BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1710
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 1710 (Yamada)
          As Amended August 13, 2012
          Majority vote
           
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          |ASSEMBLY:  |47-25|(May 3, 2012)   |SENATE: |25-14|(August 20,    |
          |           |     |                |        |     |2012)          |
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           Original Committee Reference:    HEALTH  

           SUMMARY  :  Revises how nursing home administrator licensing fees 
          are to be adjusted so that fee revenue is sufficient to cover 
          the regulatory costs to the Department of Public Health (DPH), 
          and revises and increases DPH reporting requirements regarding 
          the Nursing Home Administrator Program (NHAP).

           The Senate amendments  :  

           1)Delete a requirement that DPH provide an annual fiscal year 
            NHAP fee report to the Legislature each January 15, and 
            instead requires DPH to prepare a report, by February 1 each 
            year.  Requires the annual fiscal year NHAP fee report to be 
            submitted in accordance with existing law.

          2)Require DPH to make a list of proposed NHAP fee adjustments 
            available to the public by submitting the list to the 
            appropriate policy and fiscal committees of the Legislature, 
            in accordance with existing law, and by posting it on the 
            DPH's Internet Web site.

          3)Require DPH, within 30 days of the enactment of the annual 
            Budget Act each year, to publish a final fee list, with an 
            explanation of any adjustments, in the initial licensing 
            application package, by including a reference to the link on 
            DPH's Internet Web site address. 

          4)Make other technical and non-substantive amendments.

           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:








                                                                  AB 1710
                                                                  Page  2


          1)Increased fee revenues, likely between $200,000 and $250,000 
            per year (Licensing and Certification Program Fund).

          2)Minor administrative costs to adjust fee levels and report on 
            program activities, expenditures, and fee levels (Licensing 
            and Certification Program Fund).

           COMMENTS  :  According to the author, this bill modernizes the way 
          NHAP fees are calculated in order to realistically reflect the 
          workload and program needs.  The author maintains that the NHAP 
          funding was inadvertently omitted from the fee reform initiative 
          for "right-sizing" or adjusting licensing fees based on the 
          workload and costs for the Department of Health Services 
          Licensing and Certification Program (now DPH Licensing and 
          Certification Program) as a part of the fiscal year 2006-07 
          Budget Act.  The author maintains this lack of integrated 
          funding, public accountability and resources, creates problems 
          for the NHAP to be able to fully implement its statutory 
          responsibilities to protect the health and safety of nursing 
          home residents by ensuring that NHAs meet professional licensing 
          standards.  According to the author, as a result of lack of 
          resources, the program has not been able to do the following:  
          1) revise the state exam for NHAs; 2) investigate complaints in 
          a timely manner; 3) take disciplinary actions for violations of 
          professional standards; or, 4) conduct routine analysis to 
          determine any correlation between skilled nursing facility 
          violations and NHA responsibilities.


           Analysis Prepared by  :    Tanya Robinson-Taylor / HEALTH / (916) 
          319-2097 


          FN: 0004840