Bill Text: CA AB474 | 2015-2016 | Regular Session | Amended


Bill Title: Public social services: SSI/SSP.

Spectrum: Partisan Bill (Democrat 5-0)

Status: (Failed) 2016-02-01 - From committee: Filed with the Chief Clerk pursuant to Joint Rule 56. [AB474 Detail]

Download: California-2015-AB474-Amended.html
BILL NUMBER: AB 474	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  APRIL 7, 2015

INTRODUCED BY   Assembly  Member   Brown
  Members   Brown   and Thurmond 

    (   Principal coauthor:   Assembly Member
  Cristina Garcia   ) 
    (   Principal coauthor:   Senator 
 Liu   ) 
    (   Coauthor:   Assembly Member  
Chu   ) 

                        FEBRUARY 23, 2015

    An act to amend Section 1432 of the Health and Safety
Code, relating to health facilities.   An act to add
Section 12201.02 to the Welfare and Institutions Code, relating to
public social services, and making an appropriation therefor 
 . 



	LEGISLATIVE COUNSEL'S DIGEST


   AB 474, as amended, Brown.  Health facilities:
antiretaliation protections.   Public social services:
SSI/SSP.  
   Existing law provides for the State Supplementary Program for the
Aged, Blind and Disabled (SSP), which requires the State Department
of Social Services to contract with the United States Secretary of
Health and Human Services to make payments to SSP recipients to
supplement Supplemental Security Income (SSI) payments made available
pursuant to the federal Social Security Act.  
   Under existing law, benefit payments under the SSP are calculated
by establishing the maximum level of nonexempt income and federal SSI
and state SSP benefits for each category of eligible recipient. The
state SSP payment is the amount, when added to the nonexempt income
and SSI benefits available to the recipient, which would be required
to provide the maximum benefit payment.  
   This bill, for the 2015-16 fiscal year, and annually thereafter,
would require the state maximum SSP grant for individuals to be
readjusted and increased so that the state SSP payment and federal
SSI payment, when combined, equal 112% of the federal poverty level.
By increasing the amount of SSP payments, which are expended from a
continuously appropriated fund, the bill would make an appropriation.
 
   Existing law prohibits a licensee of a long-term health care
facility from discriminating or retaliating in any manner against a
complainant, or a patient or employee in its facility, based on the
presentation of a grievance or complaint or activities related to a
specified investigation or proceeding at the facility. Existing law
makes the willful violation of these provisions punishable as a
crime.  
   This bill would expand the antiretaliation protections to apply to
all health care workers of a long-term health care facility. The
bill would increase the civil penalties and criminal penalties that
apply to licensees who violate the provisions. The bill would also
specify that a complainant who has been discriminated against may
recover attorney's fees and other legal costs.  
   Because this bill would expand the scope of a crime, it 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   2/3  . Appropriation:
 no   yes  . Fiscal committee: yes.
State-mandated local program:  yes   no  .


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    Section 12201.02 is added to the 
 Welfare and Institutions Code   , to read:  
   12201.02.  Notwithstanding any other law, for the 2015-16 fiscal
year, and annually thereafter, the state maximum SSP grant for
individuals shall be readjusted and increased so that the state SSP
payment and federal SSI payment, when combined, shall equal 112
percent of the federal poverty level.  
  SECTION 1.   Section 1432 of the Health and Safety
Code is amended to read:
   1432.  (a)  (1) A licensee shall not discriminate or retaliate in
any manner against a complainant, patient, employee, member of the
medical staff, or any other health care worker of the long-term
health care facility, on the basis or for the reason that the person
has done either of the following:
   (A) Presented a grievance, complaint, or report to the facility,
to an entity or agency responsible for accrediting or evaluating the
facility or the medical staff of the facility, or to any other
governmental entity.
   (B) Initiated, participated, or cooperated in an investigation or
administrative proceeding related to the quality of care, services,
or conditions at the facility that is carried out by an entity or
agency responsible for accrediting or evaluating the facility or its
medical staff, or any other governmental entity.
   (2) An entity that owns or operates a long-term health care
facility shall not discriminate or retaliate against a person because
that person has taken an action described in this subdivision.
   (3) A violation of this section is subject to a civil penalty of
not more than twenty-five thousand dollars ($25,000). The civil
penalty shall be assessed and recovered through the same
administrative process set forth in Chapter 2.4 (commencing with
Section 1417).
   (b)  An attempt to expel a patient from a long-term health care
facility, or any type of discriminatory treatment of a patient by
whom, or upon whose behalf, a grievance or complaint has been
submitted, directly or indirectly, to a governmental entity or
received by a long-term health care facility administrator or any
proceeding instituted under or related to this chapter within 180
days of the filing of the complaint or the institution of the action,
shall raise a rebuttable presumption that the action was taken by
the licensee in retaliation for the filing of the complaint.
   (c)  (1) An attempt to terminate the employment, or other
discriminatory treatment, of an employee, complainant, patient,
member of the medical staff, or any other health care worker who has
presented a grievance or complaint or has initiated, participated, or
cooperated in an investigation or proceeding of a governmental
entity as specified in subdivision (a), where the facility or
licensee had knowledge of the employee, complainant, patient, member
of the medical staff, or any other health care worker's initiation,
participation, or cooperation, shall raise a rebuttable presumption
that the action was taken by the licensee in retaliation if it occurs
within 120 days of the filing of the grievance or complaint, or the
institution of the action.
   (2) For purposes of this section, discriminatory treatment of an
employee, member of the medical staff, or any other health care
worker includes, but is not limited to, discharge, demotion,
suspension, or an unfavorable change in, or breach of, the terms or
conditions of a contract, employment, or privileges of the employee,
member of the medical staff, or any other health care worker of the
health care facility, or the threat of any of these actions.
   (d)  Presumptions provided for in subdivisions (b) and (c) are
presumptions affecting the burden of producing evidence as provided
in Section 603 of the Evidence Code.
   (e)  If the civil penalty assessed is one thousand dollars
($1,000) or less, the violation shall be issued and enforced in the
same manner as a class "B" violation, except in no case shall the
penalty be trebled. If the civil penalty assessed is in excess of one
thousand dollars ($1,000), the violation shall be issued and
enforced in the same manner as a class "A" violation, except in no
case shall the penalty be trebled.
   (f)  A person who willfully violates this section is guilty of an
infraction punishable by a fine of not more than twenty thousand
dollars ($20,000).
   (g)  A licensee who violates this section is subject to a civil
penalty or a criminal fine, but not both.
   (h)  A long-term health care facility shall prominently post in a
facility location accessible to staff, patients, and visitors written
notice of the right to request an inspection pursuant to Section
1419, the procedure for doing so, including the right to remain
anonymous, and the prohibition against retaliation.
   (i) (1) An employee who has been discriminated against in
employment pursuant to this section is entitled to reinstatement,
reimbursement for lost wages and work benefits caused by the acts of
the employer, and the legal costs associated with pursuing the case,
or to any remedy deemed warranted by the court pursuant to this
chapter or any other applicable provision of statutory or common law.

   (2) A health care worker who has been discriminated against
pursuant to this section is entitled to reinstatement, reimbursement
for lost income, and the legal costs associated with pursuing the
case, or to any remedy deemed warranted by the court pursuant to this
chapter or any other applicable provision of statutory or common
law.
   (3) A member of the medical staff who has been discriminated
against pursuant to this section is entitled to reinstatement,
reimbursement for lost income resulting from a change in the terms or
conditions of his or her privileges caused by the acts of the
facility or the entity that owns or operates the facility or any
other health facility that is owned or operated by that entity, and
the legal costs associated with pursuing the case, or to any remedy
deemed warranted by the court pursuant to this chapter or any other
applicable provision of statutory or common law.
   (4) For purposes of this subdivision, "legal costs" means attorney'
s fees, litigation costs, and expert witness fees incurred in the
litigation.
   (j) For purposes of this section, "long-term health care facility"
means a facility defined under Section 1418, including, but not
limited to, the facility's administrative personnel, employees,
boards, and committees of the board, and medical staff.
   (k) For purposes of this section, "complainant" means a person who
has filed a complaint, as defined in Section 1420.
   (l) This section does not abrogate or limit any other theory of
liability or remedy otherwise available at law.  
  SEC. 2.    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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