BILL ANALYSIS                                                                                                                                                                                                    �






                             SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:       AB 1812
          AUTHOR:        Pan
          INTRODUCED:    February 18, 2014
          HEARING DATE:  June 11, 2014
          CONSULTANT:    Marchand

           SUBJECT  :  Health facilities: information: disclosure.
           
          SUMMARY  :  Expands the list of entities to which the Office of  
          Statewide Health Planning and Development is required to  
          disclose information it collects through its Hospital Discharge  
          Abstract Data Record, Emergency Care Data Record, and Ambulatory  
          Surgery Data Record, to include any subsidiary of the United  
          States Department of Health and Human Services, including the  
          Centers for Medicare and Medicaid Services, the Health Resources  
          and Services Administration, the Indian Health Service, the  
          National Institutes of Health, or the National Cancer Institute,  
          as well as the Veterans Health Care Administration within the  
          United States Department of Veterans Affairs, for the purposes  
          of conducting a statutorily authorized activity.

          Existing law:
          1.Establishes the Office of Statewide Health Planning and  
            Development (OSHPD), and designates OSHPD as the single state  
            agency to collect specified health facility or clinic data for  
            use by all state agencies.

          2.Requires hospitals to make and file with OSHPD certain  
            specified reports, including a Hospital Discharge Abstract  
            Data Record, an Emergency Care Data Record, and an Ambulatory  
            Surgery Data Record, which are required to include specified  
            data elements for each admission or patient encounter,  
            including information on age, sex, ethnicity, ZIP code,  
            diagnoses and disposition of the patient.

          3.Requires OSHPD to compile and publish summaries of individual  
            facility and aggregate data that do not contain  
            patient-specific information for the purposes of public  
            disclosure.

          4.Requires OSHPD to disclose patient-level data collected  
            pursuant to 2) above to any California hospital and any local  
            health department or local health officer, and to the National  
                                                         Continued---



          AB 1812 | Page 2




            Center for Health Statistics or any other unit of the Centers  
            for Disease Control and Prevention (CDC), or the Agency for  
            Healthcare Research and Quality of the United States  
            Department of Health and Human Services, for the purposes of  
            conducting a statutorily authorized activity.

          5.Establishes, under federal law, the Health Insurance  
            Portability and Accountability Act of 1996 (HIPAA), which  
            among various provisions, mandates industry-wide standards for  
            health care information on electronic billing and other  
            processes; and, requires the protection and confidential  
            handling of protected health information.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, negligible state fiscal effect.
           PRIOR VOTES :  
          Assembly Health:    19- 0
          Assembly Appropriations:17- 0
          Assembly Floor:     75- 0
           
          COMMENTS  :  
           1.Author's statement.  According to the author, OSHPD hospital  
            inpatient, outpatient, and emergency department patient-level  
            data is a primary source of information on population health,  
            utilization of healthcare services, and disease surveillance.   
            Authorizing OSHPD to release confidential hospital  
            patient-level data to the additional federal entities will  
            allow them to better assess population health needs in  
            allocating federal funds, publicly reporting geographic,  
            demographic, or other variations in healthcare and in  
            developing interventions to improve population heath. The bill  
            would authorize OSHPD to release confidential hospital  
            patient-level data to the specified federal entities only  
            under specific data use agreements that are used under current  
            state law for release of confidential data to University of  
            California and other non-profit educational institutions,  
            California local public health officers and two federal  
            agencies - the Agency for Healthcare Research and Quality  
            (AHRQ), and the CDC.  Under current law, with the exception of  
            the AHRQ and CDC, other federal agencies cannot access this  
            data directly from OSHPD.  

          2.Background on HIPAA. HIPAA became law in 1996 and was intended  
            to expand health coverage by improving the portability and  
            continuity of health insurance coverage in both group and  
            individual markets. It is also designed to combat waste in  




                                                            AB 1812 | Page  
          3


          

            health service delivery, and simplify the administration of  
            health insurance. Public agencies are not exempt from HIPAA  
            rules if they meet the HIPAA criteria as covered entities,  
            with limited exemptions. HIPAA includes a Privacy Rule which  
            provides federal protections for individually identifiable  
            health information held by covered entities (health care  
            providers and others) and their business associates and gives  
            patients an array of rights with respect to that information. 

          Under the HIPAA Privacy Rule, health information that does not  
            identify an individual, and there is no reasonable basis to  
            believe that the information can be used to identify an  
            individual, is not individually identifiable health  
            information.  In order to ensure that health information is  
            not individually identifiable, certain actions must be taken,  
            including removing information about age and geographic  
            location, including zip code. However,  the HIPAA Privacy Rule  
            does permit covered entities to use or disclose a "limited  
            data set," which permits additional information such as age  
            and geographic location to be included, if the covered entity  
            enters into a data use agreement with the limited data set  
            recipient. The provisions of law that this bill is amending  
            require "all disclosures to be consistent with the standards  
            and limitations applicable to the disclosure of limited data  
            sets" as provided in the HIPAA Privacy Rule.

          3.Prior legislation. AB 2876 (Frommer), Chapter 434, Statutes of  
            2004, requires OSHPD, upon request, to disclose patient  
            encounter and discharge data to hospitals and local health  
            departments or local health officers, and to any unit of the  
            CDC or AHRQ of the United States Department of Health and  
            Human Services for the purposes of conducting a statutorily  
            authorized activity.
           


          SUPPORT AND OPPOSITION  :
          Support:  None received

          Oppose:   None received


                                      -- END --
          





          AB 1812 | Page 4