BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                          SB 135 (Hernandez)
          
          Hearing Date: 01/19/2012        Amended: 01/04/2012
          Consultant: Brendan McCarthy    Policy Vote: Health 9-0
          _________________________________________________________________
          ____
          BILL SUMMARY: SB 135 would establish hospice facilities as a 
          facility type and would establish a hospice facility licensing 
          category that would be administered by the California Department 
          of Public Health (CDPH).
          _________________________________________________________________
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2012-13      2013-14       2014-15     Fund
           
          Adopting licensing     $200       $350                  Special 
          *
             regulations

          Ongoing licensing      Unknown                          Special 
          **                     
             and investigations

          Medi-Cal utilization   Potential increased utilization. 
          Potential              General /
                                   reduced costs                  Federal 
          ***

          * State Department of Public Health Licensing and Certification 
          Fund.                                         
          ** State Department of Public Health Licensing and Certification 
          Fund. Fully supported by fees.
          *** Medi-Cal costs are split 50% General Fund and 50% federal 
          funds.
          _________________________________________________________________
          ____

          STAFF COMMENTS: SUSPENSE FILE. AS PROPOSED TO BE AMENDED.

          Existing law provides for the licensure of hospices, but does 
          not define "hospice facilities" or provide for their licensure. 
          This bill would add "hospice facility" to the types of "health 








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          facilities" enumerated in statute and would define it as a 
          facility with a capacity of up to 24 beds that is licensed by 
          CDPH and operated by a licensed and certified provider of 
          hospice services. Hospice services include routine care, 
          continuous care, inpatient respite care, and general inpatient 
          care.

          This bill would sunset on January 1, 2015, the congregate living 
          health facility (CLHF-B) type that provides services for persons 
          who have a diagnosis of terminal or life-threatening illness. 
          There are 11 such facilities in California currently.

          This bill would require CDPH to:
             1)   Adopt regulations that define "hospice facility" as 
               specified, by January 1, 2016, that would include a) 
               minimum staffing standards that require a nurse to be on 
               duty 24 hours per day and a maximum of six patients at any 
               given time per direct care staff person; b) patient rights, 
               c) disaster preparedness plans, compliance with federal 
               regulations relating to a hospice care; d) biennial 
               licensing inspections; e) penalties in the same amount as 
               those for CLHFs;
             2)   Permit the licensure fee for the first year of licensure 
               of hospice facilities to be equivalent to that of CLHFs;
             3)   Develop a hospice facility-specific licensing fee;

          Costs to CDPH to provide for a nurse and an attorney to develop 
          regulations and to update its automated systems to accommodate a 
          new licensure category would be approximately $200,000 in FY 
          2011-2012 and $350,000 in FY 2012-2013. Ongoing licensure costs 
          would be fully-supported by fees paid by applicants.

          This bill would:
             1)   Provide that only a hospice licensed and certified in 
               California may apply to CDPH for a hospice facility 
               license;
             2)   Require each application for a new or renewed hospice 
               facility license to be accompanied by an annual Licensing 
               and Certification Program fee;
             3)   Require hospice facility licensees to pay the cost of 
               obtaining a criminal background check for employees, 
               volunteers, and contractors;
             4)   Provide that hospice facilities must meet the fire 
               protection standards set forth in Medicare law and that a 








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               freestanding hospice facility would be required to meet the 
               same building standards as a CLHF until the State Fire 
               Marshal develops and adopts building standards for hospice 
               facilities; 
             5)   Require a hospice facility to provide specified 
               services, including skilled nursing services, palliative 
               care, social and counseling services, and dietary services.

          Hospice facilities would be required to report specified 
          financial data to the Office of Statewide Health Planning and 
          Development (OSHPD). Any costs to OSHPD to develop regulations 
          related to this bill would be minor and absorbable. Any costs to 
          the State Fire Marshal to develop and adopt building standards 
          would be minor and absorbable since similar standards already 
          exist for CLHFs.

          Since this bill would increase the number of beds available to 
          hospice patients, there could be minor to significant costs or 
          cost avoidance to Medi-Cal to the extent that a patient chooses 
          to utilize these beds and that these beds are either more or 
          less expensive than another appropriate setting such as a 
          hospital or skilled nursing facility.

          The author's amendments adopted on January 4, 2012 require the 
          Office of Statewide Health Planning and Development to develop 
          building standards for hospice facilities; require a registered 
          nurse to be on duty 24 hours per day, seven days per week; 
          permit an existing facility to suspend beds in one licensing 
          category and transition those beds to hospice facility beds; and 
          no longer phase out the congregate living health facility type B 
          licensing category.

          The proposed author's amendments eliminate the requirement that 
          a registered nurse be on duty 24 hours per day.