BILL ANALYSIS                                                                                                                                                                                                    




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                           2153 (Lieu)
          
          Hearing Date:  6/28/2010        Amended: As Introduced
          Consultant: Katie Johnson       Policy Vote: Health 7-1 
          _________________________________________________________________ 
          ____
          BILL SUMMARY:  AB 2153 would require all hospitals with  
          emergency departments to develop and calculate a "crowding  
          score" and to submit a full-capacity protocol to the Office of  
          Statewide Health Planning and Development (OSHPD) that would  
          address emergency department overcrowding mitigation policies  
          and procedures.
          _________________________________________________________________ 
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2010-11      2011-12       2012-13     Fund
                                                                  
          Impact on publicly-funded       unknown, potentially  
          significantGeneral/*
          health programs, including      costs and savings      Federal/
          Medi-Cal and Healthy Families                          Local

          *Medi-Cal costs shared 50 percent General Fund, 50 percent  
          federal funds ongoing; Healthy Families Program shared 35  
          percent General Fund, 65 percent federal funds; the state  
          General Fund portion may include local funds
          _________________________________________________________________ 
          ____

          STAFF COMMENTS: This bill may meet the criteria for referral to  
          the Suspense File.
          
          Staff notes that this bill may meet the criteria for referral to  
          the Suspense File for the following reasons: there could be  
          costs and savings. 

          a) If this bill were to result in an emergency department's  
          ability to see patients more efficiently and thus cause a net  
          increase in the number of patients seen in a day, there could be  
          increased costs to the state in the form of claims for  
          reimbursement for services rendered to Medi-Cal, Healthy  
          Families, and other publicly-funded health care program  










          beneficiaries.

          b) In contrast, there could be savings to publicly-funded health  
          care programs to the extent that emergency department (ED)  
          efficiencies reduce wait time, decrease the length of inpatient  
          hospitalizations, and correlate with improved health outcomes.

          Any costs to the California Department of Public Health (CDPH)  
          to add additional criteria to its licensing inspections or to  
          OSHPD to collect and store full-capacity protocols would be  
          minor and absorbable. Costs to hospitals to develop and  
          calculate crowding scores, to create a full-capacity protocol,  
          and to train staff could be minor and absorbable to up to  
          approximately $150,000 one-time. The state would not reimburse  
          them for those costs.



          Page 2
          AB 2153 (Lieu)

          This bill would require all licensed general acute care  
          hospitals with an emergency department (ED) to:

             1)   Calculate a crowding score with the prescribed formula  
               every 4 hours and would make allowances for small and  
               uncrowded hospitals;
             2)   Develop a crowding scale and to assign ranges of  
               crowding scores to 1 of 6 categories, with category 1  
               representing the least crowded and category 6 representing  
               the most crowded; 
             3)   Develop, implement, and file with OSHPD, by January 1,  
               2012, a full-capacity protocol for each of the six crowding  
               scale categories that would address the notification of  
               hospital staff and changes in hospital and ED operations,  
               such as bed utilization, transfers, elective admissions,  
               and discharges.

          This bill's provisions would be operative until January 1, 2015.

          This bill is nearly identical to AB 911 (Lieu, 2009), which was  
          vetoed by the Governor.
          The Governor said in his AB 911 veto message, "Although I  
          support the intent behind this bill, statute is not necessary  
          and I do not believe it will provide any significant improvement  
          to the underlying problem?I would encourage them [hospitals] to  










          use the crowding score outlined in this bill and work to develop  
          full-capacity protocols that best address their individual  
          needs." AB 911 passed out of Senate Appropriations Committee 10  
          - 0.