BILL ANALYSIS Ó ----------------------------------------------------------------- |SENATE RULES COMMITTEE | SB 816| |Office of Senate Floor Analyses | | |1020 N Street, Suite 524 | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ----------------------------------------------------------------- CONSENT Bill No: SB 816 Author: Senate Health Committee Amended: As introduced Vote: 21 SENATE HEALTH COMMITTEE : 8-0, 4/17/13 AYES: Hernandez, Anderson, Beall, De León, DeSaulnier, Monning, Nielsen, Wolk NO VOTE RECORDED: Pavley SENATE APPROPRIATIONS COMMITTEE : Senate Rule 28.8 SUBJECT : Hospice facilities: developmental disabilities: intellectual disability SOURCE : Author DIGEST : This bill makes technical, non-substantive changes to laws affecting hospice facilities and developmental and intellectual disabilities. ANALYSIS : Existing law: 1.Provides for the licensure and regulation of health facilities, including hospice facilities, by the California Department of Public Health. 2.Requires a freestanding hospice facility to meet specified CONTINUED SB 816 Page 2 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. 3.Makes other technical, non-substantive changes. FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes Local: No SUPPORT : (Verified 4/26/13) California Hospice & Palliative Care Association The Arc and United Cerebral Palsy in California ARGUMENTS IN SUPPORT : According to the author's office, 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 CONTINUED SB 816 Page 3 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. 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 the Health and Safety Code 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. JL:ej 5/1/13 Senate Floor Analyses SUPPORT/OPPOSITION: SEE ABOVE **** END **** CONTINUED