BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 1119
                                                                  Page  1

          Date of Hearing:   August 4, 2010

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                    SB 1119 (Wright) - As Amended:  June 23, 2010 

          Policy Committee:                             HealthVote: 19-0
                       Business & Professions                6-2

          Urgency:     No                   State Mandated Local Program:  
          Yes    Reimbursable: No           

           SUMMARY  

          This bill requires employment agencies providing temporary  
          licensed nurse staffing in health facilities to have the same  
          reporting responsibilities related to suspensions and  
          terminations as required of employers under current law.  
          Specifically, this bill: 

          1)Addresses reporting about temporary registered nurses (RNs),  
            licensed vocational nurses (LVNs), and licensed psychiatric  
            technicians (LPTs). 

          2)Requires temporary employment agencies to provide health  
            facilities with a verification of a temporary staff member's  
            fitness to work. 

          3)Requires health facilities to send a copy of suspension and  
            termination reports to the pertinent employment agency. 

          4)Establishes civil penalties of up to $5,000 for each  
            employment agency violation and of up to $10,000 for a willful  
            violation of the requirements of this bill. 

           FISCAL EFFECT  

          Unknown fee-supported workload of less than $50,000 to the Board  
          of Registered Nursing and the Board of Vocational Nursing and  
          Psychiatric Technicians, combined, to comply with oversight of  
          increased reporting of license suspensions and terminations  
          established by this bill. 









                                                                  SB 1119
                                                                  Page  2

           COMMENTS  

           1)Rationale  . This bill increases the oversight of professionals  
            affiliated with temporary nurse staffing agencies. According  
            to the author, temporary nursing professionals are being  
            relied upon with greater frequency, but the oversight of these  
            professionals is weaker than regulation provided by employers.  
            For example, an investigation by the Los Angeles Times in 2009  
            founds delays of several years for temporary agency  
            investigations of some nurse misconduct. This bill increases  
            the oversight of staff of nursing registries to be more  
            similar with the oversight provided by nursing employers. 

           2)Background  . Nurse registries contract out the services of RNs,  
            LVNs, LPTs or certified nurse assistants (CNAs) to individual  
            patients and health facilities. Under current law, there is  
            little regulatory oversight of nurse registries in California,  
            except when nursing staff are referred to long-term health  
            care facilities. 

          In contrast, permanent employers of vocational nurses are  
            required to report to the Board any suspension or termination  
            related to the following: (1) use of controlled substances or  
            alcohol (2) sale of controlled substances or other  
            prescription drugs (3) patient or client abuse or neglect (4)  
            falsification of medical records (5) gross negligence or  
            incompetence and (6) theft from patients or clients, other  
            employees, or the employer.

           3)Concerns  . The California Nurses Association is opposed to this  
            bill. CNA indicates the bill uses a piecemeal, rather than  
            comprehensive, approach. 
           
          4)Related Legislation  . AB 1643 (Negrete McLeod), Chapter 326,  
            Statutes of 2001 requires temporary nursing agencies referring  
            staff to long-term care facilities to verify the staff are  
            licensed and in good standing, have had required health  
            screenings, and have no pending allegations against them. 
           
          Analysis Prepared by  :    Mary Ader / APPR. / (916) 319-2081