SB 1311, as amended, Hill. Hospitals: antimicrobial stewardship.
Existing law provides for the licensure and inspection of health facilities, including general acute care hospitals, by the State Department of Public Health. Existing law requires a general acute care hospital to develop a process for evaluating the judicious use of antibiotics, the result of which is required to be monitored by appropriate representatives and committees involved in quality improvement activities. Under existing law, a violation of the provisions governing health facilities constitutes a misdemeanor punishable by a fine not to exceed $1,000, by imprisonment in a county jail, or by both that fine and imprisonment.
This bill would require all general acute care hospitals, as defined, to adopt and implement, by July 1, 2015, an antimicrobial stewardship policy in accordance with guidelines established by the federal government
and professional organizations and that includes a process to evaluate the judicious use of antibiotics, as specified. The bill would require a general acute care hospital to develop a physician supervised multidisciplinary antimicrobial stewardship committee, subcommittee, or workgroup, and to appoint at least one physician or pharmacist to that committee, subcommittee, or workgroup who is knowledgeable about antimicrobial stewardship through prior training or attendance at continuing education programs. The bill would also require a general acute care hospital to report antimicrobial stewardship program activities to each appropriate hospital committee undertaking clinical quality improvement activities.begin delete This bill would also require the department to report to the Legislature on hospital compliance with the above provisions no later than January 1, 2018, as specified.end delete
By expanding the scope of an existing crime, this bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes.
The people of the State of California do enact as follows:
Section 1288.85 is added to the Health and Safety
2Code, immediately following Section 1288.8, to read:
begin delete(a)end deletebegin delete end deleteEach general acute care hospital, as defined in
4subdivision (a) of Section 1250, shall do all of the following by
5July 1, 2015:
6(1)
end delete
7begin insert(a)end insert Adopt and implement an antimicrobial stewardship policy
8in accordance with guidelines established by the federal
9government and professional
organizations. This policy shall
10include a process to evaluate the judicious use of antibiotics in
11accordance with paragraph (3) of subdivision (a) of Section 1288.8.
12(2)
end delete
13begin insert(b)end insert Develop a physician supervised multidisciplinary
14antimicrobial stewardship committee, subcommittee, or workgroup.
15(3)
end delete
16begin insert(c)end insert Appoint to the physician supervised multidisciplinary
17antimicrobial stewardship committee, subcommittee, or workgroup,
18at least one physician or pharmacist who is knowledgeable about
P3 1the subject of antimicrobial stewardship through prior training or
2attendance at continuing education programs, including programs
3offered by the federal Centers for Disease Control and Prevention,
4the Society for Healthcare Epidemiology of America, or similar
5recognized professional organizations.
6(4)
end delete
7begin insert(d)end insert Report antimicrobial stewardship program activities to each
8appropriate hospital committee
undertaking clinical quality
9improvement activities.
10(b) The department shall report to the Legislature on compliance
11with this section no later than January 1, 2018.
12(c) (1) The requirement for submitting a report imposed under
13subdivision (b) is inoperative on January 1, 2019, pursuant to
14Section 10231.5 of the Government Code.
15(2) A report submitted pursuant to subdivision (b) shall be
16submitted in compliance with Section 9795 of the Government
17Code.
No reimbursement is required by this act pursuant to
19Section 6 of Article XIII B of the California Constitution because
20the only costs that may be incurred by a local agency or school
21district will be incurred because this act creates a new crime or
22infraction, eliminates a crime or infraction, or changes the penalty
23for a crime or infraction, within the meaning of Section 17556 of
24the Government Code, or changes the definition of a crime within
25the meaning of Section 6 of Article XIII B of the California
26Constitution.
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