BILL ANALYSIS Ó AB 2747 Page 1 GOVERNOR'S VETO AB 2747 (Hadley) As Enrolled August 29, 2016 2/3 vote -------------------------------------------------------------------- |ASSEMBLY: |79-0 |(May 5, 2016) |SENATE: | 38-0 |(August 15. | | | | | | |2016) | | | | | | | | | | | | | | | -------------------------------------------------------------------- -------------------------------------------------------------------- |ASSEMBLY: |79-0 |(August 22, | | | | | | |2016) | | | | | | | | | | | | | | | | | | -------------------------------------------------------------------- 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 Page 2 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 Page 3 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