BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 534
                                                                  Page  1

           Date of Hearing:  July 2, 2013

                            ASSEMBLY COMMITTEE ON HEALTH
                                 Richard Pan, Chair
                  SB 534 (Ed Hernandez) - As Amended:  April 9, 2013

           SENATE VOTE :  34-0 
           
          SUBJECT  :  Health and care facilities.

           SUMMARY  :  Requires, until the California Departments of Public  
          Health (DPH) and Developmental Services (DDS) adopt regulations  
          for licensure for Intermediate Care Facilities for the  
          Developmentally Disabled - Nursing (ICF/DD-N), these facilities  
          comply with applicable federal certification standards.   
          Requires chronic dialysis clinics, surgical clinics, and  
          rehabilitation clinics to comply with federal certification  
          standards until DPH has adopted regulations for those  
          facilities.  Specifically,  this bill  :  

          1)Requires, until DPH adopts regulations relating to the  
            provision of services by a chronic dialysis clinic, a surgical  
            clinic, or rehabilitation clinic, the following facilities  
            licensed or seeking licensure to comply with the following  
            federal certification standards in effect immediately  
            preceding January 1, 2013:

             a)   Requires a chronic dialysis clinic to comply with  
               applicable federal certification standards for an end stage  
               renal disease clinic;

             b)   Requires a surgical clinic to comply with applicable  
               federal certification standards for an ambulatory surgical  
               clinic (ASC); and,

             c)   Requires a rehabilitation clinic to comply with  
               applicable federal certification standards for a  
               comprehensive outpatient rehabilitation facility.

          2)Requires until the DPH and DDS adopt regulations pursuant to  
            existing law, relating to services by ICF/DD-N, licensed  
            facilities to comply with applicable federal certification  
            standards in effect immediately preceding January 1, 2013.

          3)Deletes a requirement that regulations developed by DPH and  








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            DDS pertaining to ICF/DD-N and ICF/DD-continuous nursing (CN)  
            include licensing fee schedules appropriate to facilities  
            which will encourage their development.

           EXISTING LAW  :  

          1)Establishes licensure for specified clinics by DPH, including  
            primary care clinics as well as specialty clinics which  
            include:  surgical clinics, chronic dialysis clinics, and  
            rehabilitation clinics.

          2)Requires DPH to adopt reasonable rules and regulations as may  
            be necessary to enable DPH to carry out the purposes of  
            provisions of law governing the various types of clinics  
            licensed by DPH.
          3)Requires those regulations to prescribe the kinds of services  
            which may be provided by clinics in each category of licensure  
            and the minimum standards of adequacy, safety, and sanitation  
            of the physical plant and equipment, minimum standards for  
            staffing with duly qualified personnel, and minimum standards  
            for providing the services offered.  Requires these minimum  
            standards to be based on the type of facility, the needs of  
            the patients served, and the types and levels of services  
            provided.

          4)Licenses and regulates various types of facilities by DPH,  
            including ICF/DD-N, which is defined as a facility with a  
            capacity of four to 15 beds that provides 24-hour personal  
            care, developmental services, and nursing supervision for  
            persons with developmental disabilities who have intermittent  
            recurring needs for skilled nursing care but have been  
            certified by a physician as not requiring continuous skilled  
            nursing care.

          5)Requires DPH and DDS to jointly develop and implement  
            licensing regulations appropriate for ICF/DD-N and ICF/DD-CN  
            facilities.  Requires, among other things, that the  
            regulations ensure that residents of an ICF/DD-N and ICF/DD-CN  
            receive appropriate medical and nursing services and  
            developmental program services in a normalized, least  
            restrictive physical and programmatic environment appropriate  
            to individual resident need.

          6)Requires DPH to propose licensing fees for all of its clinics  
            and facilities at a level that will not require the licensing  








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            and certification program to seek General Funds to support its  
            activities unless otherwise specified in statute. 

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, pursuant to Senate Rule 28.8, negligible state costs.

           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  According to the author, this bill  
            would require four health facility categories currently  
            regulated by DPH to comply with facility-specific federal  
            certification requirements to meet state licensing  
            requirements until DPH adopts state regulations.  These  
            facilities are already required to meet federal requirements  
            in order to receive Medicare and Medicaid funding; this bill  
            simply gives authority to state regulators to enforce these  
            standards until such time that DPH adopts regulations specific  
            to these facilities.

           2)BACKGROUND  .  According to DPH, as of April 2, 2013, there are  
            173 designated health care facilities that have been issued a  
            state license.  This includes 98 chronic dialysis clinics, 57  
            ICF/DD-N's, 16 surgical clinics, and two rehabilitation  
            clinics.  Among these four facility types, 166 facilities  
            (96%) had an active license while the rest, seven (4%) did  
            not.  To date, DPH has not adopted state regulations for these  
            facilities, but relies on the federal certification standards  
            to determine licensure. 

          DPH is currently in the process of drafting regulations for the  
            ICF/DD facilities, however, committee staff is not aware of  
            any regulations in process for the surgical clinics, chronic  
            dialysis clinics, and rehabilitation clinics.

           3)FEDERAL REGULATORY STANDARDS .  The federal regulatory  
            standards for chronic dialysis clinics (referred to as End  
            Stage Renal Centers in federal regulations), surgical clinics  
            (referred to as ASC in federal regulations), and  
            rehabilitation clinics, among other things, set forth the  
            various standards required at each facility in order to  
            qualify for Medicare and Medicaid participation by the Centers  
            for Medicare and Medicaid Services (CMS).  Depending on the  
            facility in question, the regulations set requirements for the  
            facilities management and governing body, what services may be  
            offered and safety and cleanliness standards.  Standards also  








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            include, but are not limited to, requirements covering patient  
            rights, the administration of anesthesia, if applicable,  
            medical records, privacy, and infection control.  The federal  
            regulatory standards for ASCs also include as part of their  
            requirements for coverage with CMS that the ASC must comply  
            with state licensure requirements.   
           
           4)SUPPORT  .   This bill is sponsored by DPH.  DPH states that  
            this bill would enable it to adopt existing federal regulatory  
            standards as the state licensing standards for chronic  
            dialysis clinics, rehabilitation clinics, surgical clinics,  
            and ICF/DD-Ns.  DPH states that it functions as the regulatory  
            agency for approximately 30 different types of health care  
            facilities and clinics.  DPH states that it does not have  
            state licensing standards in place for chronic dialysis  
            clinics, rehabilitation clinics, surgical clinics, and  
            ICF/DD-Ns.  Federal standards for these facilities exist, but  
            DPH lacks the statutory authority to enforce the standards.   
            In the absence of such authority, DPH states that it may only  
            recommend action by CMS to stop Medicare and Medicaid program  
            funding if the health care facility is out of compliance.  

           5)POLICY QUESTION  .  What assurances does the Legislature have  
            that the federal certification standards are sufficient to  
            serve as state licensing standards?  The Committee may wish to  
            ask the sponsor to describe those requirements.

           6)SUGGESTED AMENDMENT  .  In light of the question raised in 5)  
            above, the Committee may wish to consider amending the bill to  
            do the following:

             a)   Sunset the provisions of this bill on January 1, 2018.

             b)   Require DPH, by July 1, 2017, to conduct at least one  
               public hearing and submit a report to the relevant  
               Legislative Committees, describing the extent to which the  
               federal certification standards are sufficient, or not, as  
               a basis for state licensing standards, and make  
               recommendations for any California specific standards which  
               may be necessary.

           7)POLICY CONCERN/PROPOSED AMENDMENTS  .  This bill does not  
            specifically reference the "applicable federal certification  
            standards" that chronic dialysis clinics, surgical clinics,  
            rehabilitation clinics, and ICF-DD facilities should comply  








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            with.  In response to that concern, the sponsor has offered  
            the following amendments:
             
              a)   On page 3, line 3, delete the word "applicable" and on  
               line 4, after "clinic" insert: , Title 42 Code of Federal  
               Regulations, sections 494.1 through 494.180

             b)   On page 3, line 6, delete the word "applicable" and on  
               line 7 after "clinic" insert: , Title 42 Code of Federal  
               Regulations, sections 416.1 through 416.52

             c)   On page 3, line 8 delete the word "applicable" and on  
               line 10, after "facility" insert: , Title 42 Code of  
               Federal Regulations, sections 485.50 through 485.74

             d)   On page 4, line 34, delete the word "applicable" and on  
               line 35, after "disabilities" insert: , Title 42 Code of  
               Federal Regulations Sections 483.400 through 483.480

           8)DOUBLE REFERRAL  .  This bill is double referred.  Should it  
            pass out of this Committee it will be heard by the Assembly  
            Committee on Aging and Long-Term Care.

           9)RELATED LEGISLATION  .  AB 1312 (Brown) of 2013 authorizes DPH  
            to, without taking regulatory action, update references in  
            regulations to health care standards of practice adopted by a  
            recognized state or national association.  AB 1312 was held in  
            Assembly Health Committee.

           10)PREVIOUS LEGISLATION  .  

             a)   The California Ambulatory Surgery Association (CASA) has  
               sponsored several bills intended to establish  
               state-specific licensure criteria for ASCs:

               i)     AB 2308 (Plescia) of 2006, would have required the  
                 Department of Health Services (now DPH) to convene a  
                 workgroup to develop licensure criteria to protect  
                 patients receiving care in ASCs and to submit workgroup  
                 conclusions and recommendations to the appropriate policy  
                 committees of the Legislature no later than March 1,  
                 2007.  AB 2308 was vetoed by the Governor.

               ii)    AB 543 (Plescia) of 2007 would have established  
                 licensing requirements for surgical clinics and would  








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                 have required, effective January 1, 2008, that all  
                 surgical clinics meet specified operating and staffing  
                 standards.  AB 543 was vetoed by the Governor.

               iii)   AB 2122 (Plescia) of 2008 would have established the  
                 California Outpatient Surgery Patient Safety and  
                 Improvement Act which would have required surgical  
                 clinics to meet prescribed licensing requirements and  
                 standards, including compliance with Medicare Conditions  
                 of Participation.  AB 2122 was held in the Assembly  
                 Appropriations Committee.

             b)   AB 832 (Jones) of 2009, was also sponsored by DPH and  
               would have required DPH to convene a workgroup, no later  
               than February 1, 2010, to consider and develop  
               recommendations for state oversight and monitoring of ASCs,  
               to ensure public health and safety.  AB 832 was held in the  
               Assembly Appropriations Committee.

           REGISTERED SUPPORT / OPPOSITION  :

           Support  
          California Department of Public Health (sponsor)
           
            Opposition  
          None on file.

           Analysis Prepared by  :    Lara Flynn / HEALTH / (916) 319-2097