BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 135
                                                                  Page  1

          Date of Hearing:   August 16, 2012

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                  SB 135 (Hern�ndez) - As Amended:  August 7, 2012 

          Policy Committee:                             HealthVote:16-0

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

           SUMMARY  

          This bill establishes a new licensing category under the 
          jurisdiction of the California Department of Public Health (DPH) 
          Licensing and Certification Division (L&C) for hospice 
          facilities. Specifically, this bill:

          1)Establishes hospice as a CDPH licensing category for 
            free-standing facilities, defines the services to be provided, 
            and describes building standards facilities must comply with.

          2)Requires facilities to pay an initial-year fee of 
            approximately $300 per hospice facility bed, and requires the 
            fee thereafter to be set based on actual workload as specified 
            in current law for all health facilities.  

          3)Requires CDPH to promulgate regulations related to minimum 
            staffing, patient rights, disaster preparedness, compliance 
            with federal requirements, and any other qualifications and 
            requirements for licensure. 

           FISCAL EFFECT  

          1)One-time fee-supported special fund costs (Licensing and 
            Certification (L&C) Fund) of $500,000 over three years to DPH 
            to promulgate regulations and develop standards and protocols 
            for hospice facilities. 

          2)$200,000 (L&C Fund) in one-time fee-supported special fund 
            costs for Information Technology (IT) modifications to 
            accommodate a new licensure category.

          3)Annual workload costs related to facility licensure will 








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            depend on the number of licenses issued by DPH, but will be 
            likely be at least $200,000 (L&C Fund). 

          4)Costs for OSHPD to review and develop hospice-specific 
            building standards should be minor and absorbable.

           COMMENTS  

           1)Rationale  . This bill is sponsored by the California Hospital 
            and Palliative Care Association, which represents hospice 
            programs statewide. Under current law, hospice programs are 
            licensed as service providers, but are not issued a facility 
            license. Free-standing hospice programs under current law are 
            licensed as a type of skilled nursing facility (SNF). The 
            author indicates current law licensure processes can be 
            cumbersome. This bill creates a new category of license to 
            streamline. 

           2)Hospice care  focuses on controlling pain and other symptoms of 
            illness so patients can remain as comfortable as possible near 
            the end of life. To be eligible for hospice care, patients 
            typically need a physician to document that a patient is 
            within six months of passing away. Social and spiritual 
            support, as well as pain management, is provided to patients 
            and their families to relieve suffering at the end-of-life. 

            Hospice care is a covered benefit under Medi-Cal and Medicare. 
            Many private health insurance policies also cover hospice. 
            Hospice may be provided in a patient's home, a licensed and/or 
            certified SNF, an intermediate care facility, a general acute 
            care hospital, or a licensed residential care facility 
            licensed by the Department of Social Services.  Some agencies 
            licensed as home health agencies are certified to provide 
            hospice services.

           3)Focus on End-of-Life Care  . This bill adds to a continued 
            effort in California to provide more support for individuals 
            and families facing end-of-life issues.  Recent survey 
            research shows most Californians would prefer to die at home 
            than in a health facility, and that most want to die a natural 
            death rather than receive all possible care to prolong their 
            life. Less than 40% of dying Californians were served by 
            hospice in 2010, despite research indicating that hospice 
            patients have better symptom control and a better quality of 
            life.  Better education about hospice and communication with 








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            physicians about end-of-life options, as well as greater 
            availability, may increase use of hospice care.

           4)DPH Licensure  . The Division of Licensing and Certification 
            (L&C) within DPH is responsible for ensuring a standard of 
            care in approximately 7,000 public and private health care 
            facilities throughout the state.  L&C conducts periodic 
            reviews of facilities that receive payment under Medicare and 
            Medi-Cal, conducts licensure reviews to ensure compliance with 
            state laws, investigates complaints related to patient care, 
            and imposes sanctions on facilities failing to meet certain 
            requirements. 
                
            5)Opposition  .  The California Nurses Association opposes this 
            bill based on concerns that the staffing standards and 
            building safety standards are inadequate to ensure patient 
            safety. 


           Analysis Prepared by  :    Lisa Murawski / APPR. / (916) 319-2081