BILL NUMBER: SB 906 AMENDED
BILL TEXT
AMENDED IN ASSEMBLY AUGUST 18, 2014
AMENDED IN ASSEMBLY JUNE 4, 2014
AMENDED IN SENATE APRIL 7, 2014
INTRODUCED BY Senator Correa
JANUARY 21, 2014
An act to add Section 1256.01 to the Health and Safety Code,
relating to health facilities.
LEGISLATIVE COUNSEL'S DIGEST
SB 906, as amended, Correa. Elective Percutaneous Coronary
Intervention (PCI) Offsite Program.
Existing law establishes, until January 1, 2015, the Elective
Percutaneous Coronary Intervention Pilot Program in the State
Department of Public Health, which authorizes up to 6 eligible acute
care hospitals that are licensed to provide cardiac catheterization
laboratory service in California, and that meet prescribed,
additional criteria, to perform scheduled, elective primary
percutaneous coronary intervention (PCI), as defined, for eligible
patients. Existing law establishes an advisory oversight committee to
oversee, monitor, and make recommendations to the department
concerning the pilot program. Existing law also imposes various
reporting requirements on the advisory oversight committee and the
department, including recommendations as to whether the pilot program
should be continued or terminated and whether elective PCI without
onsite cardiac surgery should be continued in California.
This bill would create the Elective Percutaneous Coronary
Intervention Offsite Program in the State
Department of Public Health to certify an unlimited number of general
acute care hospitals that are licensed to provide urgent and
emergent cardiac catheterization laboratory service in California,
and that meet prescribed, additional criteria, to perform scheduled,
elective PCI. The bill would authorize a hospital that was
participating in the Elective PCI Pilot Program as of December 31,
2014, to continue to perform elective PCI provided that the
hospital obtains , but would require the hospital to
obtain a certification under the bill's provisions by January
1, 2016. The bill would require the Office of Statewide Health
Planning and Development to annually develop and make available to
the public a report regarding each participating hospital's
performance on mortality, stroke rate, and emergency coronary artery
bypass graft rate and would authorize the department to form an
advisory oversight committee for the purpose of analyzing those
reports and recommending changes to the data to be included in the
reports. The bill would also authorize the department to charge each
participating hospital a supplemental licensing fee not to exceed the
reasonable cost to the department of overseeing the program.
Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. Section 1256.01 is added to the Health and Safety Code,
to read:
1256.01. (a) The Elective Percutaneous Coronary Intervention
(PCI) Offsite Program is hereby established in the
department. The purpose of the program is to allow the department to
certify general acute care hospitals that are licensed to provide
urgent and emergent cardiac catheterization laboratory service in
California, and that meet the requirements of this section, to
perform scheduled, elective percutaneous transluminal coronary
angioplasty and stent placement for eligible patients.
(b) For purposes of this section, the following terms have the
following meanings:
(1) "Certified hospital" means an eligible hospital that is
certified by the department to participate in the Elective
Percutaneous Coronary Intervention (PCI) Program established by this
section.
(1)
(2) "Elective Percutaneous Coronary Intervention
(elective PCI)" means scheduled percutaneous transluminal coronary
angioplasty and stent placement. Elective PCI does not include urgent
or emergent PCI that is scheduled on an ad hoc basis.
(2)
(3) "Eligible hospital" means a general acute care
hospital that has a licensed an approved
cardiac catheterization laboratory , does not have onsite
cardiac surgery, and is in substantial compliance with all
applicable state and federal licensing laws and regulations.
(3)
(4) "Interventionalist" means a licensed cardiologist
who meets the requirements for performing elective PCI at an
offsite hospital. PCI.
(4) "Offsite hospital" means a hospital participating in the
Elective Percutaneous Coronary Intervention (PCI) Offsite Program
established by this section.
(c) To participate in the Elective PCI Offsite
Program, an eligible hospital shall obtain certification from the
department and shall meet all of the following requirements:
(1) Demonstrate that it complies with the recommendations of the
Society for Cardiovascular Angiography and Interventions (SCAI), the
American College of Cardiology Foundation, and the American Heart
Association, for performance of PCI without onsite cardiac surgery,
as those recommendations may evolve over time.
(2) Provide evidence showing the full support from hospital
administration in fulfilling the necessary institutional
requirements, including, but not limited to, appropriate support
services such as respiratory care and blood banking.
(3) Participate in, and provide timely submission of data to, the
American College of Cardiology-National Cardiovascular Data Registry.
(4) Confer rights to transfer the data submitted pursuant to
paragraph (3) to the Office of Statewide Health Planning and
Development.
(5) Any additional requirements the department deems necessary to
protect patient safety or ensure quality of care.
(d) An eligible hospital shall submit an application to the
department pursuant to Section 1265 to obtain
certification to participate in the Elective PCI Offsite
Program. The application shall include sufficient
information to demonstrate compliance with the standards set forth in
this section, and shall also include the effective date for
initiating elective PCI service, the general service area, a
description of the population to be served, a description of the
services to be provided, a description of backup emergency services,
the availability of comprehensive care, and the qualifications of the
general acute care hospital providing the emergency
treatment eligible hospital . The department may
require that additional information be submitted with the
application. Failure to submit any required criteria or additional
information shall disqualify the applicant from the application
process and from consideration for participation in the program.
The department may deny an Elective PCI Program applicant pursuant
to Article 2 (commencing with Section 1265).
(e) An eligible hospital that, as of December 31, 2014, was
participating in the Elective Percutaneous Coronary Intervention
Pilot Program established under Chapter 295 of the Statutes of 2008,
as amended by Chapter 202 of the Statutes of 2013, may continue to
perform elective PCI and shall be considered an offsite
a certified hospital provided that the
until January 1, 2016. On and after January 1, 2016, a
hospital described in this subdivision shall not be considered a
certified hospital unless the hospital obtains
has obtained a certification under this section
by January 1, 2016 .
(f) The Office of Statewide Health Planning and Development shall,
using the data transferred pursuant to paragraph (4) of subdivision
(c), annually develop and make available to the public a report
regarding each offsite certified
hospital's performance on mortality, stroke rate, and emergency
coronary artery bypass graft rate.
(g) The department may establish an advisory oversight committee
composed of two interventionalists from offsite
certified hospitals, two interventionalists from general
acute care hospitals that are not offsite
certified hospitals, and a representative of the department,
for the purpose of analyzing the report issued under subdivision (f)
and making recommendations for changing the data to be included in
future reports issued under subdivision (f).
(h) If at any time an offsite a certified
hospital fails to meet the criteria set forth in this section
for being an offsite a certified
hospital or fails to safeguard patient safety, as determined by the
department, the department may suspend or revoke ,
pursuant to Section 70309 of Title 22 of the California Code of
Regulations, the certification issued to that offsite
hospital under this section. An offsite
A hospital whose certification is revoked pursuant to this
subdivision may request an appeal with the department and is not
precluded from reapplying for certification under this section.
(i) The department may charge offsite
certified hospitals a supplemental licensing fee, the amount of
which shall not exceed the reasonable cost to the department of
overseeing the program.
(j) The department may contract with a professional entity with
medical program knowledge to meet the requirements of this section.