BILL ANALYSIS Ó AB 389 Page 1 Date of Hearing: April 22, 2015 ASSEMBLY COMMITTEE ON APPROPRIATIONS Jimmy Gomez, Chair AB 389 (Chau) - As Amended April 9, 2015 ----------------------------------------------------------------- |Policy |Health |Vote:|18 - 0 | |Committee: | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | ----------------------------------------------------------------- Urgency: No State Mandated Local Program: NoReimbursable: No SUMMARY: This bill augments the information hospitals are required to submit to the California Department of Public Health (CDPH) annually regarding their language assistance policies; requires hospitals to also submit policies to the Office of Statewide Health Planning and Development (OSHPD); and requires hospitals, AB 389 Page 2 CDPH, and OSHPD to post the policies on their websites in multiple languages. FISCAL EFFECT: Minor and absorbable one-time costs to CDPH and OSHPD for programming and policy development, as well as ongoing minor, absorbable costs for updating and management. COMMENTS: 1)Purpose. According to the author, California has been a leader in ensuring that the state's healthcare infrastructure meets the needs of limited-English-proficient patients. However, the author contends there is no central oversight of hospital compliance with existing language assistance requirements. The author believes this bill will provide greater oversight and enable policymakers and consumers to access information the law already guarantees. 2)Background. The CDPH Licensing and Certification Program enforces hospital licensing requirements, which includes verification of compliance with language assistance services for patients with language or communication barriers. Current law requires hospitals to submit to CDPH, on an annual basis, a copy of their policy and procedures for providing language assistance services to patients with language or communication barriers. CDPH also maintains the Health Facilities Consumer Information System website, which provides hospital facility profiles and information regarding complaints, inspection results, and adverse events, but the department does not post language assistance policies online. Separately, OSHPD collects and posts other hospital-specific AB 389 Page 3 data, including financial, pricing, discharge, and some quality data. OSHPD also collects and posts information regarding hospitals' community benefit plans and charity care policies. 3)Staff Comments. The author may wish to clarify the necessity of submitting policies to two separate state entities, creating what appears to be a duplicative requirement. Analysis Prepared by:Lisa Murawski / APPR. / (916) 319-2081