BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 2747


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          GOVERNOR'S VETO


          AB  
          2747 (Hadley)


          As Enrolled  August 29, 2016


          2/3 vote


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          |ASSEMBLY:  |79-0  |(May 5, 2016)  |SENATE: | 38-0 |(August 15.      |
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          |ASSEMBLY:  |79-0  |(August 22,    |        |      |                 |
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          Original Committee Reference:  HEALTH


          SUMMARY:  Requires the Department of Public Health (DPH), within  
          90 calendar days after it receives an initial and complete  
          chronic dialysis clinic application, to complete the application  
          paperwork and conduct a licensure survey, if necessary, to  
          inspect the clinic and evaluate the clinic's compliance with  
          state licensure requirements.  Requires DPH to forward its  








                                                                    AB 2747


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          recommendation, if necessary, and all other information, to the  
          federal Centers for Medicare and Medicaid Services (CMS) within  
          the same 90 calendar days.  Specifies that for an applicant  
          seeking to receive reimbursement under the Medicare or Medi-Cal  
          programs, DPH shall conduct an unannounced certification survey,  
          if necessary within 60 days after it receives approval from CMS  
          to conduct the certification survey.  Requires DPH no later than  
          30 calendar days after the certification survey, to forward the  
          results of its licensure and certification surveys and all other  
          information necessary for certification to the CMS.   


          The Senate amendments streamline the timeframe for DPH to  
          complete the review of the application paperwork and conduct  
          licensure surveys of chronic dialysis clinics, including  
          timelines for DPH to conduct its unannounced certification  
          surveys.


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


          COMMENTS:  According to the author, this bill eliminates the  
          year long wait for licensure of chronic dialysis clinics and  
          ensures patients have access to quality care.  The author states  
          that in his district, there is a dialysis center, which has been  
          fully operational since January 2015, and has still not been  
          inspected.  The author concludes that it is unconscionable that  
          patients are denied medically necessary facilities due to  
          inspection backlogs.  This bill will remedy this problem by  
          giving dialysis centers a reasonable wait time for  
          certification.  


          GOVERNOR'S VETO MESSAGE:


          I am returning Assembly Bill 2747 without my signature.








                                                                    AB 2747


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          This bill requires the Department of Public Health to process  
          license applications for chronic dialysis clinics within 90 days  
          and to conduct federal certification surveys of these same  
          clinics within 60 days of approval by the Centers for Medicare  
          and Medicaid Services.


          Currently, the Department is taking the necessary steps to  
          reduce the time spent processing applications for all health  
          facilities.  I believe this is a better approach than mandating  
          timeframes for one type of facility.

          Analysis Prepared by:                        Rosielyn Pulmano /  
          HEALTH / (916) 319-2097                        FN: 0005075