BILL ANALYSIS                                                                                                                                                                                                    �



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          SENATE THIRD READING
          SB 1246 (Ed Hernandez)
          As Amended July 5, 2012
          Majority vote

           SENATE VOTE  :22-15  
           
           HEALTH              13-5        APPROPRIATIONS      12-5        
           
           ----------------------------------------------------------------- 
          |Ayes:|Monning, Atkins, Bonilla, |Ayes:|Gatto, Blumenfield,       |
          |     |Eng, Gordon, Hayashi,     |     |Bradford,                 |
          |     |Roger Hern�ndez, Bonnie   |     |Charles Calderon, Campos, |
          |     |Lowenthal, Mitchell,      |     |Davis, Fuentes, Hall,     |
          |     |Nestande, Pan, V. Manuel  |     |Hill, Cedillo, Mitchell,  |
          |     |P�rez, Williams           |     |Solorio                   |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Logue, Garrick, Mansoor,  |Nays:|Harkey, Donnelly,         |
          |     |Silva, Smyth              |     |Nielsen, Norby, Wagner    |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Requires the Department of Public Health (DPH), during 
          its periodic inspections of hospitals, to review compliance with 
          existing nurse staffing ratios and patient classifications 
          systems.  Eliminates the requirement that DPH promulgate 
          regulations further defining criteria for assessing 
          administrative penalties for non-immediate jeopardy violations.  
          Specifically,  this bill  : 

          1)Requires that periodic DPH inspections of hospitals include a 
            review of compliance with nurse staffing ratios and patient 
            classification systems. 

          2)Codifies existing regulations requiring hospitals to develop, 
            maintain, and annually update patient classification systems.

          3)Codifies existing regulations requiring an annual review of 
            the reliability of the patient classification system by a 
            committee appointed by a hospital nursing administrator to 
            determine whether or not the patient classification system 
            accurately measures patient care needs.  

          4)Requires registered nurses appointed to the hospital's patient 








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            classification review committee referenced in 3) above, to be 
            selected by the collective bargaining agent, if the registered 
            nurses are represented.

          5)Eliminates the requirement that DPH promulgate regulations 
            further defining criteria for assessing administrative 
            penalties not less than $2,500 and not to exceed $25,000 for 
            non-immediate jeopardy violations.

          6)Eliminates the requirement that DPH promulgate regulations 
            which allow higher immediate jeopardy violation penalty levels 
            to go into effect.

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

          1)Establishes that DPH license and regulate health facilities.

          2)Requires DPH to inspect for compliance with state laws and 
            regulations during a state periodic inspection or at the same 
            time as a federal periodic inspection.  Requires, for general 
            acute care hospitals, acute psychiatric hospitals, and special 
            hospitals, the inspection to be conducted no less than once 
            every three years.

          3)Requires DPH to adopt regulations that establish minimum, 
            specific, and numerical licensed nurse-to-patient ratios, by 
            licensed nurse classification and by hospital unit, for 
            hospitals, and requires these ratios to constitute the minimum 
            number of registered and licensed nurses that must be 
            allocated.

          4)Establishes a structure under which DPH is permitted to assess 
            administrative fines to general acute care hospitals, acute 
            psychiatric hospitals, and special hospitals for violation of 
            any of their licensing laws and regulations.  Requires DPH to 
            promulgate regulations establishing the criteria to assess 
            these administrative penalties, and requires these criteria to 
            include, but not be limited to, the following:

             a)   The patient's physical and mental condition;








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             b)   The probability and severity of the risk that the 
               violation presents to the patient;

             c)   The actual financial harm to patients, if any;

             d)   The nature, scope, and severity of the violation;

             e)   The facility's history of compliance with related state 
               and federal statutes and regulations;

             f)   Factors beyond the facility's control that restrict 
               their ability to comply with state law;

             g)   The demonstrated willfulness of the violation; and,

             h)   The extent to which the facility detected the violation 
               and took steps to immediately correct the violation and 
               prevent the violation from recurring.

          5)Defines "immediate jeopardy" as a situation in which a DPH 
            licensee's noncompliance with one or more requirements of 
            licensure has caused, or is likely to cause, serious injury or 
            death to the patient.

          6)Permits DPH, on the effective date of the regulations required 
            above, to assess an administrative penalty against a general 
            acute care hospital, acute psychiatric hospital, and special 
            hospital, for a deficiency constituting an immediate jeopardy 
            violation, as defined, up to a maximum of $75,000 for the 
            first administrative penalty, up to $100,000 for the second 
            administrative penalty, and up to $125,000 for the third and 
            every subsequent administrative penalty. 

          7)Permits DPH, on the effective date of the regulations, to 
            assess an administrative penalty of up to $25,000 per 
            violation for those not deemed to constitute immediate 
            jeopardy.

          8)Prohibits DPH from assessing an administrative penalty for 
            minor violations.

          9)Permits DPH, prior to the effective date of the regulations 
            required above, to assess immediate jeopardy administrative 








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            penalties of up $50,000 for the first administrative penalty, 
            up to $75,000 for the second administrative penalty, and up to 
            $100,000 for the third and every subsequent administrative 
            penalty.

          10)Requires DPH to have full discretion to consider all factors 
            when determining the amount of an administrative penalty.

           FISCAL EFFECT  :  According to the Assembly Appropriations 
          Committee:

          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.

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

           COMMENTS  :  According to the author, under existing law, there is 
          no specific mechanism to ensure that hospitals are complying 
          with nurse staffing ratios or patient classification systems, 
          nor do hospitals face any penalties for failure to comply with 
          these laws and regulations.  The author maintains that 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.  
          Additionally, the author asserts that this bill codifies 








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          existing regulations relating to patient classification systems, 
          which has been a requirement for hospitals for more than 15 
          years.


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


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