BILL ANALYSIS                                                                                                                                                                                                    �






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

          BILL NO:       AB 974
          AUTHOR:        Hall
          AMENDED:       April 16, 2013
          HEARING DATE:  June 26, 2013
          CONSULTANT:    Marchand

           SUBJECT  :  Patient transfer: nonmedical reasons: notice to  
          contact person or next of kin.
           
          SUMMARY  :  Requires a hospital to alert a patient's emergency  
          contact person prior to transferring the patient from one  
          hospital to another for nonmedical reasons.

          Existing law:
          1.Requires hospital emergency departments, under the federal  
            Emergency Medical Treatment and Active Labor Act as well as  
            state law, to provide emergency screening and stabilization  
            services without regard to the patient's insurance status or  
            ability to pay.

          2.Requires a health plan to reimburse providers for emergency  
            services and care provided to its enrollees until the care  
            results in stabilization of the enrollee.

          3.Prohibits any person needing emergency services and care from  
            being transferred from a hospital to another hospital for any  
            nonmedical reason, such as the person's inability to pay for  
            any emergency service or care, unless specified conditions are  
            met, including the following:

                  a.        The person is examined and evaluated by a  
                    physician prior to transfer;
                  b.        The person has been provided with emergency  
                    services and care so that it can be determined, within  
                    reasonable medical probability, that the transfer or  
                    delay caused by the transfer will not create a medical  
                    hazard to the person;
                  c.        A physician at the transferring hospital has  
                    notified and obtained the consent to the transfer by a  
                    physician at the receiving hospital;
                  d.        The transferring hospital provides the  
                    appropriate personnel and equipment to effect the  
                    transfer, and all the person's pertinent medical  
                                                         Continued---



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                    records are transferred with the person; and,
                  e.        The records transferred with the person  
                    include a "Transfer Summary," signed by the  
                    transferring physician, containing specified relevant  
                    information, including the reason for the transfer and  
                    a declaration of the signing physician that the  
                    transfer creates no medical hazard to the patient.

          4.Prohibits anything in the above provisions of law pertaining  
            to the nonmedical transfer of a person needing emergency  
            services and care from prohibiting the transfer or discharge  
            of a patient when the patient or the patient's representative  
            requests a transfer or discharge and gives informed consent to  
            the transfer or discharge against medical advice.

          5.Permits a health facility to disclose medical information  
            about a patient in order to notify a family member or a  
            personal representative of the patient about the patient's  
            location, general condition, or death, if specified procedures  
            are followed.

          6.Prohibits, under Title 22 of the California Code of  
            Regulations, any patient from being transferred or discharged  
            solely for the purposes of effecting a transfer from a  
            hospital to another health facility unless certain  
            requirements have been made, including that the patient or the  
            person legally responsible for the patient has been notified,  
            or attempts have been made over the 24-hour period prior to  
            the patient's transfer and the legally responsible person  
            cannot be reached.
          
          This bill:
          1.Requires a patient needing emergency services and care, prior  
            to being transferred from one hospital to another for  
            nonmedical reasons, such as an inability to pay, in addition  
            to other existing requirements, to be asked if there is a  
            preferred contact person who should be notified, and requires  
            the hospital to make a reasonable attempt to contact that  
            person and alert him or her about the proposed transfer.

          2.Requires the hospital, if the patient about to be transferred  
            for nonmedical reasons is not able to respond, to make a  
            reasonable effort to ascertain the identity of the preferred  
            contact person or the next of kin and alert him or her about  
            the transfer.





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           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, this bill will result in special fund costs to DPH of  
          $75,000 in fiscal year 2013-14 and $128,000 in 2014-15 for a  
          limited term position to develop regulations.

           PRIOR VOTES  :  
          Assembly Health:    19- 0
          Assembly Appropriations:17- 0
          Assembly Floor:     75- 0
           
          COMMENTS  :  
           1.Author's statement.  California hospitals that operate an  
            emergency department are required to provide care to any  
            person regardless of the patient's insurance status. Once the  
            patient has been stabilized and is no longer in immediate  
            danger, he or she may be transferred from one hospital to  
            another for nonmedical reasons. Before transferring a patient  
            for nonmedical reasons, hospitals are required to meet certain  
            conditions. These conditions include ensuring all pertinent  
            medical records are transferred with the patient, examination  
            and evaluation by a physician at the transferring hospital,  
            and ensuring that the receiving hospital has adequate staff  
            and equipment to care for the patient. Currently there is no  
            uniform procedure for alerting a preferred contact person  
            about a patient's transfer between health facilities. This has  
            led to situations of confusion and fear among families when a  
            patient is transferred and no contact person has been alerted.  
            This bill will bring much needed uniformity to all patient  
            transfers between hospitals. This bill will also provide  
            patients and their loved ones vital information, comfort and  
            peace of mind when being cared for by a hospital. 
            
            The author states that this bill is in response to an incident  
            involving the elderly mother in the care of a constituent, who  
            suffered a stroke and was brought to the closest emergency  
            room which happened to be an out of network hospital. The  
            patient was then stabilized, and once she met all the criteria  
            to be eligible for transfer, she was transferred to an  
            in-network hospital. The transferring hospital, however failed  
            to notify the daughter who had been visiting her mother. When  
            she arrived at the hospital she was shocked and scared to find  
            that her mother's room was empty. Her first thought was that  
            her mother had died. She was eventually able to find someone  
            who informed her of the transfer.





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          2.Support.  Health Access states in support that anyone who has  
            received the call that a loved one is being seen in an  
            emergency room knows the worry and the fear that accompanies  
            that journey to the hospital. Imagine arriving to find that  
            the patient has been transferred to another hospital without  
            notice.  Health Access states that this bill builds on  
            existing California law regarding transfer of individuals from  
            one hospital to another by adding a provision that the  
            hospital should attempt to contact a family member or  
            emergency contact person prior to the transfer, and that this  
            seems a simple measure of human dignity. The Consumer  
            Attorneys of California state in support that hospitals are  
            not required to notify the patient's next of kin or emergency  
            contact that the patient is being transferred, and that this  
            lack of communication creates unnecessary confusion and fear  
            in an already stressful time for family members and friends.  
            The California Chapter of the American College of Emergency  
            Physicians states in support that this bill will reduce the  
            confusion caused by hospital transfers, and that it supports  
            ensuring that loved ones are notified when patients are  
            transferred to another hospital. The Congress of California  
            Seniors states that this bill aims to end the confusion and  
            heartache that results when family members do not know where  
            their relative has gone.  California Advocates for Nursing  
            Home Reform states that for all persons with disabilities and  
            the elderly, notifying someone about the transfer is essential  
            to their health and safety. The Alzheimer's Association notes  
            that without notification of a pending transfer, families of  
            someone living with Alzheimer's disease could fear that their  
            loved one has wandered off, when in reality they have been  
            transferred to another health facility.

          3.Conforming to the Confidentiality of Medical Information Act.   
            Under the Confidentiality of Medical Information Act (CMIA),  
            health care providers are prohibited from disclosing medical  
            information regarding a patient without first obtaining  
            authorization, except under specified conditions. The CMIA  
            does specifically permit the disclosure of medical information  
            to notify a family member or personal representative of the  
            patient about the patient's "location, general condition, or  
            death."  The patient's consent is required for this  
            notification, but if the patient is incapacitated, the health  
            care provider is permitted to exercise professional judgment  
            in determining whether the disclosure is in the best interests  
            of the patient.  The provider is also restricted to disclosing  
            only the medical information that is directly relevant to the  




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            person's involvement with the patient's health care.

          While this bill does require the patient to first be asked for a  
            preferred contact, in the event the patient is not able to  
            respond, this bill requires the hospital to "make a reasonable  
            effort to ascertain the identity of the preferred contact  
            person or the next of kin and alert him or her about the  
            transfer."  

          Because the CMIA already has provisions of law that specify the  
            requirements a provider must follow in order to disclose  
            information about a patient's location to a family member, the  
            committee may wish to consider whether this bill should be  
            amended to require the hospital to follow the CMIA  
            requirements when alerting the preferred contact about the  
            transfer of the patient. 
          
           SUPPORT AND OPPOSITION  :
          Support:  Alzheimer's Association
                    Brotherhood Crusade
                    California Advocates for Nursing Home Reform
                    California Chapter of the American College of  
                    Emergency Physicians
                    California Senior Legislature
                    Congress of California Seniors
                    Consumer Attorneys of California
                    Health Access California


          Oppose:   None received


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