BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



           ------------------------------------------------------------ 
          |SENATE RULES COMMITTEE            |                  AB 1544|
          |Office of Senate Floor Analyses   |                         |
          |1020 N Street, Suite 524          |                         |
          |(916) 651-1520         Fax: (916) |                         |
          |327-4478                          |                         |
           ------------------------------------------------------------ 
           
                                         
                                 THIRD READING


          Bill No:  AB 1544
          Author:   Assembly Health Committee 
          Amended:  8/17/09 in Senate
          Vote:     21

           
           SENATE HEALTH COMMITTEE :  10-0, 7/15/09
          AYES:  Alquist, Strickland, Aanestad, Cedillo, Cox,  
            DeSaulnier, Leno, Negrete McLeod, Pavley, Wolk
          NO VOTE RECORDED:  Maldonado

           SENATE APPROPRIATIONS COMMITTEE  :  12-0, 8/17/09
          AYES:  Kehoe, Cox, Corbett, Denham, Hancock, Leno, Oropeza,  
            Price, Runner, Walters, Wolk, Yee
          NO VOTE RECORDED:  Wyland
           
          ASSEMBLY FLOOR  :  79-0, 6/1/09 - See last page for vote


           SUBJECT  :    Health facilities:  licensure

           SOURCE  :     Author


           DIGEST  :    This bill permits a hospital in good standing to  
          apply to the Department of Public Health (DPH) to offer an  
          outpatient service as a supplemental service without a  
          prior onsite survey by DPH.  This bill also requires DPH to  
          approve the application and to issue or deny a new license  
          within 100 days of receiving a complete application.

           ANALYSIS  :    Existing law provides for the licensing and  
          regulation of health facilities, including hospitals and  
                                                           CONTINUED





                                                               AB 1544
                                                                Page  
          2

          primary care clinics, by DPH.  Existing law provides for a  
          fee to be paid by a hospital when applying for initial and  
          renewing licensure, as specified.

          Existing regulations define a hospital outpatient service  
          as the rendering of non-emergency health care services to  
          patients who remain in the hospital less than 24 hours.

          Existing law permits a primary care clinic that has held a  
          valid, unrevoked, and unsuspended license for at least the  
          preceding five years to apply to establish another primary  
          care clinic at an additional site, which is referred to as  
          an affiliate clinic.  Existing law provides that DPH  
          approve an affiliate clinic without the necessity of first  
          conducting an initial onsite survey if specified conditions  
          are met. 

          This bill permits a hospital to apply to DPH to offer a new  
          or modify an existing outpatient service without a prior  
          onsite survey by DPH, provided it has met the following  
          requirements:  

          1. Has held for the five years immediately preceding the  
             submission of the completed application, a valid,  
             unrevoked or unsuspended license.

          2. Does not have a history of repeated or uncorrected  
             violations that pose immediate jeopardy to a patient.

          3. Does not have pending actions against it to suspend or  
             revoke the license or terminate Medicare or Medi-Cal  
             certification.

          4. Owns and operates the outpatient service that is the  
             subject of the application.

          This bill requires an applicant hospital to complete all  
          appropriate forms and documentation, pay any necessary  
          fees, and to describe the type of outpatient service and  
          its location and evidence showing that the outpatient  
          service has written policies and procedures governing its  
          operation.  This bill also requires DPH to approve the  
          application and to issue or deny a new license within 100  
          days of receiving a complete application.







                                                               AB 1544
                                                                Page  
          3


          This bill limits the outpatient service to providing  
          primary health care service to patients who remain in the  
          outpatient clinic for less than 24 hours and prohibits the  
          service from providing chronic dialysis treatment,  
          alternative birthing services, and outpatient surgeries  
          that are provided by a surgical clinic.

          This bill provides that DPH may conduct a licensing  
          inspection or complaint investigation after the application  
          is approved.

          DPH will need $70,000 in fiscal year 2009-10 and $120,000  
          in fiscal year 2010-11 to promulgate regulations related to  
          this bill.  Ongoing costs will be absorbable since  
          hospitals may add supplemental services at any time under  
          existing law. 

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  Yes

          According to the Senate Appropriations Committee:

                          Fiscal Impact (in thousands)

             Major Provisions                2009-10     2010-11     
             2011-12              Fund  

            DPH regulations               $70       $120       
            $0Special*

            * DPH Licensing and Certification Program Fund

           SUPPORT  :   (Verified  8/19/09)

          California Association of Rural Health Clinics
          California Hospital Association
          Catholic Healthcare West
          Chino Valley Medical Center
          Colusa Regional Medical Center
          Desert Valley Hospital
          Hospital Association of San Diego and Imperial Counties
          Montclair Hospital Medical Center
          Palomar Pomerado Health







                                                               AB 1544
                                                                Page  
          4

          Private Essential Access Community Hospitals
          San Antonio Community Hospital
          San Dimas Community Hospital
          Scripps Mercy Hospital
          Shasta Regional Medical Center
          Sierra Kings District Hospital
          Victor Valley Community Hospital

           OPPOSITION  :    (Verified  8/19/09)

          Department of Public Health

           ARGUMENTS IN SUPPORT  :    The California Hospital  
          Association (CHA) states that hospitals are frustrated at  
          the amount of time it takes for their clinics to be  
          approved by DPH.  A hospital operated clinic in Reedley had  
          to wait seven months to be surveyed, during which time it  
          had to forego 2,800 patient visits.  In Modesto, Fairfield,  
          Clear Lake, and Lodi similar delays have been encountered.   
          CHA states that hospitals are attempting to respond to the  
          health care needs of their communities by opening and  
          expending outpatient primary care clinics, as a means of  
          relieving overcrowded emergency departments and providing  
          access to health care services for uninsured and  
          underinsured patients.  CHA argues that the expedited  
          approval process outlined in the bill will provide  
          hospitals that are seeking to provide these services parity  
          with non-hospital based primary care clinics, and will  
          reduce the amount of time that new and expanded clinics  
          must wait for surveys before they can commence operations.

           ARGUMENTS IN OPPOSITION  :    DPH states that under this  
          bill, even if it chose to conduct an initial onsite survey  
          within 30 days after an application by a hospital to start  
          or expand a clinic, and found licensing deficiencies, it  
          would be required to approve the special permit, because  
          the bill provides no option to deny the application, which  
          could jeopardize patient safety.  DPH also argues that the  
          bill will give preferential treatment to clinics that are  
          hospital-operated vis-?-vis other primary clinics (except  
          for affiliate clinics), which will be subject to the  
          100-day timeline in existing law for receipt of licenses.   
          DPH also expresses concern that it is inappropriate to  
          apply the same standards to outpatient settings of  







                                                               AB 1544
                                                                Page  
          5

          hospitals and affiliate clinics of primary care clinics.   
          While the operational standards for affiliate clinics are  
          the same as those of primary care clinics that seek to  
          establish them, the standards for primary care clinics are  
          fundamentally different from those of hospitals.  Thus, the  
          fact that a hospital is in good standing on its hospital  
          license is not indicative of its ability to operate an  
          outpatient clinic.  Finally, DPH states that it will need  
          to promulgate regulations in order to implement the bill.  
           

          ASSEMBLY FLOOR  : 
          AYES:  Adams, Ammiano, Anderson, Arambula, Beall, Bill  
            Berryhill, Tom Berryhill, Blakeslee, Blumenfield,  
            Brownley, Buchanan, Caballero, Charles Calderon, Carter,  
            Chesbro, Conway, Cook, Coto, Davis, De La Torre, De Leon,  
            DeVore, Duvall, Emmerson, Eng, Evans, Feuer, Fletcher,  
            Fong, Fuentes, Fuller, Furutani, Gaines, Galgiani,  
            Garrick, Gilmore, Hagman, Hall, Harkey, Hayashi,  
            Hernandez, Hill, Huber, Huffman, Jeffries, Jones, Knight,  
            Krekorian, Lieu, Logue, Bonnie Lowenthal, Ma, Mendoza,  
            Miller, Monning, Nava, Nestande, Niello, Nielsen, John A.  
            Perez, V. Manuel Perez, Portantino, Price, Ruskin, Salas,  
            Saldana, Silva, Skinner, Smyth, Solorio, Audra  
            Strickland, Swanson, Torlakson, Torres, Torrico, Tran,  
            Villines, Yamada, Bass
          NO VOTE RECORDED:  Block


          RJG:mw  8/19/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                                ****  END  ****