Amended in Assembly June 26, 2014

Amended in Assembly June 4, 2014

Amended in Senate April 10, 2014

Senate BillNo. 1311


Introduced by Senator Hill

(Coauthor: Assembly Member Mullin)

February 21, 2014


An act to add Section 1288.85 to the Health and Safety Code, relating to health facilities.

LEGISLATIVE COUNSEL’S DIGEST

SB 1311, as amended, Hill. Hospitals: antimicrobial stewardship.

Existing law provides for the licensure and inspection of health facilities, including general acute care hospitals, by the State Department of Public Health. Existing law requires a general acute care hospital to develop a process for evaluating the judicious use of antibiotics, the result of which is required to be monitored by appropriate representatives and committees involved in quality improvement activities. Under existing law, a violation of the provisions governing health facilities constitutes a misdemeanor punishable by a fine not to exceed $1,000, by imprisonment in a county jail, or by both that fine and imprisonment.

This bill would require all general acute care hospitals, as defined, to adopt and implement, by July 1, 2015, an antimicrobial stewardship policy in accordance with guidelines established by the federal government and professional organizationsbegin insert and that includes a process to evaluate the judicious use of antibiotics, as specifiedend insert. The bill would require a general acute care hospital to develop a physician supervised multidisciplinary antimicrobial stewardship committee, subcommittee, or workgroup, and to appoint at least one physician or pharmacist to that committee, subcommittee, or workgroup who is knowledgeable about antimicrobial stewardship through priorbegin delete training, professional experience,end deletebegin insert trainingend insert or attendance at continuing education programs. The bill would also require a general acute care hospital to report antimicrobial stewardship program activities to each appropriate hospital committee undertaking clinical quality improvement activities.begin insert This bill would also require the department to report to the Legislature on hospital compliance with the above provisions no later than January 1, 2018, as specified.end insert

By expanding the scope of an existing crime, this bill would impose a state-mandated local program.

The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.

This bill would provide that no reimbursement is required by this act for a specified reason.

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes.

The people of the State of California do enact as follows:

P2    1

SECTION 1.  

Section 1288.85 is added to the Health and Safety
2Code
, immediately following Section 1288.8, to read:

3

1288.85.  

begin insert(a)end insertbegin insertend insert Each general acute care hospital, as defined in
4subdivision (a) of Section 1250, shall do all of the following by
5July 1, 2015:

begin delete

6(a)

end delete

7begin insert(1)end insert Adopt and implement an antimicrobial stewardship policy
8in accordance with guidelines established by the federal
9government and professional organizations.begin insert This policy shall
10include a process to evaluate the judicious use of antibiotics in
11accordance with paragraph (3) of subdivision (a) of Section
121288.8.end insert

begin delete

13(b)

end delete

14begin insert(2)end insert Develop a physician supervised multidisciplinary
15antimicrobial stewardship committee, subcommittee, or workgroup.

begin delete

16(c)

end delete

17begin insert(3)end insert Appoint to the physician supervised multidisciplinary
18antimicrobial stewardship committee, subcommittee, or workgroup,
P3    1at least one physician or pharmacist who is knowledgeable about
2the subject of antimicrobial stewardship through priorbegin delete training,
3professional experience,end delete
begin insert trainingend insert or attendance at continuing
4education programs, including programs offered by the federal
5Centers for Disease Control and Prevention, the Society for
6Healthcare Epidemiology of America, or similar recognized
7professional organizations.

begin delete

8(d)

end delete

9begin insert(4)end insert Report antimicrobial stewardship program activities to each
10appropriate hospital committee undertaking clinical quality
11improvement activities.

begin insert

12(b) The department shall report to the Legislature on compliance
13with this section no later than January 1, 2018.

end insert
begin insert

14(c) (1) The requirement for submitting a report imposed under
15subdivision (b) is inoperative on January 1, 2019, pursuant to
16Section 10231.5 of the Government Code.

end insert
begin insert

17(2) A report submitted pursuant to subdivision (b) shall be
18submitted in compliance with Section 9795 of the Government
19Code.

end insert
20

SEC. 2.  

No reimbursement is required by this act pursuant to
21Section 6 of Article XIII B of the California Constitution because
22the only costs that may be incurred by a local agency or school
23district will be incurred because this act creates a new crime or
24infraction, eliminates a crime or infraction, or changes the penalty
25for a crime or infraction, within the meaning of Section 17556 of
26the Government Code, or changes the definition of a crime within
27the meaning of Section 6 of Article XIII B of the California
28Constitution.



O

    96