BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 38
                                                                  Page  1

          Date of Hearing:  June 14, 2011

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
                    SB 38 (Padilla) - As Amended:  March 29, 2011

           SENATE VOTE :  36-4
           
          SUBJECT  :  Radiation control: health facilities and clinics: 
          records.

           SUMMARY  :  Makes July 1, 2012 the effective date by which health 
          facilities, imaging centers and the California Department of 
          Public Health (DPH) must comply with reporting requirements in 
          existing law for inappropriate or excessive radiation occurring 
          during computed tomography (CT) examinations or radiation 
          therapy.  Contains an urgency clause to ensure that the 
          provisions of this bill go into immediate effect upon enactment.

          EXISTING LAW  :  

          1)Establishes the Radiologic Health Branch (RHB) within DPH, 
            which is responsible for the licensing of radioactive 
            materials, registration of X-ray producing machines, 
            certification of X-ray and radioactive material users, 
            inspection of facilities using radiation, investigation of 
            radiation incidents, and surveillance of radioactive 
            contamination in the environment.

          2)Requires DPH to license persons who receive, possess, or 
            transfer radioactive materials, and devices or equipment 
            utilizing these materials.

          3)Requires a health facility to report to DPH effective January 
            1, 2011, except as specified, an event in which the 
            administration of radiation results in any of the following:

             a)   Repeating of a CT examination, unless otherwise ordered 
               by a physician or radiologist, if specified dose values are 
               exceeded;

             b)   CT X-ray irradiation of a body part other than that 
               intended by the ordering physician or a radiologist, if 
               specified dose values are exceeded;









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             c)   CT or therapeutic exposure that results in unanticipated 
               permanent functional damage to an organ or a physiological 
               system, hair loss, or erythema, as determined by a 
               qualified physician;

             d)   A CT or therapeutic dose to an embryo or fetus that is 
               greater than 50 mSv (5 rem) dose equivalent, that is a 
               result of radiation to a known pregnant individual, unless 
               the dose to the embryo or fetus was specifically approved, 
               in advance, by a qualified physician;

             e)   Therapeutic ionizing irradiation of the wrong 
               individual, or wrong treatment site; and,

             f)   The total dose from therapeutic ionizing radiation 
               delivered differs from the prescribed dose by 20% or more, 
               except in any instance where the radiation was utilized for 
               palliative care; however, the radiation oncologist would be 
               required to notify the referring physician that the dose 
               was exceeded.

          4)Requires the facility, no later than five business days after 
            discovery of an event, to notify DPH and the referring 
            physician of the person who is the subject to the event, and, 
            no later than 15 business days after discovery of an event, to 
            provide written notification to the person who is the subject 
            of the event.

           FISCAL EFFECT  .  According to the Senate Appropriations 
          Committee, pursuant to Senate Rule 28.8, negligible state costs.

           COMMENTS  :  

           1)PURPOSE OF THIS BILL  .  According to the author, this bill 
            provides technical clean-up language to clarify the effective 
            date that health facilities, imaging centers and DPH must 
            comply with reporting requirements regarding excess radiation 
            exposure that were signed into law under SB 1237 (Padilla), 
            Chapter 521, Statutes of 2010.  The author maintains that the 
            intent of SB 1237 was to establish July 1, 2012 as the 
            effective date for the mandated reporting, however, the bill 
            did not include an effective date.  Absent a specific date, 
            the reporting requirements in SB 1237 took effect on January 
            1, 2011 which did not allow sufficient time for DPH to 
            determine the appropriate reporting standards and requirements 








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            of excess radiation exposure for health facilities and imaging 
            centers.

           2)BACKGROUND  .  The author states Californians are at increasing 
            risk of overexposure to radiation and cites statistics that 
            total exposure to ionizing radiation has nearly doubled over 
            the past two decades, in large part because of increased use 
            of CT scans for medical diagnostic and treatment purposes.  
            The author states that medical radiation can save lives, but 
            can be deadly if improperly administered, and can increase a 
            person's lifetime risk of developing cancer.  The author cites 
            problems at Cedars-Sinai Medical Center in 2009, in which 206 
            patients were exposed to excess radiation over an 18-month 
            period, roughly eight times the recommended level of 
            radiation, when a scanner used for brain scans was 
            inappropriately reconfigured.  The author argues that excess 
            exposure to radiation is difficult to detect if there is no 
            record of the dosage administered.  The Legislature passed SB 
            1237 to address this issue.

           3)DPH RESPONSE TO SB 1237  .  To date, DPH has posted on its 
            Website and disseminated to the radiological industry a 
            Frequently-Asked-Questions (FAQ) document that informs health 
            facilities how to report and what information should be 
            reported.  The following information must be provided to the 
            RHB of DPH in a timely fashion when reporting events for 
            inappropriate or excessive radiation occurring during CT 
            examinations or radiation therapy: 

             a)   Person making report, job title, and contact 
               information;
             b)   Date(s) of event;
             c)   Facility information;
             d)   Radiation generating equipment specifics (i.e. 
               manufacturer, model number, and software version);
             e)   Operator's name;
             f)   Patient's physician name and contact information;
             g)   Copy of physician's order for CT or radiation therapy 
               treatment plan;
             h)   Explanation as to reason for reporting event;
             i)   Copies of internal investigation reports (include cause 
               and corrective action to prevent reoccurrence);
             j)   Patient dose calculations (include methodology); and,
             aa)  Copies of letters sent to the patient and physician.









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           4)SUPPORT  .  The California Hospital Association (CHA) writes in 
            support that SB 1237 makes significant changes in the 
            reporting requirements of hospitals when a patient has 
            received excessive radiation exposure during a CT examination 
            and allows DPH to track incidences of overexposure and respond 
            to them immediately.  CHA, the California Radiological 
            Society, Consumer Attorneys of California, and the University 
            of California Davis Health System all write that as 
            stakeholders of SB 1237 it was the intent that the provisions 
            would have a delayed operative date in order to allow the 
            medical and physicist community time to develop reporting 
            parameters and implement those standards.  Supporters maintain 
            that this bill would move the date for implementing SB 1237 
            forward 18 months to allow DPH time to establish appropriate 
            reporting standards.  

           5)PREVIOUS LEGISLATION  :

             a)   SB 1237 requires health facilities and clinics that use 
               imaging procedures that involve CT X-ray systems for human 
               use to record the dose of radiation on every CT study 
               produced during a CT examination.  Requires facilities that 
               furnish CTs to be accredited, and to report to DPH an event 
               in which the administration of radiation results in an 
               overdose, as specified.

             b)   SB 148 (Oropeza), Chapter 169, Statutes of 2009, 
               requires a facility that operates a mammogram machine to 
               post notices of serious violations, as defined, in an area 
               that is visible to patients.

             c)   AB 929 (Oropeza), Chapter 427, Statutes of 2005, 
               requires the RHB to adopt regulations regarding quality 
               assurance standards for facilities using specified 
               radiation-producing equipment and to provide the 
               regulations to the Health Committees of the Assembly and 
               the Senate on or before January 1, 2008.

           REGISTERED SUPPORT / OPPOSITION  :

           Support  
          Advanced Medical Technology Association
          California Hospital Association
          California Radiological Society
          Consumer Attorneys of California








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          Consumer Federation of California
          University of California Davis Health System
           
            Opposition  
          None on file.

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