BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                       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  
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            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  

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          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

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