Bill Text: CA AB1884 | 2021-2022 | Regular Session | Introduced


Bill Title: Hospice care: standards.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2022-02-18 - Referred to Com. on HEALTH. [AB1884 Detail]

Download: California-2021-AB1884-Introduced.html


CALIFORNIA LEGISLATURE— 2021–2022 REGULAR SESSION

Assembly Bill
No. 1884


Introduced by Assembly Member Voepel

February 08, 2022


An act to amend Section 1752 of, and to add Section 1751.200 to, the Health and Safety Code, relating to hospice.


LEGISLATIVE COUNSEL'S DIGEST


AB 1884, as introduced, Voepel. Hospice care: standards.
Existing law, the California Hospice Licensure Act of 1990, requires a person, political subdivision of the state, or other governmental agency to obtain a license from the State Department of Public Health to provide hospice services to an individual who is experiencing the last phase of life due to a terminal illness, as defined. A violation of the act is a misdemeanor.
Under the act, a licensed hospice, at the department’s option, is subject to periodic inspection by a duly authorized representative of the department. The act requires that the reports of each inspection be prepared by the representative who conducted the inspection and be filed with the department.
This bill would instead require that a licensed hospice be inspected by a representative every 3 years. The bill would require that results of an inspection be made available to the public to the extent consistent with federal and state privacy laws.
Existing federal law sets forth standards for purposes of certification and recertification of a terminal illness and for purposes of qualifying for reimbursement for hospice services under the federal Medicare and Medicaid programs. For the initial 90-day period, existing federal law requires the hospice to obtain certification from (1) the medical director of the hospice or the physician member of the hospice interdisciplinary group, and (2) the individual’s attending physician, if applicable. Under existing federal law, for recertification during subsequent periods, the only requirement is certification by the medical director or the physician member of the hospice interdisciplinary group.
This bill would require that the recertification of the terminal illness of a patient be conducted by at least one independent physician in conjunction with the medical director of the hospice or the physician member of the hospice interdisciplinary group, to the extent permitted by federal law. Because a violation of this new requirement would be a crime, the 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   Local Program: YES  

The people of the State of California do enact as follows:


SECTION 1.

 Section 1751.200 is added to the Health and Safety Code, to read:

1751.200.
 The recertification of the terminal illness of a patient shall be conducted by at least one independent physician in conjunction with the medical director of the hospice or the physician member of the hospice interdisciplinary group, to the extent permitted by federal law.

SEC. 2.

 Section 1752 of the Health and Safety Code is amended to read:

1752.
 (a)  A licensed hospice, at the state department’s option, may periodically hospice shall be inspected by a duly authorized representative of the state department. department every three years. Reports of each inspection shall be prepared by the representative who conducted the inspection, upon forms prepared and furnished by the state department, and filed with the state department. The results of an inspection shall be made available to the public, to the extent consistent with federal and state privacy laws. The inspection shall be for the purpose of ensuring that this chapter and the rules and regulations adopted under this chapter are being followed.
(b)  Any officer, employee, or agent of the state department, who has been assigned the responsibility of enforcing this chapter, may enter and inspect any building or premises where hospice care is being provided, as well as any form, record, or file of a licensee at any reasonable time to assure compliance with, or to prevent the violation of, any provision of this chapter.

SEC. 3.

 No reimbursement is required by this act pursuant to Section 6 of Article XIII B of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIII B of the California Constitution.
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