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.
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          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.




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