BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1211


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          CONCURRENCE IN SENATE AMENDMENTS


          AB  
          1211 (Maienschein)


          As Amended  August 19, 2015


          2/3 vote.  Urgency


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          |ASSEMBLY:  | 78-0 | (May 14,      |SENATE: |40-0  | (August 31,     |
          |           |      |2015)          |        |      |2015)            |
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          Original Committee Reference:  HEALTH


          SUMMARY:  Increases the maximum number of beds allowed in  
          congregate living health facilities (CLHFs) to provide basic  
          services for inpatient care, as specified.  Contains an urgency  
          clause to ensure that the provisions of this bill go into  
          immediate effect upon enactment.


          The Senate amendments are technical and nonsubstantive.


          FISCAL EFFECT:  According to the Senate Appropriations  
          Committee, pursuant to Senate Rule 28.8, negligible state costs.


          COMMENTS:  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  








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          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.   
          The author also explains a cap of 18 would allow the program to  
          stay residential in nature but provide additional economies of  
          scale to help keep average fixed cost per bed of the program  
          down.  The author states this bill will increase parity between  
          the restrictions placed upon private and public sector  
          CLHF-licensed programs.


          1)CLHFs in California.  CLHFs are one type of long-term care  
            facility licensed by DPH in California.  DPH requires that the  
            primary need of CLHF residents be for skilled nursing care on  
            a recurring, intermittent, extended, or continuous basis.   
            CLHFs are designed to provide care that is generally less  
            intense than that provided in general acute care hospitals but  
            more intense than that provided in skilled nursing facilities.  
             There are currently 84 licensed CLHFs operating throughout  
            the state, with a total bed capacity of 661.  The sponsor  
            states occupancy rates at its facilities have consistently run  
            over 92% within the last few years.


            There are currently three classifications of licensure for  
            CLHFs: 


             a)   CLHF "A" facilities provide services for individuals who  
               are mentally alert, physically disabled individuals who may  
               be ventilator dependent;


             b)   CHLF "B" facilities allow for services for individuals  
               who have a diagnosis of terminal illness, a diagnosis of a  
               life-threatening illness, or both; and,










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             c)   CLHF "C" facilities provide services for individuals who  
               are catastrophically and severely disabled.  Services  
               offered to catastrophically disabled persons include, but  
               are not limited to, speech, physical, and occupational  
               therapy.


          2)Expansion of CHLFs.  The sponsors of this bill point to  
            referral records demonstrating the necessity to turn patients  
            away due to the lack of availability of beds with the current  
            CLHF bed capacity limits.  Anecdotal evidence from supporters  
            of this bill suggests there is a great demand for increased  
            access to CLHF facilities.  Current statute mandates CHLFs to  
            maintain a residential, home-like setting for its patients in  
            order to maintain valid CLHF licensure; thus, unless  
            legislation is enacted to change these requirements, a simple  
            expansion on the maximum allowable beds in CLHFs in statute  
            must adhere to these provisions.  However, existing law also  
            allows for exemptions on maximum bed capacity for CHLFs in  
            specified locations in California, with some capacities of 25  
            beds or 59 beds.  The expansion allowed in this bill still  
            remains significantly under the current allowable maximum  
            capacity of those counties exempt from the current 12 bed  
            limit for CLHFs.


          CareMeridian, the sponsor of this bill, states as healthcare  
          inflation continues to increase, providers must look for ways to  
          lower the cost of patient care.  The sponsor states 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 other factors, such as new  
          construction, to meet patient demand.  The sponsor asserts that  
          CLHFs with greater than 12 beds can still maintain the same high  
          quality, home-like appearance and feel as programs operating at  
          the lower bed threshold.


          Supporters contend with the rising demand from non-institutional  
          settings, increasing the number of beds in current CLHFs  
          provides more options for patients needing more intense medical  
          care and rehabilitation than what can be provided in a standard  








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          skilled nursing facility.  Supporters state this bill will allow  
          for improved access to community-based, highly-skilled care for  
          patients and comfort to their families.


          There is no known opposition to this bill.


          Analysis Prepared by:                                             
                          An-Chi Tsou / HEALTH / (916) 319-2097  FN:  
          0001462