BILL ANALYSIS                                                                                                                                                                                                    





                                                                  AB 249

                                                                  Page  1


          GOVERNOR'S VETO
          AB 249 (Carter)
          As Amended May 5, 2009
          2/3 vote


           HEALTH    17-0                  APPROPRIATIONS      15-0        

           
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          |Ayes:|Jones, Fletcher, Ammiano, |Ayes:|De Leon, Nielsen,         |
          |     |Block, Carter, Conway, De |     |Ammiano,                  |
          |     |La Torre,         De      |     |Charles Calderon, Davis,  |
          |     |Leon, Emmerson, Gaines,   |     |Duvall, Fuentes, Hall,    |
          |     |Hall, Hayashi, Hernandez, |     |Harkey, John A. Perez,    |
          |     |Bonnie Lowenthal, Nava,   |     |Price, Skinner, Solorio,  |
          |     |V. Manuel Perez, Salas    |     |Audra Strickland,         |
          |     |                          |     |Torlakson                 |
           ----------------------------------------------------------------- 
           
           
           ----------------------------------------------------------------- 
          |ASSEMBLY:  |76-0 |(May 28, 2009)  |SENATE: |38-0 |(August 24,    |
          |           |     |                |        |     |2009)          |
          |           |     |                |        |     |               |
           ----------------------------------------------------------------- 
           
          SUMMARY  :  Imposes additional requirements for long-term care  
          health facilities (LTCFs) for the identification and tracking of  
          personal patient equipment and personal property.

          Specifically,  this bill  adds the following to the written  
          patient personal property inventory already established in  
          existing law for LTCFs to require the:

          1)Inventory to include a listing, by a unique identification  
            number, of all patient-owned mobility, hearing, or breathing  
            equipment, including, but not limited to, canes, walkers,  
            wheelchairs, hearing aids, and oxygen equipment; and,

          2)LTCF to assign and tag personal property without a unique  










                                                                  AB 249

                                                                  Page  2


            identification number at the request of the family or patient.

           FISCAL EFFECT  :  The Assembly Appropriations Committee found no  
          direct costs to DPH to continue their oversight of LTCFs.

           COMMENTS  :  While existing law already requires LTCFs to  
          institute a theft and loss program, according to the author,  
          there is a growing problem of medical equipment theft.  The  
          author maintains that the victims - largely the elderly and  
          disabled - find that they cannot file a police report because  
          they cannot properly identify the equipment by serial number.   
          The author argues that LTCFs generally do not have a policy for  
          marking or otherwise identifying by owner a patient's vital  
          mobility, hearing, or breathing equipment.  Failure to mark such  
          equipment, the author further argues, creates confusion for both  
          patients and staff because different patients often have similar  
          equipment, impeding law enforcement efforts to protect seniors.

          According to DPH, its Licensing and Certification Division is  
          required to investigate consumer complaints about health care  
          facilities and incidents reported by facilities.  Over the last  
          two calendar years (from January 1, 2007 to December 31, 2008)  
          DPH has received a total of 560 complaints or reported incidents  
          from LTCF's of "Misappropriation of Property", the allegation  
          category for incidents of theft and loss.
           
           AARP, the American Federation of State, County and Municipal  
          Employees and the California Advocates for Nursing Home Reform  
          (CANHR) support this bill's intent to decrease the amount of  
          theft and loss within health facilities.  AARP states that  
          nursing home residents need additional securities for their  
          personal property due to their frailty.  CANHR states that loss  
          and theft of possessions remains one of the most common and  
          frustrating problems for nursing home residents and their  
          families.

          The California Hospital Association (CHA) has concerns regarding  
          the requirements in this bill, noting that patients who spend  
          only a very few days in a LTCF do not require personal property  
          identification and that the proposed changes are overly  
          prescriptive and unnecessary.  










                                                                  AB 249

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          GOVERNOR'S VETO MESSAGE  :

          "This bill is unnecessary and duplicative of requirements  
          already required for long-term care facilities."



           Analysis Prepared by:     Marjorie Swartz / HEALTH / (916)  
          319-2097 



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