BILL ANALYSIS Ó SENATE COMMITTEE ON HEALTH Senator Ed Hernandez, O.D., Chair BILL NO: SB 816 AUTHOR: Committee on Health INTRODUCED: March 11, 2013 HEARING DATE: April 17, 2013 CONSULTANT: Robinson-Taylor SUBJECT : Hospice facilities: developmental disabilities: intellectual disability. SUMMARY : Makes technical, non-substantive changes to laws affecting hospice facilities and developmental and intellectual disabilities. Existing law: 1.Provides for the licensure and regulation of health facilities, including hospice facilities, by the California Department of Public Health (DPH). 2.Requires a freestanding hospice facility to meet specified requirements relating to the physical environment of the facility until the Office Statewide Health Planning and Development (OSHPD), in consultation with the Office of the State Fire Marshall (SFM), develops and adopts building standards for hospice facilities. 3.Establishes the Lanterman Developmental Disabilities Services Act which requires the state Department of Developmental Services to contract with regional centers to provide services and supports to individuals with developmental disabilities. 4.Refers to "intellectual disability" or "a person with an intellectual disability" in numerous state statutory provisions, including provisions relating to psychiatric technician regulation, the state's unfair competition statute, educational and social services, commitment to state facilities, and criminal punishment. This bill: 1.Corrects incorrect code references to mental retardation and instead replaces them with "intellectual disability." 2.Requires SFM, in consultation with OSHPD, to develop and adopt building standards for hospice facilities. Continued--- SB 816 | Page 2 3.Makes other technical, non-substantive changes. FISCAL EFFECT : This bill has not been analyzed by a fiscal committee. COMMENTS : 1. Author's statement. The Legislature passed SB 1381 (Pavley), Chapter 457, Statutes of 2012, which provides an important terminology change to the disabled community throughout California by removing references to the term "mental retardation" from state statutes. Unfortunately, with the passage of SB 1381 the Welfare and Institutions Code Section that defines "developmental disability" was inadvertently not amended and thus still includes the term "mental retardation." This bill corrects those references. SB 135 (Hernandez), Chapter 673, Statutes of 2012, establishes a new health facility licensing category of hospice facility, and permits a licensed and certified hospice services provider to provide inpatient hospice services. This bill corrects drafting errors and correctly designates the SFM, in consultation with OSHPD, to develop and adopt building standards for hospice facilities. 2. Support. The Arc and the United Cerebral Palsy in California write in support that, originally intended as a term of respect, the term "mental retardation" has become a term of hostility, often associated with bullying and hate crimes. This bill corrects an oversight and replaces the term with "intellectual disability." The California Hospice and Palliative Care Association (CHAPCA), writes in support that this bill contains an erroneous cross-reference to federal regulations and would impose incompatible requirements on the development of hospice facilities. CHAPCA maintains that this bill will enable hospice programs to move forward in developing hospice care facilities in the state. SUPPORT AND OPPOSITION : Support:The Arc and United Cerebral Palsy in California California Hospice & Palliative Care Association Oppose: None on file. SB ___ | Page 3 -- END --