BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1211


                                                                    Page  1





          Date of Hearing:  May 6, 2015


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                                 Jimmy Gomez, Chair


          AB  
          1211 (Maienschein) - As Amended March 24, 2015


           ----------------------------------------------------------------- 
          |Policy       |Rules                          |Vote:|11 - 0       |
          |Committee:   |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
          |-------------+-------------------------------+-----+-------------|
          |             |Health                         |     |19 - 0       |
          |             |                               |     |             |
          |             |                               |     |             |
          |-------------+-------------------------------+-----+-------------|
          |             |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
           ----------------------------------------------------------------- 


          Urgency:  No  State Mandated Local Program:  YesReimbursable:   
          No


          SUMMARY:


          This bill increases the maximum number of beds allowed in  
          congregate living health facilities (CLHFs) from 12 to 18.









                                                                    AB 1211


                                                                    Page  2






          FISCAL EFFECT:


          Negligible state fiscal effect.


          COMMENTS:


          1)Purpose.  The author states the demand for CLHF services to  
            provide alternative, non-institutional settings for patients  
            is increasing beyond current capacity.  The author asserts the  
            only current alternative to expanding the number of beds from  
            12 to 18 is for operators to construct new CLHFs within the  
            same community, which lengthens the time it takes to place  
            in-need patients in a CLHF and increases the number of  
            facilities that DPH must oversee.  The author maintains that  
            by increasing the number of licensed beds from 12 to 18,  
            providers may reduce the fixed costs related to operating a  
            CLHF, rather than increasing costs due to new construction, to  
            meet the increasing demand.  This bill is supported by  
            numerous health care entities who operate CLHFs.



          2)CLHFs in California.  CLHFs are one type of long-term care  
            facility licensed by CDPH. CLHFs provide care that is less  
            intensive than that provided in general acute care hospitals  
            but more intensive than that provided in skilled nursing  
            facilities.  



            There are currently 84 licensed CLHFs operating throughout the  
            state, with a total bed capacity of 661.  











                                                                    AB 1211


                                                                    Page  3







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