BILL ANALYSIS �
Senate Appropriations Committee Fiscal Summary
Senator Kevin de Le�n, Chair
SB 906 (Correa) - Elective Percutaneous Coronary Intervention
Offsite Program.
Amended: April 7, 2014 Policy Vote: Health7-0
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 906 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, under certain conditions.
Fiscal Impact:
One-time costs of about $110,000 for initial licensing of
hospitals by the Department of Public Health (Licensing and
Certification Program Fund).
Minor ongoing costs review compliance by participating
hospitals as part of the Department's ongoing licensing
enforcement program (Licensing and Certification Program
Fund).
Minor reporting costs by the Office of Statewide Health
Planning and Development (California Health Data and
Planning Fund).
Background: Under current law, the Department of Public Health
licenses hospitals in the state. In addition to a basic hospital
services, hospitals can be approved to provide special services
by the Department, provided regulatory requirements are met.
Under current law, if a hospital wishes to provide a specific
type of angioplasty or stent insertion for cardiac patients
through catheterization, that hospital must be approved to
provide cardiac services (e.g. open heart surgery).
Current law (SB 891, Correa, Statutes of 2008 and SB 357,
Correa, Statutes of 2013) authorizes a pilot project - under
SB 906 (Correa)
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which six hospitals that are not licensed to provide cardiac
services are authorized to provide a specific type of
angioplasty and stent insertion for cardiac patients. Under
current law, the pilot project is authorized until January 1,
2015. In addition, under current law reports are required by an
oversight committee and the Department of Public Health on the
implementation of the pilot project and patient outcomes.
The final report from the oversight committee from November 2013
found no significant differences in clinical outcomes between
pilot project hospitals and a control group of hospitals
licensed to perform onsite cardiac services.
Proposed Law: SB 906 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, under certain conditions.
Specific provisions of the bill would:
Require hospitals seeking participation in the program to
meet specified conditions relating to capability, patient
safety, and reporting;
Permit a hospital that was participating in the pilot
project to continue providing services providing the
hospital obtains certification under the bill by January 1,
2016;
Require the Office of Statewide Health Planning and
Development to report on the performance of participating
hospitals;
Permit the Department to appoint an advisory committee;
Permit the Department to revoke a certification under
certain circumstances;
Permit the Department to assess a fee to cover regulatory
costs;
Permit the Department to contract for specialize medical
knowledge.
Related legislation: SB 830 (Galgiani) would require the Office
of Statewide Health Planning and Development to include
additional heart surgery data in their annual reports on heart
surgery outcomes. That bill will be heard in this committee.
SB 906 (Correa)
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