BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1544
                                                                  Page  1


          ASSEMBLY THIRD READING
          AB 1544 (Committee on Health)
          As Introduced March 4, 2009
          Majority vote 

           HEALTH              18-0        APPROPRIATIONS      17-0        
           
           ----------------------------------------------------------------- 
          |Ayes:|Jones, Fletcher, Adams,   |Ayes:|De Leon, Nielsen,         |
          |     |Ammiano, Block, Carter,   |     |Ammiano,                  |
          |     |Conway, De La Torre, De   |     |Charles Calderon, Davis,  |
          |     |Leon, Emmerson, Hall,     |     |Duvall, Fuentes, Hall,    |
          |     |Hayashi, Hernandez,       |     |Harkey, Miller,           |
          |     |Bonnie Lowenthal, Nava,   |     |John A. Perez, Price,     |
          |     |V. Manuel Perez, Salas,   |     |Skinner, Solorio, Audra   |
          |     |          Audra           |     |Strickland, Torlakson,    |
          |     |Strickland                |     |Krekorian                 |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Permits a hospital in good standing to operate an  
          outpatient clinic without a prior onsite survey and requires the  
          Department of Public Health (DPH) to approve a specified license  
          within 30 days of receipt.  Specifically,  this bill  :  

          1)Authorizes a hospital that meets specified criteria to  
            establish an outpatient clinic without the necessity of DPH  
            first conducting an initial onsite survey.  In order to submit  
            an application a hospital must meet both of the following:

             a)   Hold a valid license for a minimum of five years without  
               repeated or uncorrected violations; have no pending actions  
               for suspension or revocation of Medicare or Medi-Cal  
               certification; and, meet all applicable federal and state  
               certifications; and,

             b)   Own and operate the outpatient service that is the  
               subject of the application.

          2)Requires the outpatient service that is the subject of the  
            application to provide primary care to patients who remain in  
            the clinic less than 24 hours.

          3)Specifies that outpatient services may not include chronic  








                                                                  AB 1544
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            dialysis treatment, outpatient surgeries, or alternative  
            birthing services. 

          4)Specifies the information to be included in the DPH  
            application.

          5)Requires DPH to approve an application to add or modify an  
            outpatient service as a supplemental service, add it to the  
            hospital license, and issue a new license within 30 days, if  
            the hospital meets the specified requirements.

           EXISTING LAW  :

          1)Requires the licensure of health facilities, including general  
            acute care hospitals, acute psychiatric hospitals, and special  
            hospitals, and requires approval for specified supplemental  
            and outpatient services.

          2)Permits primary care clinics to operate an affiliate clinic  
            without DPH having first conducted an onsite survey, if  
            certain conditions are met.

           FISCAL EFFECT :  According to the Assembly Appropriations  
          Committee, one-time fee-supported special fund costs of $200,000  
          to promulgate regulations and establish processes contained in  
          this bill.  Ongoing fee-supported special fund costs of $50,000.  
           This bill increases hospitals' ability to care for patients in  
          a less costly environment and in a more timely way than under  
          current law.

           COMMENTS  :  According to the Assembly Committee on Health  
          (Committee), authors of this bill, it is intended to expedite  
          expansion of hospital based outpatient clinics in order to  
          improve access to primary care and reduce the demand on  
          emergency departments.  This bill speeds the approval process  
          for hospital based clinics by specifying a time frame for  
          application approvals and elimination of the requirement for a  
          DPH survey prior to initiating services in primary care clinics.  
           Hospitals routinely experience months long delays waiting for  
          DPH surveys.  This bill, notes the Committee, will speed the  
          opening of new primary care clinics, reduce the workload of DPH,  
          and avoid unnecessary costs to hospitals.

          Timely access to primary and preventive care is a critical  








                                                                  AB 1544
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          element in reducing health care costs and improving health  
          access.  Yet, both insured and uninsured patients now experience  
          delays in accessing regular and timely primary care.  The health  
          delivery system works best when appropriate levels of care are  
          accessible and transfers between primary, emergency, and acute  
          care can be facilitated.  At this point in time, additional  
          outpatient clinic services need to be expanded, yet the current  
          system of approving new hospital-based outpatient clinics is  
          often lengthy and slow, making it more costly and difficult for  
          hospitals to offer additional primary care services.

          Primary care clinics faced a similar problem in recent years.   
          Clinics also faced long delays in obtaining DPH approval of new  
          or ancillary operations, and in 2003 [SB 937 (Ducheny), Chapter  
          602, Statutes of 2003] and again in 2008 [AB 2010, (DeSaulnier)  
          Chapter 90, Statutes of 2008] successfully passed measures which  
          streamlined the approval process by eliminating the necessity of  
          an onsite survey and requiring DPH application approval within  
          specified timeframes.  This bill is very similar to the primary  
          care clinic statutes.

          The California Hospital Association supports this bill and  
          reports several examples demonstrating the frustrations of  
          hospitals whose clinic operations were delayed by the wait for  
          DPH approval.  In the city of Reedley, the Fresno Department of  
          Public Health District Office required seven months to complete  
          their survey.  The Reedley clinic lost 2,800 patient visits  
          waiting for the survey.  In Modesto, a new and expanded facility  
          building has remained empty for six months while the clinic  
          waits for a surveyor.  Similar experiences are reported from  
          Fairfield, Clearlake, and Lodi hospitals. 


           Analysis Prepared by  :   Tanya Robinson-Taylor / HEALTH / (916)  
          319-2097 


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