BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 1246
                                                                  Page  1

          Date of Hearing:   August 8, 2012

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                   SB 1246 (Hern�ndez) - As Amended:  July 5, 2012 

          Policy Committee:                             HealthVote:13-5

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

           SUMMARY  

          This bill requires the California Department of Public Health to 
          enforce certain licensing requirements for hospitals.  It also 
          removes a requirement that DPH adopt regulations to define what 
          constitutes non-immediate jeopardy violations, and instead 
          requires DPH to use criteria in existing law to assess the 
          penalties.  Specifically, this bill:

          1)Requires DPH to review compliance with state requirements for 
            staffing and patient classification systems during periodic 
            inspections of hospitals.

          2)Codifies existing regulations that: 

             a)   Require a patient classification system.  
             b)   Require a committee review the patient classification 
               system as part of an annual update.
             c)   Specify the appointment and makeup of the committee. 

          3)Requires the registered nurses appointed to the committee 
            shall be selected by the collective bargaining agent, if the 
            nurses are represented by an agent.

          4)Eliminates the requirement that DPH promulgate regulations 
            further defining criteria for assessing administrative 
            penalties of up to $25,000 for non-immediate jeopardy 
            violations.

          5)Eliminates the requirement that DPH promulgate regulations 
            related to immediate jeopardy violations, thereby activating 
            existing law that increases maximum penalty levels by $25,000 
            for each violation type.








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          6)Adds compliance with staffing requirements, including, but not 
            limited to, patient classification systems and 
            nurse-to-patient ratios, to the existing criteria by which DPH 
            is required to consider to determine the amount of an 
            administrative penalty.

           FISCAL EFFECT  

          1)Increased staff costs for DPH's Licensing and Certification 
            division to check compliance with staffing standards would 
            likely cost $50,000 to $100,000 annually. Costs could be 
            higher if more complicated methods are necessary to check 
            compliance with staffing standards.  These costs would be 
            fully offset by increased licensure fees, which are updated 
            annually to reflect actual workload.  

          2)Unknown, potentially significant fee-supported special fund 
            costs associated with appeals for non-immediate jeopardy 
            penalties.  If 100 non-immediate jeopardy deficiencies 
            resulted in fines that resulted in appeals, increased costs to 
            the Licensing and Certification Fund of $1.8 million annually. 
             

            The actual number of appeals depends on the number of 
            deficiencies, the number of fines, and the likelihood of 
            hospitals appealing the fines. These variables are unknown 
            given a lack of history of assessing fines for this type of 
            violations.  Hospitals indicate they would be more likely to 
            appeal if this bill were enacted, than if the protocols for 
            assessing non-immediate jeopardy fine levels were developed 
            through regulation. 

          3)Potential increased penalty revenue in the millions, or 
            potentially tens of millions of dollars.  Penalty revenue may 
            be increased for two reasons: immediate jeopardy violations 
            will have higher maximum penalty levels under this bill as 
            compared to the status quo, and DPH may begin assessing 
            penalties for other (non-immediate jeopardy) violations under 
            this bill sooner than they would otherwise.  

            The issuance of regulations by DPH as required by current law 
            would also lead to similar increases in penalty revenue.  By 
            removing the requirement for regulations, this bill may 
            accelerate enforcement and assessment of penalties by six 








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            months to several years, depending on when regulations would 
            otherwise be finalized. 

            Penalty revenues collected for violations of state law are 
            deposited into the Internal Departmental Quality Improvement 
            Account, and may be expended for internal quality improvement 
            activities in the Licensing and Certification Program.

           COMMENTS  

           1)Rationale  . According to the author, under existing law, there 
            is no enforcement mechanism to ensure that hospitals comply 
            with nurse staffing ratios or patient classification systems.  
            Moreover, hospitals face no penalties for failure to comply 
            with these laws and regulations.  The author believes this 
            bill will strengthen the existing nurse-to-patient staffing 
            ratio requirements in California hospitals by requiring DPH to 
            check for compliance during regular periodic inspections, and 
            by putting into effect existing statutory penalty authority 
            for DPH by removing the requirement that DPH issue 
            regulations.  This bill is sponsored by the United Nurses 
            Associations of California (UNAC).  

           2)Background  .  DPH regulates and licenses California health 
            facilities.  Periodic inspections are required by state 
            licensure law and federal standards for participation in the 
            Medicare program. During these inspections, DPH reviews 
            compliance with numerous statutory and regulatory provisions.  
            Patient classification systems, which assist in establishing 
            staffing needs, as well as minimum nurse staffing ratios, are 
            required under current California law and regulation.  
            However, DPH does not systematically review compliance with 
            these standards during periodic inspections. 
           
            3)Monetary Penalties for Violation of State Law  . SB 1312 
            (Alquist), Chapter 895, Statutes of 2006, provided DPH the 
            authority to assess administrative penalties for hospital 
            licensure violations and to promulgate regulations further 
            specifying penalties.  SB 1312 created two categories of 
            violations: those that constitute immediate jeopardy to 
            patient health and safety, and other violations (non-immediate 
            jeopardy).  

            Immediate jeopardy violations are now subject to a fine of up 
            to $50,000 for the first administrative penalty, $75,000 for 








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            the second penalty, and up to $100,000 for the third and every 
            subsequent violation.  Once regulations are adopted by DPH, 
            these immediate jeopardy penalties will increase to up to 
            $75,000 for the first penalty, $100,000 for the second 
            penalty, and $125,000 for the third and subsequent penalties.  
            This bill removes the requirement to adopt regulations, but 
            activates the higher maximum penalty levels. 

            All other violations (except minor violations, for which DPH 
            is prohibited from assessing a violation) are subject to a 
            fine of up to $25,000.  Current law has no provision to allow 
            DPH to issue these penalties prior to the adoption of 
            regulations.  DPH responds to complaints of non-compliance 
            with standards and can require hospitals to submit a 
            corrective plan if deficiencies are identified, but given that 
            they have not promulgated regulations, they cannot issue 
            administrative penalties unless the deficiency results in 
            immediate jeopardy. Violation of staffing ratios without 
            direct evidence of immediate jeopardy would therefore not be 
            punishable by fines until regulations are promulgated, or 
            unless this bill is enacted.

           4)Related and Prior Legislation  .  SB 554 (Yee) in 2011 required 
            DPH to inspect for compliance with nurse-to-patient staffing 
            ratios during periodic inspections of hospitals, similar to 
            this bill.  SB 554 would also have required DPH to inspect 
            hospitals that have been cited for deficiencies related to 
            nurse-to-patient staffing ratios for their compliance with the 
            plan of correction.  SB 554 was referred to Senate Health and 
            never heard.

            AB 394 (Kuehl), Chapter 945, Statutes of 1999 required DPH to 
            adopt regulations that establish licensed nurse-to-patient 
            ratios for hospitals.

           5)Opposition  . The California Hospital Association and individual 
            hospitals believe this bill is unnecessary and that mandatory 
            review of compliance with staffing ratios, as outlined in this 
            bill, is unreasonable.  
             
             The California Nurses Association (CNA) believes this bill is 
            ineffective because it does not adequately strengthen current 
            law. CNA also argues that they sponsored SB 554 in 2011 but 
            agreed to drop the push for a legislative solution to this 
            issue, in response to a request from the Administration to 








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            allow newly appointed administrative leadership to address 
            concerns through its administrative and regulatory authority.  


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