BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 1119
                                                                  Page  1


          SENATE THIRD READING
          SB 1119 (Wright)
          As Amended  June 23, 2010
          Majority vote 

           SENATE VOTE  :30-0  
           
           HEALTH              19-0        BUSINESS & PROFESSIONS       6-2
           
           ----------------------------------------------------------------- 
          |Ayes:|Monning, Fletcher,        |Ayes:|Conway, Hernandez, Hill,  |
          |     |Ammiano, Carter, Conway,  |     |Niello, Smyth, Nestande   |
          |     |De La Torre, De Leon,     |     |                          |
          |     |Eng, Gaines, Hayashi,     |     |                          |
          |     |Hernandez, Jones, Bonnie  |     |                          |
          |     |Lowenthal, Nava,          |     |                          |
          |     |V. Manuel Perez, Salas,   |     |                          |
          |     |Smyth, Audra Strickland,  |     |                          |
          |     |Gilmore                   |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |Nays:|Hayashi, Ruskin           |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           APPROPRIATIONS      16-0                                        
           
           -------------------------------- 
          |Ayes:|Fuentes, Conway,          |
          |     |Bradford,                 |
          |     |Charles Calderon, Coto,   |
          |     |Davis,                    |
          |     |De Leon, Gatto, Hall,     |
          |     |Harkey, Miller, Nielsen,  |
          |     |Norby, Solorio,           |
          |     |Torlakson, Torrico        |
          |     |                          |
           -------------------------------- 
           SUMMARY  :  Requires temporary licensed nursing employment  
          agencies to verify a nurse's fitness to work, requires certain  
          reporting of unfit nurses, and specifies penalties for failures  
          to do so.  Specifically,  this bill  :  

          1)Requires agencies that refer licensed nursing staff for  
            temporary employment in health facilities, including general  
            acute care, acute psychiatric, and special hospitals, to meet  








                                                                  SB 1119
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            requirements similar to those that apply to the referral of  
            licensed nursing staff to long-term care facilities.

          2)Requires an employment agency that refers temporary staff for  
            employment in a health facility, as defined, to do the  
            following:  

             a)   Adopt policies and procedures regarding prevention of  
               resident or patient abuse by temporary staff;

             b)   Verify that individuals referred to facilities are  
               licensed and in good standing, have successfully completed  
               the criminal record process required by the applicable  
               licensing board, have had health exams and TB screening, as  
               specified, and do not have any unresolved allegations  
               against them involving the mistreatment, neglect, or abuse  
               of a patient;

             c)   Provide, upon the request of the State Department of  
               Public Health, a list of temporary employees who have been  
               referred to a specified health facility during the period  
               in which the facility is involved in a labor action;

             d)   Provide that no licensed nursing staff referred by an  
               employment agency to a health facility may be solely  
               responsible for a unit unless that person has received a  
               full orientation to the facility and the applicable unit  
               for which he or she is assigned;

             e)   Require that any employee referred to a long-term care  
               facility be identified as a temporary staff person in the  
               facility's daily staffing levels required to be posted, as  
               specified; and,

             f)   Comply with specified advertising requirements.

          3)Requires an employment agency to report to the Board the  
            suspension or termination for cause by a health facility of a  
            licensed vocational nurse (LVN) or psychiatric technician  
            (LPT) referred to the facility by the agency. 

          4)Requires a health facility that makes a report of an unfit  
            nurse to send a copy of the report to the employment agency  
            that placed the relevant LVN or LPT with the health facility.








                                                                  SB 1119
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          5)Makes any employment agency that violates any part of this  
            bill subject to a $5,000 penalty for each violation, and up to  
            $10,000 for each willful or knowing violation and states that  
            civil penalties may be assessed and recovered through a civil  
            action brought by the Attorney General, by any district  
            attorney, or any city attorney.  

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee this bill will create 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. 

           COMMENTS  :  The author cites that there are 3,000 to 6,000  
          temporary nurse staffing agencies nationwide.  Additionally,  
          19,000 licensed registered nurses in California service as  
          temporary nurses.  According to the author, the health care  
          staffing industry is poorly regulated and acts as a haven for  
          problem nurses.  There is no regulatory oversight of nurse  
          registries in California except when nursing staff are referred  
          to long-term health care facilities.  The author states that  
          this bill seeks to address this problem by requiring agencies  
          that refer licensed nursing staff for temporary employment in  
          health facilities, including general acute care, acute  
          psychiatric, and special hospitals to meet background check  
          requirements similar to those that apply to the referral of  
          licensed nursing staff to long-term care facilities.  This bill  
          also requires an employment agency to report to the Board the  
          suspension or termination for cause by a health facility of a  
          licensed vocational nurse or psychiatric technician referred to  
          the facility by the agency, which will ensure that problem  
          nurses are not continually referred to health facilities.


           Analysis Prepared by :    Martin Radosevich / HEALTH / (916)  
          319-2097  
           

                                                                FN: 0005684