BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1544
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 1544 (Jones and Fletcher)
          As Amended September 4, 2009
          Majority vote
           
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          |ASSEMBLY:  |79-0 |(June 1, 2009)  |SENATE: |38-0 |(September 9,  |
          |           |     |                |        |     |2009)          |
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           Original Committee Reference:    HEALTH  

           SUMMARY  :  Establishes timeframes and procedures for the  
          Department of Public Health (DPH) to act on applications by  
          general acute care (GAC) hospitals to add a new, or modify an  
          existing, outpatient clinic service (OPCS) as a supplemental  
          service.  Specifies that an onsite inspection is not required  
          prior to approving the application. 

           The Senate amendments  :  
           
          1)Change the author from the Health Committee to Assembly  
            Members Jones and Fletcher, with the remaining committee  
            members as co-authors.

          2)Narrow the bill to apply only to GAC hospitals by removing  
            acute psychiatric and special hospitals as eligible entities.

          3)Delete requirements that an applicant hospital hold a valid,  
            unrevoked or unsuspended license in the five years prior to  
            application; not have repeated or uncorrected state licensing  
            or federal certification violations that pose immediate  
            jeopardy to a patient; and, not have any pending actions  
            against it to suspend or revoke its license or terminate  
            Medicare or Medi-Cal certification.

          4)Apply the 30-day deadline for DPH to act on a completed  
            application to only applications from hospitals previously  
            approved for an OPCS, and require DPH to approve or deny  
            applications from first-time applicants within 100 days of a  
            complete application being filed.

          5)Require DPH to deny an application for specified reasons,  
            including applicant failure to provide additional information  
            within 30 days of DPH's request.








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          6)Delete a list of specified services that may not be provided  
            under the OPCS, and instead limit the OPCS to non-emergency  
            primary health care services in a clinical environment.

          7)Define "outpatient clinic services" to mean the same as  
            services provided by a primary care clinic, but specify that  
            supplemental outpatient services established by a GAC hospital  
            shall not be considered primary care clinics for licensing,  
            regulatory, or enforcement purposes.

          8)Make minor and technical amendments.

           EXISTING LAW  :

          1)Requires the licensure of health facilities, including GAC  
            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.

           AS PASSED BY THE ASSEMBLY  , this bill was substantially similar  
          to the version passed by the Senate.

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, one-time costs to DPH of $70,000 in fiscal year (FY)  
          2009-10 and $120,000 in FY 2010-11, funded by the DPH Licensing  
          and Certification Program Fund, to promulgate regulations  
          related to this bill.  Ongoing costs would be absorbable since  
          hospitals may currently add supplemental services at any time.

           COMMENTS  :  According to the author, this bill 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 author, will speed the  
          opening of new primary care clinics, reduce the workload of DPH,  
          and avoid unnecessary costs to hospitals by facilitating  
          transfers between primary, emergency, and acute care.








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          Primary care clinics faced a similar problem of long delays in  
          obtaining DPH approval of new or ancillary operations.  This led  
          to enactment of measures in 2003 [SB 937 (Ducheny), Chapter 602,  
          Statutes of 2003] and again in 2008 [AB 2010 (DeSaulnier),  
          Chapter 90, Statutes of 2008] to streamline 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 (CHA) 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. 

          Recent Senate amendments reflect a compromise reached between  
          the author, CHA, and DPH, and remove DPH opposition.


           Analysis Prepared by  :   Joyce Iseri / HEALTH / (916) 319-2097 


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