BILL ANALYSIS                                                                                                                                                                                                    



                                                                     AB 444


                                                                    Page  1





          Date of Hearing:  April 15, 2015


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                                 Jimmy Gomez, Chair


          AB  
          444 (Gipson) - As Introduced February 23, 2015


           ----------------------------------------------------------------- 
          |Policy       |Health                         |Vote:|18 - 0       |
          |Committee:   |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
          |-------------+-------------------------------+-----+-------------|
          |             |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
          |-------------+-------------------------------+-----+-------------|
          |             |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
           ----------------------------------------------------------------- 


          Urgency:  No  State Mandated Local Program:  NoReimbursable:  No


          SUMMARY:


          This bill delays, until January 1, 2017, the date by which  
          hospitals are prohibited from using epidural (spinal) connector  
          devices that would fit into a connector other than the type it  
          was intended for.








                                                                     AB 444


                                                                    Page  2







          FISCAL EFFECT:


          Negligible state fiscal impact.


          COMMENTS:


          1)Purpose. According to the author, hospitals and other  
            healthcare facilities depend on a variety of catheters,  
            tubing, and syringes to deliver medications and other  
            substances to patients through vascular, enteral feeding,  
            respiratory, and epidural delivery systems.  Because many  
            connectors are interchangeable, the potential exists for  
            serious medical errors if different systems are connected by  
            mistake.  The author indicates an international effort led by  
            the International Organization for Standardization (ISO) to  
            develop and implement standards for non-interchangeable  
            connectors is almost complete.  AdvaMed, the sponsors of this  
            legislation, contend an additional delay in the requirement to  
            use non-interchangeable connectors for epidural connections is  
            critical for patient safety, because the epidural connector  
            design was recently found to still have the ability to allow  
            for misconnection with an IV and requires more time for  
            redesign and testing.  

          2)Prior Legislation. SB 158 (Florez), Chapter 294, Statutes of  
            2008, addressed a number of patient safety issues, including a  
            requirement that, as of January 1, 2011, health facilities  
            must use separate unique connectors for IV, enteral feeding  
            and epidural connections to prevent adverse events associated  
            with misconnections.  

            AB 818 (Hernandez), Chapter 476, Statutes of 2009, delayed the  
            effective dates in SB 158 (Florez) and established new  
            deadlines - January 1, 2013, for enteral feeding and IV  








                                                                     AB 444


                                                                    Page  3





            connections and January 1, 2014, for epidural connections or  
            by a period of time following the publication of new ISO  
            design standards.  


            AB 1867 (Pan) further delayed the three deadlines until  
            January 1, 2016, to ensure adequate time for development of  
            ISO standards.


          Analysis Prepared by:Lisa Murawski / APPR. / (916)  
          319-2081