California Legislature—2013–14 Regular Session

Assembly BillNo. 1382


Introduced by Committee on Health (Pan (Chair), Logue (Vice Chair), Ammiano, Bonilla, Bonta, Roger Hernández, Lowenthal, Mitchell, Nazarian, Wieckowski, and Wilk)

February 27, 2013


An act to amend Sections 128735, 128736, and 128737 of the Health and Safety Code, relating to health facilities.

LEGISLATIVE COUNSEL’S DIGEST

AB 1382, as introduced, Committee on Health. Reporting.

Existing law requires certain health facilities and freestanding ambulatory surgery clinics to file, with the Office of Statewide Health Planning and Development, specified reports containing various patient and health data information.

This bill would require reporting of the preferred language spoken rather than the principal language spoken, and the external causes of morbidity rather than the external cause of injury. The bill would delete the requirement to report other external causes of injury, and would make other technical and conforming changes.

Vote: majority. Appropriation: no. Fiscal committee: no. State-mandated local program: no.

The people of the State of California do enact as follows:

P1    1

SECTION 1.  

Section 128735 of the Health and Safety Code
2 is amended to read:

3

128735.  

An organization that operates, conducts, owns, or
4maintains a health facility, and the officers thereof, shall make and
P2    1file with the office, at the times as the office shall require, all of
2the following reports on forms specified by the office that shall be
3in accord, if applicable, with the systems of accounting and uniform
4reporting required by this part, except that the reports required
5pursuant to subdivision (g) shall be limited to hospitals:

6(a) A balance sheet detailing the assets, liabilities, and net worth
7of the health facility at the end of its fiscal year.

8(b) A statement of income, expenses, and operating surplus or
9deficit for the annual fiscal period, and a statement of ancillary
10utilization and patient census.

11(c) A statement detailing patient revenue by payer, including,
12but not limited to, Medicare, Medi-Cal, and other payers, and
13revenue center, except that hospitals authorized to report as a group
14pursuant to subdivision (d) of Section 128760 are not required to
15report revenue by revenue center.

16(d) A statement of cashflows, including, but not limited to,
17ongoing and new capital expenditures and depreciation.

18(e) A statement reporting the information required in
19subdivisions (a), (b), (c), and (d) for each separately licensed health
20facility operated, conducted, or maintained by the reporting
21organization, except those hospitals authorized to report as a group
22pursuant to subdivision (d) of Section 128760.

23(f) Data reporting requirements established by the office shall
24be consistent with national standards, as applicable.

25(g) A Hospital Discharge Abstract Data Record that includes
26all of the following:

27(1) Date of birth.

28(2) Sex.

29(3) Race.

30(4) ZIP Code.

31(5) begin deletePrincipal end deletebegin insertPreferred end insertlanguage spoken.

32(6) Patient social security number, if it is contained in the
33 patient’s medical record.

34(7) Prehospital care and resuscitation, if any, including all of
35the following:

36(A) “Do not resuscitate” (DNR) orderbegin delete atend deletebegin insert onend insert admission.

37(B) “Do not resuscitate” (DNR) order after admission.

38(8) Admission date.

39(9) Source of admission.

40(10) Type of admission.

P3    1(11) Discharge date.

2(12) Principal diagnosis and whether the condition was present
3begin delete atend deletebegin insert onend insert admission.

4(13) Other diagnoses and whether the conditions were present
5begin delete atend deletebegin insert onend insert admission.

6(14) Externalbegin delete cause of injuryend deletebegin insert causes of morbidity and whether
7present on admissionend insert
.

8(15) Principal procedure and date.

9(16) Other procedures and dates.

10(17) Total charges.

11(18) Disposition of patient.

12(19) Expected source of payment.

13(20) Elements added pursuant to Section 128738.

14(h) It is the intent of the Legislature that the patient’s rights of
15confidentiality shall not be violated in any manner. Patient social
16security numbers and other data elements that the office believes
17could be used to determine the identity of an individual patient
18shall be exempt from the disclosure requirements of the California
19Public Records Act (Chapter 3.5 (commencing with Section 6250)
20of Division 7 of Title 1 of the Government Code).

21(i) A person reporting data pursuant to this section shall not be
22liable for damages in an action based on the use or misuse of
23patient-identifiable data that has been mailed or otherwise
24transmitted to the office pursuant to the requirements of subdivision
25(g).

26(j) A hospital shall use coding from the International
27Classification of Diseases in reporting diagnoses and procedures.

28

SEC. 2.  

Section 128736 of the Health and Safety Code is
29amended to read:

30

128736.  

(a)  Each hospital shall file an Emergency Care Data
31Record for each patient encounter in a hospital emergency
32department. The Emergency Care Data Record shall include all
33of the following:

34(1)  Date of birth.

35(2)  Sex.

36(3)  Race.

37(4)  Ethnicity.

38(5)  begin deletePrincipal end deletebegin insertPreferred end insertlanguage spoken.

39(6)  ZIP Code.

P4    1(7)  Patient social security number, if it is contained in the
2patient’s medical record.

3(8)  Service date.

4(9)  Principal diagnosis.

5(10)  Other diagnoses.

6(11)  begin deletePrincipal external cause of injury end deletebegin insertExternal causes of
7morbidityend insert
.

begin delete

8(12)  Other external cause of injury.

end delete
begin delete

9(13)

end delete

10begin insert(12)end insert Principal procedure.

begin delete

11(14)

end delete

12begin insert(13)end insert Other procedures.

begin delete

13(15)

end delete

14begin insert(14)end insert Disposition of patient.

begin delete

15(16)

end delete

16begin insert(15)end insert Expected source of payment.

begin delete

17(17)

end delete

18begin insert(16)end insert Elements added pursuant to Section 128738.

19(b)  It is the expressed intent of the Legislature that the patient’s
20rights of confidentiality shall not be violated in any manner. Patient
21social security numbers and any other data elements that the office
22believes could be used to determine the identity of an individual
23patient shall be exempt from the disclosure requirements of the
24California Public Records Act (Chapter 3.5 (commencing with
25Section 6250) of Division 7 of Title 1 of the Government Code).

26(c)  No person reporting data pursuant to this section shall be
27liable for damages in any action based on the use or misuse of
28patient-identifiable data that has been mailed or otherwise
29transmitted to the office pursuant to the requirements of subdivision
30(a).

31(d)  Data reporting requirements established by the office shall
32be consistent with national standards as applicable.

33(e)  This section shall become operative on January 1, 2004.

34

SEC. 3.  

Section 128737 of the Health and Safety Code is
35amended to read:

36

128737.  

(a) Each general acute care hospital and freestanding
37ambulatory surgery clinic shall file an Ambulatory Surgery Data
38Record for each patient encounter during which at least one
39ambulatory surgery procedure is performed. The Ambulatory
40Surgery Data Record shall include all of the following:

P5    1(1) Date of birth.

2(2) Sex.

3(3) Race.

4(4) Ethnicity.

5(5) begin deletePrincipal end deletebegin insertPreferreend insertbegin insertd end insertlanguage spoken.

6(6) ZIP Code.

7(7) Patient social security number, if it is contained in the
8patient’s medical record.

9(8) Service date.

10(9) Principal diagnosis.

11(10) Other diagnoses.

12(11) Principal procedure.

13(12) Other procedures.

14(13) begin deletePrincipal external cause of injury, if known end deletebegin insertExternal causes
15of morbidityend insert
.

begin delete

16(14) Other external cause of injury, if known.

end delete
begin delete

17(15)

end delete

18begin insert(14)end insert Disposition of patient.

begin delete

19(16)

end delete

20begin insert(15)end insert Expected source of payment.

begin delete

21(17)

end delete

22begin insert(16)end insert Elements added pursuant to Section 128738.

23(b) It is the expressed intent of the Legislature that the patient’s
24rights of confidentiality shall not be violated in any manner. Patient
25social security numbers and any other data elements that the office
26believes could be used to determine the identity of an individual
27patient shall be exempt from the disclosure requirements of the
28California Public Records Act (Chapter 3.5 (commencing with
29Section 6250) of Division 7 of Title 1 of the Government Code).

30(c) No person reporting data pursuant to this section shall be
31liable for damages in any action based on the use or misuse of
32patient-identifiable data that has been mailed or otherwise
33transmitted to the office pursuant to the requirements of subdivision
34(a).

35(d) Data reporting requirements established by the office shall
36be consistent with national standards as applicable.

37(e) This section shall become operative on January 1, 2004.



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