Bill Text: CA AB2280 | 2017-2018 | Regular Session | Amended

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Bill Title: Emergency medical services: nonstandard patient offload time.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2018-03-19 - Re-referred to Com. on HEALTH. [AB2280 Detail]

Download: California-2017-AB2280-Amended.html

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Amended  IN  Assembly  March 15, 2018

CALIFORNIA LEGISLATURE— 2017–2018 REGULAR SESSION

Assembly Bill

No. 2280

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Introduced by Assembly Member Chen

February 13, 2018

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An act to amend Section 14129.1 of the Welfare and Institutions Code, relating to Medi-Cal. An act to amend Section 1797.225 of the Health and Safety Code, relating to public health.

LEGISLATIVE COUNSEL'S DIGEST

AB 2280, as amended, Chen. Medi-Cal: emergency medical transports: data. Emergency medical services: nonstandard patient offload time.

Existing law requires the Emergency Medical Services Authority to develop a statewide standard methodology for the calculation and reporting of ambulance patient offload time, as defined, by a local emergency medical services (EMS) agency. Existing law authorizes a local EMS agency to adopt policies and procedures to calculate and report ambulance patient offload time. Existing law requires a local EMS agency that adopts policies and procedures for calculating and reporting ambulance patient offload time to establish criteria for the reporting of, and quality assurance followup for, a nonstandard patient offload time, as defined.

This bill would require the authority, on or before July 1, 2020, and annually thereafter, to report to the Legislature the information reported by the local EMS agencies regarding nonstandard patient offload times. The bill would require the report to include any local EMS associated costs attributed to the nonstandard patient offload times.

Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.

Existing law requires each emergency medical transport provider to report to the department, for each state fiscal year, data on the number of actual emergency medical transports by payer type, including, without limitation, Medi-Cal fee-for-service emergency medical transports and Medi-Cal managed care emergency medical transports per quarter, and requires the department to establish the manner and format for emergency medical transport providers to report that data. Existing law authorizes the department to require a certification by each emergency medical transport provider under penalty of perjury of the truth of the reports and to impose a $100 penalty per day against an emergency medical transport provider for every day that an emergency medical transport provider fails to make a required report within 5 days of the date upon which the report was due. Existing law requires the funds resulting from penalties imposed to be deposited in the Medi-Cal Emergency Medical Transport Fund. Existing law also authorizes the department to establish an Internet Web site for the submission of those reports.

This bill would make technical, nonsubstantive changes to the provisions governing reports regarding emergency medical transports.

Digest Key

Vote: MAJORITY   Appropriation: NO   Fiscal Committee: NOYES   Local Program: NO  

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Bill Text

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

SECTION 1.

 Section 1797.225 of the Health and Safety Code is amended to read:

1797.225.

 (a) A local EMS agency may adopt policies and procedures for calculating and reporting ambulance patient offload time, as defined in subdivision (b) of Section 1797.120.

(b) A local EMS agency that adopts policies and procedures for calculating and reporting ambulance patient offload time pursuant to subdivision (a) shall do all both of the following:

(1) Use the statewide standard methodology for calculating and reporting ambulance patient offload time developed by the authority pursuant to Section 1797.120.

(2) Establish criteria for the reporting of, and quality assurance followup for, a nonstandard patient offload time, as defined in subdivision (c).

(c) The authority, on or before July 1, 2020, and annually thereafter, shall report to the Legislature, in accordance with Section 9795 of the Government Code, the information reported by the local EMS agencies regarding nonstandard patient offload times. The report shall include any local EMS associated costs attributed to the nonstandard patient offload times.

(c)

(d) (1) For the purposes of this section, a “nonstandard patient offload time” means that the ambulance patient offload time for a patient exceeds a the period of time designated in the criteria established by the local EMS agency pursuant to paragraph (2) of subdivision (b).

(2) “Nonstandard patient offload time” does not include instances in which the ambulance patient offload time exceeds the period set by the local EMS agency due to acts of God, natural disasters, or manmade disasters.

SECTION 1.Section 14129.1 of the Welfare and Institutions Code is amended to read:

14129.1.

(a)(1)The department shall establish the manner and format for emergency medical transport providers to report the data required pursuant to this section.

(2)The department may establish an Internet Web site for the submission of reports as required by this section.

(3)The department may require a certification by each emergency medical transport provider under penalty of perjury of the truth of the reports required under this section. Upon written notice to an emergency medical transport provider, the department may impose a penalty of one hundred dollars ($100) per day against an emergency medical transport provider for every day that an emergency medical transport provider fails to make a report required by this section within five days of the date upon which the report was due. Funds resulting from a penalty imposed pursuant to this paragraph shall be deposited in the Medi-Cal Emergency Medical Transport Fund created pursuant to subdivision (f) of Section 14129.2.

(b)Each emergency medical transport provider shall report to the department data on the number of actual emergency medical transports by payer type, including, without limitation, Medi-Cal fee-for-service emergency medical transports and Medi-Cal managed care emergency medical transports per quarter, as follows:

(1)For each quarter beginning on July 1, 2015, through the quarter beginning on July 1, 2017, inclusive, the data shall be submitted on or before October 15, 2017.

(2)For the quarter beginning on October 1, 2017, and continuing each quarter thereafter, the data shall be submitted on or before the 45th day after the last day of the applicable quarter.

(c)Each emergency medical transport provider shall report to the department data on the gross receipts received from the provision of emergency medical transports per state fiscal year, as follows:

(1)For the state fiscal years beginning on July 1, 2015, and July 1, 2016, the data shall be submitted on or before October 15, 2017.

(2)For each state fiscal year beginning on July 1, 2017, and continuing each state fiscal year thereafter, the data shall be submitted on or before the 45th day after the last day of the applicable state fiscal year.