Bill Text: CA SB1311 | 2013-2014 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

---

Bill Title: Hospitals: antimicrobial stewardship.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Passed) 2014-09-29 - Chaptered by Secretary of State. Chapter 843, Statutes of 2014. [SB1311 Detail]

Download: California-2013-SB1311-Amended.html

---

BILL NUMBER: SB 1311	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  JUNE 4, 2014
	AMENDED IN SENATE  APRIL 10, 2014

INTRODUCED BY   Senator Hill
   (Coauthor: Assembly Member Mullin)

                        FEBRUARY 21, 2014

   An act to add Section 1288.85 to the Health and Safety Code,
relating to  public  health  facilities  .


	LEGISLATIVE COUNSEL'S DIGEST


   SB 1311, as amended, Hill.  Public health:  
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. 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 
has attended training specifically on   is
knowledgeable about  antimicrobial stewardship  ,
including, but not limited to, a training program offered by the
federal Centers for Disease Control and Prevention.  
through prior training, professional experience, 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.
   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 1.  Section 1288.85 is added to the Health and Safety Code,
immediately following Section 1288.8, to read:
   1288.85.  Each general acute care hospital, as defined in
subdivision (a) of Section 1250, shall do all of the following by
July 1, 2015:
   (a) Adopt and implement an antimicrobial stewardship policy in
accordance with guidelines established by the federal government and
professional organizations.
   (b) Develop a physician supervised multidisciplinary antimicrobial
stewardship committee, subcommittee, or workgroup.
   (c) Appoint to the physician supervised multidisciplinary
antimicrobial stewardship committee, subcommittee, or workgroup, at
least one physician or pharmacist who  has attended training
specifically on   is knowledgeable about the subject of
 antimicrobial stewardship  , including, but not limited
to, a continuing education   through prior 
training  program   , professional experience,
or attendance at continuing education programs, including programs
 offered by the federal Centers for Disease Control and
Prevention, the Society for Healthcare Epidemiology of America, or
similar recognized professional organizations  , or post
graduate training with a concentration in antimicrobial stewardship
 .
   (d) Report antimicrobial stewardship program activities to each
appropriate hospital committee undertaking clinical quality
improvement activities.
  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.