BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1382
                                                                  Page  1

          Date of Hearing:  April 2, 2013

                            ASSEMBLY COMMITTEE ON HEALTH
                                 Richard Pan, Chair
             AB 1382 (Committee on Health) - As Introduced:  February 27,  
                                        2013
           
          SUBJECT  :  Reporting.

           SUMMARY  :  Makes technical changes to terms used in the reporting  
          of health data information by specified health facilities to the  
          Office of Statewide Health Planning and Development (OSHPD).   
          Deletes references to "principal language spoken" and "external  
          cause of injury" and replaces these terms with "preferred  
          language spoken" and "external causes of morbidity," and deletes  
          the reporting requirement of "other external cause of injury."   
          Makes other technical and conforming changes.

           EXISTING LAW  :

          1)Establishes OSHPD, and requires each organization that  
            operates, conducts, or maintains a health facility to make and  
            file with OSPHD certain specified reports, including a  
            Hospital Discharge Abstract Data Record that currently  
            includes 19 elements of data per admission that are required  
            to be included.

          2)Requires hospitals, commencing January 1, 2004, to file with  
            OSHPD an Emergency Care Data Record and an Ambulatory Surgery  
            Data Record, each with 15 elements of data per patient.

          3)Requires OSHPD, commencing July 2002 through July 2006, to  
            publish risk-adjusted outcome reports in accordance with a  
            schedule that requires reports to be published on three  
            conditions or procedures each year for five years, for a total  
            of 15 reports by July 2006, and requires reports for  
            subsequent years to include conditions and procedures and  
            cover periods as appropriate.  Requires the procedures and  
            conditions to be reported to be equally divided among medical,  
            surgical, and obstetric conditions or procedures, and to be  
            selected by OSHPD in accordance with specified criteria.

           FISCAL EFFECT  :  None

           COMMENTS  :








                                                                  AB 1382
                                                                  Page  2


           1)PURPOSE OF THIS BILL  .  OSHPD is the sponsor of this bill.   
            According to the sponsor and author, this bill would replace  
            obsolete terms in existing statute with new national standards  
            being adopted by hospitals, many of which are already  
            reflected in OSHPD regulations.

           2)BACKGROUND  .  In 1971, the Legislature passed the Hospital  
            Disclosure Act (Act), the original Act which created the  
            California Hospital Commission to collect the hospital data.   
            Under the Act, hospitals were required to disclose detailed,  
            uniform data about hospital operations to the state.  The Act  
            was renamed the Health Facilities Disclosure Act and the  
            California Hospital Commission was renamed the California  
            Health Facilities Commission (CHFC).  The CHFC was abolished  
            in 1984 and the data collection programs were transferred to  
            OSHPD.  

          Over the years, additions have been made to the Act to require  
            OSHPD to collect additional data sets including patient level  
            encounter data and discharge data from hospital emergency  
            departments, ambulatory surgery departments, and licensed  
            freestanding ambulatory surgery clinics.

           3)RELATED LEGISLATION  .

             a)   AB 975 (Wieckowski and Bonta) revises California's  
               nonprofit community benefits requirements to include  
               multispecialty clinics and narrows the activities that  
               constitute community benefits, creates a definition of  
               charity care, requires OSHPD to develop a standardized  
               methodology for calculating community benefit, calculate  
               the value of community benefit for submitting entities, and  
               to issue civil penalties for noncompliance with filing  
               requirements.  Provides a rebuttable presumption that  
               hospitals are organized as for profit if operating revenue  
               exceeds 10% of operating expenses during the immediate  
               preceding fiscal year.

             b)   AB 1312 (Brown) authorizes the Department of Public  
               Health to, without taking regulatory action, update the  
               California Code of Regulations to standards of practice  
               developed by recognized state or national associations by  
               posting on its Internet Web site in accordance with  
               specified notice, public comment, and hearing requirements.








                                                                  AB 1382
                                                                  Page  3


             c)   SB 508 (Ed Hernandez) requires OSHPD, with the support  
               from the California Health and Human Services Agency, to  
               use hospital inpatient discharge data to develop a health  
               disparity report to assess the levels of measurable health  
               disparities in the state.

           4)PREVIOUS LEGISLATION  .

             a)   SB 181 (Campbell), Chapter 1326, Statutes of 1984,  
               transferred the hospital data collection programs from the  
               California Health Facilities Commission to OSHPD.

             b)   SB 680 (Figueroa), Chapter 898, Statutes of 2001,  
               revised the schedule and expanded the number of reports  
               OSHPD is required to publish on risk-adjusted outcomes,  
               added physician outcomes for those reports on surgical  
               conditions or procedures, and permitted OSHPD to obtain all  
               data elements reasonably necessary to complete the  
               risk-adjusted outcome reports required.

           REGISTERED SUPPORT / OPPOSITION  :  

           Support  
          American Federation of State, County and Municipal Employees,  
          AFL-CIO

           Opposition  
          None on file.
           
          Analysis Prepared by  :    Patty Rodgers / HEALTH / (916) 319-2097