BILL ANALYSIS                                                                                                                                                                                                    






                                 SENATE HEALTH
                               COMMITTEE ANALYSIS
                        Senator Elaine K. Alquist, Chair


          BILL NO:       AB 2221                                      
          A
          AUTHOR:        Beall                                        
          B
          AMENDED:       April 27, 2010                              
          HEARING DATE:  June 23, 2010                                
          2
          CONSULTANT:                                                 
          2
          Dunstan/jl                                                   
                                   2
                                                                       
                                         1
                                        

                                     SUBJECT
                                         
                     Substance abuse: treatment facilities


                                     SUMMARY  

          Expands the category of residential treatment facilities  
          licensed by the Department of Alcohol and Drug Programs  
          (DADP) to include facilities that provide limited  
          residential medical services to adults recovering from  
          alcohol and drug abuse provided that the facility is not  
          otherwise required to have a separate health facility  
          license.

                             CHANGES TO EXISTING LAW  

          Existing law:
          Existing law requires DADP to license all adult alcoholism  
          or drug abuse recovery or treatment facilities.  Existing  
          law defines a recovery or treatment facility as a facility  
          that provides 24-hour residential, nonmedical services to  
          adults who are recovering from problems related to  
          substance abuse and provides that a licensee must provide  
          at least one recovery, treatment or detoxification service.

                                                         Continued---



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          Defines a chemical dependency recovery hospital as a health  
          facility that provides 24-hour inpatient care for persons  
          who have dependency on alcohol or other drugs, or both.   
          Specifies that the care includes, but is not limited to,  
          patient counseling, group therapy, physical conditioning,  
          family therapy, outpatient services, and dietetic services.  
           Requires the hospital to have a medical director who is a  
          licensed physician and surgeon.  Requires that a chemical  
          dependency recovery hospital obtain a license issued by the  
          Department of Public Health.

          This bill:
          Expands the definition of adult alcoholism or drug abuse  
          recovery or treatment facilities to include any program  
          that uses a multidisciplinary team to provide medical  
          services within a residential facility that is accredited  
          by a nationally recognized accrediting organization.   
          Allows that the team may include a physician.  Limits the  
          medical services to routine services within the scope of  
          practice of an addiction medicine specialist.  Restricts  
          the medical services to those provided to adults who are  
          recovering from problems related to alcohol, drug, or  
          alcohol and drug misuse or abuse and who need alcohol,  
          drug, or alcohol and drug recovery treatment or  
          detoxification services.  Restricts those facilities that  
          otherwise require a health facility license from being  
          licensed under this definition.  


                                  FISCAL IMPACT  

          According to the Assembly Appropriations Committee  
          analysis, the costs associated with this legislation should  
          be minor and absorbable within existing resources. 


                            BACKGROUND AND DISCUSSION  

          According to the author, current law allows DADP to license  
          only those facilities that provide nonmedical services in  
          residential treatment facilities.  The author states that  
          when DADP discovered that it lacked statutory authority to  
          license these facilities if physicians were available to  
          provide care, it began telling facilities that they would  
          lose their license if they continue to provide medical  




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          services.  The author argues that this bill allows  
          physicians to provide medical services in substance abuse  
          treatment facilities licensed by DADP that provide 24-hour  
          residential services to adults who also need alcohol, drug,  
          or alcohol and drug recovery treatment or detoxification  
          services.  The author states that this bill is intended to  
          apply the licensing structure of DADP to residential  
          treatment facilities that provide medical services by a  
          physician on staff for the sole purpose of assisting with  
          detoxification services.
          
          Background
          DADP licenses residential treatment facilities to provide  
          nonmedical services to individuals who are working to  
          overcome their addiction to alcohol or other drugs.  These  
          services include education, group or individual sessions;  
          recovery or treatment planning and detoxification services.  
           In addition, a licensed treatment facility may offer  
          individualized services, such as vocational and employment  
          search training, community volunteer opportunities, new  
          skills training, peer support, social and recreational  
          activities and information about and referral to  
          appropriate community services.  

          DADP indicates that since current law only authorizes it to  
          license nonmedical services, many larger licensed  
          facilities enter into contracting arrangements with  
          physicians to provide medical services on site, such as  
          treatment of medical symptoms associated with addiction,  
          including post-withdrawal hypertension, seizure prevention,  
          and impaired liver function.  Residents of smaller  
          facilities (six beds or fewer) that provide detoxification  
          services are currently required to obtain medical clearance  
          from a physician off site before participating in a  
          detoxification program.  Treatment facilities desire to  
          include physicians on site to provide medical clearance and  
          assist with other limited medical services, such as routine  
          physicals, communicable disease screening, vital sign  
          assessment, and the prescribing, administering, and  
          dispensing of medications for withdrawal symptoms.

          In contrast to the facilities licensed by DADP, chemical  
          dependency recovery hospitals are licensed by DPH.  These  
          facilities specialize in providing services to chemically  
          dependent adults who do not require treatment in an  




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          acute-care medical facility on an inpatient, intensive  
          outpatient, outpatient, and partial hospitalization basis.   
          Basic services include patient counseling, group therapy,  
          physical conditioning, family therapy, outpatient services,  
          and dietetic services.  These facilities must have  
          agreements with acute care hospitals for any necessary  
          services such as a pharmacy that may not be offered at the  
          chemical dependency recovery hospital.  According to data  
          from the Office of Statewide Health Planning and  
          Development, there are currently seven sites throughout  
          California that are licensed to provide chemical dependency  
          services. 

          Accreditation by two national organizations, the Joint  
          Commission on Accreditation of Healthcare Organizations  
          (JCAHO) and the Joint Commission on Accreditation of  
          Rehabilitation Facilities (CARF) are currently available  
          for such behavioral health care services as addiction  
          treatment, opioid treatment and maintenance programs,  
          crisis stabilization, case management and care  
          coordination, employment services and vocational  
          rehabilitation.  JCAHO and CARF each require a facility to  
          demonstrate that its program meets their respective quality  
          standards in order to obtain accreditation.  These quality  
          standards evaluate functions relating to client care and  
          program management, including administrative requirements,  
          financial management, personnel qualifications, client  
          services, performance outcomes, client safety, and  
          information privacy and security.  JCAHO requires  
          accredited organizations to reapply for accreditation every  
          three years while CARF accreditation ranges from one to  
          five years, depending on the type of facility.

          Prior legislation
          AB 1055 (Chesbro) of 2009 contained provisions  
          substantially similar to this bill.  AB 1055 was held on  
          the Assembly Appropriations Committee Suspense File.  

          Arguments in support
          Supporters, representing treatment facility operators,  
          providers, and consumers, state that this bill updates  
          existing law to ensure that physicians retain their ability  
          to participate in the full range of treatment for  
          Californians with addictions.  The Drug Policy Alliance  
          states that it is vital to allow physicians to work in  




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          treatment and detoxification facilities because it provides  
          a mid-level of care for patients who need a doctor but do  
          not require the intense and costly intervention provided by  
          chemical dependency recovery hospitals.  The California  
          Psychiatric Association acknowledges that DADP had  
          mistakenly licensed facilities that provided medical  
          services in the recent past, but allowing them to do so  
          again under the authority granted in AB 2221, would afford  
          the full continuum of care to those participating in  
          residential recovery services.  CRC Health Group, Inc., a  
          treatment facility operator, writes that this bill will  
          improve the continuum of care to people in recovery by  
          expressly authorizing facilities to provide important, but  
          routine, medical services on site and enable modern  
          recovery techniques and protocols to include normal medical  
          services as part of the process.  The County Alcohol and  
          Drug Program Administrators Association of California  
          states that this bill will allow California physicians to  
          continue to play a key role in the treatment of addiction,  
          without mandating that residential programs include  
          physicians on staff.

          
          Arguments in opposition
          The Department of Public Health (DPH) opposed the bill  
          because of their concerns that allowing medical services to  
          be provided in residential adult alcohol and drug treatment  
          facilities undermines the strong public protection afforded  
          by DPH licensure and oversight of medical services.  They  
          argue that AB 2221 seeks to provide medical services,  
          currently undefined, in DADP licensed facilities.  DPH  
          states that the provision of medical services in settings  
          such as those licensed by DADP requires licensure as a  
          clinic, and therefore subject to DPH oversight.  They  
          conclude by stating that this bill fails to assign facility  
          liability and lacks definition of what medical services may  
          be provided in these facilities.  


                                  PRIOR ACTIONS

           Assembly Health:         18-0
          Assembly Appropriations: 16-0 
          Assembly Floor:          69-0





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                                     COMMENTS
           
          1.  Scope of routine services is not well defined.  The  
          term, "within the scope of practice of an addiction  
          medicine specialist" is used to define what type of medical  
          services could be provided at a licensed recovery or  
          treatment facility.  However, since an addiction medicine  
          specialist is a physician and surgeon, the term does not  
          actually limit the medical services that can be provided.

          Proposed amendment
          Page 2, beginning line 9
          As used in this chapter, "alcoholism or drug abuse recovery  
          or treatment facility" or "facility" also means any  
          premises, place, or building that provides a program,  
          accredited by a nationally recognized accrediting  
          organization, that uses a multidisciplinary team, including  
          a physician and surgeon when available, to provide medical  
          services within a residential facility,  limited to routine  
          services within the scope of practice of an addiction  
          medicine specialist  that do not require a health facility  
          license, to adults who are recovering from problems related  
          to alcohol, drug, or alcohol and drug misuse or abuse and  
          who need alcohol, drug, or alcohol and drug recovery  
          treatment or detoxification services. 
          
          2.  DPH raises legitimate issue about oversight of medical  
          services.  There is a need to examine the appropriate ways  
          to license facilities that provide medical services as part  
          of their multidisciplinary approach.  It should be noted,  
          however, that many of these facilities have been providing  
          medical services, and it was only the discovery by DADP  
          that it lacked sufficient legal authority to continue to  
          license them that has raised this issue.  This bill is not  
          trying to address a situation where there are demonstrated  
          problems that reflect a lack of oversight and regulation.   
          Indeed, medical services are an important component of the  
          services at many of these facilities, given that many with  
          substance abuse have another mental illness diagnosis, and  
          treatment of both conditions is the most efficient method.   
          To provide time to develop a more appropriate licensing  
          system, the committee may want to consider imposing a  
          sunset on the bill, which would allow medical services to  
          be provided while they meet national accreditation  
          standards.  The sunset would allow time to develop a  




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          permanent licensing scheme for these facilities.
          
          Proposed amendment
          Page 2, after line 32.
          (e)  The authority granted by this section to operate a  
          facility that provides medical services on site, as  
          described in paragraph (a) shall remain in effect until  
          January 1, 2013.

          3.  Concerns have been raised that facilities could be  
          required to provide medical services.  This would increase  
          the cost of treatment and is not necessary in many  
          instances.

          Proposed amendment
          Page 2, after line 32.
          (f)  Nothing contained in this section shall be construed  
          to permit the state or any local governmental entity to  
          require the provision of medical services on site as a  
          condition of licensure, funding or other regulatory  
          supervision.


                                    POSITIONS  
                                        
          Support:  California Association of Alcoholism and Drug  
          Abuse Counselors
                 California Medical Association
                 California Psychiatric Association
                 County Alcohol and Drug Program Administrators  
                 Association of California
                 CRC Health Group
                 Drug Policy Alliance



          Oppose:  Department of Public Health






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