BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de Le�n, Chair


          SB 830 (Galgiani) - Health care: health facility data.
          
          Amended: April 30, 2014         Policy Vote: Health 9-0
          Urgency: No                     Mandate: No
          Hearing Date: May 12, 2014      Consultant: Brendan McCarthy
          
          This bill does not meet the criteria for referral to the  
          Suspense File.
          
          
          Bill Summary: SB 830 would require the Office of Statewide  
          Health Planning and Development to include additional heart  
          surgery data in their annual reports on heart surgery outcomes.

          Fiscal Impact: 
              Likely ongoing costs up to $75,000 per year for data  
              collection and reporting by the Office of Statewide Health  
              Planning and Development (California Health Data and  
              Planning Fund).

          Background: Under current law, the Office of Statewide Health  
          Planning and Development collects a variety of information on  
          health care facilities, procedures, expenditures, and clinical  
          outcomes.

          The Office is specifically required to collect and report  
          annually on risk-adjusted outcomes for coronary artery bypass  
          graft surgery. The required reports include outcome data by  
          hospitals for every year and for surgeons by every other year.  
          The Office is required to appoint a clinical panel to review  
          reports that include information by individual physicians.

          Proposed Law: SB 830 would require the Office of Statewide  
          Health Planning and Development to include additional heart  
          surgery data in their annual reports on heart surgery outcomes.

          Specific provisions of the bill would:
              Require the Office to include heart valve repair and  
              replacement surgeries in future reports on coronary artery  
              bypass graft surgery;
              Require the Office to publish risk-adjusted outcome reports  
              for all percutaneous cardiac interventions and transcatheter  








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              valve procedures, by hospital and physician;
              Specify the data to be collected for the above reports;
              Revise the membership requirements for the clinical panels.

          Related Legislation: SB 906 (Correa) would authorize the  
          Department of Public Health to certify general acute care  
          hospitals that are licensed to provide cardiac catheterization  
          services to provide elective percutaneous transluminal coronary  
          angioplasty and stent placement. That bill will be heard in this  
          committee.