BILL ANALYSIS                                                                                                                                                                                                    

                                                                  SB 357
                                                                  Page  1

          Date of Hearing:   July 3, 2013

                                  Mike Gatto, Chair

                    SB 357 (Correa) - As Amended:  June 14, 2013 

          Policy Committee:                             HealthVote:17-0

          Urgency:     Yes                  State Mandated Local Program:  
          No     Reimbursable:              No


          This bill extends by one year the January 1, 2014 sunset date  
          for the Elective Percutaneous Coronary Intervention Pilot  
          Program (PCI Pilot Program), and requires the final report by  
          the PCI Pilot Program advisory oversight committee (AOC) to be  
          completed by November 30, 2013, rather than at the conclusion of  
          the PCI Pilot Program.  

           FISCAL EFFECT  

          Minor and absorbable costs.


           1)Rationale  .  By extending the PCI Pilot Program until January  
            1, 2015 and requiring the oversight committee report by  
            November 30, 2013, this bill corrects a drafting error in the  
            original authorizing legislation, which would have required  
            the final report after the pilot shut down.  This legislative  
            fix gives DPH and the Legislature time to review data from the  
            pilot and consider a further expansion or extension, and  
            whether there should be changes, while the PCI Pilot Program  
            is operative.

           2)PCI Pilot Program  .  SB 891 (Correa), Chapter 295, Statutes of  
            2008, authorized six acute care hospitals to provide cardiac  
            catheterization services without on-site heart surgery  
            services.  According to the American Heart Association (AHA),  
            PCI encompasses a variety of procedures used to treat patients  
            with diseased arteries of the heart that can restrict blood  
            flow. PCI done under emergency circumstances is referred to as  
            "primary" PCI.  Other PCI procedures, such as those done to  


                                                                  SB 357
                                                                  Page  2

            unblock an artery before a heart attack occurs, are referred  
            to as "elective PCI."

            The six hospitals selected by DPH for the PCI Pilot Program  
            are Los Alamitos Medical Center, Sutter Roseville Medical  
            Center, Kaiser Permanente Walnut Creek Medical Center, Doctors  
            Medical Center-San Pablo, Clovis Community Medical Center,  
            and, St. Rose Hospital in Hayward.  All six hospitals have  
            maintained their eligibility to participate throughout the  
            entire program. They, along with the California Hospital  
            Association, support this bill. 

           3)Reports  .   Pursuant to SB 891, the AOC is required to submit  
            at least two reports to DPH during the pilot period.  To date,  
            the AOC submitted five reports, comparing treatment results of  
            the six PCI pilot hospitals and 116 non-pilot hospitals that  
            report data to the National Cardiovascular Data Registry.   
            According to DPH and the AOC, all five reports found no  
            significant outcome differences between the six hospitals in  
            the PCI Pilot Program, and the control group of hospitals  
            performing these procedures with onsite cardiac surgery  
            services. The University of California, Davis will also  
            provide a final report to DPH on primary outcomes.

           4)Prior Legislation  .  AB 491 (Ma), Chapter 772, Statutes of  
            2012, authorizes two general acute care hospitals to provide  
            cardiac catheterization services in a connected outpatient  


           Analysis Prepared by  :    Debra Roth / APPR. / (916) 319-2081