up to $150,000 from the State  
          Penalty Fund and up to $250,000 from the Federal Penalty Fund.   
          This bill also changes a legislative appropriation to a  
          continuous appropriation.

           COMMENTS  :  The author notes that nearly all states now have  
          coalitions dedicated to promoting the values and practices of  
          culture change in LTC and finding pragmatic ways to encourage  
          nursing homes to adopt these values.  The author states that the  
          federal government recognizes that states need additional  
          funding to support and amplify the work of the state coalitions  
          and federal approval for states to use civil money penalties  
          represents a significant contribution to the survival of these  
          fledgling organizations.  However, the author maintains that  
          additional funding is needed to sustain these efforts and such  
          funding is imperative in California in particular, because it is  








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          a large, geographically and culturally diverse state with over  
          1,200 nursing homes, all of which are in need of funds to  
          enhance the quality of life for those who live in them.  The  
          author reports that, as of September 2012, the state penalty  
          account had a balance of over $11 million.  According to the  
          author, by continuously appropriating a small portion of these  
          funds, this bill seeks to make California the national leader in  
          promoting culture change and best practices in the delivery of  
          long-term health care in nursing home settings.

          According to the California HealthCare Foundation (CHCF), recent  
          literature shows that nursing homes embracing culture change  
          have improved quality outcomes and offer preliminary evidence of  
          positive business impacts.  However, CHCF indicates that  
          California has lagged behind other states in implementing  
          culture change.  According to a January 2013 issue brief from  
          the Kaiser Family Foundation (KFF) describing provisions of the  
          federal Patient Protection and Affordable Care Act (ACA) aimed  
          at improving nursing home transparency, care quality, and abuse  
          prevention, the federal Centers for Medicare and Medicaid  
          Services has supported the culture change movement with  
          information, technical assistance to facilities, training of  
          surveyors, and review of regulations to remove unnecessary  
          barriers to creating more home-like environments.  KFF reports  
          that, although some nursing homes have the necessary information  
          technology (IT) infrastructure, overall the nation's 15,800  
          nursing homes have lagged behind other health care settings in  
          the use of information technology to improve clinical care and  
          personalize care delivery.

          KFF indicates that the ACA authorizes two national demonstration  
          projects to improve resident care through culture change and  
          information technology.  One grant would be awarded to  
          facilities that are involved in culture change to develop best  
          practice resources and the other grant opportunity would develop  
          best practices in the use of IT to improve resident care.  As of  
          January 2013, KFF reports that no funds have been allocated to  
          conduct these projects.

          California Advocates for Nursing Home Reform (CANHR) objects to  
          diverting funds from the state and federal penalty accounts to  
          pay for culture change.  CANHR argues that if skilled nursing  
          facilities were truly interested in culture change, they would  
          fund it on their own.  CANHR writes that while it supports  








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          culture change practices in nursing homes, including consistent  
          staffing, reduction of psychotropic drugs, and patient-centered  
          care, it is not appropriate to use funds paid by facilities with  
          serious violations of the law to provide those same facilities  
          with culture change services.  Disability Rights California  
          raises concerns about the lack of involvement of residents.

           Analysis Prepared by  :    Ben Russell / HEALTH / (916) 319-2097    
                  FN: 0000908